Shigeta, M.; Sato, T.; Dasgupta, B.
1985-01-01
The magnetohydrodynamic stability of streaming tearing mode is investigated numerically. A bulk plasma flow parallel to the antiparallel magnetic field lines and localized in the neutral sheet excites a streaming tearing mode more strongly than the usual tearing mode, particularly for the wavelength of the order of the neutral sheet width (or smaller), which is stable for the usual tearing mode. Interestingly, examination of the eigenfunctions of the velocity perturbation and the magnetic field perturbation indicates that the streaming tearing mode carries more energy in terms of the kinetic energy rather than the magnetic energy. This suggests that the streaming tearing mode instability can be a more feasible mechanism of plasma acceleration than the usual tearing mode instability.
Surface tearing modes in tokamaks
International Nuclear Information System (INIS)
Takizuka, Tomonori; Kurita, Gen-ichi; Azumi, Masafumi; Takeda, Tatsuoki
1985-10-01
Surface tearing modes in tokamaks are studied numerically and analytically. The eigenvalue problem is solved to obtain the growth rate and the mode structure. We investigate in detail dependences of the growth rate of the m/n = 2/1 resistive MHD modes on the safety factor at the plasma surface, current profile, wall position, and resistivity. The surface tearing mode moves the plasma surface even when the wall is close to the surface. The stability diagram for these modes is presented. (author)
International Nuclear Information System (INIS)
Satya, Y.; Schmidt, G.
1979-01-01
A fully developed tearing mode modifies the magnetic field profile. The effect of this profile modification on the linear growth rate of a different tearing mode in a slab and cylindrical geometry is investigated
International Nuclear Information System (INIS)
Zelenyj, L.M.; Kuznetsova, M.M.
1989-01-01
Nonlinear study of magnetic perturbation development under single-mode conditions in collision-free plasma in configurations with the magnetic field shear is investigated. Results are obtained with regard of transverse component of electrical field and its effect on ion dynamics within wide range of ion Larmor radius value and values of magnetic field shear. Increments of nonlinear drift tearing mode are obtained and it is shown that excitation drastic conditions of even linearly stable modes are possible. Mechanism of instability nonlinear stabilization is considered and the value of magnetic island at the saturation threshold is estimeted. Energy of nonlinear drift tearing mode is discussed
Linear stability of tearing modes
International Nuclear Information System (INIS)
Cowley, S.C.; Kulsrud, R.M.; Hahm, T.S.
1986-05-01
This paper examines the stability of tearing modes in a sheared slab when the width of the tearing layer is much smaller than the ion Larmor radius. The ion response is nonlocal, and the quasineutrality retains its full integal form. An expansion procedure is introduced to solve the quasineutrality equation in powers of the width of the tearing layer over the ion Larmor radius. The expansion procedure is applied to the collisionless and semi-collisional tearing modes. The first order terms in the expansion we find to be strongly stabilizing. The physics of the mode and of the stabilization is discussed. Tearing modes are observed in experiments even though the slab theory predicts stability. It is proposed that these modes grow from an equilibrium with islands at the rational surfaces. If the equilibrium islands are wider than the ion Larmor radius, the mode is unstable when Δ' is positive
Tearing mode saturation with finite pressure
International Nuclear Information System (INIS)
Lee, J.K.
1988-01-01
With finite pressure, the saturation of the current-driven tearing mode is obtained in three-dimensional nonlinear resistive magnetohydrodynamic simulations for Tokamak plasmas. To effectively focus on the tearing modes, the perturbed pressure effects are excluded while the finite equilibrium pressure effects are retained. With this model, the linear growth rates of the tearing modes are found to be very insensitive to the equilibrium pressure increase. The nonlinear aspects of the tearing modes, however, are found to be very sensitive to the pressure increase in that the saturation level of the nonlinear harmonics of the tearing modes increases monotonically with the pressure rise. The increased level is associated with enhanced tearing island sizes or increased stochastic magnetic field region. (author)
Tearing modes in toroidal geometry
International Nuclear Information System (INIS)
Connor, J.W.; Cowley, S.C.; Hastie, R.J.; Hender, T.C.; Hood, A.; Martin, T.J.
1988-01-01
The separation of the cylindrical tearing mode stability problem into a resistive resonant layer calculation and an external marginal ideal magnetohydrodynamic (MHD) calculation (Δ' calculation) is generalized to axisymmetric toroidal geometry. The general structure of this separation is analyzed and the marginal ideal MHD information (the toroidal generalization of Δ') required to discuss stability is isolated. This can then, in principle, be combined with relevant resonant layer calculations to determine tearing mode growth rates in realistic situations. Two examples are given: the first is an analytic treatment of toroidally coupled (m = 1, n = 1) and (m = 2, n = 1) tearing modes in a large aspect ratio torus; the second, a numerical treatment of the toroidal coupling of three tearing modes through finite pressure effects in a large aspect ratio torus. In addition, the use of a coupling integral approach for determining the stability of coupled tearing modes is discussed. Finally, the possibility of using initial value resistive MHD codes in realistic toroidal geometry to determine the necessary information from the ideal MHD marginal solution is discussed
Tearing mode instability due to anomalous resistivity
International Nuclear Information System (INIS)
Furuya, Atsushi; Itoh, Sanae I.; Yagi, Masatoshi
2000-01-01
Tearing mode instability in the presence of microscopic truculence is investigates. The effects of microscopic turbulence on tearing mode are taken as drags which are calculated by one-point renormalization method and mean-field approximation. These effects are reduced to effective diffusivities in reduced MHD equations. Using these equations, the stability analyses of the tearing mode are performed. It is shown that a finite amplitude of fluctuation enhances the growth rate of tearing mode. For very high values of turbulent diffusivities, marginally stable state exists. The effects of each turbulent diffusivity on mode stability are examined near marginal stability boundary. Parameter dependence of the resistive ballooning mode turbulence on tearing mode is analyzed as an example. (author)
Thermal effects on tearing mode saturation
International Nuclear Information System (INIS)
Kim, J.S.; Chu, M.S.; Greene, J.M.
1988-01-01
The effect of geometry on tearing modes, saturated states of tearing modes, and the thermal effect on tearing modes are presented. The configuration of current and magnetic fields are quite different in slabs and in Tokamaks. However, for any magnetic island regardless of geometry and heating conditions, at island saturation the product of resistivity and current is the same at magnetic O and X lines. The temperature perturbation effect on the nonlinear development of tearing modes is investigated. Thermal conduction along the field lines is much faster than that in the perpendicular direction, and thus the temperature profile follows the island structure. Utilizing Spitzer's conductivity relation, the temperature perturbation is modelled as helical components of resistivity. For a usual tearing mode unstable Tokamak, where shear is positive, the islands continue to grow to a larger size when the islands are cooled. When they are heated, the island sizes are reduced. The temperature perturbation can induce islands even for equilibria stable with respect to tearing modes. Again, the islands appear when cooling takes place. The equilibria with the cooled islands show enhanced field line stochasticity, thus enhanced heat transport. Therefore, thermal instability can be directly related to pressure disruptions. (author)
Tearing mode analysis in tokamaks, revisited
International Nuclear Information System (INIS)
Nishimura, Y.; Callen, J.D.; Hegna, C.C.
1997-12-01
A new Δ' shooting code has been developed to investigate tokamak plasma tearing mode stability in a cylinder and large aspect ratio (ε ≤ 0.25) toroidal geometries, neglecting toroidal mode coupling. A different computational algorithm is used (shooting out from the singular surface instead of into it) to resolve the strong singularities at the mode rational surface, particularly in the presence of finite pressure term. Numerical results compare favorably with Furth et al. results. The effects of finite pressure, which are shown to decrease Δ', are discussed. It is shown that the distortion of the flux surfaces by the Shafranov shift, which modifies the geometry metric element stabilizes the tearing mode significantly, even in a low β regime before the toroidal magnetic curvature effects come into play. Double tearing modes in toroidal geometries are examined as well. Furthermore, m ≥ 2 tearing mode stability criteria are compared with three dimensional initial value MHD simulation by the FAR code
Influence of toroidal rotation on tearing modes
Cai, Huishan; Cao, Jintao; Li, Ding
2017-10-01
Tearing modes stability analysis including toroidal rotation is studied. It is found that rotation affects the stability of tearing modes mainly through the interaction with resistive inner region of tearing mode. The coupling of magnetic curvature with centrifugal force and Coriolis force provides a perturbed perpendicular current, and a return parallel current is induced to affect the stability of tearing modes. Toroidal rotation plays a stable role, which depends on the magnitude of Mach number and adiabatic index Γ, and is independent on the direction of toroidal rotation. For Γ >1, the scaling of growth rate is changed for typical Mach number in present tokamaks. For Γ = 1 , the scaling keeps unchanged, and the effect of toroidal rotation is much less significant, compared with that for Γ >1. National Magnetic Confinement Fusion Science Program and National Science Foundation of China under Grants No. 2014GB106004, No. 2013GB111000, No. 11375189, No. 11075161 and No. 11275260, and Youth Innovation Promotion Association CAS.
Numerical Δ' studies of the nonlinear finite-β tearing mode
International Nuclear Information System (INIS)
Pletzer, A.
1996-01-01
Tearing modes have recently attracted attention following theoretical successes in predicting the presence of magnetic island with moderate poloidal m = 3,4 and toroidal n = 2,3 mode numbers during TFTR (Tokamak Fusion Test Reactor) supershots. Classical linear resistive mode theory predicts instability when the asymptotic matching index Δ' defined as the jump of logarithmic derivative of the radial magnetic perturbation across the rational surface is positive. Recently, it was suggested that tearing modes could also persist when Δ'<0 provided bootstrap current effects are taken into account. In all the above theories, the crucial parameter which determines the stability from both the geometry and equilibrium profiles is Δ'. It is shown in the present study that the Δ' of the (m=2, n=1) mode computed with the PEST-3 code is virtually always positive. Saturation can nevertheless be achieved provided the symmetry breaking term of a current gradient is included in the resistive layer. (author) 3 figs., 11 refs
Mode coupling trigger of neoclassical magnetohydrodynamic tearing modes in tokamaks
International Nuclear Information System (INIS)
Gianakon, T.A.; Hegna, C.C.; Callen, J.D.
1997-05-01
Numerical studies of the nonlinear evolution of coupled magnetohydrodynamic - type tearing modes in three-dimensional toroidal geometry with neoclassical effects are presented. The inclusion of neoclassical physics introduces an additional free-energy source for the nonlinear formation of magnetic islands through the effects of a bootstrap current in Ohm's law. The neoclassical tearing mode is demonstrated to be destabilized in plasmas which are otherwise Δ' stable, albeit once a threshold island width is exceeded. A possible mechanism for exceeding or eliminating this threshold condition is demonstrated based on mode coupling due to toroidicity with a pre-existing instability at the q = 1 surface
International Nuclear Information System (INIS)
Li, D.
2001-01-01
The neoclassical and double tearing modes have been analyzed with related new phenomena in the reversed magnetic shear tokamak plasmas. The instability threshold, and the linear and nonlinear evolution are derived for the neoclassical tearing modes. It is found that the perturbed bootstrap current in the resistive layer has a stabilizing effect while the equilibrium bootstrap current in the outer region can destabilize the modes. The dispersion relation is derived for the double tearing mode. It is found that the onset of ''annular crash'' is due to the fast reconnection of the hot and cold islands, triggered by the interaction of both branches. The onset of ''core crash'' is mainly due to the coalescence between the hot islands, triggered by the explosive growth of the inner branch. (author)
International Nuclear Information System (INIS)
Li Ding
1999-01-01
The neoclassical and double tearing modes have been analyzed with related new phenomena in the reversed magnetic shear tokamak plasmas. The instability threshold, and the linear and nonlinear evolution are derived for the neoclassical tearing modes. It is found that the perturbed bootstrap current in the resistive layer has a stabilizing effect while the equilibrium bootstrap current in the outer region can destabilize the modes. The dispersion relation is derived for the double tearing mode. It is found that the onset of 'annular crash' is due to the fast reconnection of the hot and cold islands, triggered by the interaction of both branches. The onset of 'core crash' is mainly due to the coalescence between the hot islands, triggered by the explosive growth of the inner branch. (author)
Tearing modes with pressure gradient effect in pair plasmas
International Nuclear Information System (INIS)
Cai Huishan; Li Ding; Zheng Jian
2009-01-01
The general dispersion relation of tearing mode with pressure gradient effect in pair plasmas is derived analytically. If the pressure gradients of positron and electron are not identical in pair plasmas, the pressure gradient has significant influence at tearing mode in both collisionless and collisional regimes. In collisionless regime, the effects of pressure gradient depend on its magnitude. For small pressure gradient, the growth rate of tearing mode is enhanced by pressure gradient. For large pressure gradient, the growth rate is reduced by pressure gradient. The tearing mode can even be stabilized if pressure gradient is large enough. In collisional regime, the growth rate of tearing mode is reduced by the pressure gradient. While the positron and electron have equal pressure gradient, tearing mode is not affected by pressure gradient in pair plasmas.
Electrostatic effect for the collisionless tearing mode
International Nuclear Information System (INIS)
Hoshino, M.
1987-01-01
Electron dynamics has not been self-consistently considered in collisionless tearing mode theories to date because of the mathematical complexity of the Vlasov-Maxwell equations. We have found using computer simulations that electrostatic fields play an important role in the tearing mode. Vlasov theory, including the electrostatic field, is investigated for topologies with both antiparallel and nonantiparallel magnetic field lines. The electrostatic field influences the resonant current in the neutral sheet which is a non-MHD effect, and modifies the linear growth rate. At the magnetopause, where the field lines are not antiparallel, the electrostatic effect acts to raise the linear growth rate of the tearing mode. On the other hand, in the magnetotail, where magnetic field lines are antiparallel, the electrostatic effect reduces the tearing mode growth rate. copyright American Geophysical Union 1987
Non-linear evolution of double tearing modes in tokamaks
International Nuclear Information System (INIS)
Fredrickson, E.; Bell, M.; Budny, R.V.; Synakowski, E.
1999-01-01
The delta prime formalism with neoclassical modifications has proven to be a useful tool in the study of tearing modes in high beta, collisionless plasmas. In this paper the formalism developed for the inclusion of neoclassical effects on tearing modes in monotonic q-profile plasmas is extended to plasmas with hollow current profiles and double rational surfaces. First, the classical formalism of tearing modes in the Rutherford regime in low beta plasmas is extended to q profiles with two rational surfaces. Then it is shown that this formalism is readily extended to include neoclassical effects
Plate Tearing Under Mixed Mode Loading
DEFF Research Database (Denmark)
Andersen, Rasmus Grau; Nielsen, Kim Lau; Felter, Christian Lotz
2016-01-01
the mesh cannot accurately capture the localization process that precedes ductile failure. To fertilize accurate predictions of such sheet tearing, the energy dissipated during localization must, therefore, be accounted for in the cohesive traction-separation law. The fact is that the local thinning...... that takes place in front of an advancing crack can significantly enhance the crack growth resistanceas the energy going into thinning the sheet typically dominates the total fracture energy.This has been investigated in great details for the case of pure Mode I tearing and both the energy dissipation, peak...... stress, and shape of the cohesive traction-separation law have been laid out. In a similar fashion, the present study resolves the sequence of failure details related to steady-state sheet tearing under mixed mode loading by employing the micro-mechanics based Gurson model. But, the fracture process...
Tearing mode dynamics and sawtooth oscillation in Hall-MHD
Ma, Zhiwei; Zhang, Wei; Wang, Sheng
2017-10-01
Tearing mode instability is one of the most important dynamic processes in space and laboratory plasmas. Hall effects, resulted from the decoupling of electron and ion motions, could cause the fast development and perturbation structure rotation of the tearing mode and become non-negligible. We independently developed high accuracy nonlinear MHD code (CLT) to study Hall effects on the dynamic evolution of tearing modes with Tokamak geometries. It is found that the rotation frequency of the mode in the electron diamagnetic direction is in a good agreement with analytical prediction. The linear growth rate increases with increase of the ion inertial length, which is contradictory to analytical solution in the slab geometry. We further find that the self-consistently generated rotation largely alters the dynamic behavior of the double tearing mode and the sawtooth oscillation. National Magnetic Confinement Fusion Science Program of China under Grant No. 2013GB104004 and 2013GB111004.
Ponderomotive modification of drift tearing modes
International Nuclear Information System (INIS)
Urquijo, G.; Singh, R.; Sen, A.
1997-01-01
The linear characteristics of drift tearing modes are investigated in the presence of a significant background of radio-frequency (RF) waves in the ion cyclotron range of frequencies. The ponderomotive force, arising from the radial gradients in the RF field energy, is found to significantly modify the inner layer solutions of the drift tearing modes. It can have a stabilizing influence, even at moderate RF powers, provided the field energy has a decreasing radial profile at the mode rational surface. (author)
Neoclassical tearing modes in a tokamak
International Nuclear Information System (INIS)
Hahm, T.S.
1988-08-01
Linear tearing instability is studied in the banana collisionality regime in tokamak geometry. Neoclassical effects produce significant modifications of Ohm's law and the vorticity equation so that the growth rate of tearing modes driven by Δ' is dramatically reduced compared to the usual resistive MHD value. Consequences of this result, regarding the presence of pressure-gradient-driven neoclassical resistive interchange instabilities and the evolution of magnetic islands in the Rutherford regime, are discussed. 10 refs
Threshold condition for nonlinear tearing modes in tokamaks
International Nuclear Information System (INIS)
Zabiego, M.F.; Callen, J.D.
1996-03-01
Low-mode-number tearing, mode nonlinear evolution is analyzed emphasizing the need for a threshold condition, to account for observations in tokamaks. The discussion is illustrated by two models recently introduced in the literature. The models can be compared with the available data and/or serve as a basis for planning some experiments in order to either test theory (by means of beta-limit scaling laws, as proposed in this paper) or attempt to control undesirable tearing modes. Introducing a threshold condition in the tearing mode stability analysis is found to reveal some bifurcation points and thus domains of intrinsic stability in the island dynamics operational space
From current-driven to neoclassically driven tearing modes.
Reimerdes, H; Sauter, O; Goodman, T; Pochelon, A
2002-03-11
In the TCV tokamak, the m/n = 2/1 island is observed in low-density discharges with central electron-cyclotron current drive. The evolution of its width has two distinct growth phases, one of which can be linked to a "conventional" tearing mode driven unstable by the current profile and the other to a neoclassical tearing mode driven by a perturbation of the bootstrap current. The TCV results provide the first clear observation of such a destabilization mechanism and reconcile the theory of conventional and neoclassical tearing modes, which differ only in the dominant driving term.
A study of tearing modes via electron cyclotron emission from tokamak plasmas
International Nuclear Information System (INIS)
Ren, C.
1998-07-01
This thesis studies several tearing mode problems from both theoretical and experimental points of view. A major part of this thesis is to demonstrate that Electron Cyclotron Emission (ECE) is an excellent diagnostic for studying an MHD mode structure and its properties in a tokamak plasma. It is shown that an MHD mode can be detected from the electron temperature fluctuations measured by ECE. The amplitude and phase profiles of the fluctuations contain detailed information about the mode structure. The ECE fluctuation phase profile indicates the magnetic island deformation due to the combination of sheared flow and viscosity. A model is presented to relate qualitatively the observed phase gradient to the local magnetic field, flow velocity shear and viscosity in a 2D slab geometry, using an ideal Ohm's law and the plasma momentum equation including flow and viscosity. Numerical solution of the resultant Grad-Shafranov-like equation describing the deformed island shows that the experimentally observed value of the phase gradient can be obtained under realistic parameters for the shear in the flow velocity and viscosity. A new approach to the tearing mode stability boundary and saturation level is also presented
A study of tearing modes via electron cyclotron emission from tokamak plasmas
Energy Technology Data Exchange (ETDEWEB)
Ren, Chuang [Univ. of Wisconsin, Madison, WI (United States)
1998-07-01
This thesis studies several tearing mode problems from both theoretical and experimental points of view. A major part of this thesis is to demonstrate that Electron Cyclotron Emission (ECE) is an excellent diagnostic for studying an MHD mode structure and its properties in a tokamak plasma. It is shown that an MHD mode can be detected from the electron temperature fluctuations measured by ECE. The amplitude and phase profiles of the fluctuations contain detailed information about the mode structure. The ECE fluctuation phase profile indicates the magnetic island deformation due to the combination of sheared flow and viscosity. A model is presented to relate qualitatively the observed phase gradient to the local magnetic field, flow velocity shear and viscosity in a 2D slab geometry, using an ideal Ohm`s law and the plasma momentum equation including flow and viscosity. Numerical solution of the resultant Grad-Shafranov-like equation describing the deformed island shows that the experimentally observed value of the phase gradient can be obtained under realistic parameters for the shear in the flow velocity and viscosity. A new approach to the tearing mode stability boundary and saturation level is also presented.
Threshold condition for nonlinear tearing modes in tokamaks
Energy Technology Data Exchange (ETDEWEB)
Zabiego, M.F. [Association Euratom-CEA, Centre d`Etudes de Cadarache, 13 - Saint-Paul-lez-Durance (France). Dept. de Recherches sur la Fusion Controlee; Callen, J.D. [Wisconsin Univ., Madison, WI (United States). Dept. of Nuclear Engineering and Engineering Physics
1996-04-01
Low-mode-number tearing mode nonlinear evolution is analyzed emphasizing the need for a threshold condition, to account for observations in tokamaks. The discussion is illustrated by two models recently introduced in the literature. Introducing a threshold condition in the tearing mode stability analysis is found to reveal some bifurcation points and thus domains of intrinsic stability in the island dynamics operational space. (author). 19 refs.
Threshold condition for nonlinear tearing modes in tokamaks
International Nuclear Information System (INIS)
Zabiego, M.F.; Callen, J.D.
1996-04-01
Low-mode-number tearing mode nonlinear evolution is analyzed emphasizing the need for a threshold condition, to account for observations in tokamaks. The discussion is illustrated by two models recently introduced in the literature. Introducing a threshold condition in the tearing mode stability analysis is found to reveal some bifurcation points and thus domains of intrinsic stability in the island dynamics operational space. (author)
Local effect of equilibrium current on tearing mode stability
International Nuclear Information System (INIS)
Cozzani, F.
1985-12-01
The local effect of the equilibrium current on the linear stability of low poloidal number tearing modes in tokamaks is investigated analytically. The plasma response inside the tearing layer is derived from fluid theory and the local equilibrium current is shown to couple to the mode dynamics through its gradient, which is proportional to the local electron temperature gradient under the approximations used in the analysis. The relevant eigenmode equations, expressing Ampere's law and the plasma quasineutrality condition, respectively, are suitably combined in a single integral equation, from which a variational principle is formulated to derive the mode dispersion relations for several cases of interest. The local equilibrium current is treated as a small perturbation of the known results for the m greater than or equal to 2 and the m = 1 tearing modes in the collisional regime, and the m greater than or equal to 2 tearing mode in the semicollisional regime; its effect is found to enhance stabilization for the m greater than or equal to 2 drift-tearing mode in the collisional regime, whereas the m = 1 growth rate is very slightly increased and the stabilizing effect of the parallel thermal conduction on the m greater than or equal to 2 mode in the semicollisional regime is slightly reduced
Hyper-resistivity produced by tearing mode turbulence
International Nuclear Information System (INIS)
Strauss, H.R.
1986-01-01
Tearing mode turbulence produces a hyper-resistivity or effective anomalous electron viscosity. The hyper-resistivity is calculated for the mean magnetic field quasilinearly, and for long-wavelength modes using the direct interaction approximation. The hyper-resistivity accounts for current relaxation in reversed-field pinch experiments, and gives a magnetic fluctuation sealing of S -1 /sup // 3 . It causes enhanced tearing mode growth rates in the turbulent phase of tokamak disruptions. In astrophysics, it limits magnetic energy growth due to the dynamo effect, and may explain rapid reconnection phenomena such as solar flares
Simulation of saturated tearing modes in tokamaks
International Nuclear Information System (INIS)
Nguyen, Canh N.; Bateman, Glenn; Kritz, Arnold H.
2004-01-01
A quasi-linear model, which includes the effect of the neoclassical bootstrap current, is developed for saturated tearing modes in order to compute magnetic island widths in axisymmetric toroidal plasmas with arbitrary aspect ratio and cross-sectional shape. The model is tested in a simple stand-alone code and is implemented in the BALDUR [C. E. Singer et al., Comput. Phys. Commun. 49, 275 (1982)] predictive modeling code. It is found that the widths of tearing mode islands increase with decreasing aspect ratio and with increasing elongation. Also, the island widths increase when the gradient of the current density increases at the edge of the islands and when the current density inside the islands is suppressed, such as the suppression caused by the near absence of the bootstrap current within the islands. In simulations of tokamak discharges, it is found that tearing mode island widths oscillate in time in response to periodic sawtooth crashes. The local enhancements in the transport produced by magnetic islands have a noticeable effect on global plasma confinement in simulations of low aspect ratio, high beta tokamaks, where saturated tearing mode islands can occur with widths that are greater than 15% of the plasma minor radius
Tearing modes in tokamaks with lower hybrid current drive
International Nuclear Information System (INIS)
Xu, X.Q.
1990-08-01
In this paper, the effect of current drive on the tearing modes in the semi-collisional regime is analyzed using the drift-kinetic equation. A collisional operator is developed to model electron parallel conductivity. For the pure tearing modes the linear and quasilinear growth rates in the Rutherford regimes have been found to have roughly the same forms with a modified resistivity as without current drive. One interesting result is the prediction of a new instability. This instability, driven by the current gradient inside the tearing mode layer, is possibly related to MHD behavior observed in these experiments. 9 refs
Computational modeling of neoclassical and resistive magnetohydrodynamic tearing modes in tokamaks
International Nuclear Information System (INIS)
Gianakon, T.A.; Hegna, C.C.; Callen, J.D.
1996-01-01
Numerical studies of the nonlinear evolution of magnetohydrodynamic-type tearing modes in three-dimensional toroidal geometry with neoclassical effects are presented. The inclusion of neoclassical physics introduces an additional free-energy source for the nonlinear formation of magnetic islands through the effects of a bootstrap current in Ohm close-quote s law. The neoclassical tearing mode is demonstrated to be destabilized in plasmas which are otherwise Δ' stable, albeit once an island width threshold is exceeded. The plasma pressure dynamics and neoclassical tearing growth is shown to be sensitive to the choice of the ratio of the parallel to perpendicular diffusivity (χ parallel /χ perpendicular ). The study is completed with a demonstration and theoretical comparison of the threshold for single helicity neoclassical magnetohydrodynamic tearing modes, which is described based on parameter scans of the local pressure gradient, the ratio of perpendicular to parallel pressure diffusivities χ perpendicular /χ parallel , and the magnitude of an initial seed magnetic perturbation. copyright 1996 American Institute of Physics
Computational modeling of neoclassical and resistive MHD tearing modes in tokamaks
International Nuclear Information System (INIS)
Gianakon, T.A.; Hegna, C.C.; Callen, J.D.
1996-01-01
Numerical studies of the nonlinear evolution of MHD-type tearing modes in three-dimensional toroidal geometry with neoclassical effects are presented. The inclusion of neoclassical physics introduces an additional free-energy source for the nonlinear formation of magnetic islands through the effects of a bootstrap current in Ohm's law. The neoclassical tearing mode is demonstrated to be destabilized in plasmas which are otherwise Δ' stable, albeit once an island width threshold is exceeded. The plasma pressure dynamics and neoclassical tearing growth is shown to be sensitive to the choice of the ratio of the parallel to perpendicular diffusivity (Χ parallel/Χ perpendicular). The study is completed with a demonstration and theoretical comparison of the threshold for single helicity neoclassical MHD tearing modes, which is described based on parameter scans of the local pressure gradient, the ratio of perpendicular to parallel pressure diffusivities Χ perpendicular/Χ parallel, and the magnitude of an initial seed magnetic perturbation
Stability of coupled tearing and twisting modes in tokamaks
International Nuclear Information System (INIS)
Fitzpatrick, R.
1994-03-01
A dispersion relation is derived for resistive modes of arbitrary parity in a tokamak plasma. At low mode amplitude, tearing and twisting modes which have nonideal MHD behavior at only one rational surface at a time in the plasma are decoupled via sheared rotation and diamagnetic flows. At higher amplitude, more unstable open-quote compound close-quote modes develop which have nonideal behavior simultaneously at many surfaces. Such modes possess tearing parity layers at some of the nonideal surfaces, and twisting parity layers at others, but mixed parity layers are generally disallowed. At low mode number, open-quote compound close-quote modes are likely to have tearing parity layers at all of the nonideal surfaces in a very low-β plasma, but twisting parity layers become more probable as the plasma β is increased. At high mode number, unstable twisting modes which exceed a critical amplitude drive conventional magnetic island chains on alternate rational surfaces, to form an interlocking structure in which the O-points and X-points of neighboring chains line up
A new algebraic growth of nonlinear tearing mode
International Nuclear Information System (INIS)
Li, D.
1995-01-01
It is found that the quasilinear modification of magnetic field produces a nonlinear Lorentz force opposing the linear driving force and slowing down the vortex flow. A new algebraic growth appears due to this damping mechanism to oppose the linear growth of the tearing mode. This effect was eliminated in Rutherford's model [Phys. Fluids 16, 1903 (1973)] under the flux average operation and the assumption ∂/∂t much-lt η/δ 2 (here η is the resistivity, δ is the resistive layer width). A unified analytical model is developed by using standard perturbation theory for the linear and nonlinear growth of the tearing mode. The inertia effect and quasilinear effects of both the current density and the magnetic field have been included. A nonlinear evolution equation is analytically derived for the tearing mode to describe the linear growth, Rutherford's behavior, and the new behavior. The classical linear result is exactly recovered as the quasilinear effects are negligible. It is shown that a more slowly algebraic growth like Ψ 1 ∝t can become dominant in the nonlinear phase instead of Rutherford behavior like Ψ 1 ∝t 2 , provided the tearing mode in the linear phase is strongly unstable. Here Ψ 1 is the magnetic flux perturbation. copyright 1995 American Institute of Physics
Stability of short wavelength tearing and twisting modes
International Nuclear Information System (INIS)
Waelbroeck, F.L.
1998-01-01
The stability and mutual interaction of tearing and twisting modes in a torus is governed by matrices that generalize the well-known Δ' stability index. The diagonal elements of these matrices determine the intrinsic stability of modes that reconnect the magnetic field at a single resonant surface. The off-diagonal elements indicate the strength of the coupling between the different modes. The author shows how the elements of these matrices can be evaluated, in the limit of short wavelength, from the free energy driving radially extended ballooning modes. The author applies the results by calculating the tearing and twisting Δ' for a model high-beta equilibrium with circular flux surfaces
Tearing mode stability of tokamak plasmas with elliptical cross section
International Nuclear Information System (INIS)
Carreras, B.A.; Holmes, J.A.; Hicks, H.R.; Lynch, V.E.
1981-02-01
The effect of the ellipticity of the plasma cross section on tearing mode stability is investigated. The induced coupling between modes is shown to be destabilizing; however, the modification of the equilibrium tends to stabilize the tearing modes. The net effect depends on the manner in which the equilibrium is modified as the plasma cross-section shape is changed
International Nuclear Information System (INIS)
Malmberg, Jenny-Ann
2003-06-01
It is relatively straightforward to establish equilibrium in magnetically confined plasmas, but the plasma is frequently susceptible to a variety of instabilities that are driven by the free energy in the magnetic field or in the pressure gradient. These unstable modes exhibit effects that affect the particle, momentum and heat confinement properties of the configuration. Studies of the dynamics of several of the most important modes are the subject of this thesis. The studies are carried out on plasmas in the reversed field pinch (RFP) configuration. One phenomenon commonly observed in RFPs is mode wall locking. The localized nature of these phase- and wall locked structures results in localized power loads on the wall which are detrimental for confinement. A detailed study of the wall locked mode phenomenon is performed based on magnetic measurements from three RFP devices. The two possible mechanisms for wall locking are investigated. Locking as a result of tearing modes interacting with a static field error and locking due to the presence of a non-ideal boundary. The characteristics of the wall locked mode are qualitatively similar in a device with a conducting shell system (TPE-RX) compared to a device with a resistive shell (Extrap T2). A theoretical model is used for evaluating the threshold values for wall locking due to eddy currents in the vacuum vessel in these devices. A good correlation with experiment is observed for the conducting shell device. The possibility of successfully sustaining discharges in a resistive shell RFP is introduced in the recently rebuilt device Extrap T2R. Fast spontaneous mode rotation is observed, resulting in low magnetic fluctuations, low loop voltage and improved confinement. Wall locking is rarely observed. The low tearing mode amplitudes allow for the theoretically predicted internal non-resonant on-axis resistive wall modes to be observed. These modes have not previously been distinguished due to the formation of wall
Geometrical influences on neoclassical magnetohydrodynamic tearing modes
International Nuclear Information System (INIS)
Kruger, S.E.; Hegna, C.C.; Callen, J.D.
1997-07-01
The influence of geometry on the pressure drives of nonideal magnetohydrodynamic tearing modes is presented. In order to study the effects of elongation, triangularity, and aspect ratio, three different machines are considered to provide a range of tokamak configurations: TFTR (circular), DIII-D (D-shaped), and Pegasus (extremely low aspect ratio). For large aspect ratio tokamaks, shaping does very little to influence the pressure gradient drives, while at low aspect ratios, a very strong sensitivity to the profiles is found. In particular, this sensitivity is connected to the strong dependence on the magnetic shear. This suggests that at low aspect ratio it may be possible to stabilize neoclassical tearing modes by flattening the q profile near low order rational surfaces (e.g., q = 2/1) using a combination of shaping and localized current drive, whereas at large aspect ratio it is more difficult
Energy balance in tearing modes
International Nuclear Information System (INIS)
Wesson, J.A.
1993-01-01
The energy balance in tearing modes is described in terms of exact separate energy balance equations. Each of these equations describes identified physical processes, and their sum gives the conservation of total energy. One of the energy balance equations corresponds to Furth's description. (Author)
Nonlinear simulation of tearing mode and m=1 kink mode based on kinetic RMHD model
International Nuclear Information System (INIS)
Yagi, M.; Yoshida, S.; Itoh, S.-I.; Naitou, H.; Nagahara, H.; Leboeuf, J.-N.; Itoh, K.; Matsumoto, T.; Tokuda, S.; Azumi, M.
2005-01-01
In this paper, we investigate dynamics of sawtooth oscillation and neoclassical tearing modes based on kinetic RMHD model, putting an emphasis on interaction with microscopic and transport processes. The simulation results show that the assumption in the conventional theory of neoclassical tearing mode is rather rude. (author)
Nonlinear dynamics of toroidal Alfvén eigenmodes in the presence of tearing modes
Zhu, J.; Ma, Z. W.; Wang, S.; Zhang, W.
2018-04-01
A hybrid simulation is carried out to study nonlinear dynamics of n = 1 toroidal Alfvén eigenmodes (TAEs) with the m/n = 2/1 tearing mode. It is found that the n = 1 TAE is first excited by isotropic energetic particles at the linear stage and reaches the first steady state due to wave-particle interaction. After the saturation of the n = 1 TAE, the m/n = 2/1 tearing mode grows continuously and reaches its steady state due to nonlinear mode-mode coupling, especially, the n = 0 component plays a very important role in the tearing mode saturation. The results suggest that the enhancement of the tearing mode activity with increase of the resistivity could weaken the TAE frequency chirping through the interaction between the p = 1 TAE resonance and the p = 2 tearing mode resonance for passing particles in the phase space, which is opposite to the classical physical picture of the TAE frequency chirping that is enhanced with dissipation increase.
Electron diamagnetism and toroidal coupling of tearing modes
International Nuclear Information System (INIS)
Cowley, S.C.; Hastie, R.J.
1987-10-01
Using a simple model for the layer of the tearing mode, we demonstrate that toroidally coupled tearing modes with two rational surfaces are most unstable when the ω*'s of the electrons at the rational surfaces are equal. The onset of instability may then occur because of the tuning of ω* rather than the passage of Δ'-like quantities through zero. This mechanism for the onset of instability is sharp since the resonance is narrow. The effect of toroidal rotation is also discussed. 7 refs., 2 figs
Increasing the Tokamak Pressure Limit: Tearing Mode Experiments in DIII-D
International Nuclear Information System (INIS)
La Haye, R.J.
2005-01-01
Since its reconfiguration in 1986, DIII-D has performed a number of experiments involving resistive magnetohydrodynamic (MHD) stability. These were and are directed to understand the conditions in which confinement and beta reducing tearing mode islands form, how to avoid them, and if unavoidable, how to stabilize them. Coils for correction of toroidal nonaxisymmetry have been developed to avoid error field locked mode islands. Basic classical tearing mode stability physics has been confirmed with a state-of-the-art ensemble of profile diagnostics, MHD equilibrium reconstruction, and stability code analysis. Neoclassical tearing mode thresholds and seeding are now much better understood with future large higher field devices expected to be 'metastable'. DIII-D is the leader in sophisticated real-time alignment of stabilizing electron cyclotron current drive on otherwise unstable rational surfaces. In all, DIII-D experiments are showing how higher stable beta with good confinement can be maintained without tearing mode islands limiting the plasma pressure
Analysis of resistive tearing-mode in the reversed-field pinch plasma
International Nuclear Information System (INIS)
Oshiyama, Hiroshi; Masamune, Sadao; Hamuro, Eitaro; Tamaki, Reiji.
1985-01-01
As one of the methods of confining high temperature plasma by magnetic stress, attention has been paid to reversed field pinch (RFP). This RFP is the method of maintaining plasma pressure by combining the poloidal field generated by plasma current and the toroidal field having nearly same intensity, thus forming the toroidal shape, closed magnetic surface. As the typical RFP equipment, there have been TPE-1R(M), HBTX-1A, ZT-40M and OHTE, but in order to anticipate the further development, one of the problems is the resistive instability. In this study, the critical beta value determined by the tearing mode in RFP configuration was examined by analytical and numerical calculation methods. The position of a wall required for the stability was determined by solving a second order differential equation for a radial perturbed magnetic field. The propriety of the computer code for determining the position was examined. The magnetic field configuration having a finite beta value was determined, and its stability against a tearing mode was investigated. For this judgement of the stability, the developed computer code was used. The tearing mode in a Bessel function model, the tearing mode of a finite beta value and others are described. (Kako, I.)
Analytic theory of the nonlinear M = 1 tearing mode
International Nuclear Information System (INIS)
Hazeltine, R.D.; Meiss, J.D.; Morrison, P.J.
1985-09-01
Numerical studies show that the m = 1 tearing mode continues to grow exponentially well into the nonlinear regime, in contrast with the slow, ''Rutherford,'' growth of m > 1 modes. We present a single helicity calculation which generalizes that of Rutherford to the case when the constant-psi approximation is invalid. As in that theory, the parallel current becomes an approximate flux function when the island size, W, exceeds the linear tearing layer width. However for the m = 1 mode, W becomes proportional to deltaB, rather than (deltaB)/sup 1/2/ above this critical amplitude. This implies that the convective nonlinearity in Ohm's law, which couples the m = 0 component to the m = 1 component, dominates the resistive diffusion term. The balance between the inductive electric field and this convective nonlinearity results in exponential growth. Assuming the form of the perturbed fields to be like that of the linear mode, we find that the growth occurs at 71% of the linear rate
Nonlinear tearing modes in the reversed field pinch
International Nuclear Information System (INIS)
Miller, G.
1989-01-01
Finite-amplitude islands, which are the saturated states of tearing modes in the reversed field pinch, are calculated. These states are bifurcated noncylindrical equilibrium states. With σ(r) (σequivalentj x B/B 2 ) nonuniform across the plasma, as is consistent with experiment, a variety of m = 1 and m = 0 bifurcated equilibria are possible, instead of just the m = 1 helix calculated for uniform σ(r) by Taylor [in Pulsed High Beta Plasmas, edited by D. Evans (Pergamon, Oxford, 1976), p. 59]. Assuming the magnetic field lines in the reversed field pinch are weakly stochastic, the growth time of an unstable tearing mode is on the inertial time scale, as in the Taylor model, in constrast to growth on the resistive time scale predicted from nonlinear tearing mode theory when magnetic surfaces exist. The dependence of the saturated island width on radius of a conducting shell is investigated. Islands in the reversed field pinch often have magnetic wells in the island interior, which may result in improved confinement in the island regions
A two-fluid study of oblique tearing modes in a force-free current sheet
Energy Technology Data Exchange (ETDEWEB)
Akçay, Cihan, E-mail: akcay@lanl.gov; Daughton, William [Los Alamos National Laboratory, Los Alamos, New Mexico 87545 (United States); Lukin, Vyacheslav S. [National Science Foundation, Arlington, Virginia 22230 (United States); Liu, Yi-Hsin [NASA Goddard Space Flight Center, Greenbelt, Maryland 20771 (United States)
2016-01-15
Kinetic simulations have demonstrated that three-dimensional reconnection in collisionless regimes proceeds through the formation and interaction of magnetic flux ropes, which are generated due to the growth of tearing instabilities at multiple resonance surfaces. Since kinetic simulations are intrinsically expensive, it is desirable to explore the feasibility of reduced two-fluid models to capture this complex evolution, particularly, in the strong guide field regime, where two-fluid models are better justified. With this goal in mind, this paper compares the evolution of the collisionless tearing instability in a force-free current sheet with a two-fluid model and fully kinetic simulations. Our results indicate that the most unstable modes are oblique for guide fields larger than the reconnecting field, in agreement with the kinetic results. The standard two-fluid tearing theory is extended to address the tearing instability at oblique angles. The resulting theory yields a flat oblique spectrum and underestimates the growth of oblique modes in a similar manner to kinetic theory relative to kinetic simulations.
Saturated tearing modes in tokamaks. Renewal proposal, progress report
International Nuclear Information System (INIS)
Bateman, G.
1984-01-01
We have completed a computer code (GTOR) implementing our quasilinear method for determining saturated tearing mode magnetic island widths in axisymmetric toroidal plasmas. With this code we have surveyed the effect of current profile, aspect ratio and plasma elongation on saturated tearing modes. Current peaking within the islands is found to have a particularly large effect. In support of this research, we have developed a direct method for computing Hamada coordinates from harmonics of the inverse Grad-Shafranov equation
Effects of toroidal coupling on the stability of tearing modes
International Nuclear Information System (INIS)
Carreras, B.; Hicks, H.R.; Lee, D.K.
1980-06-01
The time evolution of tearing modes in toroidal geometry is studied in the low-β and large aspect ratio limit. An initial value three-dimensional computer code, which numerically advances the reduced set of resistive magnetohydrodynamic equations is employed. Toroidicity has, in general, a destabilizing effect on tearing modes in this limit. A generalization of the Δ' formalism can be used to study the linear regime. The results obtained in this way are in very good agreement with the results from the initial value code. The nonlinear phase of the evolution is also followed numerically. In the case of strong interaction of different helicities, a larger region of stochastic magnetic field lines results than in the cylindrical geometry case
Nonlinear drift tearing mode. Strong mode of excitation and stabilization mechanisms
International Nuclear Information System (INIS)
Galeev, A.A.; Zelenyj, L.M.; Kuznetsova, M.M.
1985-01-01
A nonlinear theory of magnetic disturbance development in collisionless configurations with magnetic field shear is considered. The instability evolution is investigated with account for the dynamics of ions and potential electric fields which determine the mode stabilization. It has been found that the drift tearing mode possesses metastable properties: in a nonlinear mode even the growth of linearly stable disturbances of the finite amplitude is possible
Is the Near-Earth Current Sheet Prior to Reconnection Unstable to Tearing Mode?
International Nuclear Information System (INIS)
Xin-Hua, Wei; Jin-Bin, Cao; Guo-Cheng, Zhou; Hui-Shan, Fu
2010-01-01
The tearing mode instability plays a key role in the triggering process of reconnection. The triggering collisionless tearing mode instability has been theoretically and numerically analyzed by many researchers. However, due to the difficulty in obtaining the observational wave number, it is still unknown whether the tearing mode instability can be excited in an actual plasma sheet prior to reconnection onset. Using the data from four Cluster satellites prior to a magnetospheric reconnection event on 13 September 2002, we utilized the wave telescope technique to obtain the wave number which corresponds to the peak of power spectral density. The wavelength is about 18R E and is consistent with previous theoretic and numerical results. After substituting the wave vector and other necessary parameters of the observed current sheet into the triggering condition of tearing mode instability, we find that the near-Earth current sheet prior to reconnection is unstable to tearing mode. (geophysics, astronomy, and astrophysics)
International Nuclear Information System (INIS)
Liu, Dongjian; Zhang, Wenlu; McClenaghan, Joseph; Wang, Jiaqi; Lin, Zhihong
2014-01-01
Global gyrokinetic particle simulation of resistive tearing modes has been developed and verified in the gyrokinetic toroidal code (GTC). GTC linear simulations in the fluid limit of the kink-tearing and resistive tearing modes in the cylindrical geometry agree well with the resistive magnetohydrodynamic eigenvalue and initial value codes. Ion kinetic effects are found to reduce the radial width of the tearing modes. GTC simulations of the resistive tearing modes in the toroidal geometry find that the toroidicity reduces the growth rates
Real-time control of tearing modes using a line-of-sight electron cyclotron emission diagnostic
International Nuclear Information System (INIS)
Hennen, B A; Westerhof, E; De Baar, M R; Bongers, W A; Thoen, D J; Nuij, P W J M; Steinbuch, M; Oosterbeek, J W; Buerger, A
2010-01-01
The stability and performance of tokamak plasmas are limited by instabilities such as neoclassical tearing modes. This paper reports on an experimental proof of principle of a feedback control approach for real-time, autonomous suppression and stabilization of tearing modes in a tokamak. The system combines an electron cyclotron emission diagnostic for sensing of the tearing modes in the same sight line with a steerable electron cyclotron resonance heating and current drive (ECRH/ECCD) antenna. A methodology for fast detection of q = m/n = 2/1 tearing modes and retrieval of their location, rotation frequency and phase is presented. Set-points to establish alignment of the ECRH/ECCD deposition location with the centre of the tearing mode are generated in real time and forwarded in closed loop to the steerable launcher and as a modulation pulse train to the gyrotron. Experimental results demonstrate the capability of the control system to track externally perturbed tearing modes in real time.
An innovative interpretation of rotating tearing mode locking to an external static current
International Nuclear Information System (INIS)
Coelho, R.; Lazzaro, E.
2001-01-01
Naturally occurring error fields in tokamaks, which arise from misalignments of the external field coils, may trigger the onset of tearing modes. The conditions under which a static error field is able to lock a rotating tearing mode and how this process takes place are discussed. The analysis presented contributes to a new understanding and interpretation of mode locking, given in terms of the superposition of a slipping layer (a radial layer of very fast mode phase variations) and the tearing layer, where reconnection takes place. In addition, a stabilizing operating window is found to exist, independent of the phase time evolution of the mode. (author). Letter-to-the-editor
Resistive wall tearing mode generated finite net electromagnetic torque in a static plasma
International Nuclear Information System (INIS)
Hao, G. Z.; Wang, A. K.; Xu, M.; Qu, H. P.; Peng, X. D.; Wang, Z. H.; Xu, J. Q.; Qiu, X. M.; Liu, Y. Q.
2014-01-01
The MARS-F code [Y. Q. Liu et al., Phys. Plasmas 7, 3681 (2000)] is applied to numerically investigate the effect of the plasma pressure on the tearing mode stability as well as the tearing mode-induced electromagnetic torque, in the presence of a resistive wall. The tearing mode with a complex eigenvalue, resulted from the favorable averaged curvature effect [A. H. Glasser et al., Phys. Fluids 18, 875 (1975)], leads to a re-distribution of the electromagnetic torque with multiple peaking in the immediate vicinity of the resistive layer. The multiple peaking is often caused by the sound wave resonances. In the presence of a resistive wall surrounding the plasma, a rotating tearing mode can generate a finite net electromagnetic torque acting on the static plasma column. Meanwhile, an equal but opposite torque is generated in the resistive wall, thus conserving the total momentum of the whole plasma-wall system. The direction of the net torque on the plasma is always opposite to the real frequency of the mode, agreeing with the analytic result by Pustovitov [Nucl. Fusion 47, 1583 (2007)]. When the wall time is close to the oscillating time of the tearing mode, the finite net torque reaches its maximum. Without wall or with an ideal wall, no net torque on the static plasma is generated by the tearing mode. However, re-distribution of the torque density in the resistive layer still occurs
Beyond the intelligent-shell concept. The clean-mode-control for tearing perturbations
International Nuclear Information System (INIS)
Zanca, Paolo
2010-01-01
The Intelligent Shell scheme, where a grid of active coils counteracts in a feedback scheme the measurements provided by an identical grid of sensors, has shown some limitations in the control of the dynamo tearing modes in RFX-mod. The origin of the problem is the aliasing on the measurements coming from the high periodicity sideband harmonics produced by the discrete nature of the active coils. A more efficient feedback on tearing modes is obtained by removing the sidebands from the measurements, thereby counteracting the true tearing Fourier modes. In this scheme, named Clean-Mode-Control, the sidebands are computed in real time from the coils currents using the cylindrical geometry approximation. The Clean-Mode-Control significantly alleviates the wall-locking of tearing modes in RFX-mod, giving the possibility of operating at a plasma current (1.5 MA) never reached before in a RFP machine. These features are well explained by a MHD model describing the tearing mode dynamic under the viscous torque due to the fluid motion and the electromagnetic torques produced by the feedback, the conductive structures surrounding the plasma and the non-linear interaction between the different modes. Here some new results obtained with this model are discussed. In particular we will show that the edge radial field control improves by reducing the ratio between the delay introduced by the digital acquisition of the measurements and the time constant of the shell that contains the plasma. In this formulation the active coils are assumed to be located outside the shell. (author)
Observations on Mode I ductile tearing in sheet metals
DEFF Research Database (Denmark)
El-Naaman, Salim Abdallah; Nielsen, Kim Lau
2013-01-01
Cracked ductile sheet metals, subject to Mode I tearing, have been observed to display a variety of fracture surface morphologies depending on the material properties, and a range of studies on the fracture surface appearance have been published in the literature. Whereas classical fractures...
Toroidal coupling and frequency spectrum of tearing modes
International Nuclear Information System (INIS)
Edery, D.; Samain, A.
1989-05-01
The frequency spectrum of tearing modes is analyzed with the help of a mode coupling model including toroidal effects in the MHD regions and various non linear effects in the resonant layers. In particular it is shown that the sudden damping of the mode rotation and the simultaneous enhancement of the growth rate observed in tokamak, could be explained as a bifurcating solution of the dispersion equation
Energy spectrum of tearing mode turbulence in sheared background field
Hu, Di; Bhattacharjee, Amitava; Huang, Yi-Min
2018-06-01
The energy spectrum of tearing mode turbulence in a sheared background magnetic field is studied in this work. We consider the scenario where the nonlinear interaction of overlapping large-scale modes excites a broad spectrum of small-scale modes, generating tearing mode turbulence. The spectrum of such turbulence is of interest since it is relevant to the small-scale back-reaction on the large-scale field. The turbulence we discuss here differs from traditional MHD turbulence mainly in two aspects. One is the existence of many linearly stable small-scale modes which cause an effective damping during the energy cascade. The other is the scale-independent anisotropy induced by the large-scale modes tilting the sheared background field, as opposed to the scale-dependent anisotropy frequently encountered in traditional critically balanced turbulence theories. Due to these two differences, the energy spectrum deviates from a simple power law and takes the form of a power law multiplied by an exponential falloff. Numerical simulations are carried out using visco-resistive MHD equations to verify our theoretical predictions, and a reasonable agreement is found between the numerical results and our model.
Numerical simulation of feedback stabilization of the tearing mode in a rotating plasma
International Nuclear Information System (INIS)
Speranskii, N.N.
1991-01-01
The suppression of the tearing mode by means of feedback is studied in a rotating plasma cylinder. The feedback is produced by a coil whose winding is specified by cos var-phi, var-phi = mθ - kz. It is shown that when a resonant surface is present in the rotating plasma the current in the feedback winding generates a magnetic flux in the plasma with cos var-phi and sin var-phi angular dependence. The processes of particle capture is explained. The rotational instability which arises because of the repulsion between the feedback and tearing-mode currents, which interferes with suppression of the tearing mode, is absent when the plasma rotates sufficiently rapidly. In this feedback dependence the form of the plasma current profile determines whether there can be an instability in the induced current resulting from the presence of the feedback
Crack Tip Flipping Under Mode I/III Tearing
DEFF Research Database (Denmark)
Felter, Christian Lotz; Specht Jensen, Lasse; Nielsen, Kim Lau
Crack tip flipping, where the fracture surface alternates from side to side in 45° shear bands, seems to be an overlooked propagation mode in Mode I sheet tearing often disregarded as “transitional” or tied to randomness in the material. In fact, such observations rarely make it to the literature...
Review of tearing mode stabilization by RF power in tokamaks
International Nuclear Information System (INIS)
Giruzzi, G.; Zabiego, M.; Zohm, H.
1999-01-01
Control of tearing modes by means of heating and current drive inside the magnetic islands is one of the most important applications of RF power in tokamak reactors. The theoretical basis of this concept is reviewed, focusing on aspects related to RF-plasma interaction. Applications to the stabilization of neoclassical tearing modes in ITER by Electron Cyclotron Current Drive are presented to illustrate the basic physical dependences. The most significant experimental results and prospects for future applications are also discussed
Zhang, W.; Wang, S.; Ma, Z. W.
2017-06-01
The influences of helical driven currents on nonlinear resistive tearing mode evolution and saturation are studied by using a three-dimensional toroidal resistive magnetohydrodynamic code (CLT). We carried out three types of helical driven currents: stationary, time-dependent amplitude, and thickness. It is found that the helical driven current is much more efficient than the Gaussian driven current used in our previous study [S. Wang et al., Phys. Plasmas 23(5), 052503 (2016)]. The stationary helical driven current cannot persistently control tearing mode instabilities. For the time-dependent helical driven current with f c d = 0.01 and δ c d < 0.04 , the island size can be reduced to its saturated level that is about one third of the initial island size. However, if the total driven current increases to about 7% of the total plasma current, tearing mode instabilities will rebound again due to the excitation of the triple tearing mode. For the helical driven current with time dependent strength and thickness, the reduction speed of the radial perturbation component of the magnetic field increases with an increase in the driven current and then saturates at a quite low level. The tearing mode is always controlled even for a large driven current.
Effect of nonlinear energy transport on neoclassical tearing mode stability in tokamak plasmas
Fitzpatrick, Richard
2017-05-01
An investigation is made into the effect of the reduction in anomalous perpendicular electron heat transport inside the separatrix of a magnetic island chain associated with a neoclassical tearing mode in a tokamak plasma, due to the flattening of the electron temperature profile in this region, on the overall stability of the mode. The onset of the neoclassical tearing mode is governed by the ratio of the divergences of the parallel and perpendicular electron heat fluxes in the vicinity of the island chain. By increasing the degree of transport reduction, the onset of the mode, as the divergence ratio is gradually increased, can be made more and more abrupt. Eventually, when the degree of transport reduction passes a certain critical value, the onset of the neoclassical tearing mode becomes discontinuous. In other words, when some critical value of the divergence ratio is reached, there is a sudden bifurcation to a branch of neoclassical tearing mode solutions. Moreover, once this bifurcation has been triggered, the divergence ratio must be reduced by a substantial factor to trigger the inverse bifurcation.
Saturated tearing modes in tokamaks with divertors
International Nuclear Information System (INIS)
Bateman, G.
1982-12-01
We have developed a self-consistent theory of saturated tearing modes capable of predicting multiple magnetic island widths in tokamaks with no assumptions on the cross-sectional shape, aspect ratio, or plasma pressure. We are in the process of implementing this algorithm in the form of a computer code. We propose: (1) to complete, refine, document and publish this computer code; (2) to carry out a survey in which we vary the current profile, aspect ratio, cross-sectional shape, and pressure profile in order to determine their effect on saturated tearing mode magnetic island widths; and (3) to determine the effect of some externally applied magnetic perturbation harmonics on these magnetic island widths. Particular attention will be paid to the coupling between different helical harmonics, the effect of multiple magnetic islands on the profiles of temperature, pressure and current, and the potential of magnetic island overlap leading to a disruptive instability
Neoclassical effects on the stabilization of tearing mode by current modulation
Energy Technology Data Exchange (ETDEWEB)
Yang, Xiaoqing, E-mail: inkyang@mail.ustc.edu.cn; Wang, Shaojie; Yang, Weihong [Department of Modern Physics, University of Science and Technology of China, Hefei, 230026 (China)
2014-02-15
The neoclassical effects on the stabilization of tearing modes by current modulation have been investigated. Neoclassical effects enhance the resistivity and reduce the resistive diffusion time of the modulation current. Therefore, the oscillating current can penetrate deeper into the plasma. With an oscillating loop voltage, the plasma oscillates radially at the Ware-pinch velocity. These neoclassical effects improve the efficiency of tearing mode stabilization by the current modulation.
Quasi-linear evolution of tearing modes
International Nuclear Information System (INIS)
Pellat, R.; Frey, M.; Tagger, M.
1983-07-01
The growth of a Tearing instability in Rutherford's nonlinear regime is investigated. Using a singular perturbation technique, lowest order Rutherford's result is recovered. To the following order it is shown that the mode generates a quasi-linear deformation of the equilibrium flux profile, whose resistive diffusion slows down the growth and shows the possibility of a saturation of the instability
Equilibrium current-driven tearing mode in the hydrodynamic regime
International Nuclear Information System (INIS)
Cozzani, F.; Mahajan, S.
1984-12-01
The effect of the parallel equilibrium current on the linear stability of the drift-tearing mode in the collisional regime is investigated analytically. In the appropriate parameter regime, a new unstable mode, driven by equilibrium current, is found and its relevance to tokamak discharges is discussed
Coupled Kelvin-Helmholtz and Tearing Mode Instabilities at the Mercury's Magnetopause
Ivanovski, S. L.; Milillo, A.; Kartalev, M.; Massetti, S.
2018-05-01
A MHD approach for numerical simulations of coupled Kelvin-Helmholtz and tearing mode instabilities has been applied to Mercury’s magnetopause and used to perform a physical parameters study constrained by the MESSENGER data.
First observation of neoclassical tearing modes in the HL-2A tokamak
International Nuclear Information System (INIS)
Ji Xiaoquan; Yang Qingwei; Liu Yi; Zhou Jun; Feng Beibin; Yuan Baoshan
2010-01-01
The m/n=2/1 neoclassical tearing modes are first observed in HL-2A low density, low beta plasma with central electron cyclotron resonance heating. The neoclassical tearing modes (NTMs) are triggered by a sawtooth crash with m/n=1/1 precursors, which are toroidal coupled with a small scale m/n=2/1 mode. The time history of the island width is compared with the prediction of the NTM theory, showing a good agreement between theory and experiment. (authors)
Nonlinear tearing mode and vortex chains
International Nuclear Information System (INIS)
Jovanovic, D.; Vranjes, J.
1996-01-01
We study the nonlinear stage of a tearing mode, whose island width exceeds the tearing layer thickness, and the wavelength is of the order of collisionless skin depth. A coherent solution is found in the form of a moving vortex chain. It is the result of a self-organization process, which adjusts the profile of the sheared poloidal magnetic field and excites a localized perpendicular sheared plasma flow, consisting of three counterstreaming jets. A numerical solution shows a twin chain of plasma vortices, coupled with a single chain of magnetic islands, whose width is of the order of collisionless skin depth. Adiabatic evolution of the vortex chain in the presence of small viscosity reveals its finite lifetime. The chain destruction may occur either directly, or through a sequence of bifurcations (corresponding to abrupt changes of the vortex chain parameters) to magnetic field stochastization within a layer of the collisionless skin depth scale, which occurs before the magnetic island overlapping takes place. This provides a new mechanism for the anomalous transport. (orig.)
Assisted crack tip flipping under Mode I thin sheet tearing
DEFF Research Database (Denmark)
Felter, Christian Lotz; Nielsen, Kim Lau
2017-01-01
Crack tip flipping, where the fracture surface alternates from side to side in roughly 45° shear bands, seems to be an overlooked propagation mode in Mode I thin sheet tearing. In fact, observations of crack tip flipping is rarely found in the literature. Unlike the already established modes...
Collisionless tearing mode reconnection at the dayside magnetopause of the earth's magnetosphere
International Nuclear Information System (INIS)
Quest, K.B.
1982-01-01
The purpose of this thesis was to determine if the collisionless tearing mode, a plasma instability, is a viable mechanism for interconnecting field lines at the dayside magnetopause. More generally, it was wished to test theoretically the assertion that collisionless tearing is a probable first step in cosmical reconnection. The procedure was to model the magnetopause as a local one-dimensional Vlasov equilibrium, and then calculate the linear and nonlinear stability properties of tearing and tearing-like oscillations. Quantitative estimates of the range of plasma parameter space over which significant growth occurs were obtained. Assuming that significant tearing mode growth implies significant reconnection, conditions were determined for which tearing will be important to dayside reconnection. Linearly it was found that the growth rate is relatively insensitive to the temperature of the species, but depends sensitively on (1) the thickness of the magnetopause current, (2) the number density at the location of the singular layer, and (3) the magnitude of the magnetic shear. For significant linear growth the magnetopause half-sheet thickness was required to be on the order of or less than a thermal ion gyroradius, the number density was required to be no more than 100 cm - 3 , and the magnetosheath field was required to be locally antialigned with the magnetospheric field. If the above conditions are met, which are stringent but not impossible, the mode will linearly amplify. Another topic examined is the question of the structure of the tearing eigenmodes at the dayside magnetopause. By considering finite transit time effects on electron Landau resonance it was concluded that magnetopause tearing turbulence probably occurs in spatially bounded wave packets
International Nuclear Information System (INIS)
Hennen, B.A.; Westerhof, E.; De Baar, M.R.; Nuij, P.W.J.M.; Steinbuch, M.
2012-01-01
Suppression of tearing modes is essential for the operation of tokamaks. This paper describes the design and simulation of a tearing mode suppression feedback control system for the TEXTOR tokamak. The two main control tasks of this feedback control system are the radial alignment of electron cyclotron resonance heating and current drive (ECRH/ECCD) with a tearing mode and the stabilization of a mode at a specific width. In order to simulate these control tasks, the time evolution of a tearing mode subject to suppression by ECRH/ECCD and destabilization by a magnetic perturbation field is modelled using the generalized Rutherford equation. The model includes an equilibrium model and an ECRH/ECCD launcher model. The dynamics and static equilibria of this model are analysed. The model is linearized and based on the linearized model, linear feedback controllers are designed and simulated, demonstrating both alignment and width control of tearing modes in TEXTOR. (paper)
Stability of multihelical tearing modes in shaped tokamaks
International Nuclear Information System (INIS)
Kerner, W.; Tasso, H.
1982-03-01
The stability of multihelical tearing modes in tokamaks with shaped cross-sections is determined numerically. The method allows inclusion of a large number of singular surfaces resolved with high accuracy. Poloidal and radial couplings are discussed and the convergence is well understood. High poloidal m number modes are found to be unstable for typical equilibria. Completely stable current distributions have been constructed for D-shaped plasmas. (orig.)
Stephens, Hillary Dianne
Tearing mode induced magnetic islands have a significant impact on the thermal characteristics of magnetically confined plasmas such as those in the reversed-field-pinch. Using a state-of-the-art Thomson scattering (TS) diagnostic, electron temperature fluctuations correlated with magnetic tearing modes have been observed on the Madison Symmetric Torus reversed-field-pinch. The TS diagnostic consists of two independently triggerable Nd:YAG lasers that can each pulse up to 15 times each plasma discharge and 21 General Atomics polchromators equipped with avalanche photodiode modules. Detailed calibrations focusing on accuracy, ease of use and repeatability and in-situ measurements have been performed on the system. Electron temperature (Te) profiles are acquired at 25 kHz with 2 cm or less resolution along the minor radius, sufficient to measure the effect of an island on the profile as the island rotates by the measurement point. Bayesian data analysis techniques are developed and used to detect fluctuations over an ensemble of shots. Four cases are studied; standard plasmas in quiescent periods, through sawteeth, through core reconnection events and in plasmas where the tearing mode activity is decreased. With a spectrum of unstable tearing modes, remnant islands that tend to flatten the temperature profile are present in the core between sawtooth-like reconnection events. This flattening is characteristic of rapid parallel heat conduction along helical magnetic field lines. The spatial structure of the temperature fluctuations show that the location of the rational surface of the m/n = 1/6 tearing mode is significantly further in than equilibrium suggestions predict. The fluctuations also provide a measurement of the remnant island width which is significantly smaller than the predicted full island width. These correlated fluctuations disappear during both global and core reconnection events. In striking contrast to temperature flattening, a temperature gradient
Cohesive traction-separation relations for plate tearing under mixed mode loading
DEFF Research Database (Denmark)
Andersen, R. G.; Woelke, P. B.; Nielsen, K. L.
2018-01-01
The present study investigates a sequence of failure events related to steady-state tearing of large-scale ductile plates by employing the micro-mechanics based Gurson-Tvergaard-Needleman (GTN) model. The fracture process in front of an advancing crack is approximated by a series of 2D plane strain...... finite element models to facilitate a comprehensive study of mixed mode fracture behavior as well as a parameter study of the cohesive energy and tractions involved in the process. The results from the conducted GTN model simulations are used to define cohesive zone models suitable for plate tearing...
Stabilization of tearing modes to suppress major disruptions in tokamaks
International Nuclear Information System (INIS)
Holmes, J.A.; Carreras, B.; Hicks, H.R.; Lynch, S.J.; Waddell, B.V.
1979-02-01
It is shown, for q-profiles which lead to a disruption, that the control of the amplitude of the 2/1 tearing mode avoids the disruption. Q-profiles measured in T-4 and PLT before a major disruption were studied. Two methods of controlling the 2/1 mode amplitude have been considered: (1) Feedback stabilization with the feedback signal locked in phase with the 2/1 mode. (2) Heating slightly outside the q = 2 surface. In both cases it is only necessary to decrease the 2/1 mode amplitude to suppress the disruption. It is not always necessary to stabilize the unstable modes fully
Effects of resonant magnetic perturbation on the triggering and the evolution of double-tearing mode
Wang, L.; Lin, W. B.; Wang, X. Q.
2018-02-01
The effects of resonant magnetic perturbation on the triggering and the evolution of the double-tearing mode are investigated by using nonlinear magnetohydrodynamics simulations in a slab geometry. It is found that the double-tearing mode can be destabilized by boundary magnetic perturbation. Moreover, the mode has three typical development stages before it reaches saturation: the linear stable stage, the linear-growth stage, and the exponential-growth stage. The onset and growth of the double-tearing mode significantly depend on the boundary magnetic perturbations, particularly in the early development stage of the mode. The influences of the magnetic perturbation amplitude on the mode for different separations of the two rational surfaces are also discussed.
The influence of toroidicity, pressure and local profile changes on tearing mode stability
International Nuclear Information System (INIS)
Connor, J.W.; Hastie, R.J.; Martin, T.J.; Cowley, S.C.
1992-01-01
Tearing modes appear to play a significant role in determining Tokamak behaviour. In high temperature plasmas realistic plasma models for the response at the resonant magnetic surfaces necessitate the use of asymptotic matching methods (the Δ' formulation) in calculations of linear stability and non-linear saturation. These calculations are complicated by toroidal and surface shape effects which cause coupling of different poloidal harmonics in a tearing mode. This leads to coupling of tearing modes centred on different resonant surfaces. However, when diamagnetic effects and sheared equilibrium flows are taken into account theory predicts that tearing will occur at only one surface. At all other surfaces the plasma response is determined by the ideal inertial equations. As a first approximation we treat this as infinite, and calculate the scalar Δ' m/n associated with one resonant surface at a time. (author) 8 refs., 2 figs., 2 tabs
Effect of sheared flows on neoclassical tearing modes
Energy Technology Data Exchange (ETDEWEB)
Sen, A [Institute for Plasma Research, Bhat, Gandhinagar (India); Chandra, D; Kaw, P [Institute for Plasma Research, Bhat, Gandhinagar (India); Bora, M P [Physics Dept., Gauhati University, Guwahati (India); Kruger, S [Tech-X, Boulder, CO (United States); Ramos, J [Plasma Science and Fusion Center, MIT, Cambridge, MA (United States)
2005-01-01
The influence of toroidal sheared equilibrium flows on the nonlinear evolution of classical and neoclassical tearing modes (NTMs) is studied through numerical solutions of a set of reduced generalized MHD equations that include viscous force effects based on neoclassical closures. In general, differential flow is found to have a strong stabilizing influence leading to lower saturated island widths for the classical (m/n = 2/1) mode and reduced growth rates for the (m/n = 3/1) neoclassical mode. Velocity shear on the other hand is seen to make a destabilizing contribution. An analytic model calculation, consisting of a generalized Rutherford island evolution equation that includes shear flow effects is also presented and the numerical results are discussed in the context of this model. (author)
Non-linear numerical studies of the tearing mode
International Nuclear Information System (INIS)
Schnack, D.D. Jr.
1978-01-01
A non-linear, time dependent, hydromagnetic model is developed and applied to the tearing mode, one of a class of instabilities which can occur in a magnetically confined plasma when the constraint of infinite conductivity is relaxed. The model is based on the eight partial differential equations of resistive magnetohydrodynamics (MHD). The equations are expressed as a set of conservation laws which conserves magnetic flux, momentum, mass, and total energy. These equations are then written in general, orthogonal, curvilinear coordinates in two space dimensions, so that the model can readily be applied to a variety of geometries. No assumption about the ordering of terms is made. The resulting equations are then solved by the method of finite differences on an Eulerian mesh. The model is applied to several geometries
International Nuclear Information System (INIS)
Furuya, Atsushi; Yagi, Masatoshi; Itoh, Sanae-I.
2003-01-01
The linear neoclassical tearing mode is investigated using the four-field reduced neoclassical MHD equations, in which the fluctuating ion parallel flow and ion neoclassical viscosity are taken into account. The dependences of the neoclassical tearing mode on collisionality, diamagnetic drift and q profile are investigated. These results are compared with the results from the conventional three-field model. It is shown that the linear neoclassical tearing mode is stabilized by the ion neoclassical viscosity in the banana regime even if Δ' > 0. (author)
Small-scale tearing mode in tokamaks
International Nuclear Information System (INIS)
Ivanov, N.V.
1983-01-01
Considerations are given on the possible effect of small-scale tearing mode with m >> 1 on the plasma electron thermal conductivity in a tokamak. The estimate of the electron thermal conductivity coefficient is obtained. Calculation results are compared with experimental data. The calculated dependence of radial distribution of electron temperature is shown to vary weakly with the tn(m 2 /m 1 ) alteration everywhere, except for the vicinity of point r approximately 0
International Nuclear Information System (INIS)
La Haye, R.J.; Lao, L.L.; Strait, E.J.; Taylor, T.S.
1997-01-01
The maximum operational high beta in single-null divertor (SND) long pulse tokamak discharges in the DIII-D tokamak with a cross-sectional shape similar to the proposed International Thermonuclear Experimental Reactor (ITER) device is found to be limited by the onset of resistive instabilities that have the characteristics of neoclassically destabilized tearing modes. There is a soft limit due to the onset of an m/n=3/2 rotating tearing mode that saturates at low amplitude and a hard limit at slightly higher beta due to the onset of an m/n=2/1 rotating tearing mode that grows, slows down and locks. By operating at higher density and thus collisionality, the practical beta limit due to resistive tearing modes approaches the ideal magnetohydrodynamic (MHD) limit. (author). 15 refs, 4 figs
Finite toroidal flow generated by unstable tearing mode in a toroidal plasma
Energy Technology Data Exchange (ETDEWEB)
Hao, G. Z., E-mail: haogz@swip.ac.cn; Wang, A. K.; Xu, Y. H.; He, H. D.; Xu, M.; Qu, H. P.; Peng, X. D.; Xu, J. Q.; Qiu, X. M. [Southwestern Institute of Physics, P.O. Box 432, Chengdu 610041 (China); Liu, Y. Q. [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Sun, Y. [Institute of Plasma Physics, Chinese Academic of Sciences, P.O. Box 1126, Hefei 230031 (China); Cui, S. Y. [School of Mathematics and Statistics Science, Ludong University, Yantai 264025 (China)
2014-12-15
The neoclassical toroidal plasma viscosity torque and electromagnetic torque, generated by tearing mode (TM) in a toroidal plasma, are numerically investigated using the MARS-Q code [Liu et al., Phys. Plasmas 20, 042503 (2013)]. It is found that an initially unstable tearing mode can intrinsically drive a toroidal plasma flow resulting in a steady state solution, in the absence of the external momentum input and external magnetic field perturbation. The saturated flow is in the order of 0.5%ω{sub A} at the q=2 rational surface in the considered case, with q and ω{sub A} being the safety factor and the Alfven frequency at the magnetic axis, respectively. The generation of the toroidal flow is robust, being insensitive to the given amplitude of the perturbation at initial state. On the other hand, the flow amplitude increases with increasing the plasma resistivity. Furthermore, the initially unstable tearing mode is fully stabilized by non-linear interaction with the self-generated toroidal flow.
Helical bifurcation and tearing mode in a plasma—a description based on Casimir foliation
International Nuclear Information System (INIS)
Yoshida, Z; Dewar, R L
2012-01-01
The relation between the helical bifurcation of a Taylor relaxed state (a Beltrami equilibrium) and a tearing mode is analyzed in a Hamiltonian framework. Invoking an Eulerian representation of the Hamiltonian, the symplectic operator (defining a Poisson bracket) becomes non-canonical, i.e. the symplectic operator has a nontrivial cokernel (dual to its nullspace), foliating the phase space into level sets of Casimir invariants. A Taylor relaxed state is an equilibrium point on a Casimir (helicity) leaf. Changing the helicity, equilibrium points may bifurcate to produce helical relaxed states; a necessary and sufficient condition for bifurcation is derived. Tearing yields a helical perturbation on an unstable equilibrium, producing a helical structure approximately similar to a helical relaxed state. A slight discrepancy found between the helically bifurcated relaxed state and the linear tearing mode viewed as a perturbed, singular equilibrium state is attributed to a Casimir element (named ‘helical flux’) pertinent to a ‘resonance singularity’ of the non-canonical symplectic operator. While the helical bifurcation can occur at discrete eigenvalues of the Beltrami parameter, the tearing mode, being a singular eigenfunction, exists for an arbitrary Beltrami parameter. Bifurcated Beltrami equilibria appearing on the same helicity leaf are isolated by the helical-flux Casimir foliation. The obstacle preventing the tearing mode to develop in the ideal limit turns out to be the shielding current sheet on the resonant surface, preventing the release of the ‘potential energy’. When this current is dissipated by resistivity, reconnection is allowed and tearing instability occurs. The Δ′ criterion for linear tearing instability of Beltrami equilibria is shown to be directly related to the spectrum of the curl operator. (paper)
Neoclassical tearing mode stabilization by ECCD in ITER
International Nuclear Information System (INIS)
Giruzzi, G.; Zabiego, M.
2001-01-01
A dynamic model, based on a 3-D Fokker-Planck code coupled to the island evolution equations, is used to evaluate the feasibility of active control of Neoclassical Tearing modes by Electron Cyclotron Current Drive (ECCD) in International Thermonuclear Experimental Reactor (ITER). The parameters of the present version of ITER, i.e., RTO/RC ITER (IAM option) are used. Both m=3, n=2 and m=2, n=1 modes are considered. It is shown that an Electron Cyclotron wave system at 140 GHz, with toroidally steerable antennas, can stabilize both modes simultaneously if a power ≥30 MW is available
Kink and tearing mode instabilities in a tokamak
International Nuclear Information System (INIS)
Pogutse, O.P.
The continuous transition from a free-boundary-kink mode to a tearing mode in a current carrying plasma column is investigated. It is shown that in the real experimental situation, even for high temperatures in the plasma periphery, the kink mode exists due to electron inertia, the growth rate of the instability being at least a few times smaller than the growth rate with a free boundary. We find the dispersion relation allowing us to calculate the growth rate for plasma parameters of physical interest. It is shown that as the size of the current channel increases the growth rate falls, but the range of values of the safety factor where the mode is unstable broadens
Coupling of tearing modes in tokamaks
International Nuclear Information System (INIS)
Finn, J.M.
1977-01-01
The simultaneous presence of tearing modes of different helical pitches leads to the destruction of magnetic surfaces, which has been suggested as the mechanism leading to the onset of the disruptive instability in tokamaks. For current profiles in which the m = 2 mode is unstable, but the m = 3 is stable, the coupling of the m = 3 to the m = 2 through the poloidal variation of the toroidal field can drive the m = 3 amplitude psi 3 to order psi 2 times the inverse aspect ratio. Detailed calculations, both analytical and numerical, have been performed for two models for the equilibrium and m = 2 mode structure. A slab model and incompressible m = 3 perturbations are assumed. The m = 3 amplitude increases with shear, up to a point, showing that as the current channel shrinks, overlap of resonances becomes more likely. The results also apply qualitatively to other m, m +- 1 interactions
Strong toroidal effects on tokamak tearing mode stability in the hybrid and conventional scenarios
International Nuclear Information System (INIS)
Ham, C J; Connor, J W; Cowley, S C; Gimblett, C G; Hastie, R J; Hender, T C; Martin, T J
2012-01-01
The hybrid scenario is thought to be an important mode of operation for the ITER tokamak. Analytic and numerical calculations demonstrate that toroidal effects at finite β have a strong influence on tearing mode stability of hybrid modes. Indeed, they persist in the large aspect ratio limit, R/a → ∞. A similar strong coupling effect is found between the m = 1, n = 1 harmonic and the m = 2, n = 1 harmonic if the minimum safety factor is less than unity. In both cases the tearing stability index, Δ′ increases rapidly as β approaches ideal marginal stability, providing a potential explanation for the onset of linearly unstable tearing modes. The numerical calculations have used an improved version of the T7 code (Fitzpatrick et al 1993 Nucl. Fusion 33 1533), and complete agreement is obtained with the analytic theory for this demanding test of the code. (paper)
Tearing instabilities in turbulence
International Nuclear Information System (INIS)
Ishizawa, A.; Nakajima, N.
2009-01-01
Full text: Effects of micro-turbulence on tearing instabilities are investigated by numerically solving a reduced set of two-fluid equations. Micro-turbulence excites both large-scale and small-scale Fourier modes through energy transfer due to nonlinear mode coupling. The energy transfer to large scale mode does not directly excite tearing instability but it gives an initiation of tearing instability. When tearing instability starts to grow, the excited small scale mode plays an important role. The mixing of magnetic flux by micro-turbulence is the dominant factor of non-ideal MHD effect at the resonant surface and it gives rise to magnetic reconnection which causes tearing instability. Tearing instabilities were investigated against static equilibrium or flowing equilibrium so far. On the other hand, the recent progress of computer power allows us to investigate interactions between turbulence and coherent modes such as tearing instabilities in magnetically confined plasmas by means of direct numerical simulations. In order to investigate effects of turbulence on tearing instabilities we consider a situation that tearing mode is destabilized in a quasi-equilibrium including micro-turbulence. We choose an initial equilibrium that is unstable against kinetic ballooning modes and tearing instabilities. Tearing instabilities are current driven modes and thus they are unstable for large scale Fourier modes. On the other hand kinetic ballooning modes are unstable for poloidal Fourier modes that are characterized by ion Larmor radius. The energy of kinetic ballooning modes spreads over wave number space through nonlinear Fourier mode coupling. We present that micro-turbulence affects tearing instabilities in two different ways by three-dimensional numerical simulation of a reduced set of two-fluid equations. One is caused by energy transfer to large scale modes, the other is caused by energy transfer to small scale modes. The former is the excitation of initial
Neoclassical tearing mode seeding by coupling with infernal modes in low-shear tokamaks
Kleiner, A.; Graves, J. P.; Brunetti, D.; Cooper, W. A.; Halpern, F. D.; Luciani, J.-F.; Lütjens, H.
2016-09-01
A numerical and an analytical study of the triggering of resistive MHD modes in tokamak plasmas with low magnetic shear core is presented. Flat q profiles give rise to fast growing pressure driven MHD modes, such as infernal modes. It has been shown that infernal modes drive fast growing islands on neighbouring rational surfaces. Numerical simulations of such instabilities in a MAST-like configuration are performed with the initial value stability code XTOR-2F in the resistive frame. The evolution of magnetic islands are computed from XTOR-2F simulations and an analytical model is developed based on Rutherford’s theory in combination with a model of resistive infernal modes. The parameter {{Δ }\\prime} is extended from the linear phase to the non-linear phase. Additionally, the destabilising contribution due to a helically perturbed bootstrap current is considered. Comparing the numerical XTOR-2F simulations to the model, we find that coupling has a strong destabilising effect on (neoclassical) tearing modes and is able to seed 2/1 magnetic islands in situations when the standard NTM theory predicts stability.
International Nuclear Information System (INIS)
Jenkins, Thomas G.; Schnack, Dalton D.; Kruger, Scott E.; Hegna, C. C.; Sovinec, Carl R.
2010-01-01
A model which incorporates the effects of electron cyclotron current drive (ECCD) into the magnetohydrodynamic equations is implemented in the NIMROD code [C. R. Sovinec et al., J. Comput. Phys. 195, 355 (2004)] and used to investigate the effect of ECCD injection on the stability, growth, and dynamical behavior of magnetic islands associated with resistive tearing modes. In addition to qualitatively and quantitatively agreeing with numerical results obtained from the inclusion of localized ECCD deposition in static equilibrium solvers [A. Pletzer and F. W. Perkins, Phys. Plasmas 6, 1589 (1999)], predictions from the model further elaborate the role which rational surface motion plays in these results. The complete suppression of the (2,1) resistive tearing mode by ECCD is demonstrated and the relevant stabilization mechanism is determined. Consequences of the shifting of the mode rational surface in response to the injected current are explored, and the characteristic short-time responses of resistive tearing modes to spatial ECCD alignments which are stabilizing are also noted. We discuss the relevance of this work to the development of more comprehensive predictive models for ECCD-based mitigation and control of neoclassical tearing modes.
Nonlinear coupling of the resistive tearing modes under the unperturbed shear flow
International Nuclear Information System (INIS)
Urata, Kazuhiro
1990-01-01
The influence of the unperturbed shear flow on the nonlinear evolution of the tearing mode is studied. In the case of single helicity, the shear flow activates the unstable mode which finally saturates to a rigid rotor state. In the case of multiple helicity, a variety of flow patterns is created depending on parameters, and always forms the current bubble soon after the collapse of the 3/2 magnetic island. (author)
Crack Tip Flipping under Mode I Tearing: Investigated by X-Ray Tomography
DEFF Research Database (Denmark)
Nielsen, Kim Lau; Gundlach, Carsten
2017-01-01
The fracture surface morphology that results from mode I tearing of ductile plate metals depends heavily on both the elastic-plastic material properties and the microstructure. Severe tunneling of the advancing crack tip (resulting in cup-cup, or bath-tub like fracture surfaces) can take place...... in a range of materials, often of low strength, while tearing of high strength metals typically progress by the shear band failure mechanism (slanting). In reality, however, most fracture surfaces display a mixture of morphologies. For example, slant crack propagation can be accompanied by large shear lips...... near the outer free plate surface or a complete shear band switch - seemingly distributed randomly on the fracture surface. The occasionally observed shear band switch of mode I slant cracks, related to ductile plate tearing, is far from random as the crack can flip systematically from one side...
Influence of toroidal rotation on resistive tearing modes in tokamaks
International Nuclear Information System (INIS)
Wang, S.; Ma, Z. W.
2015-01-01
Influence of toroidal equilibrium plasma rotation on m/n = 2/1 resistive tearing modes is studied numerically using a 3D toroidal MHD code (CLT). It is found that the toroidal rotation with or without shear can suppress the tearing instability and the Coriolis effect in the toroidal geometry plays a dominant role on the rotation induced stabilization. For a high viscosity plasma (τ R /τ V ≫ 1, where τ R and τ V represent resistive and viscous diffusion time, respectively), the effect of the rotation shear combined with the viscosity appears to be stabilizing. For a low viscosity plasmas (τ R /τ V ≪ 1), the rotation shear shows a destabilizing effect when the rotation is large
Tearing mode of a neutral current sheath in a plasma flux
International Nuclear Information System (INIS)
Gubchenko, V.M.
1982-01-01
The linear stage of the tearing mode of diffusion neutral current sheath immersed in the plasma flux directed along the magnetic field is considered. It follows form the obtained dispersion characteristics that the flux exerts a stabilizing effect on the mode and leads to appearance of phase drift velocity
Hennen, B.A.; Westerhof, E.; Nuij, Pwjm; M.R. de Baar,; Steinbuch, M.
2012-01-01
Suppression of tearing modes is essential for the operation of tokamaks. This paper describes the design and simulation of a tearing mode suppression feedback control system for the TEXTOR tokamak. The two main control tasks of this feedback control system are the radial alignment of electron
Effects of electron cyclotron current drive on the evolution of double tearing mode
International Nuclear Information System (INIS)
Sun, Guanglan; Dong, Chunying; Duan, Longfang
2015-01-01
The effects of electron cyclotron current drive (ECCD) on the double tearing mode (DTM) in slab geometry are investigated by using two-dimensional compressible magnetohydrodynamics equations. It is found that, mainly, the double tearing mode is suppressed by the emergence of the secondary island, due to the deposition of driven current on the X-point of magnetic island at one rational surface, which forms a new non-complete symmetric magnetic topology structure (defined as a non-complete symmetric structure, NSS). The effects of driven current with different parameters (magnitude, initial time of deposition, duration time, and location of deposition) on the evolution of DTM are analyzed elaborately. The optimal magnitude or optimal deposition duration of driven current is the one which makes the duration of NSS the longest, which depends on the mutual effect between ECCD and the background plasma. Moreover, driven current introduced at the early Sweet-Parker phase has the best suppression effect; and the optimal moment also exists, depending on the duration of the NSS. Finally, the effects varied by the driven current disposition location are studied. It is verified that the favorable location of driven current is the X-point which is completely different from the result of single tearing mode
Effects of electron cyclotron current drive on the evolution of double tearing mode
Energy Technology Data Exchange (ETDEWEB)
Sun, Guanglan, E-mail: sunguanglan@nciae.edu.cn; Dong, Chunying [Basic Science Section, North China Institute of Aerospace Engineering, Langfang 065000 (China); Duan, Longfang [School of Computer and Remote Sensing Information Technology, North China Institute of Aerospace Engineering, Langfang 065000 (China)
2015-09-15
The effects of electron cyclotron current drive (ECCD) on the double tearing mode (DTM) in slab geometry are investigated by using two-dimensional compressible magnetohydrodynamics equations. It is found that, mainly, the double tearing mode is suppressed by the emergence of the secondary island, due to the deposition of driven current on the X-point of magnetic island at one rational surface, which forms a new non-complete symmetric magnetic topology structure (defined as a non-complete symmetric structure, NSS). The effects of driven current with different parameters (magnitude, initial time of deposition, duration time, and location of deposition) on the evolution of DTM are analyzed elaborately. The optimal magnitude or optimal deposition duration of driven current is the one which makes the duration of NSS the longest, which depends on the mutual effect between ECCD and the background plasma. Moreover, driven current introduced at the early Sweet-Parker phase has the best suppression effect; and the optimal moment also exists, depending on the duration of the NSS. Finally, the effects varied by the driven current disposition location are studied. It is verified that the favorable location of driven current is the X-point which is completely different from the result of single tearing mode.
International Nuclear Information System (INIS)
Prater, R.; La Haye, R. J.; Lin-Liu, Y. R.; Lohr, J.; Perkins, F. W.; Bernabei, S.; Wong, K.-L.; Harvey, R. W.
1999-01-01
Neoclassical tearing modes are found to limit the achievable beta in many high performance discharges in DIII-D. Electron cyclotron current drive within the magnetic islands formed as the tearing mode grows has been proposed as a means of stabilizing these modes or reducing their amplitude, thereby increasing the beta limit by a factor around 1.5. Some experimental success has been obtained previously on Asdex-U. Here we examine the parameter range in DIII-D in which this effect can best be studied
On the merits of heating and current drive for tearing mode stabilization
De Lazzari, D.; Westerhof, E.
2009-01-01
Neoclassical tearing modes (NTMs) are magnetohydrodynamic modes that can limit the performance of high beta discharges in a tokamak, leading eventually to a plasma disruption. A NTM is sustained by the perturbation of the 'bootstrap' current, which is a consequence of the pressure
Influence of toroidal rotation on resistive tearing modes in tokamaks
Energy Technology Data Exchange (ETDEWEB)
Wang, S.; Ma, Z. W., E-mail: zwma@zju.edu.cn [Institute for Fusion Theory and Simulation, Zhejiang University, Hangzhou 310027 (China)
2015-12-15
Influence of toroidal equilibrium plasma rotation on m/n = 2/1 resistive tearing modes is studied numerically using a 3D toroidal MHD code (CLT). It is found that the toroidal rotation with or without shear can suppress the tearing instability and the Coriolis effect in the toroidal geometry plays a dominant role on the rotation induced stabilization. For a high viscosity plasma (τ{sub R}/τ{sub V} ≫ 1, where τ{sub R} and τ{sub V} represent resistive and viscous diffusion time, respectively), the effect of the rotation shear combined with the viscosity appears to be stabilizing. For a low viscosity plasmas (τ{sub R}/τ{sub V} ≪ 1), the rotation shear shows a destabilizing effect when the rotation is large.
A novel turbulence trigger for neoclassical tearing modes in tokamaks
International Nuclear Information System (INIS)
Itoh, Sanae-I.; Yagi, Masatoshi; Itoh, Kimitaka
2003-07-01
Stochastic trigger by microturbulence for neoclassical tearing mode (NTM) is studied. NTM induces topological change of magnetic structure and has subcritical nature. Transition rate of probability density function for and statistically-averaged amplitude of NTM are obtained. Boundary in the phase diagram is determined as the statistical long time average of the transition conditions. NTM can be excited by crossing this boundary even in the absence of other global instabilities. (author)
Linear theory of drift-tearing and interchange modes in a screw pinch
International Nuclear Information System (INIS)
Copenhaver, C.
1978-04-01
A drift dispersion relation, as applied to a resistive incompressible plasma in a screw pinch, is derived. This dispersion relation incorporates both drift-tearing and drift-interchange modes and is valid throughout the collisional regime by including kinetic theory factors. The dispersion relation reduces to the drift-tearing dispersion relation in the zero pressure gradient limit, and to the classical resistive dispersion relation in the zero drift limit. The electron temperature gradient instability is still present. Now, however, the introduction of the interchange-drift instability increases the growth rate further above the tearing-drift case. (orig.) [de
The tearing mode in the long wavelenght limit
International Nuclear Information System (INIS)
Paris, R.B.
1981-06-01
The value of the logarithmic derivative Δ' in the boundary layer for the plane symmetric resistive tearing mode is calculted analytically for arbitrary wavelength parameter α approximately<1. Its value is given. The familiar 'constant-psi' approximation corresponding to lambda approximately 0 is discussed. The analytic forms in the boundary layer of the normalized magnetic field and velocity perturbations psi and U are obtained
Growth of the double Tearing mode in a plasma cylinder
International Nuclear Information System (INIS)
Gatilov, V.V.; Sagalakov, A.M.; Ul'chenko, V.F.
1989-01-01
Within the framework of the linear theory the growth of Tearing modes in collisional plasma of a cylindrical filament with a free boundary in the presence of two resonance surfaces is studied. The boundary problems for the system of Kadomtsev-Pogutse equation were solved numerically using the method of differential run which was widely used to study the stability of viscous liquid flows. The asymptotic dependences for the increments are determined. The regular behaviour of increments in the case of drawing together of resonance surfaces is fiound. A very strong destabilizing factor of conductivity inhomogeneity on modes 1/1, 2/1 connected with the resonance surface in the near-the-boundary plasma region is found
Nonlinear growth of strongly unstable tearing modes
International Nuclear Information System (INIS)
Waelbroeck, F.L.
1993-11-01
Rutherford's theory of the tearing instability is extended to cases where current nonlinearities are important, such as long wavelength modes in current slabs and the m = 1 instability in tokamaks with moderately large aspect-ratios. Of particular interest is the possibility that the associated magnetic islands, as a result of secondary instabilities, have a singular response to the Ohmic diffusion of the current. A family of islands is used to test this possibility; it is found that the response remains bounded
Nonlinear Diamagnetic Stabilization of Double Tearing Modes in Cylindrical MHD Simulations
Abbott, Stephen; Germaschewski, Kai
2014-10-01
Double tearing modes (DTMs) may occur in reversed-shear tokamak configurations if two nearby rational surfaces couple and begin reconnecting. During the DTM's nonlinear evolution it can enter an ``explosive'' growth phase leading to complete reconnection, making it a possible driver for off-axis sawtooth crashes. Motivated by similarities between this behavior and that of the m = 1 kink-tearing mode in conventional tokamaks we investigate diamagnetic drifts as a possible DTM stabilization mechanism. We extend our previous linear studies of an m = 2 , n = 1 DTM in cylindrical geometry to the fully nonlinear regime using the MHD code MRC-3D. A pressure gradient similar to observed ITB profiles is used, together with Hall physics, to introduce ω* effects. We find the diamagnetic drifts can have a stabilizing effect on the nonlinear DTM through a combination of large scale differential rotation and mechanisms local to the reconnection layer. MRC-3D is an extended MHD code based on the libMRC computational framework. It supports nonuniform grids in curvilinear coordinates with parallel implicit and explicit time integration.
Conversion of the dominantly ideal perturbations into a tearing mode
Igochine, V.; Gude, A.; Günter, S.; Lackner, K.; Yu, Q; Barrera Orte, L.; Bogomolov, A.; Classen, I.G.J.; McDermott, R.M.; Luhmann, N.C.
2014-01-01
Forced magnetic reconnection is a topic of common interest in astrophysics, space science, and magnetic fusion research. The tearing mode formation process after sawtooth crashes implies the existence of this type of magnetic reconnection and is investigated in great detail in the ASDEX Upgrade
3-D nonlinear calculations of resistive tearing modes
International Nuclear Information System (INIS)
Hicks, H.R.; Holmes, J.A.; Lee, D.K.; Carreras, B.; Waddell, B.V.
1981-03-01
Recent numerical calculations of the evolution of resistive tearing modes have been central to the understanding of magnetohydrodynamic activity and disruptions in tokamaks. The nonlinear, 3-D, initial-value computer code RSF has provided many of these results. This code assumes cylindrical geometry with a Fourier series representation in the two periodic coordinates and a finite-difference representation in the radial direction. This choice makes RSF considerably more accurate and efficient than previous codes
Linear neoclassical tearing mode in tokamaks
International Nuclear Information System (INIS)
Shaing, K. C.
2007-01-01
The growth rate of linear tearing modes in tokamaks is calculated including the neoclassical dissipation mechanism. It is found that when the growth rate is much smaller than the ion-ion collision frequency, the growth rate is reduced approximately by a factor of (B p /B) 2/5 from its standard value, and when the growth rate is much larger than the ion-ion collision frequency, the growth rate is reduced by a factor [√(ε)/(1.6q 2 )] 1/5 . Here, B p is the poloidal magnetic field strength, B is the magnetic field strength, ε is the inverse aspect ratio, and q is the safety factor. The width of the resistive layer is broadened when compared to that of the standard theory. In both limits, the growth rate and the resistive layer width only depend on B p and are independent of B. The growth rates in the plateau regime and for the inertia dominant modes are also presented
Tearing mode growth in a regime of weak magnetic shear
International Nuclear Information System (INIS)
Riyopoulos, S.; Hazeltine, R.D.
1987-06-01
The nonlinear growth for the m/n ≥ 2 resistive tearing mode is studied in case when the rational surface q(r 0 ) = m/n falls in a regime of weak magnetic shear, q'(r 0 ) ≅ 0. The island width is determined self-consistently from the nonlinear, zero-helicity component of the perturbed magnetic flux that provides the local shear. It is found that the magnetic perturbation keeps growing exponentially in the nonlinear regime on a hybrid resistive-Alfvenic time scale, while the island width and the vorticity grow on a much slower time scale. Accordingly, much faster release of magnetic energy results for modes growing near minima of hollow q profiles
Curvature effects in the nonlinear growth of the cylindrical tearing mode
International Nuclear Information System (INIS)
Somon, J. P.
1984-01-01
The full set of the usual resistive massless equations is used to investigate the nonlinear growth of the helical perturbation to a cylindrical equilibrium with tokamak ordering. There is a curvature dependant critical magnetic island width xsub(T)sup(*) α set containing D/Δ' above which the Rutherford solution is recovered for the tearing mode as well as for the linear slow interchange modes with Δ' > 0. Non linearity stabilizes at this critical width the linearly unstable slow interchange modes with Δ' > 0
Tearing modes induced by perpendicular electron cyclotron resonance heating in the KSTAR tokamak
Lee, H. H.; Lee, S. G.; Seol, J.; Aydemir, A. Y.; Bae, C.; Yoo, J. W.; Na, Y. S.; Kim, H. S.; Woo, M. H.; Kim, J.; Joung, M.; You, K. I.; Park, B. H.
2014-10-01
This paper reports on experimental evidence that shows perpendicular electron cyclotron resonance heating (ECRH) can trigger classical tearing modes when deposited near a rational flux surface. The complex evolution of an m = 2 island is followed during current ramp-up in KSTAR plasmas, from its initial onset as the rational surface enters the ECRH resonance layer to its eventual lock on the wall after the rational surface leaves the layer. Stability analysis coupled to a transport calculation of the current profile with ECRH shows that the perpendicular ECRH may play a significant role in triggering and destabilizing classical m = 2 tearing modes, in agreement with our experimental observation.
Bi-fluid and neoclassical effect on a Double-Tearing mode in Tore Supra
Energy Technology Data Exchange (ETDEWEB)
Maget, Patrick, E-mail: patrick.maget@cea.fr; Garbet, Xavier; Février, Olivier; Ségui, Jean-Luc [CEA, IRFM, F-13108 Saint Paul-lez-Durance (France); Lütjens, Hinrich; Luciani, Jean-François [Centre de Physique Théorique, Ecole Polytechnique, CNRS (France)
2014-06-15
Tearing modes associated to hollow current profiles are prone to grow in moderate performance plasmas and often constrain the realization of non-inductive discharges in the Tore Supra tokamak, where long pulse duration is performed using Lower Hybrid waves for providing most of the plasma current. The prediction of MHD boundaries in such scenarios is complicated by the importance of diamagnetic effects, combined with curvature stabilization, which determine the stability of these modes. We show that diamagnetic effects, as well as neoclassical forces, are playing a key role in the linear and nonlinear regimes of Double-Tearing Modes on q = 5/3 and q = 2 in these experimental conditions. Detailed comparison with experimental measurements, combined with a scaling in plasma resistivity, give constraints about the experimental equilibrium. Resistive-Interchange Modes destabilized by diamagnetic rotation could also play a role in degrading the energy confinement in the negative magnetic shear region.
Tearing modes induced by perpendicular electron cyclotron resonance heating in the KSTAR tokamak
International Nuclear Information System (INIS)
Lee, H.H.; Lee, S.G.; Seol, J.; Aydemir, A.Y.; Bae, C.; Woo, M.H.; Kim, J.; Joung, M.; You, K.I.; Park, B.H.; Yoo, J.W.; Na, Y.S.; Kim, H.S.
2014-01-01
This paper reports on experimental evidence that shows perpendicular electron cyclotron resonance heating (ECRH) can trigger classical tearing modes when deposited near a rational flux surface. The complex evolution of an m = 2 island is followed during current ramp-up in KSTAR plasmas, from its initial onset as the rational surface enters the ECRH resonance layer to its eventual lock on the wall after the rational surface leaves the layer. Stability analysis coupled to a transport calculation of the current profile with ECRH shows that the perpendicular ECRH may play a significant role in triggering and destabilizing classical m = 2 tearing modes, in agreement with our experimental observation. (paper)
Tearing-mode stability in a cylindrical plasma with equilibrium flows
International Nuclear Information System (INIS)
Wessen, K.P.; Persson, M.; Australian National Univ., Canberra
1991-01-01
The effect of a sheared equilibrium mass flow on the resistive tearing mode is studied numerically by calculating Δ. Both stabilizing and destabilizing effects are found, depending on the velocity and magnetic field profiles. Specifically, when q o ''varies as'' 1, the flow is strongly stabilizing for centrally peaked current profiles, whereas the flow has a strongly destabilizing effect for flatter current profiles. While the extreme effects are more pronounced for larger flows, a smaller flow may have more influence on marginal stability. The case where the flow speed becomes comparable to the Alfven speed is also examined. It is found that this may lead to the equations being singular at points other than a rational surface, drastically changing the behaviour of the mode. (author)
The locking and unlocking thresholds for tearing modes in a cylindrical tokamak
Energy Technology Data Exchange (ETDEWEB)
Huang, Wenlong [CAS Key Laboratory of Geospace Environment and Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026 (China); Zhu, Ping, E-mail: pzhu@ustc.edu.cn [CAS Key Laboratory of Geospace Environment and Department of Modern Physics, University of Science and Technology of China, Hefei, Anhui 230026 (China); Department of Engineering Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706 (United States)
2016-03-15
The locking and unlocking thresholds for tearing modes are in general different. In this work, the physics origin for this difference is illustrated from theory analysis, and a numerical procedure is developed to find both locking and unlocking thresholds. In particular, a new scaling law for the unlocking threshold that is valid in both weak and strong rotation regimes has been derived from the lowest amplitude of the RMP (resonant magnetic perturbation) allowed for the locked-mode solution. Above the unlocking threshold, the criterion for the phase-flip instability is extended to identify the entire locked-mode states. Two different regimes of the RMP amplitude in terms of the accessibility of the locked-mode states have been found. In the first regime, the locked-mode state may or may not be accessible depending on the initial conditions of an evolving island. In the second regime, the locked-mode state can always be reached regardless of the initial conditions of the tearing mode. The lowest RMP amplitude for the second regime is determined to be the mode-locking threshold. The different characteristics of the two regimes above the unlocking threshold reveal the underlying physics for the gap between the locking and unlocking thresholds and provide an explanation for the closely related and widely observed hysteresis phenomena in island evolution during the sweeping process of the RMP amplitude up and down across that threshold gap.
Fridström, R.; Frassinetti, L.; Brunsell, P. R.
2015-10-01
The physical mechanisms behind the hysteresis in the tearing mode locking and unlocking to a resonant magnetic perturbation (RMP) are experimentally studied in EXTRAP T2R reversed-field pinch. The experiments show that the electromagnetic and the viscous torque increase with increasing perturbation amplitude until the mode locks to the wall. At the wall-locking, the plasma velocity reduction profile is peaked at the radius where the RMP is resonant. Thereafter, the viscous torque drops due to the relaxation of the velocity in the central plasma. This is the main reason for the hysteresis in the RMP locking and unlocking amplitude. The increased amplitude of the locked tearing mode produces further deepening of the hysteresis. Both experimental results are in qualitative agreement with the model in Fitzpatrick et al (2001 Phys. Plasmas 8 4489)
Influence of asymmetric magnetic perturbation on the nonlinear evolution of double tearing modes
Xiong, G. Z.; Wang, L.; Li, X. Q.; Liu, H. F.; Tang, C. J.; Huang, J.; Zhang, X.; Wang, X. Q.
2017-06-01
The effects of asymmetric magnetic perturbation on the triggering and evolution of double tearing modes (DTMs) are investigated using nonlinear magnetohydrodynamics simulations in a slab geometry. We find that for reversed magnetic shear plasmas the resistive reconnection process induced by the initial perturbation at one rational surface can drive a new island at the other rational surface with the same mode number. The four typical states of the mode for the time evolution are found, and include: (i) a linear growth stage; (ii) a linear/nonlinear stable stage; (iii) an interactively driving stage; and (iv) a symmetric DTM stage. These differ from previous simulation results. Moreover, nonlinear DTM growth is found to strongly depend on the asymmetric magnetic perturbation, particularly in the early nonlinear phase. The initial perturbation strength scale of island width suggests that the left island enters into a Sweet-Parker growth process when the right island is sufficiently large to effectively drive the other. These results predict that although externally applied magnetic perturbations can suppress the neoclassical tearing mode they can also trigger new instabilities such as asymmetric DTMs.
Influence of asymmetric magnetic perturbation on the nonlinear evolution of double tearing modes
International Nuclear Information System (INIS)
Xiong, G Z; Liu, H F; Huang, J; Wang, X Q; Wang, L; Li, X Q; Tang, C J; Zhang, X
2017-01-01
The effects of asymmetric magnetic perturbation on the triggering and evolution of double tearing modes (DTMs) are investigated using nonlinear magnetohydrodynamics simulations in a slab geometry. We find that for reversed magnetic shear plasmas the resistive reconnection process induced by the initial perturbation at one rational surface can drive a new island at the other rational surface with the same mode number. The four typical states of the mode for the time evolution are found, and include: (i) a linear growth stage; (ii) a linear/nonlinear stable stage; (iii) an interactively driving stage; and (iv) a symmetric DTM stage. These differ from previous simulation results. Moreover, nonlinear DTM growth is found to strongly depend on the asymmetric magnetic perturbation, particularly in the early nonlinear phase. The initial perturbation strength scale of island width suggests that the left island enters into a Sweet–Parker growth process when the right island is sufficiently large to effectively drive the other. These results predict that although externally applied magnetic perturbations can suppress the neoclassical tearing mode they can also trigger new instabilities such as asymmetric DTMs. (paper)
Linear growth rates of resistive tearing modes with sub-Alfvénic streaming flow
International Nuclear Information System (INIS)
Wu, L. N.; Ma, Z. W.
2014-01-01
The tearing instability with sub-Alfvénic streaming flow along the external magnetic field is investigated using resistive MHD simulation. It is found that the growth rate of the tearing mode instability is larger than that without the streaming flow. With the streaming flow, there exist two Alfvén resonance layers near the central current sheet. The larger perturbation of the magnetic field in two closer Alfvén resonance layers could lead to formation of the observed cone structure and can largely enhance the development of the tearing mode for a narrower streaming flow. For a broader streaming flow, a larger separation of Alfvén resonance layers reduces the magnetic reconnection. The linear growth rate decreases with increase of the streaming flow thickness. The growth rate of the tearing instability also depends on the plasma beta (β). When the streaming flow is embedded in the current sheet, the growth rate increases with β if β s , but decreases if β > β s . The existence of the specific value β s can be attributed to competition between the suppressing effect of β and the enhancing effect of the streaming flow on the magnetic reconnection. The critical value β s increases with increase of the streaming flow strength
Inertial and viscous effects in the non linear growth of the tearing mode
International Nuclear Information System (INIS)
Edery, D.; Frey, M.; Tagger, M.; Soule, J.L.; Pellat, R.; Bussac, M.N.; Somon, J.P.
1982-08-01
The non linear self similar Tearing mode solution of Rutherford is revisited. We compute explicitly the stream function for the plasma flow including inertia, convection and viscosity. In all cases, Rutherford's solution is asymptotically valid
Soft x-ray measurement of internal tearing mode structure in a reversed-field pinch
International Nuclear Information System (INIS)
Chartas, G.; Hokin, S.
1991-01-01
The structure of internally resonant tearing modes has been studied in the Madison Symmetric Torus reversed-field pinch with a soft x-ray detector system consisting of an imaging array at one toroidal location and several detectors at different toroidal locations. The toroidal mode numbers of m = 1 structures are in the range n = -5, -6, -7. The modes propagate with phase velocity v = 1--6 x 10 6 cm/s, larger than the diamagnetic drift velocity v d ∼ 5 x 10 5 cm/s. Phase locking between modes with different n in manifested as a beating of soft x-ray signals which is found to be strongest near the resonant surfaces of the modes (r/a = 0.1 -- 0.5). 15 refs., 5 figs
Magnetic-Flux Pumping in High-Performance, Stationary Plasmas with Tearing Modes
International Nuclear Information System (INIS)
Petty, C. C.; Austin, M. E.; Holcomb, C. T.; Jayakumar, R. J.; La Haye, R. J.; Luce, T. C.; Makowski, M. A.; Politzer, P. A.; Wade, M. R.
2009-01-01
Analysis of the change in the magnetic field pitch angles during edge localized mode events in high performance, stationary plasmas on the DIII-D tokamak shows rapid (<1 ms) broadening of the current density profile, but only when a m/n=3/2 tearing mode is present. This observation of poloidal magnetic-flux pumping explains an important feature of this scenario, which is the anomalous broadening of the current density profile that beneficially maintains the safety factor above unity and forestalls the sawtooth instability
Modeling of Neoclassical Tearing Mode Stability for Generalized Toroidal Geometry
International Nuclear Information System (INIS)
A.L. Rosenberg; D.A. Gates; A. Pletzer; J.E. Menard; S.E. Kruger; C.C. Hegna; F. Paoletti; S. Sabbagh
2002-01-01
Neoclassical tearing modes (NTMs) can lead to disruption and loss of confinement. Previous analysis of these modes used large aspect ratio, low beta (plasma pressure/magnetic pressure) approximations to determine the effect of NTMs on tokamak plasmas. A more accurate tool is needed to predict the onset of these instabilities. As a follow-up to recent theoretical work, a code has been written which computes the tearing mode island growth rate for arbitrary tokamak geometry. It calls PEST-3 [A. Pletzer et al., J. Comput. Phys. 115, 530 (1994)] to compute delta prime, the resistive magnetohydrodynamic (MHD) matching parameter. The code also calls the FLUXGRID routines in NIMROD [A.H. Glasser et al., Plasma Phys. Controlled Fusion 41, A747 (1999)] for Dnc, DI and DR [C.C. Hegna, Phys. Plasmas 6, 3980 (1999); A.H. Glasser et al., Phys. Fluids 18, 875 (1975)], which are the bootstrap current driven term and the ideal and resistive interchange mode criterion, respectively. In addition to these components, the NIMROD routines calculate alphas-H, a new correction to the Pfirsch-Schlter term. Finite parallel transport effects were added and a National Spherical Torus Experiment (NSTX) [M. Ono et al., Nucl. Fusion 40, 557 (2000)] equilibrium was analyzed. Another program takes the output of PEST-3 and allows the user to specify the rational surface, island width, and amount of detail near the perturbed surface to visualize the total helical flux. The results of this work will determine the stability of NTMs in an spherical torus (ST) [Y.-K.M. Peng et al., Nucl. Fusion 26, 769 (1986)] plasma with greater accuracy than previously achieved
Nonlinear dynamics of tearing modes in the reversed field pinch
International Nuclear Information System (INIS)
Holmes, J.A.; Carreras, B.A.; Diamond, P.H.; Lynch, V.E.
1988-01-01
The results of investigations of nonlinear tearing-mode dynamics in reversed field pinch plasmas are described. The linear instabilities have poloidal mode number m = 1 and toroidal mode numbers 10approx. < napprox. <20, and the resonant surfaces are therefore in the plasma core. The nonlinear dynamics result in dual cascade processes. The first process is a rapid m = 1 spectral broadening toward high n, with a simultaneous spreading of magnetic turbulence radially outward toward the field-reversal surface. Global m = 0 perturbations, which are driven to large amplitudes by the m = 1 instabilities, in turn trigger the m = 1 spectral broadening by back coupling to the higher n. The second process is a cascade toward large m and is mediated by m = 2 modes. The m = 2 perturbations have the structure of localized, driven current sheets and nonlinearly stabilize the m = 1 modes by transferring m = 1 energy to small-scale dissipation. The calculated spectrum has many of the qualitative features observed in experiments
Tokamak plasma transport simulation in the presence of neoclassical tearing modes
International Nuclear Information System (INIS)
Takahashi, Y.; Yamazaki, K.; Arimoto, H.; Shoji, T.; Garcia, J.
2008-01-01
For the prediction of the ITER plasmas, the effect of the neoclassical tearing mode (NTM) on the plasma confinement has been calculated using the 1.5-dimensional equilibrium and transport simulation code TOTAL. The time evolution of the NTM magnetic island has been analyzed using the modified Rutherford equation for a ITER normal shear plasma. The anomalous transport model used here is GLF23. The saturated magnetic island widths are w/a - 0.048 at 3/2 mode and w/a - 0.21 at 2/1 mode, and the reduction in fusion power output by NTM is 27% at the 3/2 mode, 82% at the 2/1 mode, and 89% at the 3/2 + 2/1 double mode. The stabilization effect of the electron cyclotron current drive (ECCD) with EC is also clarified. The threshold of ECCD power for the full stabilization is ∼10[MW] against the 3/2 mode, and ∼23[MW] against the 2/1 mode. (author)
Effect of ion viscosity on neoclassical tearing mode
International Nuclear Information System (INIS)
Yoshida, Shigeki; Itoh, Sanae-I.; Yagi, Masatoshi; Azumi, Masafumi
2004-01-01
Linear stability analysis of neoclassical tearing mode (NTM) is performed on the basis of four-field reduced magnetohydrodynamic (MHD) model which takes account of fluctuating ion parallel flow and ion neoclassical viscosity. The dependence of the growth rate on the kinetic effects is investigated. It is shown that the linear NTM is stabilized by ion neoclassical viscosity and that the stabilizing effect of ion parallel compressibility is weak in the banana-plateau regime. It is found that not only ion neoclassical viscosity but also both ion and electron diamagnetic effects are important for the stabilization of NTM. (author)
International Nuclear Information System (INIS)
Choi, Minjun J; Yun, Gunsu S; Lee, Woochang; Park, Hyeon K; Park, Young-Seok; Sabbagh, Steve A; Gibson, Kieran J; Bowman, Christopher; Domier, Calvin W; Luhmann, Neville C Jr; Bak, Jun-Gyo; Lee, Sang G
2014-01-01
The accuracy in estimation of two important tearing mode stability parameters (Δ′ and w c ) is improved by employing two-dimensional (2D) ECE imaging data which help one to overcome the resolution limit of conventional one-dimensional data. The experimentally measured 2D images are directly compared with synthetic ones from a tearing mode T e model to estimate the parameters and an excellent agreement is achieved. The results imply that the observed tearing mode is classically stable but has non-negligible bootstrap current drive. (paper)
Non-linear self-reinforced growth of tearing modes with multiple rational surfaces
International Nuclear Information System (INIS)
Maschke, E.K.; Persson, M.; Dewar, R.L.; Australian National Univ., Canberra, ACT
1993-06-01
The non-linear evolution of tearing modes with multiple rational surfaces is discussed. It is demonstrated that, in the presence of small differential rotation, the non-linear growth might be faster than exponential. This growth occurs as the rotation frequencies of the plasma at the different rational surfaces go into equilibrium
International Nuclear Information System (INIS)
Yu, Q.; Zhang, X.D.; Guenter, S.
2004-01-01
Numerical modeling on the stabilization of neoclassical tearing modes by localized radio frequency (rf) current drive has been carried out to study the effects of various wave and plasma parameters on the stabilization and the associated physics. The change of the rf current profile due to the magnetic island has been taken into account by modeling the two-dimensional transport of the fast electrons induced by the rf wave. It is found that, when the rf deposition width is much larger than the island width, the modulated rf current drive to deposit the rf current around the island's o point has a stronger stabilizing effect than a nonmodulated one. The slowing down time of the fast electrons and the initial island width when applying the rf wave are also found to be important in determining the stabilizing effect
A theorem for non-linear stability to tearing modes
International Nuclear Information System (INIS)
Avinash, K.
1992-12-01
Within the reduced MHD approximation it is shown that dJ z /dΨ≤0 [J z is z component of the current density and Ψ is the helical flux] is a sufficient condition for the equilibrium to be non-linearly stable to tearing mode. It is further shown that this is also a sufficient condition for an equilibrium to be axisymmetric, hence helical equilibrium consistent with this condition cannot be constructed. However a class of axisymmetric equilibrium with hollow current profile is shown to satisfy the stability criterion. (author). 16 refs, 2 figs
Tearing-mode stability of a forming Spheromak plasma
International Nuclear Information System (INIS)
Heidbrink, W.W.; Jardin, S.C.; Chance, M.S.
1981-10-01
The results of numerical calculations of Δ' for a class of equilibria typical of those encountered during the early formation stage of the S1 Spheromak are presented. The equilibrium plasma is assumed to be cylindrically symmetric and pressureless. It encloses a current carrying perfect conductor (flux core) and is surrounded by a vacuum with zero longitudinal field. Stability boundaries in the space formed by the equilibrium parameters are mapped. The plasma is tearing mode stable provided B/sub z//B/sub theta/ at the flux core is below a certain critical value which depends on the equilibrium parameters. For typical equilibria, this critical value is 0.65
Coupled tearing modes in plasmas with differential rotation
International Nuclear Information System (INIS)
Dewar, R.L.; Persson, M.
1993-08-01
The global asymptotic matching equations for multiple coupled resistive modes of arbitrary parity in a cylindrical plasma are derived. Three different variational principles are given for the outer region matching data, while the inner-region analysis features a careful treatment of the symmetry-breaking effect of a gradient in the equilibrium current for a zero-β slab model. It is concluded that the usual constant-ψ result remains valid and constrains the matrix matching formalism. The dispersion relation is compared with initial value calculations of a double tearing mode when there are small relative rotation velocities between the rational surfaces. In treating differential rotation within the asymptotic matching formalism, flow is ignored in the outer region and is assumed to affect the inner response solely through a Doppler shift. It is shown that the relative rotation can have a strong stabilizing effect by making all but one rational surface effectively ideal. 40 refs., 6 figs
Nonlinear dynamics of tearing modes in the reversed field pinch
International Nuclear Information System (INIS)
Holmes, J.A.; Carreras, B.A.; Diamond, P.H.; Lynch, V.E.
1987-05-01
The results of investigations of nonlinear tearing-mode dynamics in reversed field pinch plasmas are described. The linear instabilities have poloidal mode number m = 1 and toroidal mode numbers 10 ≤ n ≤ 20, and the resonant surfaces are therefore in the plasma core. The nonlinear dynamics result in dual cascade processes. The first process is a rapid m = 1 spectral broadening toward high n, with a simultaneous spreading of magnetic turbulence radially outward toward the field-reversal surface. Global m = 0 perturbations, which are driven to large amplitudes by the m = 1 instabilities, in turn trigger the m = 1 spectral broadening by back-coupling to the higher n. The second process is a cascade toward large m and is mediated by m = 2 modes. The m = 2 perturbations have the structure of localized, driven current sheets and nonlinearly stabilize the m = 1 modes by transferring m = 1 energy to small-scale dissipation. The calculated spectrum has many of the qualitative features observed in experiments. 13 refs., 21 figs., 1 tab
Resonant magnetic perturbation effect on tearing mode dynamics
International Nuclear Information System (INIS)
Frassinetti, L.; Olofsson, K.E.J.; Brunsell, P.R.; Drake, J.R.
2010-01-01
The effect of a resonant magnetic perturbation (RMP) on the tearing mode (TM) dynamics is experimentally studied in the EXTRAP T2R device. EXTRAP T2R is equipped with a set of sensor coils and active coils connected by a digital controller allowing a feedback control of the magnetic instabilities. The recently upgraded feedback algorithm allows the suppression of all the error field harmonics but keeping a selected harmonic to the desired amplitude, therefore opening the possibility of a clear study of the RMP effect on the corresponding TM. The paper shows that the RMP produces two typical effects: (1) a weak oscillation in the TM amplitude and a modulation in the TM velocity or (2) a strong modulation in the TM amplitude and phase jumps. Moreover, the locking mechanism of a TM to a RMP is studied in detail. It is shown that before the locking, the TM dynamics is characterized by velocity modulation followed by phase jumps. Experimental results are reasonably explained by simulations obtained with a model.
Strong Scattering of High Power Millimeter Waves in Tokamak Plasmas with Tearing Modes
DEFF Research Database (Denmark)
Westerhof, E.; Nielsen, Stefan Kragh; Oosterbeek, J.W.
2009-01-01
In tokamak plasmas with a tearing mode, strong scattering of high power millimeter waves, as used for heating and noninductive current drive, is shown to occur. This new wave scattering phenomenon is shown to be related to the passage of the O point of a magnetic island through the high power...
Control of sawteeth and neo-classical tearing modes in tokamaks using electron cyclotron waves
Baar, M.R. de; Bongers, W.A.; Berkel, M. van; Doelman, N.J.; Hennen, B.A.; Nuij, P.; Oosterbeek, J.W.; Steinbuch, M.; Westerhof, E.; Witvoet, G.
2011-01-01
Resistive magneto-hydrodynamic instabilities are expected to limit the performance of nuclear fusion reactors. Prime examples are the sawtooth instability and the neoclassical tearing modes. The sawtooth instability will affect the refueling of the plasma core and the fast particle concentration. In
Conversion of the dominantly ideal perturbations into a tearing mode after a sawtooth crash
Igochine, V.; Gude, A.; S. Günter,; Lackner, K.; Yu, Q.; Orte, L. B.; Bogomolov, A.; Classen, I.; McDermott, R. M.; N C Luhmann Jr.,; ASDEX Upgrade team,
2014-01-01
Forced magnetic reconnection is a topic of common interest in astrophysics, space science, and magnetic fusion research. The tearing mode formation process after sawtooth crashes implies the existence of this type of magnetic reconnection and is investigated in great detail in the ASDEX Upgrade
The effect of viscosity on the resistive tearing mode with the presence of shear flow
International Nuclear Information System (INIS)
Chen, X.L.; Morrison, P.J.
1990-01-01
The effect of small isotropic viscosity on the ''constant ψ'' tearing mode in the presence of shear flow, is analyzed by the boundary layer approach. It is found that the influence of viscosity depends upon the parameter (G'(0)/F'(0)), where G'(0) and F'(0) denote that shear and magnetic field shear at the magnetic null plane, respectively. When |(G'(0)/F'(0))| much-lt 1, the tearing mode growth rate is suppressed by the viscosity, but not completely stabilized. When |(G'(0)/F'(0))| ∼ in the order of (1) and the viscosity is comparable with the resistivity, the growth rate vanishes as ((1 - G'(0) 2 /F'(0) 2 ) 1/3 ), when G'(0) 2 → F'(0) 2 from below. In the case where (1 - G'(0) 2 /F'(0) 2 ) < 0 matching cannot be achieved. 8 refs
Atomic physics effects on tokamak edge drift-tearing modes
International Nuclear Information System (INIS)
Hahm, T.S.
1993-01-01
The effects of ionization and charge exchange on the linear stability of drift-tearing modes are analytically investigated. In particular, the linear instability threshold Δ Th , produced by ion sound wave coupling [Phys. Rev. Lett. 40, 1500 (1978)] is modified. In the strongly collisional regime, the ionization breaks up the near cancellation of the perturbed electric field and the pressure gradient along the magnetic field, and increases the threshold. In the semicollisional regime, both ionization and charge exchange act as drag on the ion parallel velocity [Phys. Fluids B 4, 2567 (1992)], and consequently decrease the threshold by reducing the effectiveness of ion sound wave propagation
Stabilization of the (2,1) tearing mode and of the current disruption in the W VII-A stellarator
International Nuclear Information System (INIS)
Bartlett, D.V.; Cannici, G.; Cattanei, G.
1980-01-01
A numerical code based on a Δ'-analysis is applied to calculate the saturated amplitude of tearing modes dependent on the current density profile. The only stellarator effect included is the additional, shearless external rotational transform in the safety factor profile q(r). In this way, the stellarator field shifts the resonant q=2 surface toward the outside, where the current density gradient is smaller, and stabilizes the (2,1) mode as observed experimentally. Also the measured dependence of the (2,1) mode amplitude on electron density and plasma current can be absolutely predicted by the calculations. - In addition to stabilizing the (2,1) tearing mode, the current disruption is suppressed in Ohmically heated W VII-A discharges for approximately >0.15. The experimental findings, together with the calculated island widths, are compared with the predictions of a theoretical model proposed by several authors to explain the current disruption. (author)
Effect of heating on the suppression of tearing modes in tokamaks.
Classen, I G J; Westerhof, E; Domier, C W; Donné, A J H; Jaspers, R J E; Luhmann, N C; Park, H K; van de Pol, M J; Spakman, G W; Jakubowski, M W
2007-01-19
The suppression of (neoclassical) tearing modes is of great importance for the success of future fusion reactors like ITER. Electron cyclotron waves can suppress islands, both by driving noninductive current in the island region and by heating the island, causing a perturbation to the Ohmic plasma current. This Letter reports on experiments on the TEXTOR tokamak, investigating the effect of heating, which is usually neglected. The unique set of tools available on TEXTOR, notably the dynamic ergodic divertor to create islands with a fully known driving term, and the electron cyclotron emission imaging diagnostic to provide detailed 2D electron temperature information, enables a detailed study of the suppression process and a comparison with theory.
Curvature effect on tearing modes in presence of neoclassical friction
Energy Technology Data Exchange (ETDEWEB)
Maget, Patrick; Mellet, Nicolas; Meshcheriakov, Dmytro; Garbet, Xavier [CEA, IRFM, F-13108 Saint Paul-lez-Durance (France); Lütjens, Hinrich [Centre de Physique Théorique, Ecole Polytechnique, CNRS (France)
2013-11-15
Neoclassical physics (here associated to the poloidal variation of the magnetic field strength along field lines in a tokamak) is well known for driving self-generated plasma current and nonlinear magnetic islands associated to it in high performance, ITER relevant plasma discharges. It is demonstrated that the neoclassical friction between a magnetic perturbation and plasma flow already impacts magnetic islands in the linear regime, by inducing a weakening of curvature stabilization for tearing modes. This conclusion holds in particular for regimes where convection is influencing the pressure dynamics, as shown using a simple analytical model and confirmed in full Magneto-Hydro-Dynamics simulations.
Eigenmode characteristics of the double tearing mode in the presence of shear flows
International Nuclear Information System (INIS)
Mao Aohua; Li Jiquan; Kishimoto, Y.; Liu Jinyuan
2013-01-01
The double tearing mode (DTM) is characterized by two eigen states with antisymmetric or symmetric magnetic island structure, referred to as the even or odd DTM. In this work, we systematically revisit the DTM instabilities in the presence of an antisymmetric shear flow with a focus on eigenmode characteristics as well as the stabilization or destabilization mechanism in a wide parameter region. Both initial value simulation and eigenvalue analysis are performed based on reduced resistive MHD model in slab geometry. A degenerated eigen state is found at a critical flow amplitude v c . The even (or odd) DTM is stabilized (or destabilized) by weak shear flow below v c through the distortion of magnetic islands mainly due to the global effect of shear flow rather than the local flow shear. The distortion can be quantified by the phase angles of the perturbed flux, showing a perfect correspondence to the growth rates. As the shear flow increases above v c , the degenerated eigen state bifurcates into two eigen modes with the same growth rate but opposite propagating direction, resulting in an oscillatory growth of fluctuation energy. It is identified that two eigen modes show the single tearing mode structure due to the Alfvén resonance (AR) occurring on one current sheet. Most importantly, the AR can destabilize the DTMs through enhancing the plasma flow exerting on the remaining island. Meanwhile, the local flow shear plays a remarkable stabilizing role in this region. In addition, the eigenmode characteristic of the electromagnetic Kelvin-Helmholtz instability is also discussed.
Theory of neoclassical tearing modes and its application to ITER-FEAT
International Nuclear Information System (INIS)
Pustovitov, V.D.; Mikhailovskii, A.B.; Konovalov, S.V.; Zvonkov, A.V.; Kobayashi, N.; Mukhovatov, V.S.
2001-01-01
Neoclassical tearing modes (NTM) can be responsible for beta limitation in long-pulse ITER discharges. The excitation and growth of NTM are governed by the competing bootstrap current, polarization current and so-called Δ' effects. Also, the magnetic well and Electron Cyclotron Current Drive (ECCD) can stabilize the NTM. We study analytically and numerically all the effects with a particular emphasis on the polarization current in the analytical part of our study. We show that the polarization current description requires a generalized transport theory including the hyperviscosity, electron pressure gradient and, as well, the finite ion Larmor radius effects in the perpendicular current. The profile function nonstationarity must be taken into account for calculation of the island rotation frequency. Results of numerical simulation of NTM suppression by modulated ECCD in ITER are presented. (author)
Control system of neoclassical tearing modes in real time on HL-2A tokamak
Yan, Longwen; Ji, Xiaoquan; Song, Shaodong; Xia, Fan; Xu, Yuan; Ye, Jiruo; Jiang, Min; Chen, Wenjin; Sun, Tengfei; Liang, Shaoyong; Ling, Fei; Ma, Rui; Huang, Mei; Qu, Hongpeng; Song, Xianming; Yu, Deliang; Shi, Zhongbin; Liu, Yi; Yang, Qingwei; Xu, Min; Duan, Xuru; Liu, Yong
2017-11-01
The stability and performance of tokamak plasmas are routinely limited by various magneto-hydrodynamic instabilities, such as neoclassical tearing modes (NTMs). This paper presents a rather simple method to control the NTMs in real time (RT) on a tokamak, including the control principle of a feedback approach for RT suppression and stabilization for the NTMs. The control system combines Mirnov, electron cyclotron emission, and soft X-ray diagnostics used for determining the NTM positions. A methodology for fast detection of 2/1 or 3/2 NTM positions with 129 × 129 grid reconstruction is elucidated. The forty poloidal angles for steering the electron cyclotron resonance heating (ECRH)/electron cyclotron current drive launcher are used to establish the alignment of antenna mirrors with the center of the NTM and to ensure launcher emission intersecting with the rational surface of a magnetic island. Pilot experiments demonstrate the RT control capability to trace the conventional tearing modes (CTMs) in the HL-2A tokamak. The 2/1 CTMs have been suppressed or stabilized by the ECRH power deposition on site or with the steerable launcher.
Malmberg, J.-A.; Brunsell, P. R.
2002-01-01
Observations of resistive wall instabilities and tearing mode dynamics in the EXTRAP T2R thin shell (τw=6 ms) reversed field pinch are described. A nonresonant mode (m=1,n=-10) with the same handedness as the internal field grows nearly exponentially with an average growth time of about 2.6 ms (less than 1/2 of the shell time) consistent with linear stability theory. The externally nonresonant unstable modes (m=1,n>0), predicted by linear stability theory, are observed to have only low amplitudes (in the normal low-Θ operation mode of the device). The radial field of the dominant internally resonant tearing modes (m=1,n=-15 to n=-12) remain low due to spontaneous fast mode rotation, corresponding to angular phase velocities up to 280 krad/s. Phase aligned mode structures are observed to rotate toroidally with an average angular velocity of 40 krad/s, in the opposite direction of the plasma current. Toward the end of the discharge, the radial field of the internally resonant modes grows as the modes slow down and become wall-locked, in agreement with nonlinear computations. Fast rotation of the internally resonant modes has been observed only recently and is attributed to a change of the front-end system (vacuum vessel, shell, and TF coil) of the device.
International Nuclear Information System (INIS)
LAHAYE, RJ; LUCE, TC; PETTY, CC; HUMPHREYS, DA; HYATT, AW; PERKINS, FW; PRATER, R; STRAIT, EJ; WADE, MR
2003-01-01
A271 COMPLETE SUPPRESSION OF THE M/N = 2/1 NEOCLASSICAL TEARING MODE USING RADIALLY LOCALIZED ELECTRON CYCLOTRON CURRENT DRIVE ON DIII-D AND THE REQUIREMENTS FOR ITER. DIII-D experiments demonstrate the first real-time feedback control of the relative location of a narrow beam of microwaves to completely suppress and eliminate a growing tearing mode at the q = 2 surface. long wavelength tearing modes such as the m/n = 2/1 instability are particularly deleterious to tokamak operation. Confinement is seriously degraded by the island, plasma rotation can cease (mode-lock) and disruption can occur. The neoclassical tearing mode (NTM) becomes unstable due to the presence of a helically-perturbed bootstrap current and can be stabilized by replacing the missing bootstrap current in the island O-point by precisely located co-electron cyclotron current drive (ECCD). The optimum position is found when the DIII-D plasma control system (PCS) is put into a search and suppress mode that makes small radial shifts (in about 1 cm steps) in the ECCD location based on minimizing the Mirnov amplitude. Requirements for ITER are addressed
van Haaften, W. M.; Kool, W. H.; Katgerman, L.
2002-10-01
One of the major problems during direct chill (DC) casting is hot tearing. These tears initiate during solidification of the alloy and may run through the entire ingot. To study the hot tearing mechanism, tensile tests were carried out in semisolid state and at low strain rates, and crack propagation was studied in situ by scanning electron microscopy (SEM). These experimentally induced cracks were compared with hot tears developed in an AA5182 ingot during a casting trial in an industrial research facility. Similarities in the microstructure of the tensile test specimens and the hot tears indicate that hot tearing can be simulated by performing tensile tests at semisolid temperatures. The experimental data were compared with existing hot tearing models and it was concluded that the latter are restricted to relatively high liquid fractions because they do not take into account the existence of solid bridges in the crack.
Dynamic modelling of tearing mode stabilization by RF current drive
International Nuclear Information System (INIS)
Giruzzi, G.; Zabiego, M.; Gianakon, T.A.; Garbet, X.; Bernabei, S.
1998-01-01
The theory of tearing mode stabilization in toroidal plasmas by RF-driven currents that are modulated in phase with the island rotation is investigated. A time scale analysis of the phenomena involved indicates that transient effects, such as finite time response of the driven currents, island rotation during the power pulses, and the inductive response of the plasma, are intrinsically important. A dynamic model of such effects is developed, based on a 3-D Fokker-Planck code coupled to both the electric field diffusion and the island evolution equations. Extensive applications to both Electron Cyclotron and Lower Hybrid current drive in ITER are presented. (author)
Effects of low and high mode number tearing modes in divertor tokamaks
International Nuclear Information System (INIS)
Punjabi, Alkesh; Ali, Halima; Boozer, Allen; Evans, Todd
2007-01-01
The topological effects of magnetic perturbations on a divertor tokamak, such as DIII-D, are studied using field-line maps that were developed by Punjabi et al. [A. Punjabi, A. Verma, and A. Boozer, Phys. Rev. Lett. 69, 3322 (1992)]. The studies consider both long-wavelength perturbations, such as those of m=1, n=1 tearing modes, and localized perturbations, which are represented as a magnetic dipole. The parameters of the dipole map are set using DIII-D data from shot 115467 in which the C-coils were activated [J. L. Luxon and L. E. Davis, Fusion Technol. 8, 441 (1985)]. The long-wavelength perturbations alter the structure of the interception of magnetic field lines with the divertor plates, but the interception is in sharp lines. The dipole perturbations cause a spreading of the interception of the field lines with the divertor plates, which alleviates problems associated with heat deposition. Magnetic field lines are the trajectories of a one-and-a-half degree of freedom Hamiltonian, which strongly constrains the topological features of the lines. Although the field line maps that we use do not accurately represent the trajectories through ordinary space of individual field lines, they do represent their topological structure
Ayten, B.; Westerhof, E.; ASDEX Upgrade team,
2014-01-01
Due to the smallness of the volumes associated with the flux surfaces around the O-point of a magnetic island, the electron cyclotron power density applied inside the island for the stabilization of neoclassical tearing modes (NTMs) can exceed the threshold for non-linear effects as derived
Boundary perturbations coupled to core 3/2 tearing modes on the DIII-D tokamak
International Nuclear Information System (INIS)
Tobias, B; Yu, L; Domier, C W; Luhmann, N C Jr; Austin, M E; Paz-Soldan, C; Turnbull, A D; Classen, I G J
2013-01-01
High confinement (H-mode) discharges on the DIII-D tokamak are routinely subject to the formation of long-lived, non-disruptive magnetic islands that degrade confinement and limit fusion performance. Simultaneous, 2D measurement of electron temperature fluctuations in the core and edge regions allows for reconstruction of the radially resolved poloidal mode number spectrum and phase of the global plasma response associated with these modes. Coherent, n = 2 excursions of the plasma boundary are found to be the result of coupling to an n = 2, kink-like mode which arises locked in phase to the 3/2 island chain. This coupling dictates the relative phase of the displacement at the boundary with respect to the tearing mode. This unambiguous phase relationship, for which no counter-examples are observed, is presented as a test for modeling of the perturbed fields to be expected outside the confined plasma. (paper)
Shear flows induced by nonlinear evolution of double tearing modes
International Nuclear Information System (INIS)
Wang Zhengxiong; Kishimoto, Y.; Li, J. Q.; Wang Xiaogang; Dong, J. Q.
2008-01-01
Shear flows induced by nonlinear evolution of double tearing modes are investigated in a resistive magnetohydrodynamic model with slab geometry. It is found that intensive and thin poloidal shear flow layers are generated in the magnetic island region driven by coupled reconnection process at both rational surfaces. The structure of the flow layers keeps evolving after the merging of magnetic separatrices and forms a few narrow vortices along the open field lines in the final stage of magnetic reconnection. The effects of the distance between both rational surfaces and the initial magnetic shear on the nonlinear evolution of the plasma flows are also taken into consideration and the relevant mechanism is discussed
Mass spectrometric identification of phospholipids in human tears and tear lipocalin.
Dean, Austin W; Glasgow, Ben J
2012-04-02
The purpose of this article was to identify by mass spectrometry phosphocholine lipids in stimulated human tears and determine the molecules bound to tear lipocalin or other proteins. Tear proteins were separated isocratically from pooled stimulated human tears by gel filtration fast performance liquid chromatography. Separation of tear lipocalin was confirmed by SDS tricine gradient PAGE. Protein fractions were extracted with chloroform/methanol and analyzed with electrospray ionization MS/MS triple quadrupole mass spectrometry in precursor ion scan mode for select leaving groups. For quantification, integrated ion counts were derived from standard curves of authentic compounds of phosphatidylcholine (PC) and phosphatidylserine. Linear approximation was possible from integration of the mass spectrometrically obtained ion peaks at 760 Da for the PC standard. Tears contained 194 ng/mL of the major intact PC (34:2), m/z 758.6. Ten other monoisotopic phosphocholines were found in tears. A peak at 703.3 Da was assigned as a sphingomyelin. Four lysophosphatidylcholines (m/z 490-540) accounted for about 80% of the total integrated ion count. The [M+H](+) compound, m/z 496.3, accounted for 60% of the signal intensity. Only the tear lipocalin-bearing fractions showed phosphocholines (104 ng/mL). Although the intact phospholipids bound to tear lipocalin corresponded precisely in mass and relative signal intensity to that found in tears, we did not identify phosphocholines between m/z 490 and 540 in any of the gel-filtration fractions. Phospholipids, predominantly lysophospholipids, are present in tears. The higher mass intact PCs in tears are native ligands of tear lipocalin.
Intermittent bursts induced by double tearing mode reconnection
Wei, Lai; Wang, Zheng-Xiong
2014-06-01
Reversed magnetic shear (RMS) configuration is assumed to be the steady-state operation scenario for the future advanced tokamaks like International Thermonuclear Experimental Reactor. In this work, we numerically discover a phenomenon of violent intermittent bursts induced by self-organized double tearing mode (DTM) reconnection in the RMS configuration during the very long evolution, which may continuously lead to annular sawtooth crashes and thus badly impact the desired steady-state operation of the future advanced RMS tokamaks. The key process of the intermittent bursts in the off-axis region is similar to that of the typical sawtooth relaxation oscillation in the positive magnetic shear configuration. It is interestingly found that in the decay phase of the DTM reconnection, the zonal field significantly counteracts equilibrium field to make the magnetic shear between the two rational surfaces so weak that the residual self-generated vortices of the previous DTM burst are able to trigger a reverse DTM reconnection by curling the field lines.
Intermittent bursts induced by double tearing mode reconnection
International Nuclear Information System (INIS)
Wei, Lai; Wang, Zheng-Xiong
2014-01-01
Reversed magnetic shear (RMS) configuration is assumed to be the steady-state operation scenario for the future advanced tokamaks like International Thermonuclear Experimental Reactor. In this work, we numerically discover a phenomenon of violent intermittent bursts induced by self-organized double tearing mode (DTM) reconnection in the RMS configuration during the very long evolution, which may continuously lead to annular sawtooth crashes and thus badly impact the desired steady-state operation of the future advanced RMS tokamaks. The key process of the intermittent bursts in the off-axis region is similar to that of the typical sawtooth relaxation oscillation in the positive magnetic shear configuration. It is interestingly found that in the decay phase of the DTM reconnection, the zonal field significantly counteracts equilibrium field to make the magnetic shear between the two rational surfaces so weak that the residual self-generated vortices of the previous DTM burst are able to trigger a reverse DTM reconnection by curling the field lines
Intermittent bursts induced by double tearing mode reconnection
Energy Technology Data Exchange (ETDEWEB)
Wei, Lai; Wang, Zheng-Xiong, E-mail: zxwang@dlut.edu.cn [Key Laboratory of Materials Modification by Beams of the Ministry of Education, School of Physics and Optoelectronic Technology, Dalian University of Technology, Dalian 116024 (China)
2014-06-15
Reversed magnetic shear (RMS) configuration is assumed to be the steady-state operation scenario for the future advanced tokamaks like International Thermonuclear Experimental Reactor. In this work, we numerically discover a phenomenon of violent intermittent bursts induced by self-organized double tearing mode (DTM) reconnection in the RMS configuration during the very long evolution, which may continuously lead to annular sawtooth crashes and thus badly impact the desired steady-state operation of the future advanced RMS tokamaks. The key process of the intermittent bursts in the off-axis region is similar to that of the typical sawtooth relaxation oscillation in the positive magnetic shear configuration. It is interestingly found that in the decay phase of the DTM reconnection, the zonal field significantly counteracts equilibrium field to make the magnetic shear between the two rational surfaces so weak that the residual self-generated vortices of the previous DTM burst are able to trigger a reverse DTM reconnection by curling the field lines.
International Nuclear Information System (INIS)
PETTY, CC; LAHAYE, LA; LUCE, TC; HUMPHREYS, DA; HYATT, AW; PRATER, R; STRAIT, EJ; WADE, MR
2003-01-01
A271 COMPLETE SUPPRESSION OF THE M=2/N-1 NEOCLASSICAL TEARING MODE USING ELECTRON CYCLOTRON CURRENT DRIVE ON DIII-D. The first suppression of the important and deleterious m=2/n=1 neoclassical tearing mode (NTM) is reported using electron cyclotron current drive (ECCD) to replace the ''missing'' bootstrap current in the island O-point. Experiments on the DIII-D tokamak verify the maximum shrinkage of the m=2/n=1 island occurs when the ECCD location coincides with the q = 2 surface. The DIII-D plasma control system is put into search and suppress mode to make small changes in the toroidal field to find and lock onto the optimum position, based on real time measurements of dB θ /dt, for complete m=2/n=1 NTM suppression by ECCD. The requirements on the ECCD for complete island suppression are well modeled by the modified Rutherford equation for the DIII-D plasma conditions
International Nuclear Information System (INIS)
Mikhailovskii, A.B.; Shirokov, M.S.; Konovalov, S.V.; Tsypin, V.S.
2005-01-01
Transport threshold models of neoclassical tearing modes in tokamaks are investigated analytically. An analysis is made of the competition between strong transverse heat transport, on the one hand, and longitudinal heat transport, longitudinal heat convection, longitudinal inertial transport, and rotational transport, on the other hand, which leads to the establishment of the perturbed temperature profile in magnetic islands. It is shown that, in all these cases, the temperature profile can be found analytically by using rigorous solutions to the heat conduction equation in the near and far regions of a chain of magnetic islands and then by matching these solutions. Analytic expressions for the temperature profile are used to calculate the contribution of the bootstrap current to the generalized Rutherford equation for the island width evolution with the aim of constructing particular transport threshold models of neoclassical tearing modes. Four transport threshold models, differing in the underlying competing mechanisms, are analyzed: collisional, convective, inertial, and rotational models. The collisional model constructed analytically is shown to coincide exactly with that calculated numerically; the reason is that the analytical temperature profile turns out to be the same as the numerical profile. The results obtained can be useful in developing the next generation of general threshold models. The first steps toward such models have already been made
Simulations of beam ion transport during tearing modes in the DIII-D tokamak
International Nuclear Information System (INIS)
Carolipio, E.M.; Heidbrink, W.W.; Forest, C.B.; White, R.B.
2002-01-01
Large coherent MHD modes are observed to reduce the neutral beam current drive efficiency and 2.5 MeV neutron emission in DIII-D by as much as ∼65%. These modes result in large (width w or approx. 40 keV become stochastic at island widths comparable to those in the experiment. A Hamiltonian guiding centre code is used to follow energetic particle trajectories with the tearing mode modelled as a radially extended, single helicity perturbation. In the simulations, the lost neutral beam current drive and neutron emission are 35% and 40%, respectively, which is consistent with the measured reductions of 40±14% and 40±10%. Several features of the lost particle distribution indicate that orbit stochasticity is the loss mechanism in the simulations and strongly suggest that the same mechanism is responsible for the losses observed in the experiment. (author)
International Nuclear Information System (INIS)
Santiago, M.A.M.
1987-01-01
A review of the problem of growth rate calculations for tearing modes in field reversed Θ-pinches is presented. Its shown that in the several experimental data, the methods used for analysing the plasma with a global finite resistivity has a better quantitative agreement than the boundary layer analysis. A comparative study taking into account the m = 1 resistive kindmode and the m = 2 mode, which is more dangerous for the survey of rotational instabilities of the plasma column is done. It can see that the imaginary component of the eigenfrequency, which determinates the growth rate, has a good agreement with the experimental data and the real component is different from the rotational frequency as it has been measured in some experiments. (author) [pt
On the interplay between neoclassical tearing modes and nonlocal transport in toroidal plasmas
Ji, X. Q.; Xu, Y.; Hidalgo, C.; Diamond, P. H.; Liu, Yi; Pan, O.; Shi, Z. B.; Yu, D. L.
2016-09-01
This Letter presents the first observation on the interplay between nonlocal transport and neoclassical tearing modes (NTMs) during transient nonlocal heat transport events in the HL-2A tokamak. The nonlocality is triggered by edge cooling and large-scale, inward propagating avalanches. These lead to a locally enhanced pressure gradient at the q = 3/2 (or 2/1) rational surface and hence the onset of the NTM in relatively low β plasmas (βN < 1). The NTM, in return, regulates the nonlocal transport by truncation of avalanches by local sheared toroidal flows which develop near the magnetic island. These findings have direct implications for understanding the dynamic interaction between turbulence and large-scale mode structures in fusion plasmas.
International Nuclear Information System (INIS)
Oikawa, T.; Suzuki, T.; Isayama, A.; Hayashi, N.; Fujita, T.; Naito, O.; Tuda, T.; Kurita, G.
2005-01-01
Evolution of the current density profile associated with magnetic island formation in a neoclassical tearing mode plasma is measured for the first time in JT-60U by using a motional Stark effect diagnostic. As the island grows, the current density profile turns flat at the radial region of the island and a hollow structure appears at the rational surface. As the island shrinks the deformed region becomes narrower and finally diminishes after the disappearance of the island. In a quiescent plasma without magnetohydrodynamic instabilities, on the other hand, no deformation is observed. The observed deformation in the current density profile associated with the tearing mode is reproduced in a time dependent transport simulation assuming the reduction of the bootstrap current in the radial region of the island. Comparison of the measurement with a calculated steady-state solution also shows that the reduction and recovery of the bootstrap current at the island explains the temporal behaviours of the current density and safety factor profiles. From the experimental observation and simulations, we reach the conclusion that the bootstrap current decreases within the island O-point
International Nuclear Information System (INIS)
Mirnov, V.V.
2002-01-01
Large-scale tearing instabilities have long been considered to underlie transport and dynamo processes in the reversed field pinch (RFP). The vast majority of theoretical and computational RFP work has focused on pressureless, single-fluid MHD in cylindrical plasmas driven solely by a toroidal electric field. We report results of five investigations covering two-fluid dynamos, toroidal nonlinear MHD computation, nonlinear computation of Oscillating Field Current Drive (OFCD), the effect of shear flow on tearing instability, and the effect of pressure on resistive instability. The key findings are: (1) two-fluid dynamo arising from the Hall term is much larger than the standard MHD dynamo present in a single-fluid treatment, (2) geometric coupling from toroidicity precludes the occurrence of laminar single helicity states, except for nonreversed plasmas, (3) OFCD, a form of AC helicity injection, can sustain the RFP plasma current, although magnetic fluctuations are enhanced, (4) edge shear flow can destabilize the edge resonant m=0 modes, which occur as spikes in experiment, and (5) pressure driven modes are resistive at low beta, only becoming ideal at extremely high beta. (author)
Gračanin, Asmir; van Assen, Marcel A L M; Omrčen, Višnja; Koraj, Ivana; Vingerhoets, Ad J J M
2017-01-01
Gelstein et al. reported the results of three experiments suggesting a dampening influence of inhalation of female emotional tears on males' arousal and perception of female sexual attractiveness, specifically in non-sexual situations. This prompted the hypothesis that crying exerts its influence on others not only via the auditory and visual mode but also via chemosignals. In three studies, we attempted to replicate and extend Gelstein et al.'s findings by including an additional condition with irritant tears, by using pictures of sexually attractive women, and by testing related hypotheses on the pro-social effects of exposure to tears. All three studies, separately or combined in a meta-analysis, failed to replicate the original inhibitory effects of tears. In addition, sniffing tears did not affect measures of connectedness, aggression and pro-social behaviour. It is concluded that the effects of female tears on male arousal and perception of female sexual attractiveness, if any, are very weak at best. Rather, it seems that crying exerts its strong inter-personal effects through the visual and auditory sensory channels.
International Nuclear Information System (INIS)
La Haye, R.J.; Isayama, A.; Maraschek, M.
2009-01-01
The system planned for electron cyclotron current drive (ECCD) in ITER can mitigate the deleterious effects of neoclassical tearing modes (NTMs) provided that either adequate alignment of the ECCD to the rational surface is maintained or too large a misalignment is corrected on a time scale shorter than the deleterious plasma response to 'large' islands. Resistive neoclassical tearing modes will be the principal limit on stability and performance in the ITER standard scenario as the drag from rotating island induced eddy current in the resistive wall (particularly from the m/n = 2/1 mode) can slow the plasma rotation, produce locking to the wall and cause loss of high-confinement H-mode and disruption. Continuous wave (cw) ECCD at the island rational surface is successful in stabilization and/or prevention of NTMs in ASDEX Upgrade, DIII-D and JT-60U. Modulating the ECCD so that it is absorbed only on the rotating island O-point is proving successful in recovering effectiveness in ASDEX Upgrade when the ECCD is configured for wider deposition as expected in ITER. The models for the effect of misalignment on ECCD effectiveness are applied to ITER. Tolerances for misalignment are presented to establish criteria for both the alignment (by moving mirrors in ITER) in the presence of an island, and for the accuracy of real-time ITER MHD equilibrium reconstruction in the absence of an island, i.e. alignment to the mode or to the rational surface in the absence of the mode. The narrower ECCD with front steering makes precise alignment more necessary for the most effective stabilization even though the ECCD is still relatively broad, with current density deposition (full width half maximum) almost twice the marginal island width. This places strict requirements on ECCD alignment with the expected ECCD effectiveness dropping to zero for misalignments as small as 1.7 cm. The system response time for growing islands and slowing rotation without and with ECCD (at different
International Nuclear Information System (INIS)
He Zhixiong; He, H D; Long, Y X; Mou, Z Z; Dong, J Q; Gao Zhe
2010-01-01
The linear behaviors of the double tearing mode (DTM) mediated by parallel electron viscosity and plasma resistivity in cylindrical plasmas with reversed magnetic shear and thus two resonant rational flux surfaces are numerically investigated in this paper. It is shown that DTMs mediated by electron viscosity alone behave similarly to the DTMs mediated by resistivity alone. DTMs mediated by electron viscosity are found to be enhanced by plasma resistivity, which is in such a range that the growth rate of the modes induced by the latter alone is comparable with that of the modes mediated by the former alone, and vice versa. Otherwise the growth rate of the modes is equal to the higher of the modes mediated by resistivity or electron viscosity alone when both resistivity and electron viscosity are taken into account. The enhancement is found to be closely related to the profiles of the stream function.
Wang, Xiaojing; Yu, Qingquan; Zhang, Xiaodong; Zhang, Yang; Zhu, Sizheng; Wang, Xiaoguang; Wu, Bin
2018-04-01
Numerical studies on the stabilization of neoclassical tearing modes (NTMs) by electron cyclotron current drive (ECCD) have been carried out based on reduced MHD equations, focusing on the amount of the required driven current for mode stabilization and the comparison with analytical results. The dependence of the minimum driven current required for NTM stabilization on some parameters, including the bootstrap current density, radial width of the driven current, radial deviation of the driven current from the resonant surface, and the island width when applying ECCD, are studied. By fitting the numerical results, simple expressions for these dependences are obtained. Analysis based on the modified Rutherford equation (MRE) has also been carried out, and the corresponding results have the same trend as numerical ones, while a quantitative difference between them exists. This difference becomes smaller when the applied radio frequency (rf) current is smaller.
Eissa, Iman M; Khalil, Noha M; El-Gendy, Heba A
2016-01-01
Purpose. To assess the tear film quantity and correlate it with the quality and stability of the tear film in diabetics and compare them to age matched controls. Introduction. Diabetes affects tear film parameters in multiple ways. Poor metabolic control and neuropathy are postulated factors. To further understand how diabetes affects tear film parameters this study was conducted. Subjects and Methods. Tear meniscus height was measured by anterior segment OCT, along with tear thinning time, a subtype of noninvasive tear break-up time, and blinking rate per minute which were all recorded for 22 diabetic patients. Correlations between these tear film parameters were studied and then compared to 16 age matched controls. Results. A statistically significant difference was found in blinking rate between the diabetic and the control group (P = 0.002), with higher blinking rate among diabetics. All tear film parameters were negatively correlated with duration of diabetes. A positive correlation was found between tear film volume and stability. Conclusion. Diabetes affects the tear film in various ways. Diabetics should be examined for dry eye signs even in absence of symptoms which may be masked by associated neuropathy. Duration of diabetes has an impact on tear film status.
International Nuclear Information System (INIS)
La Haye, R.J.
2002-01-01
In DIII-D, the first real-time active control of the electron cyclotron current drive stabilization of a neoclassical tearing mode (here m/n=3/2) is demonstrated. The plasma control system is put into a 'search and suppress' mode to make either small rigid radial position shifts (of order 1 cm) of the entire plasma (and thus the island) or small changes in toroidal field (of order 0.5%) which radially moves the second harmonic resonance location (and thus the rf current drive). The optimum position minimizes the real-time mode amplitude signal. Stabilization occurs despite changes in island location from discharge-to-discharge or from time-to-time. The neutral beam heating power is then programmed to rise after mode suppression by the ECCD. The plasma pressure increases higher than the peak at the onset of the neoclassical tearing mode until the magnetic island reappears. Real-time tracking of the change in location of q=3/2 due to the Shafranov shift with increasing beta is necessary to keep the ECCD at the optimum location in the absence of a mode. (author)
Directory of Open Access Journals (Sweden)
Iman M. Eissa
2016-01-01
Full Text Available Purpose. To assess the tear film quantity and correlate it with the quality and stability of the tear film in diabetics and compare them to age matched controls. Introduction. Diabetes affects tear film parameters in multiple ways. Poor metabolic control and neuropathy are postulated factors. To further understand how diabetes affects tear film parameters this study was conducted. Subjects and Methods. Tear meniscus height was measured by anterior segment OCT, along with tear thinning time, a subtype of noninvasive tear break-up time, and blinking rate per minute which were all recorded for 22 diabetic patients. Correlations between these tear film parameters were studied and then compared to 16 age matched controls. Results. A statistically significant difference was found in blinking rate between the diabetic and the control group (P=0.002, with higher blinking rate among diabetics. All tear film parameters were negatively correlated with duration of diabetes. A positive correlation was found between tear film volume and stability. Conclusion. Diabetes affects the tear film in various ways. Diabetics should be examined for dry eye signs even in absence of symptoms which may be masked by associated neuropathy. Duration of diabetes has an impact on tear film status.
Two-dimensional effects in the problem of tearing modes control by electron cyclotron current drive
International Nuclear Information System (INIS)
Comisso, L.; Lazzaro, E.
2010-01-01
The design of means to counteract robustly the classical and neoclassical tearing modes in a tokamak by localized injection of an external control current requires an ever growing understanding of the physical process, beyond the Rutherford-type zero-dimensional models. Here a set of extended magnetohydrodynamic nonlinear equations for four continuum fields is used to investigate the two-dimensional effects in the response of the reconnecting modes to specific inputs of the localized external current. New information is gained on the space- and time-dependent effects of the external action on the two-dimensional structure of magnetic islands, which is very important to formulate applicable control strategies.
The dynamics of a neoclassical tearing mode (NTM) influenced by energetic ions on EAST
International Nuclear Information System (INIS)
Li, Erzhong; Xu, L; Shi, T; Zhao, H; Liu, Y; Ti, A; Zhang, J; Huang, J; Shen, B; Lin, S; Qian, J; Gong, X; Hu, L; Igochine, V; White, R; Zhu, Y
2016-01-01
In the 2014 year’s campaign of experimental advanced superconducting tokamak (EAST), a series of Magnetohydrodynamics (MHD) instabilities were observed as the launching of Neutral Beam Injection (NBI), the most interesting one of which is the neoclassical tearing mode (NTM). Evidence clearly shows that a kink mode present after a strong sawtooth-like (ST-like) crash leaves a perturbation near the location of the magnetic island, providing the initial seed. The interaction of energetic ions makes the magnetic island oscillate both in island width and in rotation frequency. Analysis indicates that the bulk plasma still dominates the dynamics of NTM, and the orbit excursion of energetic ions induces a polarization current and modifies the width and rotation frequency of the neoclassical magnetic island. (paper)
Stability of tearing modes in tokamak plasmas
International Nuclear Information System (INIS)
Hegna, C.C.; Callen, J.D.
1994-02-01
The stability properties of m ≥ 2 tearing instabilities in tokamak plasmas are analyzed. A boundary layer theory is used to find asymptotic solutions to the ideal external kink equation which are used to obtain a simple analytic expression for the tearing instability parameter Δ'. This calculation generalizes previous work on this topic by considering more general toroidal equilibria (however, toroidal coupling effects are ignored). Constructions of Δ' are obtained for plasmas with finite beta and for islands that have nonzero width. A simple heuristic estimate is given for the value of the saturated island width when the instability criterion is violated. A connection is made between the calculation of the asymptotic matching parameter in the finite beta and island width case to the nonlinear analog of the Glasser effect
International Nuclear Information System (INIS)
Jones, M.R.
1988-06-01
Micromechanistic models are presented which aim to predict plane strain ductile initiation toughness, tearing resistance and notched bar fracture strains in pressure vessel steels under monotonically increasing tensile (mode 1) loading. The models for initiation toughness and tearing resistance recognize that ductile fracture proceeds by the growth and linkage of voids with the crack-tip. The models are shown to predict the trend of initiation toughness with inclusion spacing/size ratio and can bound the available experimental data. The model for crack growth can reproduce the tearing resistance of a pressure vessel steel up to and just beyond crack growth initiation. The fracture strains of notched bars pulled in tension are shown to correspond to the achievement of a critical volume fraction of voids. This criterion is combined with the true stress - true strain history of a material point ahead of a blunting crack-tip to predict the initiation toughness. An attempt was made to predict the fracture strains of notched tensile bars by adopting a model which predicts the onset of a shear localization phenomenon. Fracture strains of the correct order are computed only if a ''secondary'' void nucleation event at carbide precipitates is taken into account. (author)
Galdon-Quiroga, J.; Garcia-Munoz, M.; Sanchis-Sanchez, L.; Mantsinen, M.; Fietz, S.; Igochine, V.; Maraschek, M.; Rodriguez-Ramos, M.; Sieglin, B.; Snicker, A.; Tardini, G.; Vezinet, D.; Weiland, M.; Eriksson, L. G.; The ASDEX Upgrade Team; The EUROfusion MST1 Team
2018-03-01
Absolute flux of fast ion losses induced by tearing modes have been measured by means of fast ion loss detectors (FILD) for the first time in RF heated plasmas in the ASDEX Upgrade tokamak. Up to 30 MW m-2 of fast ion losses are measured by FILD at 5 cm from the separatrix, consistent with infra-red camera measurements, with energies in the range of 250-500 keV and pitch angles corresponding to large trapped orbits. A resonant interaction between the fast ions in the high energy tail of the ICRF distribution and a m/n = 5/4 tearing mode leads to enhanced fast ion losses. Around 9.3 +/- 0.7 % of the fast ion losses are found to be coherent with the mode and scale linearly with its amplitude, indicating the convective nature of the transport mechanism. Simulations have been carried out to estimate the contribution of the prompt losses. A good agreement is found between the simulated and the measured velocity space of the losses. The velocity space resonances that may be responsible for the enhanced fast ion losses are identified.
Observations on resistive wall modes
International Nuclear Information System (INIS)
Gerwin, R.A.; Finn, J.M.
1996-01-01
Several results on resistive wall modes and their application to tokamaks are presented. First, it is observed that in the presence of collisional parallel dynamics there is an exact cancellation to lowest order of the dissipative and sound wave effects for an ideal Ohm's law. This is easily traced to the fact that the parallel dynamics occurs along the perturbed magnetic field lines for such electromagnetic modes. Such a cancellation does not occur in the resistive layer of a tearing-like mode. The relevance to models for resistive wall modes using an electrostatic Hammett-Perkins type operator to model Landau damping will be discussed. Second, we observe that with an ideal Ohm's law, resistive wall modes can be destabilized by rotation in that part of parameter space in which the ideal MHD modes are stable with the wall at infinity. This effect can easily be explained by interpreting the resistive wall instability in terms of mode coupling between the backward stable MHD mode and a stable mode locked into the wall. Such an effect can occur for very small rotation for tearing-resistive wall modes in which inertia dominates viscosity in the layer, but the mode is stabilized by further rotation. For modes for which viscosity dominates in the layer, rotation is purely stabilizing. For both tearing models, a somewhat higher rotation frequency gives stability essentially whenever the tearing mode is stable with a perfectly conducting wall. These tearing/resistive wall results axe also simply explained in terms of mode coupling. It has been shown that resonant external ideal modes can be stabilized in the presence of resistive wall and resistive plasma with rotation of order the nominal tearing mode growth rate. We show that these modes behave as resistive wall tearing modes in the sense above. This strengthens the suggestion that rotational stabilization of the external kink with a resistive wall is due to the presence of resistive layers, even for ideal modes
Influence of anomalous transport phenomena on onset of Neoclassical Tearing Modes in tokamaks
International Nuclear Information System (INIS)
Konovalov, S.V.; Mikhailovskii, A.B.; Shirokov, M.S.; Ozeki, T.; Takizuka, T.; Hayashi, N.
2005-01-01
Influence of anomalous perpendicular heat transport and anomalous ion perpendicular viscosity on conditions of Neoclassical Tearing Mode (NTM) onset is studied theoretically. Series of various parallel transport mechanisms competitive to anomalous cross-island heat transport in formation of the perturbed electron and ion temperature profiles within the island are considered. Analytical solutions to respective heat balance equations were found and perturbed temperature profiles were calculated rigorously. The partial contributions from the plasma electron and ion temperature perturbations in the bootstrap drive of the mode and magnetic curvature effect were then accounted in construction of a generalized transport threshold model of NTMs. Taking into account the curvature effect weakening in the generalized transport threshold model predicts notable improvement of NTM stability. The anomalous perpendicular ion viscosity was shown to modify collisionality dependence of polarization current effect reducing it to the low collisionality limit. The bootstrap drive of NTM in the presence of anomalous perpendicular ion viscosity was found to be dependent on the island rotation frequency and direction. For island rotating in direction of the electron diamagnetic drift viscosity effect was shown to be stabilizing. The role of viscosity effect grows rapidly with rise of the plasma ion temperature. (author)
Resonant MHD modes with toroidal coupling
International Nuclear Information System (INIS)
Connor, J.W.; Hastie, R.J.; Taylor, J.B.
1990-07-01
This is part 2 of a study of resonant perturbations, such as resistive tearing and ballooning modes, in a torus. These are described by marginal ideal mhd equations in the regions between resonant surfaces; matching across these surfaces provides the dispersion relation. In part 1 we described how all the necessary information from the ideal mhd calculations could be represented by a so-called E-matrix. We also described the calculation of this E-matrix for tearing modes (even parity in perturbed magnetic field) in a large aspect ratio torus. There the toroidal modes comprise coupled cylinder tearing modes and the E-matrix is a generalization of the familiar Δ' quantity in a cylinder. In the present paper we discuss resistive ballooning, or twisting-modes, which have odd-parity in perturbed magnetic field. We show that, unlike the tearing modes, these odd-parity modes are instrinsically toroidal and are not directly related to the odd-parity modes in a cylinder. This is evident from the analysis of the high-n limit in ballooning-space, where a transition from a stable Δ' to an unstable Δ' occurs for the twisting mode when the ballooning effect exceeds the interchange effect, which can occur even at large aspect ratio (as in a tokamak). Analysis of the high-n limit in coordinate space, rather than ballooning space, clarifies this singular behaviour and indicates how one may define twisting-mode Δ'. It also yields a prescription for treating low-n twisting modes and a method for calculating an E-matrix for resistive ballooning modes in a large aspect ratio tokamak. The elements of this matrix are given in terms of cylindrical tearing mode solutions
Energy Technology Data Exchange (ETDEWEB)
La Haye, R. J., E-mail: lahaye@fusion.gat.com [General Atomics, P.O. Box 85608, San Diego, California 92186-5608 (United States)
2015-12-10
ITER is an international project to design and build an experimental fusion reactor based on the “tokamak” concept. ITER relies upon localized electron cyclotron current drive (ECCD) at the rational safety factor q=2 to suppress or stabilize the expected poloidal mode m=2, toroidal mode n=1 neoclassical tearing mode (NTM) islands. Such islands if unmitigated degrade energy confinement, lock to the resistive wall (stop rotating), cause loss of “H-mode” and induce disruption. The International Tokamak Physics Activity (ITPA) on MHD, Disruptions and Magnetic Control joint experiment group MDC-8 on Current Drive Prevention/Stabilization of Neoclassical Tearing Modes started in 2005, after which assessments were made for the requirements for ECCD needed in ITER, particularly that of rf power and alignment on q=2 [1]. Narrow well-aligned rf current parallel to and of order of one percent of the total plasma current is needed to replace the “missing” current in the island O-points and heal or preempt (avoid destabilization by applying ECCD on q=2 in absence of the mode) the island [2-4]. This paper updates the advances in ECCD stabilization on NTMs learned in DIII-D experiments and modeling during the last 5 to 10 years as applies to stabilization by localized ECCD of tearing modes in ITER. This includes the ECCD (inside the q=1 radius) stabilization of the NTM “seeding” instability known as sawteeth (m/n=1/1) [5]. Recent measurements in DIII-D show that the ITER-similar current profile is classically unstable, curvature stabilization must not be neglected, and the small island width stabilization effect from helical ion polarization currents is stronger than was previously thought [6]. The consequences of updated assumptions in ITER modeling of the minimum well-aligned ECCD power needed are all-in-all favorable (and well-within the ITER 24 gyrotron capability) when all effects are included. However, a “wild card” may be broadening of the localized
Ideal kink and neoclassical tearing mode identification in DIII-D with ECE
Zhao, Hailin; Austin, Max; Brookman, Michale; Rowan, William; La Haye, R. J.
2017-10-01
Detection of neoclassical tearing modes (NTMs), which can degrade plasma confinement or cause disruptions, is important in tokamaks. We have developed a code to cross-correlate ECE/magnetics data to get the amplitude and phase profiles of the electron temperature (Te) oscillation caused by the rotating magnetic island and/or a kink. It has been observed that the ΔTe amplitude on the two sides of the island center can be very different in some discharges. Also, a discrepancy often exists between the location of the rational q surface according to MSE-constrained EFIT and the location of island center according to ECE; this can be an issue for ECCD suppression of NTMs. We explore the possible causes of these two phenomena in terms of ECE location and calibration accuracy. By analyzing the Te fluctuation phase evolution after a large sawtooth crash which triggers an NTM, the presence of a kink-like mode before the onset of NTM can be discerned. Work supported by the US DOE under DE-FG02-97ER54415 and DE-FC02-04ER54698.
As tears go by : Baby tears trigger more brain activity than adult tears in nulliparous women
Hendricx-Riem, M.M.E.; De Carli, P.; van IJzendoorn, M.H.; Vingerhoets, A.J.J.M.; Bakermans-Kranenburg, M.J.
2017-01-01
The current functional magnetic resonance imaging study examines brain activity during the perception of infant and adult tears. Infant tears evoke stronger responses in the visual cortex than adult tears, indicating that infant tears are highly salient. In addition, our study shows that infant
A study of re-tear cases after ARCR
International Nuclear Information System (INIS)
Ishida, Yasuyuki; Chosa, Etsuo; Yano, Hiroaki
2011-01-01
Recently, good clinical outcomes of arthroscopic rotator cuff repair (ARCR) are reported, but the re-tear rate of massive and large rotator cuff tears is still high. The purpose of this study is to review the clinical outcome and postoperative cuff integrity of ARCR in our hospital. We evaluated 80 shoulders (61 males, 19 females), whose age rauged from 30 to 78 (average: 61.8 years old). The size of tears were 8 small, 22 medium, 36 large, and 14 massive. We evaluated the pre-and postoperative Japanese Orthopedic Association (JOA) scored, and MRI findings 12 months postoperatively. We evaluated the cuff integrity and fatty degeneration of the ruptured cuff by Goutallier's classification. Postoperative MRI findings showed complete repair in 56 shoulders (70%) and re-tear in 24 shoulders (30%). Postoperative JOA score was poor in cases with large re-tears. Retear rates were high in large and massive tears, tears with advanced fatty degeneration, and subscapularis tears. As this operation is not a replacement procedure, the quality of the ruptured rotator cuff is important. Further discussion on the operative indication and method is necessary. (author)
The resistive tearing instability for generalized resistivity models: Applications
International Nuclear Information System (INIS)
Birk, G.T.; Otto, A.
1991-01-01
The dispersion relation for the resistive tearing mode is investigated with a general form of the resistivity that allows for evaluating the dependence of the mode on the anomalous dissipation caused by the lower-hybrid-drift turbulence and the ion-acoustic turbulence. The coupling of the plasma dynamic and radiative processes due to a temperature-dependent Spitzer resistivity are also discussed. The dispersion relation is solved numerically for two-dimensional equilibrium configurations with applications to the Earth's magnetosphere and the solar corona. In the case of the parameter regimes of the magnetopause and the solar corona, growth rates that result in realistic time scales for the respective dynamic processes as flux transfer events and solar flares were found. Moreover, the influence of a nonvanishing component of the magnetic field normal to the current sheet on the dispersion relation is examined. The normal field component leads to overstable modes and the growth rate of the pure tearing mode is not altered, whereas the radiative tearing mode is damped effectively
Nonlinear dynamics of single-helicity neoclassical MHD tearing instabilities
International Nuclear Information System (INIS)
Spong, D.A.; Shaing, K.C.; Carreras, B.A.; Callen, J.D.; Garcia, L.
1988-10-01
Neoclassical magnetohydrodynamic (MHD) effects can significantly alter the nonlinear evolution of resistive tearing instabilities. This is studied numerically by using a flux-surface-averaged set of evolution equations that includes the lowest-order neoclassical MHD effects. The new terms in the equations are fluctuating bootstrap current, neoclassical modification of the resistivity, and neoclassical damping of the vorticity. Single-helicity tearing modes are studied in a cylindrical model over a range of neoclassical viscosities (μ/sub e//ν/sup e/) and values of the Δ' parameter of tearing mode theory. Increasing the neoclassical viscosity leads to increased growth rate and saturated island width as predicted analytically. The larger island width is caused by the fluctuating bootstrap current contribution in Ohm's law. The Δ' parameter no longer solely determines the island width, and finite-width saturated islands may be obtained even when Δ' is negative. The importance of the bootstrap current (/approximately/∂/rho///partial derivative/psi/) in the nonlinear dynamics leads us to examine the sensitivity of the results with respect to different models for the density evolution. 11 refs., 8 figs
International Nuclear Information System (INIS)
La Haye, R.J.; Strait, E.J.; Rice, B.W.
2000-01-01
Resistive neoclassical tearing modes (NTMs) can cause the stable beta value in long pulse, high confinement plasmas to fall significantly below that predicted by ideal theory. The NTM islands which degrade confinement and limit beta are induced and sustained by helically perturbed bootstrap currents. A combination of shaping and q-profile modification is used in the DIII-D tokamak to increase this beta limit. (author)
Hennen, B.A.; Westerhof, E.; Nuij, P.W.J.M.; Ayten, B.; Baar, de M.R.; Bongers, W.A.; Bürger, A.; Lazzari, De D.; Oosterbeek, J.W.; Thoen, D.J.; Steinbuch, M.
2010-01-01
A demonstration of real-time feedback control for autonomous tracking and stabilization of m/n = 2/1 tearing modes in a tokamak using Electron Cyclotron Resonance Heating and Current Drive (ECRH/ECCD) is reported. The prototype system on TEXTOR combines in the same sight-line an Electron Cyclotron
Tearing relaxation and the globalization of transport in field-reversed configurations
International Nuclear Information System (INIS)
Steinhauer, Loren; Barnes, D. C.
2009-01-01
Tearing instability of field-reversed configurations (FRC) is investigated using the method of neighboring equilibria. It is shown that the conducting wall position in experiment lies very close to the location needed for tearing stability. This strongly suggests that vigorous but benign tearing modes, acting globally, are the engine of continual self-organization in FRCs, i.e., tearing relaxation. It also explains the ''profile consistency'' and anomalous loss rate of magnetic flux. In effect, tearing globalizes the effect of edge-driven transport.
Time-dependent simulations of feedback stabilization of neoclassical tearing modes in KSTAR plasmas
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Kim, Kyungjin [Department of Nuclear Engineering, Seoul National University, Seoul (Korea, Republic of); Na, Yong-Su, E-mail: ysna@snu.ac.kr [Department of Nuclear Engineering, Seoul National University, Seoul (Korea, Republic of); Kim, Hyun-Seok [Department of Nuclear Engineering, Seoul National University, Seoul (Korea, Republic of); Maraschek, M. [Max-Planck-Institut fuer Plasmaphysik, EURATOM Association, Garching bei München (Germany); Park, Y.S. [Department of Applied Physics and Applied Mathematics, Columbia University, New York (United States); Stober, J. [Max-Planck-Institut fuer Plasmaphysik, EURATOM Association, Garching bei München (Germany); Terzolo, L. [National Fusion Research Institute, Daejeon (Korea, Republic of); Zohm, H. [Max-Planck-Institut fuer Plasmaphysik, EURATOM Association, Garching bei München (Germany)
2014-06-15
A simulation is performed for feedback stabilization of neoclassical tearing mode (NTM) by electron cyclotron current drive (ECCD) for KSTAR in preparation for experiments. An integrated numerical system is constructed by coupling plasma transport, NTM stability, and heating and current drive modules and applied to a KSTAR plasma by assuming similar experimental conditions as ASDEX Upgrade to predict NTM behaviors in KSTAR. System identification is made with database produced by predictive simulations with this integrated numerical system so that three plasma response models are extracted which describe the relation between the EC poloidal launcher angle and the island width in KSTAR. Among them, the P1DI model exhibiting the highest fit accuracy is selected for designing a feedback controller based on the classical Proportional–Integral–Derivative (PID) concept. The controller is coupled with the integrated numerical system and applied to a simulation of NTM stabilization. It is observed that the controller can search and fully stabilize the mode even though the poloidal launch angle is misaligned with the island initially.
International Nuclear Information System (INIS)
Ishizawa, A.; Nakajima, N.
2007-01-01
Micro-turbulence and macro-magnetohydrodynamic (macro-MHD) instabilities can appear in plasma at the same time and interact with each other in a plasma confinement. The multi-scale-nonlinear interaction among micro-turbulence, double tearing instability and zonal flow is investigated by numerically solving a reduced set of two-fluid equations. It is found that the double tearing instability, which is a macro-MHD instability, appears in an equilibrium formed by a balance between micro-turbulence and zonal flow when the double tearing mode is unstable. The roles of the nonlinear and linear terms of the equations in driving the zonal flow and coherent convective cell flow of the double tearing mode are examined. The Reynolds stress drives zonal flow and coherent convective cell flow, while the ion diamagnetic term and Maxwell stress oppose the Reynolds stress drive. When the double tearing mode grows, linear terms in the equations are dominant and they effectively release the free energy of the equilibrium current gradient
International Nuclear Information System (INIS)
Taniguchi, Satoshi; Yamazaki, Kozo; Oishi, Tetsutarou; Arimoto, Hideki; Shoji, Tatsuo
2010-01-01
On tokamak plasmas like ITER, it is necessary to stabilize neoclassical tearing mode (NTM) because the NTM reduces plasma temperature and fusion power output. For the analysis of stabilizing NTM in fusion plasmas, the electron cyclotron current drive (ECCD) and the non-resonant external helical field (NRHF) application are simulated using the 1.5-dimensional equilibrium/transport simulation code (TOTAL code). The 3/2 NTM is stabilized by only external helical field, but the 2/1 mode is not stabilized by only external helical field in the present model. The stabilization time becomes shorter by the combination of ECCD and NRHF than that by ECCD alone. (author)
Improved localisation of neoclassical tearing modes by combining multiple diagnostic estimates
Rapson, C. J.; Fischer, R.; Giannone, L.; Maraschek, M.; Reich, M.; Treutterer, W.; The ASDEX Upgrade Team
2017-07-01
Neoclassical tearing modes (NTMs) strongly degrade confinement in tokamaks, and are a leading cause of disruptions. They can be stabilised by targeted electron cyclotron current drive (ECCD), however the effectiveness of ECCD depends strongly on the accuracy or misalignment between ECCD and the NTM. The first step to ensure minimal misalignment is a good estimate of the NTM location. In previous NTM control experiments, three methods have been used independently to estimate the NTM location: the magnetic equilibrium, correlation between magnetic and spatially-resolved temperature fluctuations, and the amplitude response of the NTM to nearby ECCD. This submission describes an algorithm which has been designed to fuse these three estimates into one, taking into account many of the characteristics of each diagnostic. Although the method diverges from standard data fusion methods, results from simulation and experiment confirm that the algorithm achieves its stated goal of providing an estimate that is more reliable and accurate than any of the individual estimates.
Physics conditions for robust control of tearing modes in a rotating tokamak plasma
Lazzaro, E.; Borgogno, D.; Brunetti, D.; Comisso, L.; Fevrier, O.; Grasso, D.; Lutjens, H.; Maget, P.; Nowak, S.; Sauter, O.; Sozzi, C.; the EUROfusion MST1 Team
2018-01-01
The disruptive collapse of the current sustained equilibrium of a tokamak is perhaps the single most serious obstacle on the path toward controlled thermonuclear fusion. The current disruption is generally too fast to be identified early enough and tamed efficiently, and may be associated with a variety of initial perturbing events. However, a common feature of all disruptive events is that they proceed through the onset of magnetohydrodynamic instabilities and field reconnection processes developing magnetic islands, which eventually destroy the magnetic configuration. Therefore the avoidance and control of magnetic reconnection instabilities is of foremost importance and great attention is focused on the promising stabilization techniques based on localized rf power absorption and current drive. Here a short review is proposed of the key aspects of high power rf control schemes (specifically electron cyclotron heating and current drive) for tearing modes, considering also some effects of plasma rotation. From first principles physics considerations, new conditions are presented and discussed to achieve control of the tearing perturbations by means of high power ({P}{{EC}}≥slant {P}{{ohm}}) in regimes where strong nonlinear instabilities may be driven, such as secondary island structures, which can blur the detection and limit the control of the instabilities. Here we consider recent work that has motivated the search for the improvement of some traditional control strategies, namely the feedback schemes based on strict phase tracking of the propagating magnetic islands.
International Nuclear Information System (INIS)
La Haye, R.J.; Ferron, J.R.; Humphreys, D.A.; Luce, T.C.; Petty, C.C.; Prater, R.; Strait, E.J.; Welander, A.S.
2008-01-01
ITER will rely on electron cyclotron stabilization of neoclassical tearing mode islands. The large size and low torque applied in ITER imply slow plasma rotation and susceptibility to island locking by the resistive wall; locking is likely to lead to a loss of the high confinement H-mode, a beta collapse and possibly disruption. 'Front' steering of the launcher, with narrower electron cyclotron current drive (ECCD), has resolved the issue in 'remote' steering of the driven current being too broad and relatively ineffective. However, narrower current drive places demands on alignment of the current drive on the rational surface that is being stabilized. DIII-D alignment techniques with and without (preemptive) an island are reviewed. The results are used to check models for the effect of misalignment and are then applied to ITER. Criteria for accuracy of alignment as a function of injected power and for the necessary time response of the controller are presented
A Special Tear Pattern of Anterior Horn of the Lateral Meniscus: Macerated Tear.
Zheng, Jiapeng; Zhai, Wenliang; Li, Qiang; Jia, Qianxin; Lin, Dasheng
2017-01-01
We describe a special, interesting phenomenon found in the anterior horn of the lateral meniscus (AHLM): most tear patterns in the AHLM are distinctive, with loose fibers in injured region and circumferential fiber bundles were separated. We name it as macerated tear. The goal of this study was to bring forward a new type of meniscal tear in the AHLM and investigate its clinical value. AHLM tears underwent arthroscopic surgery from January 2012 to December 2014 were included. Data regarding the integrity of AHLM were prospectively recorded in a data registry. Tear morphology and treatment received were subsequently extracted by 2 independent reviewers from operative notes and arthroscopic surgical photos. A total of 60 AHLM tears in 60 patients (mean age 27.1 years) were grouped into horizontal tears (n = 15, 25%), vertical tears (n = 14, 23%), complex tears (n = 6, 10%), and macerated tears (n = 25, 42%). There were 6 patients with AHLM cysts in macerated tear group and one patient in vertical tear group. 60 patients were performed arthroscopic meniscus repairs and were followed-up with averaged 18.7 months. Each group had significant postoperative improvement in Lysholm and IKDC scores (p 0.05). This study demonstrated that the macerated tear is common in the tear pattern of AHLM. However, feasibility of the treatment of this type of meniscal tear, especially the meniscus repairs still requires further study.
Stabilization of neoclassical tearing modes by electron cyclotron current drive in JT-60U
International Nuclear Information System (INIS)
Isayama, A.; Oyama, N.; Urano, H.; Suzuki, T.; Takechi, M.; Hayashi, N.; Nagasaki, K.; Kamada, Y.; Ide, S.; Ozeki, T.
2007-01-01
Results of active control of neoclassical tearing modes (NTMs) by electron cyclotron current drive (ECCD) in JT-60U are described. Growth of an NTM with poloidal mode number m = 3 and toroidal mode number n = 2 has been suppressed by ECCD inside the sawtooth inversion radius in the co-direction, showing the possibility of the coexistence of sawtooth oscillations and a small-amplitude m/n = 3/2 NTM without large confinement degradation. Stabilization of an m/n = 2/1 NTM by ECCD at the mode rational surface has been demonstrated with a small ratio of the current density driven by the electron cyclotron (EC) wave to the local bootstrap current density (∼ 0.5). In addition, dependence of the stabilization effect on ECCD location has been investigated in detail. It has been found that an m/n = 2/1 NTM can be completely stabilized with the misalignment of the ECCD location less than about half of the full island width, and that the m/n = 2/1 NTM is destabilized with the misalignment comparable to the full island width. Time-dependent, self-consistent simulation of magnetic island evolution using the TOPICS code has shown that the stabilization and destabilization of an m/n = 2/1 NTM are well reproduced with the same set of coefficients of the modified Rutherford equation. The TOPICS simulation has also clarified that EC wave power required for complete stabilization can be significantly reduced by narrowing the ECCD deposition width
3D reconnection due to oblique modes: a simulation of Harris current sheets
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G. Lapenta
2000-01-01
Full Text Available Simulations in three dimensions of a Harris current sheet with mass ratio, mi/me = 180, and current sheet thickness, pi/L = 0.5, suggest the existence of a linearly unstable oblique mode, which is independent from either the drift-kink or the tearing instability. The new oblique mode causes reconnection independently from the tearing mode. During the initial linear stage, the system is unstable to the tearing mode and the drift kink mode, with growth rates that are accurately described by existing linear theories. How-ever, oblique modes are also linearly unstable, but with smaller growth rates than either the tearing or the drift-kink mode. The non-linear stage is first reached by the drift-kink mode, which alters the initial equilibrium and leads to a change in the growth rates of the tearing and oblique modes. In the non-linear stage, the resulting changes in magnetic topology are incompatible with a pure tearing mode. The oblique mode is shown to introduce a helical structure into the magnetic field lines.
Comparative studies of MRI and operative findings in rotator cuff tear
International Nuclear Information System (INIS)
Yamakawa, Seigo; Ichikawa, Norikazu; Itadera, Eichi; Hashizume, Hiroyuki; Inoue, Hajime
2001-01-01
A prospective study was performed to determine the accuracy of magnetic resonance imaging (MRI) compared with operative findings in the evaluation of patients associated with rotator cuff tears. Fifty-four of 60 shoulders (58 patients) examined by MRI were confirmed as full-thickness tears and 6 as partial-thickness tears at the time of surgery. The oblique coronal, oblique sagittal, and axial planes of T2-weighted images with the 0.5 tesla MRI system were obtained preoperatively and compared with operative findings. MRI correctly identified 46 of 54 full-thickness rotator cuff tears and 5 of 6 partial-thickness tears. A comparison of MRI and operative findings in full-thickness cuff tears showed a sensitivity of 85%, a specificity of 83%, and a positive prospective value (PPV) of 99%. A comparison of partial-thickness tears showed a sensitivity of 83%, a specificity of 85%, and PPV of 39%. Linear regression analysis showed an excellent correlation between the MRI assessment and measurement at the time of surgery (r=0.90, P<0.01). MRI was useful in evaluating large and medium-sized rotator cuff tears, but less useful in distinguishing small full-thickness tears from partial-thickness tears. (author)
Tear secretion and tear stability of women on hormonal contraceptives
Directory of Open Access Journals (Sweden)
Faustina Kemdinum Idu
2013-01-01
Conclusions: Injectable hormonal contraceptives had no significant effects on tear secretion and tear stability of healthy women of childbearing age. Further studies may be required to determine the effects of hormonal contraceptives on tear volume and stability of women with dry eyes.
On the merits of heating and current drive for tearing mode stabilization
International Nuclear Information System (INIS)
De Lazzari, D.; Westerhof, E.
2009-01-01
Neoclassical tearing modes (NTMs) are magnetohydrodynamic modes that can limit the performance of high β discharges in a tokamak, leading eventually to a plasma disruption. A NTM is sustained by the perturbation of the 'bootstrap' current, which is a consequence of the pressure flattening across a magnetic island. Control and suppression of this mode can be achieved by means of electron cyclotron waves (ECWs) which allow the deposition of highly localized power at the island location. The ECW power replenishes the missing bootstrap current by generating a current perturbation either inductively, through a temperature perturbation (electron cyclotron resonance heating), or non-inductively by direct current drive (electron cyclotron current drive). Although both methods have been applied successfully to experiments showing a predominance of ECRH for medium-sized limiter tokamaks (TEXTOR, T-10) and of ECCD for mid-to-large-sized divertor tokamaks (AUG, DIII-D, JT-60), conditions determining their relative importance are still unclear. We address this problem with a numerical study focused on the contributions of heating and current drive to the temporal evolution of NTMs as described by the modified Rutherford equation. For the effects of both heating as well as current drive, simple analytical expressions have been found in terms of an efficiency fore-factor times a 'geometrical' term depending on the power deposition width w dep , location and modulation. When the magnetic island width w equals the width of the deposition profile, w ∼ w dep , both geometric terms are practically identical. Whereas for current drive the geometric term approaches a constant for small island widths and is inversely proportional to (w/w dep ) 2 for large island widths, the heating term approaches a constant for large island widths and is proportional to (w/w dep ) for small island widths. For medium-sized tokamaks (TEXTOR, AUG) the heating and current drive efficiencies are of the
Bifurcation of steady tearing states
International Nuclear Information System (INIS)
Saramito, B.; Maschke, E.K.
1985-10-01
We apply the bifurcation theory for compact operators to the problem of the nonlinear solutions of the 3-dimensional incompressible visco-resistive MHD equations. For the plane plasma slab model we compute branches of nonlinear tearing modes, which are stationary for the range of parameters investigated up to now
External kink (peeling) modes in x-point geometry
International Nuclear Information System (INIS)
Huysmans, G T A
2005-01-01
The influence of the separatrix on the stability of edge current driven external kink (peeling) modes has been studied. Two approaches have been compared: taking the limit towards the separatrix using linear ideal and resistive MHD stability codes and including the complete x-point geometry using a new resistive MHD code. A strong stabilizing effect has been observed for the ideal and the resistive peeling mode for instabilities driven by the edge current gradient. Both approaches are in good agreement. A new resistive instability remains unstable and is not significantly affected by the separatrix. This mode is a combination of a kink and a tearing type mode and could be called a peeling-tearing mode
Helical temperature perturbations associated with tearing modes in tokamak plasmas
International Nuclear Information System (INIS)
Fitzpatrick, R.
1994-06-01
An investigation is made into the electron temperature perturbations associated with tearing modes in tokamak plasmas, with a view to determining the mode structure using Electron Cyclotron Emission (ECE) data. It is found that there is a critical magnetic island width below which the conventional picture where the temperature is flattened inside the separatrix is invalid. This effect comes about because of the stagnation of magnetic field lines in the vicinity of the rational surface and the finite parallel thermal conductivity of the plasma. For islands whose widths lie below the critical value there is no flattening of the electron temperature inside the separatrix. Such islands have quite different ECE signatures to conventional magnetic islands. In fact the two island types could, in principle, be differentiated experimentally. It should also be possible to map out the outer ideal magnetohydrodynamical eigenfunctions using ECE data. Islands whose widths are much less than the critical value are not destabilized by the perturbed bootstrap current, unlike conventional magnetic islands. This effect is found to have a number of very interesting consequences and may, indeed, provide an explanation for some puzzling experimental results regarding error field induced magnetic reconnection. All islands whose widths are much greater than the critical width possess a boundary layer on the separatrix which enables heat to be transported from one side of the island to the other via the X-point region. The structure of this boundary layer is described in some detail. Finally, the critical island width is found to be fairly substantial in conventional tokamak plasmas, provided that the long mean free path nature of parallel heat transport and the anomalous nature of perpendicular heat transport are taken into account in the calculation
Stability of magnetic modes in tokamaks; Stabilite des modes magnetiques dans les tokamaks
Energy Technology Data Exchange (ETDEWEB)
Zabiego, M
1994-06-01
A theoretical study is carried out concerning two experimental topics: stabilization, by a suprathermal population, of the mode ``m=1, n=1`` which induces the sawtooth effect (modelling the role of suprathermal particles in the stabilization); stability, in the non linear regime, of the magnetic islands involved in magnetic turbulence problems (micro-tearing) and in disruption phenomena (tearing), and the effects of diamagnetism, excitation threshold and saturation levels. 45 figs., 97 refs.
Real-time determination of magnetic island location for neoclassical tearing mode control in DIII-D
International Nuclear Information System (INIS)
Park, Y S; Welander, A S
2006-01-01
Accurate measurement of island location is crucial for efficient suppression of the neoclassical tearing mode by electron cyclotron current drive (ECCD). In the control system on DIII-D the contour of the resonant q-surface is measured in real time based on real-time magnetohydrodynamic reconstructions, EFITs, that include motional Stark effect measurements of pitch angle in the analysis. A new method for determination of the radial position of the q-surface using a 40 channel electron cyclotron emission radiometer has been developed. This method analyses localized temperature fluctuations caused by motion of the island and can be used by the plasma control system as a complementary measurement of the radial position of the q-surface contour for faster and more accurate alignment of the ECCD
The tear turnover and tear clearance tests - a review.
Garaszczuk, Izabela K; Montes Mico, Robert; Iskander, D Robert; Expósito, Alejandro Cerviño
2018-03-01
The aim is to provide a summary of methods available for the assessment of tear turnover and tear clearance rates. The review defines tear clearance and tear turnover and describes their implication for ocular surface health. Additionally, it describes main types of techniques for measuring tear turnover, including fluorescein tear clearance tests, techniques utilizing electromagnetic spectrum and tracer molecule and novel experimental techniques utilizing optical coherence tomography and fluorescein profilometry. Areas covered: Internet databases (PubMed, Science Direct, Google Scholar) and most frequently cited references were used as a principal resource of information on tear turnover rate and tear clearance rate, presenting methodologies and equipment, as well as their definition and implications for the anterior eye surface health and function. Keywords used for data-search were as follows: tear turnover, tear clearance, fluorescein clearance, scintigraphy, fluorophotometry, tear flow, drainage, tear meniscus dynamics, Krehbiel flow and lacrimal functional unit. Expert commentary: After decades, the topic of tear turnover assessment has been reintroduced. Recently, new techniques have been developed to propose less invasive, less time consuming and simpler methodologies for the assessment of tear dynamics that have the potential to be utilized in clinical practice.
Tearing resistance of some co-polyester sheets
International Nuclear Information System (INIS)
Kim, Ho Sung; Karger-Kocsis, Jozsef
2004-01-01
A three-zone model consisting of initial, evolutionary and stabilised plastic zones for tearing resistance was proposed for polymer sheets. An analysis with the model, based on the essential work of fracture (EWF) approach, was demonstrated to be capable for predicting specific total work of fracture along the tear path across all the plastic zones although accuracy of specific essential work of fracture is subject to improvement. Photo-elastic images were used for identification of plastic deformation sizes and profiles. Fracture mode change during loading was described in relation with the three zones. Tearing fracture behaviour of extruded mono- and bi-layer sheets of different types of amorphous co-polyesters and different thicknesses was investigated. Thick material exhibited higher specific total work of tear fracture than thin mono-layer sheet in the case of amorphous polyethylene terephthalate (PET). This finding was explained in terms of plastic zone size formed along the tear path, i.e., thick material underwent larger plastic deformation than thin material. When PET and polyethylene terephthalate glycol (PETG) were laminated with each other, specific total work of fracture of the bi-layer sheets was not noticeably improved over that of the constituent materials
Directory of Open Access Journals (Sweden)
Yu. A. Pavlova
2014-07-01
Full Text Available Purpose: To compare tear substitutive properties of Systane® Ultra and Visine® Clear Tears in dry eye therapy.Methods: 20 patients with dry eye due to chronic blepharoconjunctivitis and 20 patients with neurotrophic dry eye following corneal refractive surgery were examined. Treatment schedule was the following: in the first 7 days, Systane® Ultra was instilled in the right eye and Visine® Clear Tears was instilled in the left eye, while from day 8 to day 30, only one medicine selected by the patient was applied. Their efficacy was measured by tear film stability and patients’ subjective sensations.Results: Norn test results improved to day 7 in patients with dry eye following corneal refractive surgery and to day 30 in patients with dry eye due to blepharoconjunctivitis regardless of eye drops used. As to patients’ comfort, Systane® Ultra is preferable to Visine® Clear Tears.Conclusion: Systane® Ultra is therapeutically similar to but preferable to Visine® Clear Tears due to good tolerability.
Directory of Open Access Journals (Sweden)
Yu. A. Pavlova
2013-01-01
Full Text Available Purpose: To compare tear substitutive properties of Systane® Ultra and Visine® Clear Tears in dry eye therapy.Methods: 20 patients with dry eye due to chronic blepharoconjunctivitis and 20 patients with neurotrophic dry eye following corneal refractive surgery were examined. Treatment schedule was the following: in the first 7 days, Systane® Ultra was instilled in the right eye and Visine® Clear Tears was instilled in the left eye, while from day 8 to day 30, only one medicine selected by the patient was applied. Their efficacy was measured by tear film stability and patients’ subjective sensations.Results: Norn test results improved to day 7 in patients with dry eye following corneal refractive surgery and to day 30 in patients with dry eye due to blepharoconjunctivitis regardless of eye drops used. As to patients’ comfort, Systane® Ultra is preferable to Visine® Clear Tears.Conclusion: Systane® Ultra is therapeutically similar to but preferable to Visine® Clear Tears due to good tolerability.
A comparison of basal and eye-flush tears for the analysis of cat tear proteins.
Petznick, Andrea; Evans, Margaret D M; Madigan, Michele C; Markoulli, Maria; Garrett, Qian; Sweeney, Deborah F
2011-02-01
To identify a rapid and effective tear collection method providing sufficient tear volume and total protein content (TPC) for analysis of individual proteins in cats. Domestic adult short-haired cats (12-37 months; 2.7-6.6 kg) were used in the study. Basal tears without stimulation and eye-flush tears after instillation of saline (10 μl) were collected using microcapillary tubes from animal eyes either unwounded control or wounded with 9-mm central epithelial debridement giving four groups with n = 3. Tear comparisons were based on total time and rate for tear collection, TPC using micro bicinchoninic acid (BCA), tear immunoglobulin A (IgA), total matrix-metalloproteinase (MMP)-9 concentration using sandwich enzyme-linked immunosorbent assay (ELISA) and MMP-9 activity. Eye-flush tears were collected significantly faster than basal tears in wounded eyes with higher rates for tear collection in unwounded control and wounded eyes. TPC was significantly lower in eye-flush tears compared to basal tears. The relative proportion of tear IgA normalized to TPC (% IgA of TPC) was not significantly different between basal and eye-flush tears. In unwounded control eyes, MMP-9 was slightly higher in eye-flush than in basal tears; activity of MMP-9 in both tear types was similar. In wounded eyes, eye-flush tears showed highest MMP-9 levels and activity on Day 1, which subsequently decreased to Day 7. MMP-9 activity in basal tears from wounded eyes did not display changes in expression. Eye-flush tears can be collected rapidly providing sufficient tear volume and TPC. This study also indicates that eye-flush tears may be more suitable than basal tears for the analysis of MMPs following corneal wounding. © 2011 The Authors. Acta Ophthalmologica © 2011 Acta Ophthalmologica Scandinavica Foundation.
The growth of the tearing mode - Boundary and scaling effects
Steinolfson, R. S.; Van Hoven, G.
1983-01-01
A numerical model of resistive magnetic tearing is developed in order to verify and relate the results of the principal approximations used in analytic analyses and to investigate the solutions and their growth-rate scalings over a large range of primary parameters which include parametric values applicable to the solar atmosphere. The computations cover the linear behavior for a variety of boundary conditions, emphasizing effects which differentiate magnetic tearing in astrophysical situations from that in laboratory devices. Eigenfunction profiles for long and short wavelengths are computed and the applicability of the 'constant psi' approximation is investigated. The growth rate is computed for values of the magnetic Reynolds number up to a trillion and of the dimensionless wavelength parameter down to 0.001. The analysis predicts significant effects due to differing values of the magnetic Reynolds number.
Energy Technology Data Exchange (ETDEWEB)
Okabayashi, M. [PPPL; Zanca, P. [Euratom-ENEA; Strait, E. J. [General Atomics
2014-09-01
Disruptions caused by tearing modes (TMs) are considered to be one of the most critical roadblocks to achieving reliable, steady-state operation of tokamak fusion reactors. Here we have demonstrated a very promising scheme to avoid such disruptions by utilizing the electro-magnetic (EM) torque produced with 3D coils that are available in many tokamaks. In this scheme, the EM torque to the modes is created by a toroidal phase shift between the externally-applied field and the excited TM fields, compensating for the mode momentum loss due to the interaction with the resistive wall and uncorrected error fields. Fine control of torque balance is provided by a feedback scheme. We have explored this approach in two vastly different devices and plasma conditions: DIII-D and RFX-mod operated in tokamak mode. In DIII-D, the plasma target was high βN plasmas in a non-circular divertor tokamak. In RFX-mod, the plasma was ohmically-heated plasma with ultralow safety factor in a circular limiter discharge of active feedback coils outside the thick resistive shell. The DIII-D and RFX-mod experiments showed remarkable consistency with theoretical predictions of torque balance. The application to ignition-oriented devices such as International Thermonuclear Experimental Reactor (ITER) would expand the horizon of its operational regime. The internal 3D coil set currently under consideration for edge localized mode suppression in ITER would be well suited to this purpose.
International Nuclear Information System (INIS)
Jaenicke, R.
1988-01-01
In the ohmically heated W VII-A stellarator, the behaviour of which is similar to that of a medium sized tokamak, the additional shearless external rotational transform t 0 (Δt 0 /t 0 0 perpendicular,e in a one-dimensional heat transport code. In this way, the measured temperature profiles can be reproduced quite well and the energy confinement time of discharges with tearing mode activity can be predicted quantitatively. The transport model is used to investigate the explicit dependence of κ perpendicular,e on the plasma current and to study the importance of plasma current driven instabilities for the energy confinement in the W VII-A stellarator as well as in tokamaks. (author). 19 refs, 14 figs
The tearing mode locking-unlocking mechanism to an external resonant field in EXTRAP T2R
Frassinetti, L.; Fridström, R.; Menmuir, S.; Brunsell, P. R.
2014-10-01
The tearing mode (TM) locking and unlocking process due to an external resonant magnetic perturbation (RMP) is experimentally studied in EXTRAP T2R. The RMP produces a reduction of the natural TM velocity and ultimately the TM locking if a threshold in the RMP amplitude is exceeded. During the braking process, the TM slows down via a mechanism composed of deceleration and acceleration phases. During the acceleration phases, the TM can reach velocities higher than the natural velocity. Once the TM locking occurs, the RMP must be reduced to a small amplitude to obtain the TM unlocking, showing that the unlocking threshold is significantly smaller than the locking threshold and that the process is characterized by hysteresis. Experimental results are in qualitative agreement with a model that describes the locking-unlocking process via the balance of the electromagnetic torque produced by the RMP that acts to brake the TM and the viscous torque that tends to re-establish the unperturbed velocity.
The tearing mode locking–unlocking mechanism to an external resonant field in EXTRAP T2R
International Nuclear Information System (INIS)
Frassinetti, L; Fridström, R; Menmuir, S; Brunsell, P R
2014-01-01
The tearing mode (TM) locking and unlocking process due to an external resonant magnetic perturbation (RMP) is experimentally studied in EXTRAP T2R. The RMP produces a reduction of the natural TM velocity and ultimately the TM locking if a threshold in the RMP amplitude is exceeded. During the braking process, the TM slows down via a mechanism composed of deceleration and acceleration phases. During the acceleration phases, the TM can reach velocities higher than the natural velocity. Once the TM locking occurs, the RMP must be reduced to a small amplitude to obtain the TM unlocking, showing that the unlocking threshold is significantly smaller than the locking threshold and that the process is characterized by hysteresis. Experimental results are in qualitative agreement with a model that describes the locking–unlocking process via the balance of the electromagnetic torque produced by the RMP that acts to brake the TM and the viscous torque that tends to re-establish the unperturbed velocity. (paper)
Poli, F. M.; Fredrickson, E. D.; Henderson, M. A.; Kim, S.-H.; Bertelli, N.; Poli, E.; Farina, D.; Figini, L.
2018-01-01
Time-dependent simulations are used to evolve plasma discharges in combination with a modified Rutherford equation for calculation of neoclassical tearing mode (NTM) stability in response to electron cyclotron (EC) feedback control in ITER. The main application of this integrated approach is to support the development of control algorithms by analyzing the plasma response with physics-based models and to assess how uncertainties in the detection of the magnetic island and in the EC alignment affect the ability of the ITER EC system to fulfill its purpose. Simulations indicate that it is critical to detect the island as soon as possible, before its size exceeds the EC deposition width, and that maintaining alignment with the rational surface within half of the EC deposition width is needed for stabilization and suppression of the modes, especially in the case of modes with helicity (2, 1) . A broadening of the deposition profile, for example due to wave scattering by turbulence fluctuations or not well aligned beams, could even be favorable in the case of the (2, 1)- NTM, by relaxing an over-focussing of the EC beam and improving the stabilization at the mode onset. Pre-emptive control reduces the power needed for suppression and stabilization in the ITER baseline discharge to a maximum of 5 MW, which should be reserved and available to the upper launcher during the entire flattop phase. Assuming continuous triggering of NTMs, with pre-emptive control ITER would be still able to demonstrate a fusion gain of Q=10 .
The Impact of Ceramic Shell Strength on Hot Tearing during Investment Casting
International Nuclear Information System (INIS)
Norouzi, Saeid; Farhangi, Hassan
2011-01-01
The effect of ceramic shell strength on hot tearing susceptibility during solidification was inspected practicing investment casting of the cobalt-base superalloy samples with the same casting conditions, but different ceramic shell systems. Results showed that the lower the ceramic shell strength upon using polymer additives, the lower the hindered contraction rate, and the lower the hindered contraction rate, the smaller the hot tearing tendency. Optical microscopy and electron microscopy scanning revealed that the hot tear propagated along the last solidified interdendritic phase, and that the hot tear surface had two major modes: 1) the ductile region in the outer layer; and 2) the inner region of liquid embrittlement.
International Nuclear Information System (INIS)
Edery, D.; Pellat, R.; Soule, J.L.
1981-01-01
The resistive MHD equations have been handled in toroidal geometry following the tokamak ordering, in order to obtain a simplified set of non-linear equations. This system of equations is compact, closed, consistent and exact to the first two orders in the expansion in the inverse aspect ratio. Studies of the non-linear evolution of tearing modes in the real geometry of tokamak discharges are now in progress, and quite significant results have been obtained from the numerical code REVE of Fontenay based on our above model. From the analytical results, strong linear coupling between neighbouring modes is expected as is demonstrated by the numerical results in the linear, and non-linear regimes. Moreover, coupling exhibits a stochastic structure of the magnetic field lines, the threshold of which is seen to be easily computed by a simple analytical criterion. (orig.)
Demiryay, Elvan; Yaylali, Volkan; Cetin, Ebru Nevin; Yildirim, Cem
2011-09-01
The aim was to compare the effects of topical cyclosporine A and artificial tears combination with artificial tears alone in patients with dysfunctional tear syndrome (DTS). Forty-two eyes of 42 patients with DTS were enrolled in the study. The inclusion criteria for the study were Schirmer I (without anesthesia) scores below 10 mm/5 min and tear film break-up time (BUT) below 10 sec. The patients were randomly divided into two groups. The study group (22 patients) underwent 0.05% cyclosporine A treatment twice a day and preservative-free artificial tears for four times a day for 4 months. The control group (20 patients) was administered only preservative-free artificial tears four times a day for 4 months. The BUT, Schirmer test scores, corneal fluorescein staining, conjunctival lissamine green staining, and goblet cell density derived by impression cytology were recorded before and after treatment in each group. In the study group, all parameters improved statistically significantly after treatment at the 4-month follow-up compared with the pretreatment values (Ptears treatment significantly increases goblet cell density, decreases the signs of DTS, and improves ocular surface health.
Standard sonography and arthrosonography in the study of rotator cuff tears
International Nuclear Information System (INIS)
El-Dalati, Ghassan; Martone, Enrico; Caffarri, Sabrina; Fusaro, Michele; Pozzi Mucelli, Roberto; Castellarin, Gianluca; Ricci, Matteo; Vecchini, Eugenio
2005-01-01
Purpose. The aim of this study was to evaluate the sensitivity of ultrasonography, integrating standard ultrasound and arthrosonography after injecting a saline solution into the glenohumeral cavity in cases of suspected rotator cuff tears. Materials and methods. We respectively examinated 40 patients awaiting shoulder arthroscopy for suspected or diagnosed tears of the rotator cuff. A radiologist, unaware of the pre-operative diagnosis, performed an ultrasound scan on all the patients before and after the injection of saline solution into the glenohumeral cavity. The parameters considered were presence or absence of a rotator cuff injury; type of injury according to Snyder and its extent along the longitudinal and transverse planes; presence or absence of effusion into the articular cavity; subacromial/subdeltoid bursal distension. All the patients underwent arthroscopy either the same day of the day after the ultrasound examination. Results. Standard sonography showed 26 complete rotator cuff tears (type C according to Snyder), 2 partial tears (type B according to Snyder) and 12 intact rotator cuffs. Arthrosonography detected 31 complete rotator cuff tears (type C according to Snyder), 1 partial tear (type B according to Snyder) and 8 intact rotator cuffs. Arthroscopy identified 32 complete rotator cuff tears (type C according to Snyder), 1 partial tear (type B according to Snyder) and 8 intact rotator cuffs. Analysis of the results shows that, taking arthroscopy as the gold standard, the sensitivity of normal sonography is 81.2%, whereas that of arthosonography is 96.8% (p [it
Long time scale plasma dynamics driven by the double tearing mode in reversed shear plasmas
International Nuclear Information System (INIS)
Ishii, Y.; Azumi, M.; Kishimoto, Y.; Leboeuf, J.N.
2003-01-01
The new nonlinear destabilization process is found in the nonlinear phase of the double tearing mode (DTM) by using the reduced MHD equations in a helical symmetry. The nonlinear destabilization causes the abrupt growth of DTM and subsequent collapse after long time scale evolution in the Rutherford-type regime. The nonlinear growth of the DTM is suddenly triggered, when the triangular deformation of magnetic islands with sharp current point at the x-point around the outer rational surface exceeds a certain value. Such structure deformation is accelerated during the nonlinear growth phase. Decreasing the resistivity increases the sharpness of the triangularity and the spontaneous growth rate in the abrupt growth phase is almost independent on the resistivity. Current point formation is also confirmed in the multi-helicity simulation, where the magnetic fields become stochastic between two rational surfaces. (author)
Long time scale plasma dynamics driven by the double tearing mode in reversed shear plasmas
International Nuclear Information System (INIS)
Ishii, Yasutomo; Azumi, M.; Kishimoto, Y.
2003-01-01
The new nonlinear destabilization process is found in the nonlinear phase of the double tearing mode(DTM) by using the reduced MHD equations in a helical symmetry. The nonlinear destabilization causes the abrupt growth of DTM and subsequent collapse after long time scale evolution in the Rutherford-type regime. The nonlinear growth of the DTM is suddenly triggered, when the triangular deformation of magnetic islands with sharp current point at the x-point around the outer rational surface exceeds a certain value. Such structure deformation is accelerated during the nonlinear growth phase. Decreasing the resistivity increases the sharpness of the triangularity and the spontaneous growth rate in the abrupt growth phase is almost independent on the resistivity. Current point formation is also confirmed in the multi-helicity simulation, where the magnetic fields become stochastic between two rational surfaces. (author)
Experimental observations of the tearing of an electron current sheet
International Nuclear Information System (INIS)
Gekelman, W.; Pfister, H.
1988-01-01
A neutral magnetic sheet, in which the current is carried mainly by the electrons, is set up in a laboratory plasma. By forcing the current through a thin slot, the ratio of the length to height t of the sheet may be varied; the current is observed to tear when tapprox. >30. The structure of the magnetic islands and their associated currents is fully three dimensional, although a linear two-dimensional theory gives a very good estimate of the tearing mode growth time. Tearing is accompanied by the generation of significant Hall currents, and magnetic disturbances are observed to propagate at the whistler wave speed
Artificial tears potpourri: a literature review
Moshirfar, Majid; Pierson, Kasey; Hanamaikai, Kamalani; Santiago-Caban, Luis; Muthappan, Valliammai; Passi, Samuel F
2014-01-01
Numerous brands and types of artificial tears are available on the market for the treatment of dysfunctional tear syndrome. Past literature has focused on comparing the components of these products on patient’s clinical improvement. The wide array of products on the market presents challenges to both clinicians and patients when trying to choose between available tear replacement therapies. Different formulations affect patients based on etiology and severity of disease. In order to provide an unbiased comparison between available tear replacement therapies, we conducted a literature review of existing studies and National Institutes of Health clinical trials on commercially available, brand name artificial tears. Outcomes evaluated in each study, as well as the percent of patients showing clinical and symptomatic improvement, were analyzed. Fifty-one studies evaluating different brands of artificial tears, and their efficacy were identified. Out of the 51 studies, 18 were comparison studies testing brand name artificial tears directly against each other. Nearly all formulations of artificial tears provided significant benefit to patients with dysfunctional tear syndrome, but some proved superior to others. From the study data, a recommended treatment flowchart was derived. PMID:25114502
International Nuclear Information System (INIS)
Lazaros, Avrilios; Maraschek, Marc; Zohm, Hartmut
2007-01-01
An analytic model for the advantage of the early application of electron cyclotron current drive (ECCD) in the suppression of neoclassical tearing modes (NTMs) is presented. The improved performance of early ECCD is attributed to the second (smaller) saturation island width, which appears for sufficiently small (relative to the ECCD deposition width) critical island widths, in the strongly nonlinear growth rate profile. The operational range for the advantage of early ECCD is obtained, and it is shown that it is favored by broad deposition profiles. The preliminary experimental results in ASDEX Upgrade [H. Zohm et al., Nucl. Fusion 41, 197 (2001)] are consistent with the present model
Artificial tears potpourri: a literature review
Directory of Open Access Journals (Sweden)
Moshirfar M
2014-07-01
Full Text Available Majid Moshirfar,1 Kasey Pierson,2,* Kamalani Hanamaikai,3,* Luis Santiago-Caban,1 Valliammai Muthappan,1 Samuel F Passi11Department of Ophthalmology, John A Moran Eye Center, University of Utah, Salt Lake City, UT, USA; 2University of Arizona College of Medicine, Phoenix, Phoenix, AZ, USA; 3A T Still University, School of Osteopathic Medicine in Arizona, Mesa, AZ, USA *These authors contributed equally to this work Abstract: Numerous brands and types of artificial tears are available on the market for the treatment of dysfunctional tear syndrome. Past literature has focused on comparing the components of these products on patient’s clinical improvement. The wide array of products on the market presents challenges to both clinicians and patients when trying to choose between available tear replacement therapies. Different formulations affect patients based on etiology and severity of disease. In order to provide an unbiased comparison between available tear replacement therapies, we conducted a literature review of existing studies and National Institutes of Health clinical trials on commercially available, brand name artificial tears. Outcomes evaluated in each study, as well as the percent of patients showing clinical and symptomatic improvement, were analyzed. Fifty-one studies evaluating different brands of artificial tears, and their efficacy were identified. Out of the 51 studies, 18 were comparison studies testing brand name artificial tears directly against each other. Nearly all formulations of artificial tears provided significant benefit to patients with dysfunctional tear syndrome, but some proved superior to others. From the study data, a recommended treatment flowchart was derived. Keywords: dry eye, tear film, dysfunctional tear syndrome, ophthalmic lubricant, artificial tears, lipid layer, tear osmolarity, TBUT, Systane®, Refresh®, Blink®, GenTeal®, Soothe®, Lacrisert®, ocular surface inflammatory disease, Sjogren
Kim, Yang-Soo; Kim, Sung-Eun; Bae, Sung-Ho; Lee, Hyo-Jin; Jee, Won-Hee; Park, Chang Kyun
2017-07-01
The purpose of this study was to analyse the natural course of symptomatic full-thickness and partial-thickness rotator cuff tears treated non-operatively and to identify risk factors affecting tear enlargement. One hundred and twenty-two patients who received non-surgical treatment for a partial- or full-thickness supraspinatus tear were included in this study. All rotator cuff tears were diagnosed with magnetic resonance imaging (MRI), and the same modality was used for follow-up studies. Follow-up MRI was performed after at least a 6-month interval. We evaluated the correlation between tear enlargement and follow-up duration. Eleven risk factors were analysed by both univariate and multivariate analyses to identify factors that affect enlargement of rotator cuff tears. The mean follow-up period was 24.4 ± 19.5 months. Out of 122 patients, 34 (27.9%) patients had an initial full-thickness tear and 88 (72.1%) patients had a partial-thickness tear. Considering all patients together, tear size increased in 51/122 (41.8%) patients, was unchanged in 65/122 (53.3%) patients, and decreased in 6/122 (4.9%) patients. Tear size increased for 28/34 (82.4%) patients with full-thickness tears and 23/88 (26.1%) patients with partial-thickness tears. From the two groups which were followed over 12 months, a higher rate of enlargement was observed in full-thickness tears than in partial-thickness tears (6-12 months, n.s.; 12-24 months, P = 0.002; over 24 months, P rotator cuff tears and 23/88 (26.1%) of symptomatic partial-thickness tears increased in size over a follow-up period of 6-100 months. Full-thickness tears showed a higher rate of enlargement than partial-thickness tears regardless of the follow-up duration. Univariate and multivariate analyses suggested that full-thickness tear was the most reliable risk factor for tear enlargement. The clinical relevance of these observations is that full-thickness rotator cuff tears treated conservatively should be
A Multicenter Study of the Presentation, Treatment, and Outcomes of Cervical Dural Tears.
O'Neill, Kevin R; Fehlings, Michael G; Mroz, Thomas E; Smith, Zachary A; Hsu, Wellington K; Kanter, Adam S; Steinmetz, Michael P; Arnold, Paul M; Mummaneni, Praveen V; Chou, Dean; Nassr, Ahmad; Qureshi, Sheeraz A; Cho, Samuel K; Baird, Evan O; Smith, Justin S; Shaffrey, Christopher; Tannoury, Chadi A; Tannoury, Tony; Gokaslan, Ziya L; Gum, Jeffrey L; Hart, Robert A; Isaacs, Robert E; Sasso, Rick C; Bumpass, David B; Bydon, Mohamad; Corriveau, Mark; De Giacomo, Anthony F; Derakhshan, Adeeb; Jobse, Bruce C; Lubelski, Daniel; Lee, Sungho; Massicotte, Eric M; Pace, Jonathan R; Smith, Gabriel A; Than, Khoi D; Riew, K Daniel
2017-04-01
Retrospective multicenter case series study. Because cervical dural tears are rare, most surgeons have limited experience with this complication. A multicenter study was performed to better understand the presentation, treatment, and outcomes following cervical dural tears. Multiple surgeons from 23 institutions retrospectively identified 21 rare complications that occurred between 2005 and 2011, including unintentional cervical dural tears. Demographic data and surgical history were obtained. Clinical outcomes following surgery were assessed, and any reoperations were recorded. Neck Disability Index (NDI), modified Japanese Orthopaedic Association (mJOA), Nurick classification (NuC), and Short-Form 36 (SF36) scores were recorded at baseline and final follow-up at certain centers. All data were collected, collated, and analyzed by a private research organization. There were 109 cases of cervical dural tears among 18 463 surgeries performed. In 101 cases (93%) there was no clinical sequelae following successful dural tear repair. There were statistical improvements ( P < .05) in mJOA and NuC scores, but not NDI or SF36 scores. No specific baseline or operative factors were found to be associated with the occurrence of dural tears. In most cases, no further postoperative treatments of the dural tear were required, while there were 13 patients (12%) that required subsequent treatment of cerebrospinal fluid drainage. Analysis of those requiring further treatments did not identify an optimum treatment strategy for cervical dural tears. In this multicenter study, we report our findings on the largest reported series (n = 109) of cervical dural tears. In a vast majority of cases, no subsequent interventions were required and no clinical sequelae were observed.
Li, Xinning; Fallon, Jonathan; Egge, Natalie; Curry, Emily J; Patel, Ketan; Owens, Brett D; Busconi, Brian D
2013-01-01
Subscapularis tendon tears are a well-established cause of shoulder pain. The objective of the current study was to evaluate the associated shoulder pathology in patients with full-thickness subscapularis tendon tears using magnetic resonance imaging. Forty-seven magnetic resonance imaging studies taken between 2008 and 2009 with a diagnosis of full-thickness subscapularis tendon tears were reviewed. The size of the subscapularis tendon tear, amount of muscle volume loss, Goutallier grade, biceps tendon pathology, coracohumeral distance, and associated rotator cuff tears were recorded. Statistical analysis was performed. Patients 55 years and older vs those 54 years and younger had an average subscapularis tear size of 35 vs 19 mm, an average Goutallier grade of 2.7 vs 0.8, and a total muscle volume loss of 25% vs 5%, respectively. Patients with a dislocated vs normal biceps tendons had an average subscapularis tear size of 37 vs 23 mm, an average Goutallier grade of 3 vs 0.9, and a total muscle volume loss of 28% vs 7%, respectively. Patients with vs without concomitant rotator cuff tears had an average subscapularis tear size of 32 vs 17 mm, an average Goutallier grade of 2.3 vs 0.6, and a total muscle volume loss of 21% vs 3%, respectively. Overall average coracohumeral distance measured in the axial plane was 10.8±4.6 mm. Average coracaohumeral distance was 14.8 vs 8.1 mm in patients with a Goutallier grade of 0 vs 3 or 4, resepectively, and 13.6 vs 8.5 mm in patients with no rotator cuff tear vs those with a supra- and infraspinatus tear, respectively. Increased age, dislocated biceps tendons, and concomitant rotator cuff tears in patients with full-thickness subscapularis tendon tears are associated with larger subscapularis tendon tear size, higher Goutallier grades, and increased subscapularis muscle volume loss. Decreased coracohumeral distance is associated with a higher Goutallier grade and rotator cuff tears. Copyright 2013, SLACK Incorporated.
International Nuclear Information System (INIS)
Kleva, R.G.
1980-01-01
The first part of this work is concerned with test particle transport in a stochastic magnetic field. In the absence of collisions, the test particle self-diffusion coefficient is given by D = D/sub m/ V (in the zero gyroradius limit), where D/sub m/ is the magnetic diffusion coefficient due to a given spectrum of magnetic fluctuations and V is the particle velocity along a field line. The effect of collisions, either classical or turbulent, on this result is considered. The second part of this work is concerned with the evolution of the collisionless tearing mode in the presence of a stochastic magnetic field. A statistical closure approximation, obtained from the DIA by neglecting a mode-coupling term, is used to derive a nonlinear dispersion relation. For L 0 < L/sub K/ the dominant nonlinear effect is shown to be a turbulent broadening of the perturbed current layer. Saturation occurs when the perturbed current layer broadens to the point where Δ' = 0, where Δ' is the jump in the logarithmic derivative of the vector potential across the perturbed current layer
Nonlinear evolution of tearing and coalescence instability with free boundary conditions
International Nuclear Information System (INIS)
Malara, F.; Veltri, P.; Carbone, V.
1990-01-01
The nonlinear evolution of a reconnection instability in a plane current sheet is described. In particular, the appearance of coalescence instability was studied, which follows the formation of a chain of magnetic islands due to the tearing instability. In order to describe realistically this phonemenon, the time evolution of all the unstable modes which are present in the spectrum at the same time is considered. Moreover, this study allows to investigate the turbulent energy cascade which forms owing to the nonlinear coupling between such modes. (R.P.) 9 refs.; 6 figs
International Nuclear Information System (INIS)
Ishii, Y.; Azumi, M.; Kishimoto, Y.; Leboeuf, J.N.
2003-01-01
A new nonlinear destabilization process is found in the nonlinear phase of the double tearing mode (DTM) by using reduced MHD equations with helical symmetry. The nonlinear destabilization causes the abrupt growth of the DTM and subsequent collapse after long timescale evolution in the Rutherford-type regime. The nonlinear growth of the DTM is suddenly triggered, when the triangular deformation of magnetic islands with a sharp current point at the X-point around the outer rational surface exceeds a certain value. Decreasing the resistivity increases the sharpness of the triangularity and the spontaneous growth rate in the abrupt growth phase is almost independent of the resistivity. Current point formation is also confirmed in multi-helicity simulations, where the magnetic fields become stochastic between two rational surfaces. (author)
Development of tearing instability in a current sheet forming by sheared incompressible flow
Tolman, Elizabeth A.; Loureiro, Nuno F.; Uzdensky, Dmitri A.
2018-02-01
Sweet-Parker current sheets in high Lundquist number plasmas are unstable to tearing, suggesting they will not form in physical systems. Understanding magnetic reconnection thus requires study of the stability of a current sheet as it forms. Formation can occur due to sheared, sub-Alfvénic incompressible flows which narrow the sheet. Standard tearing theory (Furth et al. Phys. Fluids, vol. 6 (4), 1963, pp. 459-484, Rutherford, Phys. Fluids, vol. 16 (11), 1973, pp. 1903-1908, Coppi et al. Fizika Plazmy, vol. 2, 1976, pp. 961-966) is not immediately applicable to such forming sheets for two reasons: first, because the flow introduces terms not present in the standard calculation; second, because the changing equilibrium introduces time dependence to terms which are constant in the standard calculation, complicating the formulation of an eigenvalue problem. This paper adapts standard tearing mode analysis to confront these challenges. In an initial phase when any perturbations are primarily governed by ideal magnetohydrodynamics, a coordinate transformation reveals that the flow compresses and stretches perturbations. A multiple scale formulation describes how linear tearing mode theory (Furth et al. Phys. Fluids, vol. 6 (4), 1963, pp. 459-484, Coppi et al. Fizika Plazmy, vol. 2, 1976, pp. 961-966) can be applied to an equilibrium changing under flow, showing that the flow affects the separable exponential growth only implicitly, by making the standard scalings time dependent. In the nonlinear Rutherford stage, the coordinate transformation shows that standard theory can be adapted by adding to the stationary rates time dependence and an additional term due to the strengthening equilibrium magnetic field. Overall, this understanding supports the use of flow-free scalings with slight modifications to study tearing in a forming sheet.
Variations in rates of severe perineal tears and episiotomies in 20 European countries
DEFF Research Database (Denmark)
Blondel, Béatrice; Alexander, Sophie; Bjarnadóttir, Ragnheiður I
2016-01-01
INTRODUCTION: Rates of severe perineal tears and episiotomies are indicators of obstetrical quality of care, but their use for international comparisons is complicated by difficulties with accurate ascertainment of tears and uncertainties regarding the optimal rate of episiotomies. We compared...... rates of severe perineal tears and episiotomies in European countries and analysed the association between these two indicators. MATERIAL AND METHODS: We used aggregate data from national routine statistics available in the Euro-Peristat project. We compared rates of severe (third- and fourth......-degree) tears and episiotomies in 2010 by mode of vaginal delivery (n = 20 countries), and investigated time trends between 2004 and 2010 (n = 9 countries). Statistical associations were assessed with Spearman's ranked correlations (rho). RESULTS: In 2010 in all vaginal deliveries, rates of severe tears ranged...
[Rotator cuff tear athropathy prevalence].
Guerra-Soriano, F; Encalada-Díaz, M I; Ruiz-Suárez, M; Valero-González, F S
2017-01-01
Glenohumeral arthritis secondary to massive rotator cuff tear presents with a superior displacement and femoralization of the humeral head with coracoacromial arch acetabularization. The purpose of this study was to establish prevalence of rotator cuff tear artropathy (CTA) at our institution. Four hundred electronic records were reviewed from which we identified 136 patients with rotator cuff tears. A second group was composed with patients with massive cuff tears that were analized and staged by the Seebauer cuff tear arthropathy classification. Thirty four patients with massive rotator cuff tears were identified, 8 male and 26 female (age 60.1 ± 10.26 years). Massive rotator cuff tear prevalence was 25%. CTA prevalence found in the rotator cuff group was 19 and 76% in the massive cuff tears group. Patients were staged according to the classification with 32% in stage 1a, 11% 1b, 32% 2a and 0% 2b. CTA prevalence in patients with rotator cuff tears and massive cuff tears is higher than the one reported in American population. We consider that a revision of the Seebauer classification to be appropriate to determine its reliability.
Norderval, S; Røssaak, K; Markskog, A; Vonen, B
2012-08-01
To determine if anatomic primary repair with end-to-end reconstruction of the external anal sphincter (EAS) in its full length combined with separate repair of coexisting internal anal sphincter (IAS) tear, when present, results in less incontinence and better anal sphincter integrity compared with conventional primary end-to-end repair in which the IAS is not actively reconstructed. Women who sustained third- or fourth-degree obstetric tears were included prospectively in the study following anatomic primary repair. Women treated with conventional primary repair prior to the study period comprised the control group. Three-dimensional endoanal ultrasonography (3D-EAUS) images were classified according to the EAUS defect score, and incontinence according to St Mark's score. Sixty-three women were included in the study group and 61 in the control group, with mean follow-up times of 11 and 21 months, respectively. Among women who had not delivered vaginally prior to the tear, St Mark's score ≥ 3 was reported by 9.6% (5/52) in the study group and 37.5% (15/40) in the control group at follow-up (P = 0.002). The corresponding numbers among women who had previously delivered vaginally were 36.4% (4/11) and 42.9% (9/21), respectively (non-significant). St Mark's score correlated with the EAUS defect score (P = 0.017). An EAS defect exceeding 50% of the sphincter length was significantly less common in the study group, and in a multivariable logistic regression model, mode of repair (anatomic vs conventional) was the only factor explaining the difference in EAS sphincter length between the two groups (P = 0.007). Improved continence status after anatomic primary repair was associated with a better longitudinal reconstruction of the EAS, while the integrity of the IAS did not differ between the groups. Women with a history of vaginal delivery prior to the sphincter tear had an inferior outcome regardless of mode of repair. Copyright © 2012 ISUOG. Published by John Wiley
Anterior cruciate ligament tear: comparison of MR features between complete and partial tear
International Nuclear Information System (INIS)
Song, Ki Young; Lee, Joo Hyuk; Park, Jin Hee; Lee, Yu Jin; Rho, Eun Jin; Kim, Young Hoon; Yi, Jeong Geun; Ahn, Joong Mo
1997-01-01
To determine the MRI features which distinguish complete and partial tear of the anterior cruciate ligament(ACL) and to thus improve MRI interpretation. In 80 patients, we analyzed MR findings of direct and indirect signs of ACL tear (complete tear, 61 cases, partial tear, 19 cases) confirmed by arthroscopy or surgery, and compared the relative incidence of each sign in cases of complete and partial tear. Direct and indirect signs were found in 61 (100%) and 60 cases (98.4%), respectively, in complete tears, but in 16 (84.2%) and 15 cases (78.9%), respectively, in partial tears. Poor visualization, discontinuity and hyperintensity were seen in all complete tears but in only nine cases (47.4%) of partial tear. A wavy or abnormal contour was seen in 53 cases (86.9%) of complete tear and 14 (73.7%) of partial tear. A wavy contour without other direct signs was seen in only five cases (26.3%) of partial tear. Three cases (15.8%) of partial tear showed normal MR finding. Indirect signs, i.e. abnormal ACL angle, abnormal ACL-Blumensaat line angle, abnormal posterior cruciate ligament (PCL) line, abnormal PCL angle, PCL buckling, anterior displacement of tibia, posterior displacement of lateral meniscus, bone bruise, Segond fracture, tear of collateral ligaments, PCL, and tear of meniscus were commoner in complete than in partial tears. Two cases of O'Donoghue's triad and two of popliteus injury were seen only in complete tears. Direct and indirect signs of ACL tear were more commonly noted in complete than in partial tears. The latter showed MR features varying from normal to almost complete tear. We suggest that a wavy contour without other direct signs is indicative of a partial tear, and that O'Donoghue's triad and popliteus muscle injury are indirect signs of a complete tear
Functional evaluation of patient after arthroscopic repair of rotator cuff tear.
Kumar, Rohit; Jadhav, Umesh
2014-06-01
Rotator cuff tear is a common problem either after trauma or after degenerative tear in old age group. Arthroscopic repair is the current concept of rotator cuff repair. Here, we are trying to evaluate the functional outcome after arthroscopic repair of full thickness rotator cuff tear (single row) in Indian population. Twenty five patients (14 males and 11 females) who underwent arthroscopic repair of full thickness rotator cuff tear at a single institution were included in the study. Postoperatively patient's shoulder was rated according to UCLA score, pain was graded according to the visual analog score. The range of motion was analysed and documented. The mean age of the patients were 50.48 years. The preoperative VAS score mode was 7 and post operative VAS was 1 (p value fair in 12% (n = 3), excellent in 8% (n = 2) and poor results were seen in none of the patients. The mean UCLA improved from a score of 15.84 to 30.28 with a p value advantages, hence we used a single row repair considering the Indian population and the cost effectiveness of the surgery with good to excellent results.
Miller, Jennifer Earle; Higgins, Laurence D.; Dong, Yan; Collins, Jamie E.; Bean, Jonathan F.; Seitz, Amee L.; Katz, Jeffrey N.; Jain, Nitin B.
2016-01-01
Objective This study examines the association between strength measurements and supraspinatus tear in patients with shoulder pain. This study characterized determinants of abduction strength among patients with tears. Design Two-hundred and eight patients with shoulder pain (69 with and 110 without tear) were recruited. Strength was tested using hand-held dynamometer. Supraspinatus tears were diagnosed by combination of clinical assessment and blinded MRI review. Associations of supraspinatus tear with patient characteristics and strength measurements (abduction, internal rotation and external rotation) were assessed using multivariable logistic regression models. Results Patients with supraspinatus tear had decreased abduction strength (p=0.02) and decreased external rotation strength (ptear laterality, and BMI, decreased abduction strength (OR= 1.18 per kg, 95% C.I.=1.06–1.32) and decreased external rotation strength (OR=1.29 per kg, 95% C.I.=1.14–1.48) were associated with supraspinatus tear. In patients with tear, age ≥60 years, female sex, and VAS pain score were significantly associated with decreased abduction strength but tear size, fatty infiltration, and atrophy were not. Conclusions Decreased abduction and external rotation strength were associated with supraspinatus tear in patients with shoulder pain. In this cohort, the abduction strength of patients with tears, was influenced by demographic factors but not tear characteristics. PMID:26098921
Ultrasound determination of rotator cuff tear repairability
Tse, Andrew K; Lam, Patrick H; Walton, Judie R; Hackett, Lisa
2015-01-01
Background Rotator cuff repair aims to reattach the torn tendon to the greater tuberosity footprint with suture anchors. The present study aimed to assess the diagnostic accuracy of ultrasound in predicting rotator cuff tear repairability and to assess which sonographic and pre-operative features are strongest in predicting repairability. Methods The study was a retrospective analysis of measurements made prospectively in a cohort of 373 patients who had ultrasounds of their shoulder and underwent rotator cuff repair. Measurements of rotator cuff tear size and muscle atrophy were made pre-operatively by ultrasound to enable prediction of rotator cuff repairability. Tears were classified following ultrasound as repairable or irreparable, and were correlated with intra-operative repairability. Results Ultrasound assessment of rotator cuff tear repairability has a sensitivity of 86% (p tear size (p tear size ≥4 cm2 or anteroposterior tear length ≥25 mm indicated an irreparable rotator cuff tear. Conclusions Ultrasound assessment is accurate in predicting rotator cuff tear repairability. Tear size or anteroposterior tear length and age were the best predictors of repairability. PMID:27582996
Energy Technology Data Exchange (ETDEWEB)
O' Gorman, T.; Gibson, K. J.; Snape, J. A. [York Plasma Institute, Department of Physics, University of York, York YO10 5DD (United Kingdom); Naylor, G.; Huang, B.; McArdle, G. J.; Scannell, R.; Shibaev, S.; Thomas-Davies, N. [EURATOM/CCFE Fusion Association, Culham Science Centre, Oxfordshire OX14 3DB (United Kingdom)
2012-10-15
A real-time system has been developed to trigger both the MAST Thomson scattering (TS) system and the plasma control system on the phase and amplitude of neoclassical tearing modes (NTMs), extending the capabilities of the original system. This triggering system determines the phase and amplitude of a given NTM using magnetic coils at different toroidal locations. Real-time processing of the raw magnetic data occurs on a low cost field programmable gate array (FPGA) based unit which permits triggering of the TS lasers on specific amplitudes and phases of NTM evolution. The MAST plasma control system can receive a separate trigger from the FPGA unit that initiates a vertical shift of the MAST magnetic axis. Such shifts have fully removed m/n= 2/1 NTMs instabilities on a number of MAST discharges.
Observation of trapped-electron-mode microturbulence in reversed field pinch plasmas
Duff, J. R.; Williams, Z. R.; Brower, D. L.; Chapman, B. E.; Ding, W. X.; Pueschel, M. J.; Sarff, J. S.; Terry, P. W.
2018-01-01
Density fluctuations in the large-density-gradient region of improved confinement Madison Symmetric Torus reversed field pinch (RFP) plasmas exhibit multiple features that are characteristic of the trapped-electron mode (TEM). Core transport in conventional RFP plasmas is governed by magnetic stochasticity stemming from multiple long-wavelength tearing modes. Using inductive current profile control, these tearing modes are reduced, and global confinement is increased to that expected for comparable tokamak plasmas. Under these conditions, new short-wavelength fluctuations distinct from global tearing modes appear in the spectrum at a frequency of f ˜ 50 kHz, which have normalized perpendicular wavenumbers k⊥ρs≲ 0.2 and propagate in the electron diamagnetic drift direction. They exhibit a critical-gradient threshold, and the fluctuation amplitude increases with the local electron density gradient. These characteristics are consistent with predictions from gyrokinetic analysis using the Gene code, including increased TEM turbulence and transport from the interaction of remnant tearing magnetic fluctuations and zonal flow.
Collisional tearing in a field-reversed sheet pinch assuming nonparallel propagation
International Nuclear Information System (INIS)
Quest, K.B.; Coroniti, F.V.
1985-01-01
We examine the linear stability properties of the collisional tearing mode in a reversed-field sheet pinch assuming that the wave vector is not parallel to B, where B is the equilibrium magnetic field. We show that pressure balance in the direction of the equilibrium current requires a nonzero perturbed current component deltaJ/sub z/ that is driven toward tyhe center of the pinch. At the center of the pinch, deltaJ/sub z/ goes to zero, and momentum is balanced by coupling to the ion-acoustic mode. In order to achieve current closure, a large perturbed field-aligned current is generated that is strongly localized about the dissipative tearing layer. The relation of this work to the collisionless case is discussed
Local measurement of error field using naturally rotating tearing mode dynamics in EXTRAP T2R
Sweeney, R. M.; Frassinetti, L.; Brunsell, P.; Fridström, R.; Volpe, F. A.
2016-12-01
An error field (EF) detection technique using the amplitude modulation of a naturally rotating tearing mode (TM) is developed and validated in the EXTRAP T2R reversed field pinch. The technique was used to identify intrinsic EFs of m/n = 1/-12, where m and n are the poloidal and toroidal mode numbers. The effect of the EF and of a resonant magnetic perturbation (RMP) on the TM, in particular on amplitude modulation, is modeled with a first-order solution of the modified Rutherford equation. In the experiment, the TM amplitude is measured as a function of the toroidal angle as the TM rotates rapidly in the presence of an unknown EF and a known, deliberately applied RMP. The RMP amplitude is fixed while the toroidal phase is varied from one discharge to the other, completing a full toroidal scan. Using three such scans with different RMP amplitudes, the EF amplitude and phase are inferred from the phases at which the TM amplitude maximizes. The estimated EF amplitude is consistent with other estimates (e.g. based on the best EF-cancelling RMP, resulting in the fastest TM rotation). A passive variant of this technique is also presented, where no RMPs are applied, and the EF phase is deduced.
Review of DIII-D H-Mode Density Limit Studies
International Nuclear Information System (INIS)
Maingi, R.; Mahdavi, M.A.
2005-01-01
Density limit studies over the past 10 yr on DIII-D have successfully identified several processes that limit plasma density in various operating modes. The recent focus of these studies has been on maintenance of the high-density operational window with good H-mode level energy confinement. We find that detachment and onset of multifaceted axisymmetric radiation from the edge (MARFE), fueling efficiency, particle confinement, and magnetohydrodynamic activity can impose density limits in certain regimes. By studying these processes, we have devised techniques with either pellets or gas fueling and divertor pumping to achieve line average density above Greenwald scaling, relying on increasing the ratio of pedestal to separatrix density, as well as density profile peaking. The scaling of several of these processes to next-step devices (e.g., the International Thermonuclear Experimental Reactor) has indicated that sufficiently high pedestal density can be achieved with conventional fueling techniques while ensuring divertor partial detachment needed for heat flux reduction. One density limit process requiring further study is neoclassical tearing mode (NTM) onset, and techniques for avoidance/mitigation of NTMs need additional development in present-day devices operated at high density
Antimicrobial compounds in tears.
McDermott, Alison M
2013-12-01
The tear film coats the cornea and conjunctiva and serves several important functions. It provides lubrication, prevents drying of the ocular surface epithelia, helps provide a smooth surface for refracting light, supplies oxygen and is an important component of the innate defense system of the eye providing protection against a range of potential pathogens. This review describes both classic antimicrobial compounds found in tears such as lysozyme and some more recently identified such as members of the cationic antimicrobial peptide family and surfactant protein-D as well as potential new candidate molecules that may contribute to antimicrobial protection. As is readily evident from the literature review herein, tears, like all mucosal fluids, contain a plethora of molecules with known antimicrobial effects. That all of these are active in vivo is debatable as many are present in low concentrations, may be influenced by other tear components such as the ionic environment, and antimicrobial action may be only one of several activities ascribed to the molecule. However, there are many studies showing synergistic/additive interactions between several of the tear antimicrobials and it is highly likely that cooperativity between molecules is the primary way tears are able to afford significant antimicrobial protection to the ocular surface in vivo. In addition to effects on pathogen growth and survival some tear components prevent epithelial cell invasion and promote the epithelial expression of innate defense molecules. Given the protective role of tears a number of scenarios can be envisaged that may affect the amount and/or activity of tear antimicrobials and hence compromise tear immunity. Two such situations, dry eye disease and contact lens wear, are discussed here. Copyright © 2013 Elsevier Ltd. All rights reserved.
Energy Technology Data Exchange (ETDEWEB)
Kolemen, E., E-mail: ekolemen@pppl.gov [Princeton Plasma Physics Laboratory, PO Box 45, Princeton, NJ 08543-0451 (United States); Ellis, R. [Princeton Plasma Physics Laboratory, PO Box 45, Princeton, NJ 08543-0451 (United States); La Haye, R.J.; Humphreys, D.A.; Lohr, J.; Noraky, S.; Penaflor, B.G.; Welander, A.S. [General Atomics, PO Box 85608, San Diego, CA 92186-5608 (United States)
2013-11-15
Highlights: • We developed neoclassical tearing mode (NTM) control system for DIII-D, which uses six sets of real-time steerable mirrors in order to move the electron cyclotron current drive (ECCD) deposition location in plasma. • This algorithm accurately finds the NTM island location employing motional Stark effect EFIT MHD equilibrium reconstruction. • Successful NTM suppression and preemption has been achieved in DIII-D using this control system to automatically switches on and off gyrotrons when NTM is detected and rapidly align the NTM island and the ECCD deposition location. -- Abstract: The development and operation of the neoclassical tearing mode (NTM) avoidance and control system for DIII-D, which uses six sets of real-time steerable mirrors in order to move the electron cyclotron current drive (ECCD) deposition location in plasma, is described. The real-time DIII-D NTM control algorithm residing in the Plasma Control System (PCS) automatically detects an NTM by analysis of the Mirnov diagnostics, employs motional Stark effect (MSE) EFIT MHD equilibrium reconstruction to locate the rational q-surface where the NTM island can be found, then calculates the appropriate mirror position for alignment of the ECCD with the island using ray tracing. The control commands from PCS are sent to the electron cyclotron system to switch on and off or modulate the gyrotrons and to the steerable mirror system to move the steerable mirrors to the requested positions. Successful NTM suppression has been achieved in DIII-D using this control system to rapidly align the NTM island and the ECCD deposition location, and to actively maintain the alignment as plasma conditions change.
Humeral head cysts and rotator cuff tears: an MR arthrographic study
Energy Technology Data Exchange (ETDEWEB)
Williams, Martin [Southmead Hospital, Department of Radiology, Westbury-on-Trym, Bristol (United Kingdom); Lambert, Robert G.W.; Jhangri, Gian S.; Grace, Michael; Zelaso, Jay; Wong, Ben; Dhillon, Sukhvinder S. [University of Alberta Hospital, Department of Radiology and Diagnostic Imaging, Edmonton (Canada)
2006-12-15
Humeral tuberosity cysts are a common finding, with previous reports suggesting they are related to rotator cuff tear or aging. The aim of this study was to investigate the characteristics of cysts in the tuberosities of the humeral head and their relationship with rotator cuff tear and age. Shoulder MR arthrograms were reviewed in 120 consecutive patients - 83 males (mean age 38.0, range 19-59 years) and 37 females (mean age 41.2, range 15-59 years). Patients were referred for investigation of a variety of conditions, and instability was suspected in only a minority of cases. MR was performed before and after direct arthrography with 0.01% solution of gadolinium. Cysts were defined as well-demarcated circular/ovoid foci in two planes that demonstrated high signal on pre-arthrographic T2W sequences. Location, size and numbers of cysts and post-arthrographic enhancement were documented, along with the location of rotator cuff tears, if present. Cysts in the tuberosities of the humerus were identified in 84 patients (70%), and were seen seven times more frequently in the posterior aspect of the greater tuberosity than anteriorly. Most cysts (94%) demonstrated communication with the joint post-arthrogram. Rotator cuff tears were present in 36 patients, and 79% of all tears occurred in supraspinatus tendon. There was no significant difference in the occurrence of cysts between patients older or younger than age 40 or between genders, but rotator cuff tears were seen significantly more often in the older age group (p<0.01). Tuberosity cysts and rotator cuff tears did not appear to be related (p=0.55). However, whilst this lack of association was quite obvious posteriorly (p=0.84), the trend in the anterior aspect of the greater tuberosity is not as clear (p=0.14). Humeral cysts are most often located in the posterior aspect of the greater tuberosity, communicate with the joint space and, in this location, are not related to aging or rotator cuff tear. (orig.)
Humeral head cysts and rotator cuff tears: an MR arthrographic study
International Nuclear Information System (INIS)
Williams, Martin; Lambert, Robert G.W.; Jhangri, Gian S.; Grace, Michael; Zelaso, Jay; Wong, Ben; Dhillon, Sukhvinder S.
2006-01-01
Humeral tuberosity cysts are a common finding, with previous reports suggesting they are related to rotator cuff tear or aging. The aim of this study was to investigate the characteristics of cysts in the tuberosities of the humeral head and their relationship with rotator cuff tear and age. Shoulder MR arthrograms were reviewed in 120 consecutive patients - 83 males (mean age 38.0, range 19-59 years) and 37 females (mean age 41.2, range 15-59 years). Patients were referred for investigation of a variety of conditions, and instability was suspected in only a minority of cases. MR was performed before and after direct arthrography with 0.01% solution of gadolinium. Cysts were defined as well-demarcated circular/ovoid foci in two planes that demonstrated high signal on pre-arthrographic T2W sequences. Location, size and numbers of cysts and post-arthrographic enhancement were documented, along with the location of rotator cuff tears, if present. Cysts in the tuberosities of the humerus were identified in 84 patients (70%), and were seen seven times more frequently in the posterior aspect of the greater tuberosity than anteriorly. Most cysts (94%) demonstrated communication with the joint post-arthrogram. Rotator cuff tears were present in 36 patients, and 79% of all tears occurred in supraspinatus tendon. There was no significant difference in the occurrence of cysts between patients older or younger than age 40 or between genders, but rotator cuff tears were seen significantly more often in the older age group (p<0.01). Tuberosity cysts and rotator cuff tears did not appear to be related (p=0.55). However, whilst this lack of association was quite obvious posteriorly (p=0.84), the trend in the anterior aspect of the greater tuberosity is not as clear (p=0.14). Humeral cysts are most often located in the posterior aspect of the greater tuberosity, communicate with the joint space and, in this location, are not related to aging or rotator cuff tear. (orig.)
Location of Rotator Cuff Tear Initiation: A Magnetic Resonance Imaging Study of 191 Shoulders.
Jeong, Jeung Yeol; Min, Seul Ki; Park, Keun Min; Park, Yong Bok; Han, Kwang Joon; Yoo, Jae Chul
2018-03-01
Degenerative rotator cuff tears (RCTs) are generally thought to originate at the anterior margin of the supraspinatus tendon. However, a recent ultrasonography study suggested that they might originate more posteriorly than originally thought, perhaps even from the isolated infraspinatus (ISP) tendon, and propagate toward the anterior supraspinatus. Hypothesis/Purpose: It was hypothesized that this finding could be reproduced with magnetic resonance imaging (MRI). The purpose was to determine the most common location of degenerative RCTs by using 3-dimensional multiplanar MRI reconstruction. It was assumed that the location of the partial-thickness tears would identify the area of the initiation of full-thickness tears. Cross-sectional study; Level of evidence, 3. A retrospective analysis was conducted including 245 patients who had RCTs (nearly full- or partial-thickness tears) at the outpatient department between January 2011 and December 2013. RCTs were measured on 3-dimensional multiplanar reconstruction MRI with OsiriX software. The width and distance from the biceps tendon to the anterior margin of the tear were measured on T2-weighted sagittal images. In a spreadsheet, columns of consecutive numbers represented the size of each tear (anteroposterior width) and their locations with respect to the biceps brachii tendon. Data were pooled to graphically represent the width and location of all tears. Frequency histograms of the columns were made to visualize the distribution of tears. The tears were divided into 2 groups based on width (group A, location related to size. The mean width of all RCTs was 11.9 ± 4.1 mm, and the mean length was 11.1 ± 5.0 mm. Histograms showed the most common location of origin to be 9 to 10 mm posterior to the biceps tendon. The histograms of groups A and B showed similar tear location distributions, indicating that the region approximately 10 mm posterior to the biceps tendon is the most common site of tear initiation. These
Begley, Carolyn; Simpson, Trefford; Liu, Haixia; Salvo, Eliza; Wu, Ziwei; Bradley, Arthur; Situ, Ping
2013-04-12
The purpose of this study was to test the association between tear film fluorescence changes during tear break-up (TBU) or thinning and the concurrent ocular sensory response. Sixteen subjects kept one eye open as long as possible (MBI), indicated their discomfort level continuously, and rated ocular sensations of irritation, stinging, burning, pricking, and cooling using visual analog scales (VAS). Fluorescence of the tear film was quantified by a pixel-based analysis of the median pixel intensity (PI), TBU, and percentage of dark pixels (DarkPix) over time. A cutoff of 5% TBU was used to divide subjects into either break-up (BU) or minimal break-up (BUmin) groups. Tear film fluorescence decreased (median PI) and the percentage of TBU and DarkPix increased in all trials, with the rate significantly greater in the BU than the BUmin group (Mann-Whitney U test, P film thinning best explains decreasing tear film fluorescence during trials. This was highly correlated with increasing ocular discomfort, suggesting that both tear film thinning and TBU stimulate underlying corneal nerves, although TBU produced more rapid stimulation. Slow increases in tear film hyperosmolarity may cause the gradual increase in discomfort during slow tear film thinning, whereas the sharp increases in discomfort during TBU suggest a more complex stimulus.
Resistive effects on line-tied magnetohydrodynamic modes in cylindrical geometry
International Nuclear Information System (INIS)
Delzanno, Gian Luca; Evstatiev, E. G.; Finn, John M.
2007-01-01
An investigation of the effect of resistivity on the linear stability of line-tied magnetohydrodynamic (MHD) modes is presented in cylindrical geometry, based on the method recently developed in the paper by Evstatiev et al. [Phys. Plasmas 13, 072902 (2006)]. The method uses an expansion of the full solution of the problem in one-dimensional radial eigenfunctions. This method is applied to study sausage modes (m=0, m being the poloidal wavenumber), kink modes (m=1), and m=2 modes. All these modes can be resistively unstable. It is found that m≠0 modes can be unstable below the ideal MHD threshold due to resistive diffusion of the field lines, with growth rates proportional to resistivity. For these resistive modes, there is no indication of tearing, i.e., current sheets or boundary layers due to ideal MHD singularities. That is, resistivity acts globally on the whole plasma column and not in layers. Modes with m=0, on the other hand, can exist as tearing modes if the equilibrium axial magnetic field reverses sign within the plasma
Napoli, Pietro Emanuele; Satta, Giovanni Maria; Coronella, Franco; Fossarello, Maurizio
2014-07-01
To analyze in vivo the dynamic changes induced by different artificial tears (ATs) in the precorneal tear film (PCTF) and lower tear meniscus (LTM) by using spectral-domain (SD) anterior segment optical coherence tomography (OCT). We prospectively examined 42 normal human eyes by using SD-OCT imaging. On the day before OCT imaging, all enrolled subjects were evaluated for abnormalities of ocular surface. All tear film images were obtained before and after instillation of three different types of ATs (mucomimetic, lipid-based, and saline) in five serial scans: immediately (within 30 seconds), at the first, fifth, 10th, and 20th minute. Subjects received a drop of 35 μL in one randomly selected eye. All examinations were conducted in the same conditions of temperature, brightness, humidity, and time of day. Changes in the morphological pattern of both LTM and PCTF were associated with the type of artificial tear instilled on the ocular surface. Similarly, the radius of curvature (rc), the height (h), and the depth (d) showed dynamic variations depending on treatment. Although by the 20th minute, both h and d returned to baseline values in all groups, a significant difference in rc (compared with baseline) was detected for mucomimetic ATs (P = 0.04) and lipid ATs (P = 0.02). Spectral-domain OCT imaging has preliminarily proved to be a noninvasive tool to evaluate, in real time, the different changes induced by ATs instillation. An important stride in understanding the clinical response to various tear substitutes can be achieved by this objective and quantitative approach. Copyright 2014 The Association for Research in Vision and Ophthalmology, Inc.
Kinetic theory of tearing instability
International Nuclear Information System (INIS)
Hazeltine, R.D.; Dobrott, D.; Wang, T.S.
1975-01-01
The guiding-center kinetic equation with Fokker-Planck collision term is used to study, in cylindrical geometry, a class of dissipative instabilities of which the classical tearing mode is an archetype. Variational solution of the kinetic equation obviates the use of an approximate Ohm's law or adiabatic assumption, as used in previous studies, and it provides a dispersive relation which is uniformly valid for any ratio of wave frequency to collision frequency. One result of using the rigorous collision operator is the prediction of a new instability. This instability, driven by the electron temperature gradient, is predicted to occur under the long mean-free path conditions of present tokamak experiments, and has significant features in common with the kink-like oscillations observed in such experiments
Curry, Emily J; Matzkin, Elizabeth E; Dong, Yan; Higgins, Laurence D; Katz, Jeffrey N; Jain, Nitin B
2015-05-01
Structural characteristics of rotator cuff tears are used in surgical decision making. However, data on the association of tear size with patient-reported pain and function are sparse. To assess the association of tear size, fatty infiltration, and muscle atrophy with shoulder pain/function in patients with cuff tears undergoing operative and nonoperative treatment. Cross-sectional study; Level of evidence, 3. A total of 67 patients with rotator cuff tears were recruited for this longitudinal cohort study. Patients were determined to have a cuff tear using clinical assessment and blinded magnetic resonance imaging review. The Shoulder Pain and Disability Index (SPADI) was used as a measure of shoulder pain and function. Tear size and thickness were not significantly associated with pain (SPADI pain score, 60.6 [95% CI, 49.8-71.5] for partial-thickness tear; 56.8 [95% CI, 42.8-70.7] for tear; 60.4 [95% CI, 51.7-69.0] for ≥2 cm full-thickness tear). Tear size and thickness were not associated with function (SPADI disability score, 42.7 [95% CI, 29.8-55.6] for partial-thickness tear; 37.6 [95% CI, 23.9-51.4] for tear; 45.1 [95% CI, 35.4-54.8] for ≥2 cm full-thickness tear). Fatty infiltration, muscle atrophy, and tendon retraction were also not significantly associated with SPADI pain and disability scores. A Mental Health Index score of tears undergoing operative and nonoperative treatment, pain and functional status were not associated with tear size and thickness, fatty infiltration, and muscle atrophy. Conversely, factors unrelated to cuff anatomy such as mental health, comorbidities, age, and sex were associated with pain/function. These findings have clinical implications during surgical decision making and suggest that pain and functional disability in patients with rotator cuff tears is multifactorial and should not solely be attributed to structural characteristics.
DEFF Research Database (Denmark)
Skiveren, J; Bermark, S; LeBlanc, K
2015-01-01
OBJECTIVE: The aim of this study was to translate, validate and establish reliability of the International Skin Tear Classification System in Danish. METHOD: Phase 1 of the project involved the translation of the International Skin Tear Advisory Panel (ISTAP) Skin Tear Classification System......) and social and health-care assistants (non-RN) from both primary health care and a Danish university hospital in Copenhagen. Thirty photographs, with equal representation of the three types of skin tears, were selected to test validity. The photographs chosen were those originally used for internal...... and external validation by the ISTAP group. The subjects were approached in their place of work and invited to participate in the study and to attend an educational session related to skin tears. RESULTS: The Danish translation of the ISTAP classification system was tested on 270 non-wound specialists...
Deltoid muscle and tendon tears in patients with chronic rotator cuff tears
International Nuclear Information System (INIS)
Ilaslan, Hakan; Recht, Michael P.; Iannotti, Joseph P.
2007-01-01
To describe the magnetic resonance imaging (MRI) appearances of tears of the deltoid muscle and tendon in patients with rotator cuff tears and without a prior history of shoulder surgery. Deltoid tears diagnosed on MR examinations were prospectively recorded between February 2003 through June 2004. The images of these patients were then retrospectively reviewed to determine the location of the deltoid tear, the presence of rotator cuff tears, tendon retraction, muscle atrophy, degree of humeral head subluxation, bony erosive changes involving the undersurface of the acromion, and the presence of edema or fluid-like signal intensity in the deltoid muscle and overlying subcutaneous tissues. There were 24 (0.3%) patients with deltoid tears; nine men and 15 women. The age range was 54 to 87 (average 73) years. The right side was involved in 20 cases, and the left in four cases. Fifteen patients had full thickness and nine had partial thickness tears of the deltoid. Shoulder pain was the most common presenting symptom. The physical examination revealed a defect in the region of the deltoid in two patients. Nineteen patients had tears in the muscle belly near the musculotendinous junction, and five had avulsion of the tendon from the acromial origin. Full thickness rotator cuff tears were present in all of the patients, and 22 patients had associated muscle atrophy. Subcutaneous edema and fluid-like signal was present in 15 patients. Tears of the deltoid muscle or tendon is an unusual finding, but they can be seen in patients with chronic massive rotator cuff tears. Partial thickness tears tend to involve the undersurface of the deltoid muscle and tendon. Associated findings such as intramuscular cyst or ganglion in the deltoid muscle belly and subcutaneous edema or fluid-like signal overlying the deltoid in a patient with a rotator cuff tear should raise the suspicion of a deltoid tear. (orig.)
Deltoid muscle and tendon tears in patients with chronic rotator cuff tears
Energy Technology Data Exchange (ETDEWEB)
Ilaslan, Hakan; Recht, Michael P. [Cleveland Clinic, Musculoskeletal Radiology/A21, Division of Radiology, Cleveland, OH (United States); Iannotti, Joseph P. [Cleveland Clinic, Department of Orthopedic Surgery, Cleveland, OH (United States)
2007-06-15
To describe the magnetic resonance imaging (MRI) appearances of tears of the deltoid muscle and tendon in patients with rotator cuff tears and without a prior history of shoulder surgery. Deltoid tears diagnosed on MR examinations were prospectively recorded between February 2003 through June 2004. The images of these patients were then retrospectively reviewed to determine the location of the deltoid tear, the presence of rotator cuff tears, tendon retraction, muscle atrophy, degree of humeral head subluxation, bony erosive changes involving the undersurface of the acromion, and the presence of edema or fluid-like signal intensity in the deltoid muscle and overlying subcutaneous tissues. There were 24 (0.3%) patients with deltoid tears; nine men and 15 women. The age range was 54 to 87 (average 73) years. The right side was involved in 20 cases, and the left in four cases. Fifteen patients had full thickness and nine had partial thickness tears of the deltoid. Shoulder pain was the most common presenting symptom. The physical examination revealed a defect in the region of the deltoid in two patients. Nineteen patients had tears in the muscle belly near the musculotendinous junction, and five had avulsion of the tendon from the acromial origin. Full thickness rotator cuff tears were present in all of the patients, and 22 patients had associated muscle atrophy. Subcutaneous edema and fluid-like signal was present in 15 patients. Tears of the deltoid muscle or tendon is an unusual finding, but they can be seen in patients with chronic massive rotator cuff tears. Partial thickness tears tend to involve the undersurface of the deltoid muscle and tendon. Associated findings such as intramuscular cyst or ganglion in the deltoid muscle belly and subcutaneous edema or fluid-like signal overlying the deltoid in a patient with a rotator cuff tear should raise the suspicion of a deltoid tear. (orig.)
Mustakim Mustakim; Aris Sri Widati; Lisa Purnaningtyas
2012-01-01
The purpose of this study was to find out the appropriate of tannin level for rabbit fur leather concerning stitch tearing strength, tearing strength, and flexibility. The result were expected to contribute good information for the society, leather craftsman, and further researchers about fur leather tanning especially rabbit fur leather with tannin concerning stitch tearing strength, tearing strength and flexibility. The material that used were 12 pieces of four months of rabbit skin. The re...
Idiopathic Bilateral Bloody Tearing
Directory of Open Access Journals (Sweden)
Emrullah Beyazyıldız
2015-01-01
Full Text Available Bloody tear is a rare and distinct clinic phenomenon. We report a case presenting with the complaint of recurrent episodes of bilateral bloody tearing. A 16-year-old girl presented to our clinic with complaint of bloody tearing in both eyes for 3 months. Bloody tearing was not associated with her menses. A blood-stained discharge from the punctum was not observed during the compression of both nasolacrimal ducts. Nasolacrimal passage was not obstructed. Imaging studies such as dacryocystography and gradient-echo magnetic resonance imaging (MRI of nasolacrimal canal were normal. Intranasal endoscopic evaluation was normal. We collected samples from bloody tears two times and pathological examination was performed. Pathological analysis showed lots of squamous cells and no endometrial cells; dysplastic cells were found. Further evaluations for underlying causes were unremarkable. No abnormalities were found in ophthalmologic, radiologic, and pathologic investigations. This condition is likely a rare abnormality and the least recognized aetiology for the idiopathic phenomenon.
International Nuclear Information System (INIS)
Park, Lawrence S.; Jacobson, Jon A.; Jamadar, David A.; Caoili, Elaine; Kalume-Brigido, Monica; Wojtys, Edward
2007-01-01
We have noted apparent far lateral meniscal attachment of the meniscofemoral ligament (MFL) with an anterior cruciate ligament (ACL) tear. This study evaluates MFL attachment and association with posterior horn lateral meniscus (PHLM) tear. Nine months of knee arthroscopy reports were reviewed to classify the PHLM and ACL as torn or normal. After excluding those with prior knee surgery, MR images were reviewed by two radiologists to determine the number of images lateral to PCL, which showed the ligaments of Humphrey and Wrisberg visible as structures separate from the PHLM. Any patient with abnormal PHLM surface signal not continuous with the MFL was excluded. MRI findings were compared with arthroscopy using Student's t test and Fisher's exact test. Of the 54 participants, 5 had PHLM tears and 49 were normal. Twenty-one had ACL tears; all those with an PHLM tear had an ACL tear. The ligament of Humphrey inserted on average 0.9 consecutive images lateral to the PCL without an PHLM tear and 4.7 with an PHLM tear; the ligament of Wrisberg inserted on average 3.0 consecutive images without an PHLM tear and 4.5 with an PHLM tear (slice thickness/gap = 3 mm/0.5 mm). There was a significant association between PHLM tear and number of images (p = 0.0028), and between ACL tear and this type of PHLM tear (p = 0.0064). Apparent far lateral meniscal extension of a meniscofemoral ligament (greater than or equal to four images lateral to the PCL) should be considered as a possible PHLM tear, especially in the setting of an ACL tear. (orig.)
Measurement and Modelling of Tearing Mode Stability for Steady-State Plasmas in DIII-D
Energy Technology Data Exchange (ETDEWEB)
Turco, F; Luce, T; Ferron, J; Petty, C; Politzer, P; Turnbull, A; Brennan, D; Murakami, M; LoDestro, L; Pearlstein, L; Casper, T; Jayakumar, R; Holcomb, C
2009-06-23
High-beta, quasi-steady state scenarios represent a fundamental step towards the performance required for future fusion reactors. In DIII-D steady-state scenario discharges, the normalized beta {beta}{sub N} {triple_bond} {beta}(%) {center_dot} a(m) {center_dot} B{sub T}(T)/I{sub p}(MA) (where {beta} is the ratio of the plasma pressure to the magnetic field pressure, {alpha} the plasma minor radius, B{sub T} the toroidal magnetic field and I{sub p} the plasma current) exceeds the no-wall ideal kink beta limit. The performance of this scenario is limited by the onset of an n = 1 tearing mode, which appears on the resistive evolution time-scale (1-2 s) at constant pressure and causes both a loss of confinement and a radial redistribution of the current density from which the available current drive sources cannot recover. It is routinely observed that the injection of electron cyclotron current drive (ECCD), with a broad deposition localized around {rho} {approx} 0.35, can prevent the mode from appearing. It must be noted that this is not a case of a direct stabilization due to the interaction with the mode's rational surface. These variations of the scenario are illustrated in Fig. 1, where the total injected power [neutral beam injection (NBI) and ECCD], {beta}{sub N} and the n = 1 magnetic perturbation at the outer wall are shown. In case (a), the onset of the n = 1 mode is observed when the EC power is not present or if it is stopped before the end of the high {beta} phase, whereas in case (b) the difference is pointed out between broad and narrow current deposition (with the narrow deposition case becoming unstable). The current density profile evolution and the MHD modes of several sets of significant discharges with and without ECCD (at different locations) have been analyzed, using motional Stark effect (MSE) spectroscopy measurements for the former and edge magnetic probes measurements, toroidal rotation profiles and fast electron cyclotron emission
Measurement and Modelling of Tearing Mode Stability for Steady-State Plasmas in DIII-D
International Nuclear Information System (INIS)
Turco, F.; Luce, T.; Ferron, J.; Petty, C.; Politzer, P.; Turnbull, A.; Brennan, D.; Murakami, M.; LoDestro, L.; Pearlstein, L.; Casper, T.; Jayakumar, R.; Holcomb, C.
2009-01-01
High-beta, quasi-steady state scenarios represent a fundamental step towards the performance required for future fusion reactors. In DIII-D steady-state scenario discharges, the normalized beta β N (triple b ond) β(%) · a(m) · B T (T)/I p (MA) (where β is the ratio of the plasma pressure to the magnetic field pressure, α the plasma minor radius, B T the toroidal magnetic field and I p the plasma current) exceeds the no-wall ideal kink beta limit. The performance of this scenario is limited by the onset of an n = 1 tearing mode, which appears on the resistive evolution time-scale (1-2 s) at constant pressure and causes both a loss of confinement and a radial redistribution of the current density from which the available current drive sources cannot recover. It is routinely observed that the injection of electron cyclotron current drive (ECCD), with a broad deposition localized around ρ ∼ 0.35, can prevent the mode from appearing. It must be noted that this is not a case of a direct stabilization due to the interaction with the mode's rational surface. These variations of the scenario are illustrated in Fig. 1, where the total injected power (neutral beam injection (NBI) and ECCD), β N and the n = 1 magnetic perturbation at the outer wall are shown. In case (a), the onset of the n = 1 mode is observed when the EC power is not present or if it is stopped before the end of the high β phase, whereas in case (b) the difference is pointed out between broad and narrow current deposition (with the narrow deposition case becoming unstable). The current density profile evolution and the MHD modes of several sets of significant discharges with and without ECCD (at different locations) have been analyzed, using motional Stark effect (MSE) spectroscopy measurements for the former and edge magnetic probes measurements, toroidal rotation profiles and fast electron cyclotron emission (ECE) data for the latter. One equilibrium based on EFIT reconstruction (1) with kinetic
Influence of magnetic flutter on tearing growth in linear and nonlinear theory
Kreifels, L.; Hornsby, W. A.; Weikl, A.; Peeters, A. G.
2018-06-01
Recent simulations of tearing modes in turbulent regimes show an unexpected enhancement in the growth rate. In this paper the effect is investigated analytically. The enhancement is linked to the influence of turbulent magnetic flutter, which is modelled by diffusion terms in magnetohydrodynamics (MHD) momentum balance and Ohm’s law. Expressions for the linear growth rate as well as the island width in nonlinear theory for small amplitudes are derived. The results indicate an enhanced linear growth rate and a larger linear layer width compared with resistive MHD. Also the island width in the nonlinear regime grows faster in the diffusive model. These observations correspond well to simulations in which the effect of turbulence on the magnetic island width and tearing mode growth is analyzed.
International Nuclear Information System (INIS)
Miyoshi, Takahiro; Becchaku, Masahiro; Kusano, Kanya
2008-01-01
Nonlinear dynamics of the resistive tearing instability in high magnetic Reynolds number (R m ) plasmas is studied by newly developing an accurate and robust resistive magnetohydrodynamic (MHD) scheme. The results show that reconnection processes strongly depend on R m . Particularly, in a high R m case, small-scale plasmoids induced by a secondary instability are intermittently generated and ejected accompanied by fast shocks. According to the intermittent processes, the reconnection rate increases intermittently at a later nonlinear stage. (author)
Classification and localization of acetabular labral tears
International Nuclear Information System (INIS)
Blankenbaker, D.G.; De Smet, A.A.; Keene, J.S.; Fine, J.P.
2007-01-01
The purpose of this study was to compare the findings on hip MR arthrography (MRA) with the published MRA and arthroscopic classifications of hip labral tears and to evaluate a clock-face method for localizing hip labral tears. We retrospectively reviewed 65 hip MRA studies with correlative hip arthroscopies. Each labrum was evaluated on MRA using the classification system of Czerny and an MRA modification of the Lage arthroscopic classification. In addition, each tear was localized on MRA by using a clock-face description where 6 o'clock was the transverse ligament and 3 o'clock was anterior. These MRA findings were then correlated with the arthroscopic findings using the clock-face method of localization and the Lage arthroscopic classification of labral tears. At MRA, there were 42 Czerny grade 2 and 23 grade 3 labral tears and 22 MRA Lage type 1, 11 type 2, 22 type 3 and 10 type 4 tears. At arthroscopy, there were 10 Lage type 1 flap tears, 20 Lage type 2 fibrillated tears, 18 Lage type 3 longitudinal peripheral tears and 17 Lage type 4 unstable tears. The Czerny MRA classification and the modified MRA Lage classification had borderline correlation with the arthroscopic Lage classification. Localization of the tears using a clock-face description was within 1 o'clock of the arthroscopic localization of the tears in 85% of the patients. The Lage classification, which is the only published arthroscopic classification system for hip labral tears, does not correlate well with the Czerny MRA or an MRA modification of the Lage classification. Using a clock-face description to localize tears provides a way to accurately localize a labral tear and define its extent. (orig.)
Stability and magnetic tearing of finite-β modified drift waves
International Nuclear Information System (INIS)
Chen, L.; Hsu, J.; Kaw, P.K.; Rutherford, P.H.
1977-10-01
A new simplified approach to the analysis of radial eigenmodes of finite-β modified drift waves in a sheared magnetic field is described. Applying this approach to the universal drift mode, one recovers, for the lowest (n = 0) radial eigenmode, the previous result that finite-β effects are stabilizing. For the next (n = 1) radial eigenmode, however, one finds that finite-β effects further destabilize the mode. Moreover, the corresponding mode structure exhibits nonzero radial (tearing) magnetic perturbations around the mode-rational surface. The consequences of a structure of microscopic magnetic islands, created in this way, for plasma transport are also briefly discussed
Real-time sawtooth control and neoclassical tearing mode preemption in ITER
Energy Technology Data Exchange (ETDEWEB)
Kim, D., E-mail: doohyun.kim@epfl.ch; Goodman, T. P.; Sauter, O. [École Polytechnique Fédérale de Lausanne (EPFL), Centre de Recherches en Physique des Plasmas (CRPP), CH-1015 Lausanne (Switzerland)
2014-06-15
Real-time control of multiple plasma actuators is a requirement in advanced tokamaks; for example, for burn control, plasma current profile control and MHD stabilization—electron cyclotron (EC) wave absorption is ideally suited especially for the latter. On ITER, 24 EC sources can be switched between 56 inputs at the torus. In the torus, 5 launchers direct the power to various locations across the plasma profile via 11 steerable mirrors. For optimal usage of the available power, the aiming and polarization of the beams must be adapted to the plasma configuration and the needs of the scenario. Since the EC system performs many competing tasks, present day systems should demonstrate the ability of an EC plant to deal with several targets in parallel and/or to switch smoothly between goals to attain overall satisfaction. Based on pacing and locking experiments performed on TCV (Tokamak à Configuration Variable), the real-time sawtooth control of ITER with this complex set of actuators is analyzed, as an example. It is shown that sawtooth locking and pacing are possible with various levels of powers, leading to different time delays between the end of the EC power phase and the next sawtooth crash. This timing is important since it allows use of the same launchers for neoclassical tearing mode (NTM) preemption at the q = 1.5 or 2 surface, avoiding the need to switch power between launchers. These options are presented. It is also demonstrated that increasing the total EC power does not necessarily increase the range of control because of the geometry of the launchers.
Finite beta and compressibility effects on stability of resistive modes in toroidal geometry
International Nuclear Information System (INIS)
Leboeuf, J-N.G.; Kurita, Gen-ichi.
1998-03-01
Linear resistive stability results obtained from the toroidal magnetohydrodynamic codes FAR developed at the Oak Ridge National Laboratory in United States of America and AEOLUS developed at the Japan Atomic Energy Research Institute are compared for carefully constructed benchmark profiles and parameters. These are unstable to a tearing mode with toroidal mode number n=1. The eigenvalues and eigenfunctions calculated with both codes are in close agreement and show that the effect of compressibility is weak for these modes. The effect of finite plasma beta is considered, and the eigenvalues calculated by the FAR and AEOLUS codes also show good agreement. It is shown that the finite beta has a stabilizing effect on the toroidal tearing mode, but that the compressibility also has little effect on finite beta tearing modes. (author)
... of the nose (lacrimal sac). From there tears travel down a duct (the nasolacrimal duct) draining into your nose. Once in the nose, tears are reabsorbed. A blockage can occur at any point in the tear drainage system, from the puncta ...
Directory of Open Access Journals (Sweden)
Mustakim Mustakim
2012-02-01
Full Text Available The purpose of this study was to find out the appropriate of tannin level for rabbit fur leather concerning stitch tearing strength, tearing strength, and flexibility. The result were expected to contribute good information for the society, leather craftsman, and further researchers about fur leather tanning especially rabbit fur leather with tannin concerning stitch tearing strength, tearing strength and flexibility. The material that used were 12 pieces of four months of rabbit skin. The research method was Completely Randomized Design, consist of three treatments of tannin, they were: M1 (mimosa 15%, M2 (mimosa 20%, and M3 (mimosa 25%. Each of treatment hold on four repetition, the variables which measured were stitch tearing strength, tearing strength, and flexibility of fur leather. Data were analysed by analysis variance followed by Duncan’s Multiple Range Test. The result of this research indicate that the use level of tannin give significant influence (P<0.05 among stitch tearing strength, tearing strength. It gave a very significant influence (P<0.01 for flexibility of rabbit fur leather. Based on the result, can be concluded that 25 % of tannin (mimosa, produce the best result on stitch tearing strength and tearing strength. The increase of tannin offer will decrease the flexibility of fur leather but the lowest tannin produced the best flexibility of fur leather (15 percent. The best quality of rabbit fur leather produced by 25 % of tannin. Keywords : leather, tannin, quality
Tear-Film Evaporation Rate from Simultaneous Ocular-Surface Temperature and Tear-Breakup Area.
Dursch, Thomas J; Li, Wing; Taraz, Baseem; Lin, Meng C; Radke, Clayton J
2018-01-01
A corneal heat-transfer model is presented to quantify simultaneous measurements of fluorescein tear-breakup area (TBA) and ocular-surface temperature (OST). By accounting for disruption of the tear-film lipid layer (TFLL), we report evaporation rates through lipid-covered tear. The modified heat-transfer model provides new insights into evaporative dry eye. A quantitative analysis is presented to assess human aqueous tear evaporation rate (TER) through intact TFLLs from simultaneous in vivo measurement of time-dependent infrared OST and fluorescein TBA. We interpret simultaneous OST and TBA measurements using an extended heat-transfer model. We hypothesize that TBAs are ineffectively insulated by the TFLL and therefore exhibit higher TER than does that for a well-insulting TFLL-covered tear. As time proceeds, TBAs increase in number and size, thereby increasing the cornea area-averaged TER and decreasing OST. Tear-breakup areas were assessed from image analysis of fluorescein tear-film-breakup video recordings and are included in the heat-transfer description of OST. Model-predicted OSTs agree well with clinical experiments. Percent reductions in TER of lipid-covered tear range from 50 to 95% of that for pure water, in good agreement with literature. The physical picture of noninsulating or ruptured TFLL spots followed by enhanced evaporation from underlying cooler tear-film ruptures is consistent with the evaporative-driven mechanism for local tear rupture. A quantitative analysis is presented of in vivo TER from simultaneous clinical measurement of transient OST and TBA. The new heat-transfer model accounts for increased TER through expanding TBAs. Tear evaporation rate varies strongly across the cornea because lipid is effectively missing over tear-rupture troughs. The result is local faster evaporation compared with nonruptured, thick lipid-covered tear. Evaporative-driven tear-film ruptures deepen to a thickness where fluorescein quenching commences and local
Preference direction study of Job’s-tears ice cream
Directory of Open Access Journals (Sweden)
Wiwat Wangcharoen
2007-09-01
Full Text Available Job's-tears (Coix lachryma-jobi L. is a kind of cereal commonly used in Asia as food and medicine, but it is still not widely consumed in Thailand. Four prototype products of Job’s-tears ice cream were developed by varying 2 levels of glucose syrup (16 and 32% of Job's-tears used and coconut milk (50 and 100 % of Job's-tears used. Their sensory attribute profiles were evaluated by 3 groups of 10 selected panelists using Ratio profile test (RPT, and their acceptances, hedonic scores, were evaluated by 100 consumers. Results showed that there were significant effects of coconut milk quantity on several attributes, such as appearance (whiteness, texture (hardness, smoothness, and flavour (coconut milk aroma, sweetness, saltiness, but the effect of glucose syrup quantity was significant on hardness only. Acceptance data were analyzed by cluster analysis to find out the difference of preference directions and 3 clusters (n1 = 39, n2 = 25, n3 = 36 were found. The first cluster preferred Job's tears ice cream containing high glucose syrup and low coconut milk, whilst the second preferred high level of only one of these two ingredients, and the third preferred high level of both ingredients. External preference maps were created from RPT and acceptance data to express the preference direction of each cluster.
Dhasmana, Renu; Nagpal, Ramesh Chander
2016-01-01
Introduction Dry eye is one of the most common ocular diseases in this cyber era. Despite availability of multiple tests, no single test is accurate for the diagnosis of dry eye. Anterior segment optical coherence tomography is the recent tool which can be added in the armentarium of dry eye tests. Aim To evaluate tear meniscus with anterior segment optical coherence tomography and its correlation with other tear variables in normal healthy individuals. Materials and Methods In this prospective cross-sectional observational study, right eye of 203 consecutive patients were studied. All the patients were divided into three groups Group 1, 2 and 3 according to their age ≤20 years, 21-40 years and >40 years respectively. All patients underwent routine ophthalmologic examinations along with slit-lamp bio-microscopy for tear meniscus height measurement, tear film break up time, Schirmer’s I test (with anaesthesia) and optical coherence tomography imaging of inferior tear meniscus height. After focusing of the instrument with a Cross Line (CL) centered on lower tear meniscus at 6’0 clock of cornea, a 6 mm long scan was obtained. The tear meniscus height (μm) and tear meniscus area (mm2) were measured manually with help of callipers by joining upper corneo-meniscus junction to the lower lid-meniscus junction and tear meniscus height and area within the plotted line respectively and calculated by using the integrated analysis available in the custom software. Results There was significant decrease in the all tear variables with the increase in the age. According to age groups in group 1, the mean Schirmer’s (24.0±4.9)mm, tear film break up time (11.1±1.9) sec, tear meniscus height on slit lamp (600.2±167.3)mm were higher but decreased in group 2 (21.5±5.4,10.8±1.4, 597.5±186.3) and group 3 (19.8 ± 5.1, 10.2 ± 1.6, 485.6 ± 157.7) respectively. Schirmer’s test values and tear film break up time were similar in both sexes (p=0.1 and p= 0.9). Tear meniscus
MRI diagnosis of meniscal tears
International Nuclear Information System (INIS)
Kuga, Naoyuki; Oh, Toshihiro
1996-01-01
We studied the accuracy of magnetic resonance imaging (MRI) of the knee in fifty-six patients who were also examined arthroscopically. The accuracy, sensitivity, and specificity were 96%, 100%, and 95% for medial meniscal tears, and 91%, 67%, and 100% for lateral meniscal tears respectively. Two MRIs of the medial meniscus were false-positives. These MRI findings were both meniscocapsular separation of the medial meniscus, but the arthroscopic findings were normal. One case was an ACL injury and the other PCL and MCL injury. Hemorrhage and edema of the medial capsule caused by valgus stress at injury may look like a meniscal pseudo-tear on MRI. Five MRIs of the lateral meniscus were false-negatives. All menisci showed normal signal and shape on MRI but traumatic and stable tears of the lateral meniscus were identified arthroscopically. All were associated with ACL tears and lateral condylar bone bruise. The traumatic and stable tear of the meniscus tended to be overlooked on MRI because a meniscus without degeneration shows a normal signal. (author)
[Alterations in tears aqueous layer during cytostatics treatment].
Wojciechowska, Katarzyna; Wieckowska-Szakiel, Marzena; Rózalska, Barbara; Jurowski, Piotr
2013-01-01
The aim of the study was to evaluate tears secretion, pH and lysozyme activity in tears aqueous layer during chemotherapy in lung, breast and bowel cancer. 36 patients were enrolled to the study. Depending on the type of cancer and type of chemotherapy patients were divided into three groups. Group I (12 patients) diagnosed with non-small-cell lung cancer treated with PE schema (cisplatin, etoposide), Group II (12 patients) with breast cancer treated with FAC schema (fluorouracil, doxorubicin, cyclophosphamide), Group III (12 patients) with bowel cancer treated with FU/LV schema (fluorouracil, leucovorin). In all the patients: Schirmer's I test, pH measurements and lysozyme test were performed. Patients were examined before chemotherapy, after 2nd, 4th, 6th cycle. In group I and II lowering of tears secretion (p tears secretion (p tears film in all groups (p tears aqueous layer causing alterations of tears secretions. PH alterations depending on type of chemotherapy was observed. Lowering of lysozyme activity in tears was observed. All the deteriorations aggravate with duration of chemotherapy. Alterations of tears film parameters during chemotherapy may influence upon eye surface homeostasis and infectious complication. tears aqueous layer, Schirmer's test, lysozyme activity, tears pH.
Divalent cations in tears, and their influence on tear film stability in humans and rabbits.
Wei, Xiaojia Eric; Markoulli, Maria; Millar, Thomas J; Willcox, Mark D P; Zhao, Zhenjun
2012-06-05
Reduced tear film stability is reported to contribute to dry eye. Rabbits are known to have a more stable tear film than humans. Thus, we sought to examine the tears of rabbits and humans for metal cations, and to test how they influence tear film stability. Tears were collected from 10 healthy humans and 6 rabbits. Tear osmolality was measured by vapor pressure osmometer, and metals analyzed using inductively coupled plasma (ICP) mass spectrometry or ICP atomic emission spectroscopy. The influence of divalent cations on tears was analyzed by measuring surface tension using the Langmuir trough in vitro, using different concentrations of cations in the subphase, and grading the tear break-up in rabbits in vivo after instillation of chelating agents. Rabbit tears had a higher osmolality compared to humans. Major metals did not differ between species; however, rabbits had higher levels of Mg(2+) (1.13 vs. 0.39 mM) and Ca(2+) (0.75 vs. 0.36 mM). In rabbit tears in vitro, diminishing divalent cations resulted in a decrease in the maximum surface pressure from 37 to 30 mN/m. In vivo, an increase in the amount of tear film that was broken-up was found. In contrast, when changing divalent cation concentrations in human tears, the maximum surface pressure remained at 26 mN/m. The normal osmolality of rabbit tears is significantly higher than that in humans. While divalent cations had little influence on human tears, they appear to have an important role in maintaining tear film stability in rabbits.
Tear and decohesion of bovine pericardial tissue.
Tobaruela, Almudena; Elices, Manuel; Bourges, Jean Yves; Rojo, Francisco Javier; Atienza, José Miguel; Guinea, Gustavo
2016-10-01
The aim of this study was to evaluate quantitatively the fracture-by tear and delamination-of bovine pericardium tissues which are usually employed for the manufacture of bioprosthetic valves. A large number of samples (77) were tested in root-to-apex and circumferential directions, according to a standardised tear test (ASTM D 1938). Before performing the tear test, some samples were subjected to 1000 cycles of fatigue to a maximum stress of 3MPa. Fracture toughness of tearing and delamination were computed by following a simple fracture model. The study showed significantly lower values of delamination toughness compared with tear delamination. Moreover, tear forces were different in each test direction, revealing a clear orthotropic behaviour. All these results, as well as the testing procedure, could be of value for future research in the physiological function of pericardium tissues and clinical applications. Copyright © 2016 Elsevier Ltd. All rights reserved.
Lee, Dae-Hee; Han, Seung-Beom; Lee, Jin-Hyuck; Lee, Seok-Joo; Suh, Dong-Won; Jeong, Hye-Jin
2015-06-01
This study was designed to compare the preoperative strengths and endurances of the quadriceps and hamstring muscles in patients with anterior cruciate ligament (ACL) versus posterior cruciate ligament (PCL) tears. Quadriceps and hamstring muscle strength and endurance were compared between 20 prospectively enrolled patients with isolated PCL tears and a retrospective, matched control group of 20 patients with isolated ACL tears. The maximal torque (60°/s) and total work (180°/s) of the quadriceps and hamstring were evaluated with an isokinetic testing device. Total work (1,094.4 ± 505.8 J v 797.5 ± 332.7 J, P = .035) and peak torque (129.9 ± 56.2 N ∙ m v 98.2 ± 37.4 N ∙ m, P = .046) of the quadriceps muscle on the involved side were higher in the PCL tear group than in the ACL tear group. However, there were no significant differences between the PCL tear group and ACL tear group in hamstring muscle strength (45.8 ± 42.3 N ∙ m and 46.0 ± 24.4 N ∙ m, respectively; P = .940) and endurance (429.3 ± 238.9 J and 382.4 ± 256.1 J, respectively; P = .574) on the involved side. The strength and endurance of the quadriceps muscle of the injured limb were greater after PCL tears than after ACL tears. However, there were no significant between-group differences in hamstring muscle strength and endurance on the involved side. Level III, retrospective comparative study. Copyright © 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
Tear ascorbic acid levels and the total antioxidant status in contact lens wearers: A pilot study
Directory of Open Access Journals (Sweden)
Venkata Sai
2009-01-01
Full Text Available Aims: The tear ascorbate owing to its high concentration, functions as an effective antioxidant against the oxidative damage of cornea. Contact lens wearers (CLW are prone to oxidative stress due to the lens-induced hypoxic conditions. A pilot study was done to compare the tear ascorbic acid level and the total antioxidant capacity give as in normal and CLW. Materials and Methods: In this study 21 CLW (Mean age 23 ± 3 years ; M-2, F-19, who were daily wear users, with duration of wear not more than four years, along with age-matched 28 controls (Mean age 28 ± 3 ; M-15, F-13 were recruited in the study for collection of reflex tears using Schirmer′s strip. Ascorbic acid in tears was determined using high-performance liquid chromatography (HPLC, total antioxidant capacity (TAC and total protein assay by spectrophotometric analysis. Results: CLW showed no significant change in the tear ascorbic acid levels (0.4 ± 0.26 mM compared to the control subjects (0.61 ± 0.59 mM. The amount of ascorbic acid in tears did not correlate with the TAC or the total protein of the tears. The mean TAC in CLW was 0.69 ± 0.16 mM, with a total protein of 1.35 ± 0.46 mg/ml while in controls it was 0.7 ± 0.18 mM and 1.21 ± 0.47 mg/ml respectively . Conclusions: Soft contact lens wear did not show any significant change in tear ascorbic acid, TAC and total protein levels compared to controls.
Onset of fast "ideal" tearing in thin current sheets: Dependence on the equilibrium current profile
Pucci, F.; Velli, M.; Tenerani, A.; Del Sarto, D.
2018-03-01
In this paper, we study the scaling relations for the triggering of the fast, or "ideal," tearing instability starting from equilibrium configurations relevant to astrophysical as well as laboratory plasmas that differ from the simple Harris current sheet configuration. We present the linear tearing instability analysis for equilibrium magnetic fields which (a) go to zero at the boundary of the domain and (b) contain a double current sheet system (the latter previously studied as a Cartesian proxy for the m = 1 kink mode in cylindrical plasmas). More generally, we discuss the critical aspect ratio scalings at which the growth rates become independent of the Lundquist number S, in terms of the dependence of the Δ' parameter on the wavenumber k of unstable modes. The scaling Δ'(k) with k at small k is found to categorize different equilibria broadly: the critical aspect ratios may be even smaller than L/a ˜ Sα with α = 1/3 originally found for the Harris current sheet, but there exists a general lower bound α ≥ 1/4.
Peeling-off of the external kink modes at tokamak plasma edge
International Nuclear Information System (INIS)
Zheng, L. J.; Furukawa, M.
2014-01-01
It is pointed out that there is a current jump between the edge plasma inside the last closed flux surface and the scrape-off layer and that the current jump can lead the external kink modes to convert to the tearing modes, due to the current interchange effects [L. J. Zheng and M. Furukawa, Phys. Plasmas 17, 052508 (2010)]. The magnetic reconnection in the presence of tearing modes subsequently causes the tokamak edge plasma to be peeled off to link to the divertors. In particular, the peeling or peeling-ballooning modes can become the “peeling-off” modes in this sense. This phenomenon indicates that the tokamak edge confinement can be worse than the expectation based on the conventional kink mode picture
Peeling-off of the external kink modes at tokamak plasma edge
Energy Technology Data Exchange (ETDEWEB)
Zheng, L. J. [Institute for Fusion Studies, University of Texas at Austin, Austin, Texas 78712 (United States); Furukawa, M. [Graduate School of Engineering, Tottori University, Tottori 680-8552 (Japan)
2014-08-15
It is pointed out that there is a current jump between the edge plasma inside the last closed flux surface and the scrape-off layer and that the current jump can lead the external kink modes to convert to the tearing modes, due to the current interchange effects [L. J. Zheng and M. Furukawa, Phys. Plasmas 17, 052508 (2010)]. The magnetic reconnection in the presence of tearing modes subsequently causes the tokamak edge plasma to be peeled off to link to the divertors. In particular, the peeling or peeling-ballooning modes can become the “peeling-off” modes in this sense. This phenomenon indicates that the tokamak edge confinement can be worse than the expectation based on the conventional kink mode picture.
Zickfeld, Janis H; Schubert, Thomas W
2018-01-31
Recent work investigated the inter-individual functions of emotional tears in depth. In one study (Van de Ven, N., Meijs, M. H. J., & Vingerhoets, A. (2017). What emotional tears convey: Tearful individuals are seen as warmer, but also as less competent. British Journal of Social Psychology, 56(1), 146-160. Https://doi.org/10.1111/bjso.12162) tearful individuals were rated as warmer, and participants expressed more intentions to approach and help such individuals. Simultaneously, tearful individuals were rated as less competent, and participants expressed less intention to work with the depicted targets. While tearful individuals were perceived as sadder, perceived sadness mediated only the effect on competence, but not on warmth. We argue that tearful individuals might be perceived as warm because they are perceived as feeling moved and touched. We ran a pre-registered extended replication of Van de Ven et al. Results replicate the warmth and helping findings, but not the competence and work effects. The increase in warmth ratings was completely mediated by perceiving feeling moved and touched. Possible functions of feeling moved and touched with regard to emotional tears are discussed.
... Safe Videos for Educators Search English Español Meniscus Tears KidsHealth / For Teens / Meniscus Tears What's in this ... surgery to fix it. What Is a Meniscus Tear? Your knee is made up of three bones: ...
Impact of environmental adaptation on tear film assessments.
Fagehi, R
2018-03-01
The purpose of this study was to investigate the effect of ocular environmental adaptation on clinical tear film assessment. Thirty subjects (male, mean age 23±2.5) participated in this study. A number of clinical tear film tests were applied, including: fluorescein tear break-up time (FTBUT), Schirmer test and tear prism height test (TPH). The tear physiology of each subject was evaluated twice, once immediately when they arrived from the external environment, and then after 30minutes adaptation in the exam room environment. The mean values were: Schirmer test A (22.1±2.99), Schirmer test B (24.2±2.63), FTBUT A (8.00±1.94), FTBUT B (9.13±2.04), TPH A (0.179±0.026) and TPH B* (0.187±0.023). Statistical testing using Wilcoxon-signed rank test showed a significant difference between the Schirmer test results measured at the different times (P=0.008). Also, the FTBUT and tear prism height test results showed significant differences between the two evaluation times, (P=0.001, 0.011, respectively) (A: tear assessed when the subject comes from the outside environment, B: tear film assessed after 30min adaptation in the clinical environment). This study showed a significant difference between the tear film test results evaluated when the subjects were assessed immediately from the outside environment and after an adaptation time in the clinic environment. Practitioners must consider the effect of differences between external and clinical environment adaptation on clinical tear film physiology. Copyright © 2018 Elsevier Masson SAS. All rights reserved.
Zhang, Luyan; Sun, Xiyu; Yu, Ye; Xiong, Yan; Cui, Yuxin; Wang, Qinmei; Hu, Liang
2016-01-01
To investigate the correlations between corneal sensation, tear meniscus volume, and tear film osmolarity after femtosecond laser-assisted LASIK (FS-LASIK) surgery. In this prospective clinical study, 31 patients undergoing FS-LASIK for myopia were recruited. The upper and lower tear meniscus volumes (UTMV and LTMV) were measured by customized anterior segment optical coherence tomography, tear film osmolarity was measured by a TearLab Osmolarity test device, central corneal sensation was measured by a Cochet-Bonner esthesiometer preoperatively, at 1 week, 1 and 3 months postoperatively. Repeated measures analysis of variance was used to evaluate whether the tear film osmolarity, tear meniscus volume, and corneal sensation were changed after surgery. The correlations between these variables were analyzed by the Pearson correlation analysis. The tear film osmolarity was (310.03 ± 16.48) mOsms/L preoperatively, (323.51 ± 15.92) mOsms/L at 1 week, (319.93 ± 14.27) mOsms/L at 1 month, and (314.97±12.91) mOsms/L at 3 months. The UTMV was (0.42±0.15), (0.25± 0.09), (0.30±0.11), and (0.35±0.09) μL, respectively; the LTMV was (0.60±0.21),(0.37±0.08), (0.44± 0.14), and (0.52±0.17) μL, respectively. The tear film osmolarity was significantly higher at 1 week and 1 month postoperatively compared with the baseline (P=0.001, 0.004), and reduced to the preoperative level at 3 months (P=0.573). The UTMV, LTMV, and corneal sensation values presented significant decreases at all postoperative time points (all Psensation at 1 week after surgery (r=0.356,P=0.005). There were significant correlations between the preoperative LTMV and corneal sensation at 1 week, 1 and 3 months (respectively, r=0.422, 0.366, 0.352;P=0.001, 0.004, 0.006). No significant correlations were found between the tear film osmolarity, tear meniscus volume, and corneal sensation after surgery (all P>0.05). The tear film osmolarity, tear meniscus volume, and corneal sensation became aggravated due
The social impact of emotional tears
Vingerhoets, A.J.J.M.; van de Ven, N.; van der Velden, Y.
2016-01-01
The question what specific functions the production of emotional tears fulfills has received only limited attention of behavioral scientists. We report the results of two studies on the social impact of emotional tears. In Study 1 (96 Dutch females), perceived helplessness and felt connectedness
DEFF Research Database (Denmark)
Pihl, Kenneth; Englund, Martin; Lohmander, Stefan
2017-01-01
Purpose: Meniscal tears, which are longitudinal-vertical tears (e.g. bucket-handle tears) and/or involve all three meniscal sub regions (anterior horn, body and posterior horn), are typically large and assumed to cause patient perceived mechanical knee symptoms (knee grinding or clicking and knee...... catching or locking). However, whether the presence of such mechanical symptoms is useful for diagnosing these forms of meniscus tears is unknown. Therefore, we investigated the diagnostic values of having mechanical symptoms in diagnosing a bucket-handle tear and/or a tear involving all three meniscal sub...... regions in middle-aged and older patients undergoing arthroscopic meniscal surgery. Methods: This study is a secondary analysis of Pihl et al. OARSI 2017. The study included patients aged 40 years or older undergoing surgery for a meniscal tear from Knee Arthroscopy Cohort Southern Denmark (KACS...
Cinque, Mark E; Geeslin, Andrew G; Chahla, Jorge; Dornan, Grant J; LaPrade, Robert F
2017-08-01
Radial meniscus tears disrupt the circumferential fibers and thereby compromise meniscus integrity. Historically, radial tears were often treated with meniscectomy because of an incomplete understanding of the biomechanical consequences of these tears, limited information regarding the biomechanical performance of repair, and the technical difficulty associated with repair. There is a paucity of studies on the outcomes of the repair of radial meniscus tears. Purpose/Hypothesis: The purpose was to determine the outcomes of 2-tunnel transtibial repair of radial meniscus tears and compare these results to the outcomes of patients who underwent the repair of vertical meniscus tears with a minimum of 2-year follow-up. The hypothesis was that radial and vertical meniscus tear repair outcomes were comparable. Cohort study; Level of evidence, 3. Patients who underwent 2-tunnel transtibial pullout repair for a radial meniscus tear were included in this study and compared with patients who underwent inside-out repair for a vertical meniscus tear. Subjective questionnaires were administered preoperatively and at a minimum of 2-year follow-up, including the Lysholm score, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Short Form-12 (SF-12) physical component summary (PCS), the Tegner activity scale, and patient satisfaction. Analysis of covariance was used to compare postoperative outcome scores between the meniscus repair groups while accounting for baseline scores. Adjusted mean effects relative to the radial repair group were reported with 95% CIs. Twenty-seven patients who underwent 2-tunnel transtibial pullout repair for radial meniscus tears and 33 patients who underwent inside-out repair for vertical meniscus tears were available for follow-up at a mean of 3.5 years (range, 2.0-5.4 years). No preoperative outcome score significantly differed between the groups. There were no significant group differences for any of the 2-year
A modulation model for mode splitting of magnetic perturbations in the Mega Ampere Spherical Tokamak
International Nuclear Information System (INIS)
Hole, M J; Appel, L C
2009-01-01
Recent observations of magnetic fluctuation activity in the Mega Ampere Spherical Tokamak (MAST) reveal the presence of plasmas with bands of both low and high frequency magnetic fluctuations. Such plasmas exhibit a spectrum of low frequency modes with adjacent toroidal mode numbers, for which the measured frequency is near the Doppler shifted rotation frequency of the plasma. These are thought to be tearing modes. Also present are a spectrum of high frequency modes (e.g. Alfven, fishbone and/or ICE). The frequency and mode number of the tearing mode and its harmonics is identical to the frequency and mode number splitting of the high frequency MHD activity, strongly suggesting that the high frequency splitting is produced by modulation of the high and low frequency modes. We describe a strong modulation model, in which the nonlinear terms are fitted to produce the amplitude envelope profile of the tearing mode. A bispectral analysis proves that the low frequency modes are indeed in phase with the fundamental, while Fourier-SVD mode analysis confirms the mode numbers are toroidal harmonics. Employing this model, the sideband amplitude profile of the high frequency modes is predicted, and found to be in good agreement with experimental observations. Also, toroidal mode number splitting of the high frequency activity matches the mode number of the tearing mode. Weak evidence is found to indicate the Alfvenic sidebands are in phase with the Alfven eigenmode fundamental. The findings support predictions of a strong modulation model, and suggest a need to further develop nonlinear MHD theory to predict the amplitude of coupled sidebands, and so corroborate the observed nonlinear plasma response.
Lee, L. C.; Wang, S.; Wei, C. Q.; Tsurutani, B. T.
1988-01-01
This paper investigates the growth rates and eigenmode structures of the streaming sausage, kink, and tearing instabilities in a current sheet with a super-Alfvenic flow. The growth rates and eigenmode structures are first considered in the ideal incompressible limit by using a four-layer model, as well as a more realistic case in which all plasma parameters and the magnetic field vary continuously along the direction perpendicular to the magnetic field and plasma flow. An initial-value method is applied to obtain the growth rate and eigenmode profiles of the fastest growing mode, which is either the sausage mode or kink mode. It is shown that, in the earth's magnetotail, where super-Alfvenic plasma flows are observed in the plasma sheet and the ratio between the plasma and magnetic pressures far away from the current layer is about 0.1-0.3 in the lobes, the streaming sausage and streaming tearing instabilities, but not kink modes, are likely to occur.
International Nuclear Information System (INIS)
Spletzer, B.L.; Lambert, L.D.
1993-01-01
The US Nuclear Regulatory Commission (NRC) is investigating the performance of containments subject to severe accidents. This work is being performed by Sandia National Laboratories (SNL). In 1987, a 1:6-scale Reinforced Concrete Containment (RCC) model was tested to failure. The failure mode was a liner tear. As a result, a separate effects test program has been conducted to investigate liner tearing. This paper discusses the design of test specimens and the results of the testing. The post-test examination of the 1:6-scale RCC model revealed that the large tear was not an isolated event. Other small tears in similar locations were also discovered. All tears occurred near the insert-to-liner transition which is also the region of closest stud spacing. Also, all tears propagated vertically, in response to the hoop strain. Finally, all tears were adjacent to a row of studs. The tears point to a mechanism which could involve the liner/insert transition, the liner anchorage, and the material properties. The separate effects tests investigated these effects. The program included the design of three types of specimens with each simulating some features of the 1:6-scale RCC model. The specimens were instrumented using strain gages and photoelastic materials
Brownlie, Megan Ruth
2017-01-01
This study explored psychotherapist experiences of and attitudes to in-session crying. Historically, therapists were encouraged to hide their emotions from clients. Subsequently, self-disclosure and empathy theory and research developed with a focus on verbal modes of self-disclosure and empathic communication, to the neglect of the non-verbal dimension of these interventions. The current study attempted to locate therapist tearfulness within the theoretical discourses on self-disclosure and ...
Linear studies of resistive interchange modes in a cylindrical reversed field pinch
International Nuclear Information System (INIS)
Mirin, A.A.; O'Neill, N.J.; Killeen, J.; Bonugli, R.J.; Ellis, M.J.
1986-01-01
Resistive interchange modes in a cylindrical reversed field pinch are studied using a one-dimensional, linear, compressible initial value code. Separate equations for the electron and ion temperature perturbations are solved. Hall terms and the thermal force vector are included in Ohm's law. Anisotropic thermal conductivity and viscosity are included in the code model. Calculations are carried out for various values of poloidal and toroidal mode number, Lundquist number, Suydam parameter, Hall parameter, thermal conductivity, viscosity, etc., with respect to uniform density equilibria known to be stable to tearing modes. It is shown that in the cold ion limit sufficiently large Hall terms cause all modes that are tested to become stable. However for T/sub i/ = T/sub e/ and ignoring the effects of viscosity and thermal conductivity, there is a critical value of the ratio of Alfven to ion cyclotron frequency above which the ''even'' mode not only dominates the ''odd'' mode but is likely to have a growth rate significantly larger than that of the odd mode in the absence of Hall terms. Inclusion of a classical tensor thermal conductivity, while having little effect on the odd mode in the absence of Hall terms, does stabilize the even mode for sufficiently large Hall parameter. Inclusion of a classical tensor viscosity reduces the growth rate of (but does not necessarily stabilize) the odd mode. Inclusion of Hall and thermal force terms, tensor thermal conductivity and tensor viscosity causes all modes that are tested to stabilize. Results are compared to other contemporary studies
Guyette, Nicole; Williams, Larezia; Tran, My-Tho; Than, Tammy; Bradley, John; Kehinde, Lucy; Edwards, Clara; Beasley, Mark; Fullard, Roderick
2013-05-01
Low tear volume limits the use of nonstimulated (NS) microcapillary tear collection in aqueous-deficient (AD) patients. Adding a small amount of "washout" fluid to the eye prior to tear collection is a potentially viable alternative method for abundant proteins, but is relatively untested for low-abundance biomarkers. This study determined the feasibility of the washout (WO) method as an NS alternative for low-abundance biomarkers. NS and WO biomarker profiles were compared between AD patients and non-AD controls to determine if the two methods identify the same intergroup differences. Matching NS and WO tears were collected from 48 patients by micropipette, the WO sample after instillation of 10 μL saline. Tear cytokine levels were measured by 27-Plex Bio-Rad assay. Bland-Altman analyses for each biomarker determined the agreement between tear sample types. Patients were grouped as AD or non-AD based on Schirmer score to determine if NS profile between-group differences were preserved in WO tears. Bland-Altman plots showed good biomarker level agreement between NS and WO tears for most cytokines. Five biomarkers, among those most often cited as differing in AD dry eye, differed significantly between non-AD and AD groups in both tear types. Additional biomarker differences were seen in NS tears only. The WO tear collection method is a viable alternative to NS tears for many low-abundance biomarkers and is able to replicate major NS tear differences between dry eye groups. More subtle intergroup differences are lost in WO samples because of reduced statistical power.
Human tears contain a chemosignal.
Gelstein, Shani; Yeshurun, Yaara; Rozenkrantz, Liron; Shushan, Sagit; Frumin, Idan; Roth, Yehudah; Sobel, Noam
2011-01-14
Emotional tearing is a poorly understood behavior that is considered uniquely human. In mice, tears serve as a chemosignal. We therefore hypothesized that human tears may similarly serve a chemosignaling function. We found that merely sniffing negative-emotion-related odorless tears obtained from women donors induced reductions in sexual appeal attributed by men to pictures of women's faces. Moreover, after sniffing such tears, men experienced reduced self-rated sexual arousal, reduced physiological measures of arousal, and reduced levels of testosterone. Finally, functional magnetic resonance imaging revealed that sniffing women's tears selectively reduced activity in brain substrates of sexual arousal in men.
Measurement of nonlinear mode coupling of tearing fluctuations
International Nuclear Information System (INIS)
Assadi, S.; Prager, S.C.; Sidikman, K.L.
1992-03-01
Three-wave nonlinear coupling of spatial Fourier modes is measured in the MST reversed field pinch by applying bi-spectral analysis to magnetic fluctuations measured at the plasma edge at 64 toroidal locations and 16 poloidal locations, permitting observation of coupling over 8 polodial modes and 32 toroidal modes. Comparison to bi-spectra predicted by MHD computation indicates reasonably good agreement. However, during the crash phase of the sawtooth oscillation the nonlinear coupling is strongly enhanced, concomittant with a broadened (presumably nonlinearly generated) k-spectrum
Pepke, W; Brunner, M; Abel, R; Almansour, H; Gerner, H J; Hug, A; Zeifang, F; Kentar, Y; Bruckner, T; Akbar, M
2018-02-27
Shoulder pain and rotator cuff tears are highly prevalent among wheelchair dependent individuals with paraplegia. The purpose of this study was to identify potential risk factors associated with the development of rotator cuff tears in this population. A total of 217 wheelchair dependent individuals with paraplegia were included in this cross-sectional study (level of evidence III). The mean age of this population was 47.9 years and the mean duration of wheelchair dependence was 24.1 years. Each individual was asked to complete a questionnaire designed to identify risk factors for rotator cuff tears and underwent a standardized clinical examination with the documentation of the Constant-Murley shoulder outcome score and magnetic resonance imaging (MRI) of both shoulder joints. MRI analysis revealed at least one rotator cuff tear in 93 patients (43%). Multiple logistic regression analysis identified the following factors to be associated with the presence of rotator cuff tear: patient age, duration of spinal cord injury/wheelchair dependence, gender, and wheelchair athletic activity. Neither BMI nor the level of spinal cord injury was found to pose a risk factor in the population studied. With respect to patient age, the risk of developing a rotator cuff tear increased by 11% per annum. In terms of duration of spinal cord injury, the analysis revealed a 6% increased risk per year of wheelchair dependence (OR = 1.06). Females had a 2.6-fold higher risk of developing rotator cuff tears than males and wheelchair sport activity increased the risk 2.3-fold. There is a high prevalence of rotator cuff tears in wheel-chair dependent persons with paraplegia. Risk factors such as age, gender, duration of paraplegia, and wheel chair sport activity seem to play an important role in the development of rotator cuff tears.
Magnetic resonance imaging of meniscal bucket-handle tears
International Nuclear Information System (INIS)
Dfouni, N.; Garcia, J.; Kindynis, Ph.; Bosson, D.
1997-01-01
To define MR signs of meniscal bucket-handle tears and evaluate the diagnostic efficiency of this technique. Retrospective study of 30 patients with a meniscal bucket-handle tear and 30 with a different type of tear, all proven by arthroscopy. The following MR signs of a bucket-handle tear were evaluated: 'separate meniscal fragment, 'double posterior cruciate ligament', 'snake sign' and 'double anterior horn'. A correct diagnosis of a bucket-handle tear was only made in 18/30 of patients. Several of the MR signs were seen in the same patient in 17 cases. A double posterior cruciate ligament was present only in cases of medial meniscus tears. The 12 menisci without these signs, and therefore not diagnosed as bucket-handle tears, were all classified as meniscal tears on the basis of signal extending to the meniscal surface. Nine of these were not displaced into the inter-condylar notch at arthroscopy. The interobserver agreement was excellent: kappa 0.88. The diagnosis of a bucket-handle meniscal tear, if it is displaced, can be made when one or more of the four MR evaluated signs are present. Other forms of meniscal tears are only exceptionally diagnosed as bucket-handle tears. (authors)
van der List, Jelle P; DiFelice, Gregory S
2017-10-01
The general opinion is that outcomes of open primary repair of the anterior cruciate ligament (ACL) in the historical literature were disappointing. Since good outcomes of primary repair of proximal tears have recently been reported, we aimed to assess the role of tear location on open primary repair outcomes in the historical literature. All studies reporting outcomes of open primary ACL repair published between the inception of PubMed, Embase and Cochrane and 2000 were identified. Studies were included if tear location was reported. Outcome scores, return to sports, stability examinations, failures and patient satisfaction were collected and reviewed in the total study cohort and in a subgroup of studies treating only proximal tears. Spearman correlation analysis was performed between the percentage of proximal tears in the studies and all outcomes. Twenty-nine studies were included reporting outcomes of open primary in 1457 patients of which 72% had proximal and 23% midsubstance tears. Mean age was 30years, 65% were males, and mean follow-up was 3.6years. Good outcomes were noted in the total cohort, and excellent outcomes were noted following repair of proximal tears. Positive correlation was found between the percentage proximal tears in the studies and percentage satisfied patients (p=0.010). Tear location seems to have played a role on the outcomes of open primary ACL repair. Outcomes of open primary repair in patients with proximal tears were excellent, which confirms there may be a potential role for primary repair as treatment for proximal ACL tears. Copyright © 2017 Elsevier B.V. All rights reserved.
Examination of rotator cuff re-tear
International Nuclear Information System (INIS)
Kitahara, Hiroyuki; Yabe, Yoshihiro; Norimatsu, Takahiro; Adachi, Shinji; Sera, Keisuke
2010-01-01
The six-month post-operative re-tear rate in 72 arthroscopic rotator cuff repair cases was 16.3% by MRI. The re-tear rate of massive tears was 50%. We investigated the details of the re-tears by MRI and arthroscopic findings. High re-tear rates were connected with cuff tear size and fatty degeneration of muscle belly. Cases with poor cuff quality in arthroscopically showed high re-tear rate. These results suggest that surgery operation should be performed as soon as possible after diagnosis of cuff tear to obtain good results. Cases with damage of long head of the biceps (LHB) are likely to develop impingement causes of re-tears. Some type of rehabilitation is required to avoid impingement in such cases. (author)
Park, Jin-Young; Jung, Seok Won; Jeon, Seung-Hyub; Cho, Hyoung-Weon; Choi, Jin-Ho; Oh, Kyung-Soo
2014-01-01
For large-sized tears of the rotator cuff, data according to the tear shape have not yet been reported for repair methodology, configuration, and subsequent integrity. The retear rate after the repair of large mobile tears, such as crescent- or L-shaped tears, is believed to be lower compared with retear rates after the repair of large U-shaped tears that are accompanied by anterior or posterior leaves of the rotator cuff. Cohort study; Level of evidence, 3. Data were collected and analyzed from 95 consecutive patients with a large-sized rotator cuff tear who underwent arthroscopic suture-bridge repair. Patients were divided into 2 groups: those having crescent- or L-shaped tears (mobile tear group, 53 patients) and those having U-shaped tears (U-shaped tear group, 42 patients). The integrity of the repaired constructs was determined by ultrasonography at 4.5, 12, and 24 months. Moreover, clinical evaluations were performed by using the Constant score, the American Shoulder and Elbow Surgeons (ASES) score, and muscle strength at intervals of 3, 6, 12, and 24 months postoperatively. On ultrasonography at 4.5, 12, and 24 months, a retear was detected in 6, 2, and 1 patients in the mobile tear group and in 5, 2, and 1 patients in the U-shaped tear group, respectively. Significant differences in retear rates were not detected between the groups overall or at each time point. Moreover, clinical scores were similar between groups, except for the presence of a temporarily higher Constant score at 12 months in the mobile tear group. With regard to shoulder strength, between-group comparisons indicated no statistically significant difference, either in abduction or external rotation, except for the presence of temporarily higher external rotation strength at 3 months in the mobile tear group. Arthroscopic repair of large-sized rotator cuff tears yielded substantial improvements in shoulder function, regardless of tear retraction, during midterm follow-up. Moreover, the
What emotional tears convey : Tearful individuals are seen as warmer, but also as less competent
van de Ven, Niels; Meijs, Maartje; Vingerhoets, A.J.J.M.
Earlier research found that the mere sight of tears promotes the willingness to provide support to the person shedding the tears. Other research, however, found that deliberate responses towards tearful persons could be more negative as well. We think this is because tears have ambivalent effects on
Human tears reveal insights into corneal neovascularization.
Zakaria, Nadia; Van Grasdorff, Sigi; Wouters, Kristien; Rozema, Jos; Koppen, Carina; Lion, Eva; Cools, Nathalie; Berneman, Zwi; Tassignon, Marie-José
2012-01-01
Corneal neovascularization results from the encroachment of blood vessels from the surrounding conjunctiva onto the normally avascular cornea. The aim of this study is to identify factors in human tears that are involved in development and/or maintenance of corneal neovascularization in humans. This could allow development of diagnostic tools for monitoring corneal neovascularization and combination monoclonal antibody therapies for its treatment. In an observational case-control study we enrolled a total of 12 patients with corneal neovascularization and 10 healthy volunteers. Basal tears along with reflex tears from the inferior fornix, superior fornix and using a corneal bath were collected along with blood serum samples. From all patients, ocular surface photographs were taken. Concentrations of the pro-angiogenic cytokines interleukin (IL)-6, IL-8, Vascular Endothelial Growth Factor (VEGF), Monocyte Chemoattractant Protein 1 (MCP-1) and Fas Ligand (FasL) were determined in blood and tear samples using a flow cytometric multiplex assay. Our results show that the concentration of pro-angiogenic cytokines in human tears are significantly higher compared to their concentrations in serum, with highest levels found in basal tears. Interestingly, we could detect a significantly higher concentration of IL- 6, IL-8 and VEGF in localized corneal tears of patients with neovascularized corneas when compared to the control group. This is the first study of its kind demonstrating a significant difference of defined factors in tears from patients with neovascularized corneas as compared to healthy controls. These results provide the basis for future research using animal models to further substantiate the role of these cytokines in the establishment and maintenance of corneal neovascularization.
TFOS DEWS II Tear Film Report.
Willcox, Mark D P; Argüeso, Pablo; Georgiev, Georgi A; Holopainen, Juha M; Laurie, Gordon W; Millar, Tom J; Papas, Eric B; Rolland, Jannick P; Schmidt, Tannin A; Stahl, Ulrike; Suarez, Tatiana; Subbaraman, Lakshman N; Uçakhan, Omür Ö; Jones, Lyndon
2017-07-01
The members of the Tear Film Subcommittee reviewed the role of the tear film in dry eye disease (DED). The Subcommittee reviewed biophysical and biochemical aspects of tears and how these change in DED. Clinically, DED is characterized by loss of tear volume, more rapid breakup of the tear film and increased evaporation of tears from the ocular surface. The tear film is composed of many substances including lipids, proteins, mucins and electrolytes. All of these contribute to the integrity of the tear film but exactly how they interact is still an area of active research. Tear film osmolarity increases in DED. Changes to other components such as proteins and mucins can be used as biomarkers for DED. The Subcommittee recommended areas for future research to advance our understanding of the tear film and how this changes with DED. The final report was written after review by all Subcommittee members and the entire TFOS DEWS II membership. Copyright © 2017 Elsevier Inc. All rights reserved.
Tilting mode in field-reversed configurations
International Nuclear Information System (INIS)
Schwarzmeier, J.L.; Barnes, D.C.; Lewis, H.R.; Seyler, C.E.; Shestakov, A.I.
1982-01-01
Field Reversed Configurations (FRCs) experimentally have exhibited remarkable stability on the magnetohydrodynamic (MHD) timescale, despite numerous MHD calculations showing FRCs to be unstable. It is easy to believe that local modes are stabilized by finite Larmor radius (FLR) effects, but more puzzling is the apparent stability of FRCs against global modes, where one would expect FLR effects to be less important. In this paper we study the tilting mode, which MHD has shown to be a rapidly growing global mode. The tilting mode in FRCs is driven by the pressure gradient, and magnetic compression and field line bending are the stabilizing forces. A schematic of the evolution of the tilting mode is shown. The tilting mode is considered dangerous, because it would lead to rapid tearing across the separatrix. Unlike spheromaks, the tilting mode in FRCs has a separatrix that is fixed in space, so that the mode is strictly internal
Assessment of lamellar tearing
International Nuclear Information System (INIS)
McEnerney, J.W.
1978-03-01
Information on lamellar tearing is summarized and related to proposed ASME Code requirements. Lamellar tearing is characterized as a complex phenomenon related to poor short transverse ductility and through-thickness strain. The material, welding, and design variables that affect lamellar tearing are shown to be complex and interrelated. The commonly reported tests for assessing material susceptibility are described, with the controversy over their validity being carefully detailed. Although the use of a nondestructive test such as ultrasonic examination is most desirable, a widely applicable test method does not appear to be available. Of the destructive tests, the short transverse tensile reduction-of-area currently offers the most applicable means of assessing material susceptibility. However, because of the importance of matrix toughness, the short transverse Charpy V-notch test should be considered for use as an additional test if acceptance limits are developed. The ultrasonic detection of lamellar tears is susceptible to interpretation errors, which can make it overly conservative and lead to unnecessary repairs. The repair of tears is described as costly, difficult, and sometimes ineffective. Current design requirements appear to preclude any failures during static and fatigue service loads. However, without improvement of short transverse ductility, certain dynamic service loads could cause lamellar tearing failures. Two alternate design paths are recommended to prevent tearing during fabrication or service loading. The current and proposed ASME requirements dealing with lamellar tearing are reviewed and recommendations are made
Basiuk, V.; Huynh, P.; Merle, A.; Nowak, S.; Sauter, O.; Contributors, JET; the EUROfusion-IM Team
2017-12-01
The neoclassical tearing modes (NTM) increase the effective heat and particle radial transport inside the plasma, leading to a flattening of the electron and ion temperature and density profiles at a given location depending on the safety factor q rational surface (Hegna and Callen 1997 Phys. Plasmas 4 2940). In burning plasma such as in ITER, this NTM-induced increased transport could reduce significantly the fusion performance and even lead to a disruption. Validating models describing the NTM-induced transport in present experiment is thus important to help quantifying this effect on future devices. In this work, we apply an NTM model to an integrated simulation of current, heat and particle transport on JET discharges using the European transport simulator. In this model, the heat and particle radial transport coefficients are modified by a Gaussian function locally centered at the NTM position and characterized by a full width proportional to the island size through a constant parameter adapted to obtain the best simulations of experimental profiles. In the simulation, the NTM model is turned on at the same time as the mode is triggered in the experiment. The island evolution is itself determined by the modified Rutherford equation, using self-consistent plasma parameters determined by the transport evolution. The achieved simulation reproduces the experimental measurements within the error bars, before and during the NTM. A small discrepancy is observed on the radial location of the island due to a shift of the position of the computed q = 3/2 surface compared to the experimental one. To explain such small shift (up to about 12% with respect to the position observed from the experimental electron temperature profiles), sensitivity studies of the NTM location as a function of the initialization parameters are presented. First results validate both the transport model and the transport modification calculated by the NTM model.
Antioxidant content and ultraviolet absorption characteristics of human tears.
Choy, Camus Kar Man; Cho, Pauline; Benzie, Iris F F
2011-04-01
Dry eye syndrome is a common age-related disorder, and decreased antioxidant/ultraviolet (UV) radiation protection in tears may be part of the cause. This study aimed to compare the tear antioxidant content and flow rate in young and older adults. The total antioxidant content and UV absorbing properties of various commercially available ophthalmic solutions used to alleviate dry eye symptoms were also examined. Minimally stimulated tears were collected from 120 healthy Chinese adults with no ocular pathology. Two age groups were studied: 19 to 29 years (n = 58) and 50 to 75 years (n = 62). Tear samples from each subject and 13 ophthalmic solutions were analyzed for total antioxidant content (as the Ferric Reducing/Antioxidant Power value). Tear flow rates were estimated from time taken to collect a fixed volume of tear fluid. UV absorbance spectra of pooled fresh reflex tear fluid and the ophthalmic solutions were determined. Results showed that the antioxidant content of minimally stimulated tears from older subjects (398 ± 160 μmol/l) was not significantly lower than that of younger subjects (348 ± 159 μmol/l; p = 0.0915). However, there was a significant difference in the tear flow rates between the two groups (p tears. The effect of low flow rate on the dynamic antioxidant supply to the corneal surface indicates that older subjects have poorer overall defense against photooxidative and other oxidative processes. This could predispose older persons to corneal stress and development of dry eye syndrome. The commercially available artificial tears tested lack both the antioxidant content and UV absorbing characteristics of natural tears. Artificial tears formulations that help restore natural antioxidant and UV absorbing properties to the tear film of the aging eye may help prevent or improve dry eye symptoms and promote ocular health.
A prospective evaluation of survivorship of asymptomatic degenerative rotator cuff tears.
Keener, Jay D; Galatz, Leesa M; Teefey, Sharlene A; Middleton, William D; Steger-May, Karen; Stobbs-Cucchi, Georgia; Patton, Rebecca; Yamaguchi, Ken
2015-01-21
The purpose of this prospective study was to report the long-term risks of rotator cuff tear enlargement and symptom progression associated with degenerative asymptomatic tears. Subjects with an asymptomatic rotator cuff tear in one shoulder and pain due to rotator cuff disease in the contralateral shoulder enrolled as part of a prospective longitudinal study. Two hundred and twenty-four subjects (118 initial full-thickness tears, fifty-six initial partial-thickness tears, and fifty controls) were followed for a median of 5.1 years. Validated functional shoulder scores were calculated (visual analog pain scale, American Shoulder and Elbow Surgeons [ASES], and simple shoulder test [SST] scores). Subjects were followed annually with shoulder ultrasonography and clinical evaluations. Tear enlargement was seen in 49% of the shoulders, and the median time to enlargement was 2.8 years. The occurrence of tear-enlargement events was influenced by the severity of the final tear type, with enlargement of 61% of the full-thickness tears, 44% of the partial-thickness tears, and 14% of the controls (p tear enlargement. One hundred subjects (46%) developed new pain. The final tear type was associated with a greater risk of pain development, with the new pain developing in 28% of the controls, 46% of the shoulders with a partial-thickness tear, and 50% of those with a full-thickness tear (p tear enlargement was associated with the onset of new pain (p muscle were associated with tear enlargement, with supraspinatus muscle degeneration increasing in 4% of the shoulders with a stable tear compared with 30% of the shoulders with tear enlargement (p tear showed increased infraspinatus muscle degeneration compared with 28% of those in which the tear had enlarged (p = 0.07). This study demonstrates the progressive nature of degenerative rotator cuff disease. The risk of tear enlargement and progression of muscle degeneration is greater for shoulders with a full-thickness tear, and tear
A study of complex defects failing by fatigue, ductile tearing and cleavage
International Nuclear Information System (INIS)
Bezensek, B.; Ren, Z.; Hancock, J.W.
2001-01-01
Defect assessment procedures ensure the structural integrity of plant, which may contain complex defects. The present work addresses complex defects with re-entrant sectors, which develop from the interaction of two co-planar surface breaking defects in fatigue. Experimental studies show rapid fatigue growth and amplified crack driving forces in the re-entrant sector. This leads to the rapid evolution of the complex crack into a bounding semielliptical defect. Experiments involving ductile tearing of cracks with a re-entrant sector show that tearing initiates in the re-entrant sector and that the defect evolves into a bounding semielliptical defect. Cleavage failures of defects with re-entrant sectors indicate the re-characterisation procedure is only conservative after invoking constraint arguments. The study confirms the conservatism inherent in the re-characterisation rules of assessment procedures, such as BS 7910 [1] and ASME Section XI [2] for complex defects extending by fatigue or ductile tearing. A potentially non-conservative situation exists for defects with re-entrant sectors failing by cleavage at small fractions of the limit load.(author)
Simulation of neoclassical tearing mode stabilization via minimum seeking method on ITER
Energy Technology Data Exchange (ETDEWEB)
Park, M. H.; Kim, K.; Na, D. H.; Byun, C. S.; Na, Y. S. [Seoul National Univ., Seoul (Korea, Republic of); Kim, M. [FNC Technology Co. Ltd, Yongin (Korea, Republic of)
2016-10-15
Neoclassical tearing modes (NTMs) are well known resistive magnetohydrodynamic (MHD) instabilities. These instabilities are sustained by a helically perturbed bootstrap current. NTMs produce magnetic islands in tokamak plasmas that can degrade confinement and lead to plasma disruption. Because of this, the stabilization of NTMs is one of the key issues for tokamaks that achieve high fusion performance such as ITER. Compensating for the lack of bootstrap current by an Electron Cyclotron Current Drive (ECCD) has been proved experimentally as an effective method to stabilize NTMs. In order to stabilize NTMs, it is important to reduce misalignment. So that even ECCD can destabilize the NTMs when misalignment is large. Feedback control method that does not fully require delicate and accurate real-time measurements and calculations, such as equilibrium reconstruction and EC ray-tracing, has also been proposed. One of the feedback control methods is minimum seeking method. This control method minimizes the island width by tuning the misalignment, assuming that the magnetic island width is a function of the misalignment. As a robust and simple method of controlling NTM, minimum 'island width growth rate' seeking control is purposed and compared with performance of minimum ' island width' seeking control. At the integrated numerical system, simulations of the NTM suppression are performed with two types of minimum seeking controllers; one is a FDM based minimum seeking controller and the other is a sinusoidal perturbation based minimum seeking method. The full suppression is achieved both types of controller. The controllers adjust poloidal angle of EC beam and reduce misalignment to zero. The sinusoidal perturbation based minimum seeking control need to modify the adaptive gain.
Posterior meniscus root tears: associated pathologies to assist as diagnostic tools.
Matheny, Lauren M; Ockuly, Andrew C; Steadman, J Richard; LaPrade, Robert F
2015-10-01
The purpose of this study was to investigate associated pathologies identified at arthroscopy in patients with meniscus root tears. This study was Institutional Review Board approved. All patients who underwent arthroscopic knee surgery where a complete meniscus root tear was identified were included in this study. Concurrent ligament tears and articular cartilage changes ≥Outerbridge grade 2 were recorded and stored in a data registry. Fifty patients (28 males, 22 females) [mean age = 36.5 years (range 17.1-68.1 years)] who were diagnosed with a medial or lateral meniscus root tear at arthroscopy were included in this study out of 673 arthroscopic surgeries (prevalence 7.4 %). Twenty-three (46 %) patients had a medial meniscus root tear, 26 (52 %) patients had a lateral meniscus root tear and one (2 %) patient had both. Thirty-four per cent of patients (n = 17) underwent partial meniscectomy, while 60 % (n = 31) underwent suture repair. During arthroscopy, 60 % (n = 30) of patients were diagnosed with an anterior cruciate ligament (ACL) tear. Patients with lateral meniscus root tears were 10.3 times (95 % CI 2.6-42.5) more likely to have ACL tears than patients with medial meniscus root tears (p = 0.012). Patients who had medial meniscus root tears were 5.8 times (95 % CI 1.6-20.5) more likely to have chondral defects than patients who had lateral meniscus root tears (p = 0.044). In this study, patients' preoperative functional scores and activity levels were low. Patients with lateral meniscal root tears were more likely to have an ACL tear. Patients with medial meniscal root tears were more likely to have an knee articular cartilage defect with an Outerbridge grade 2 or higher chondral defect. This study confirms the importance of comprehensive assessment of concurrent injuries to properly diagnose meniscus root tears. IV.
International Nuclear Information System (INIS)
Maget, P.; Luetjens, H.; Huysmans, G.; Moreau, Ph.; Schunke, B.; Segui, J.-L.; Garbet, X.; Joffrin, E.; Luciani, J.F.
2007-01-01
The early phase of a tokamak plasma discharge can have a dramatic impact on the main heating phase. This has been a persistent problem for the development of the steady state, fully non-inductive scenario using lower hybrid current drive (LHCD) on Tore Supra. The present paper reports on recent experimental and numerical investigations showing that a tearing mode coupled to the internal kink grows on q = 2 in the ohmic phase when the total current is too low, due to the weakening of field line curvature stabilization. Then, the application of LHCD drives the island to a larger size and undermines the development of the non-inductive phase. Decreasing the edge safety factor or increasing the Lundquist number S is found to be beneficial in both the linear and non-linear MHD analyses. The experimental database, which allows covering the edge safety factor dependence, supports this interpretation
Tearing instability in a tokamak with a noncircular cross section
Energy Technology Data Exchange (ETDEWEB)
Arsenin, V. V., E-mail: arsenin-vv@nrcki.ru; Skovoroda, A. A., E-mail: skovoroda-aa@nrcki.ru [National Research Center Kurchatov Institute (Russian Federation)
2016-12-15
Using a straight-column model to describe tokamak plasma with a noncircular cross section, it is shown how to (i) find the boundary of tearing instability from the condition of existence of a magnetohydrodynamic plasma equilibrium different from that of a straight cylinder by solving a two-dimensional linear boundary-value problem with a second-order equation with respect to the flux coordinate and (ii) find the spatial structure of the tearing mode and the corresponding effective Δ' when there is only one resonance magnetic surface in the plasma for a given axial wavenumber by solving some kind of a boundary-value problem for the perturbation. The proposed approach is illustrated by numerical calculations for the case of an elliptical cross section as an example.
International Nuclear Information System (INIS)
Guenter, S.; Gude, A.; Igochine, V.; Maraschek, M.; Sips, A.C.C.; Zohm, H.; Gantenbein, G.; Sauter, O.
2003-01-01
In this paper recent results on the physics of neoclassical tearing modes (NTMs) achieved on ASDEX Upgrade are reported. A scaling law for NTM decay has been found, showing that the minimum local bootstrap current density required for mode growth is proportional to the ion gyro radius. As this scaling law does not depend on the seed island size, and thus on the background MHD activity, it is more reliable than previously derived scaling laws for the NTM onset. Furthermore, the recently reported Frequently Interrupted Regime (FIR) is discussed. In this new regime (m,n) NTMs are characterized by frequent amplitude drops caused by interaction with (m+1,n+1) background MHD activity. Due to the resulting reduced time averaged island size this leads to lower confinement degradation compared to that caused by the usual NTMs. As shown here, the transition into this regime can actively be triggered by lowering the magnetic shear at the q=(m+1)/=(n+1) rational surface. Further investigations regard mechanisms to increase the β N value for NTM onset such as plasma shaping, seed island size and density profile control. Using these studies, a scenario with high β N (β N = 3:5) at high density (n/n GW = 0.83) and confinement (H 98(y,2) = 1.2) has been developed. Moreover, this scenario is characterized by type II ELM activity and thus by moderate heat load to the target plates. Finally, new NTM stabilization experiments are reported, demonstrating an increase in β N after NTM stabilization. (author)
Tear dynamics in healthy and dry eyes.
Cerretani, Colin F; Radke, C J
2014-06-01
Dry-eye disease, an increasingly prevalent ocular-surface disorder, significantly alters tear physiology. Understanding the basic physics of tear dynamics in healthy and dry eyes benefits both diagnosis and treatment of dry eye. We present a physiological-based model to describe tear dynamics during blinking. Tears are compartmentalized over the ocular surface; the blink cycle is divided into three repeating phases. Conservation laws quantify the tear volume and tear osmolarity of each compartment during each blink phase. Lacrimal-supply and tear-evaporation rates are varied to reveal the dependence of tear dynamics on dry-eye conditions, specifically tear osmolarity, tear volume, tear-turnover rate (TTR), and osmotic water flow. Predicted periodic-steady tear-meniscus osmolarity is 309 and 321 mOsM in normal and dry eyes, respectively. Tear osmolarity, volume, and TTR all match available clinical measurements. Osmotic water flow through the cornea and conjunctiva contribute 10 and 50% to the total tear supply in healthy and dry-eye conditions, respectively. TTR in aqueous-deficient dry eye (ADDE) is only half that in evaporative dry eye (EDE). The compartmental periodic-steady tear-dynamics model accurately predicts tear behavior in normal and dry eyes. Inclusion of osmotic water flow is crucial to match measured tear osmolarity. Tear-dynamics predictions corroborate the use of TTR as a clinical discriminator between ADDE and EDE. The proposed model is readily extended to predict the dynamics of aqueous solutes such as drugs or fluorescent tags.
SLAP tears of the glenoid labrum in contact athletes.
Funk, Lennard; Snow, Martyn
2007-01-01
To describe the distribution and clinical presentation of labral injuries in rugby players and the time taken for them to return to sports. Retrospective cohort study. Busy shoulder practice in the North West of England, treating a large number of professional athletes. A review of 51 shoulder arthroscopies performed on professional rugby players over a 35 month period. All patients diagnosed with a SLAP lesion at arthroscopy were identified. Eighteen patients had a documented SLAP tear; this group represented our study population. Arthroscopic debridement and/or stabilization was carried out for all labral injuries using Panaloc anchors and No. 2 PDS via a 2 portal technique. Classification of injury, Satisfaction, Time to return to play. The incidence of SLAP tears in our study population was 35%. There were 11 isolated SLAP tears (61%), 3 SLAP tears associated with a Bankart lesion (17%), 2 SLAP tears associated with a posterior labral lesion (11%), and 2 SLAP tears associated with an anterior and posterior labral injuries (11%). Of the 18 SLAP tears, 14 (78%) were type 2, 3 (17%) were type 3, and 1 (5%) was type 4. None of the patients with a SLAP tear presented with symptoms of instability. MR Arthrogram had a 76% sensitivity for detecting SLAP tears. By 6 months postsurgery, 89% of patients were satisfied. Patients with isolated SLAP tears were the quickest to return to sports, at an average of 2.6 months postsurgery. SLAP tears are a common injury in rugby players. These can often be diagnosed with MR arthrography. Arthroscopic repair is associated with excellent results and early return to sports.
Isliker, Heinz; Chatziantonaki, Ioanna; Tsironis, Christos; Vlahos, Loukas
2012-09-01
We analyze the propagation of electron-cyclotron waves, their absorption and current drive when neoclassical tearing modes (NTMs), in the form of magnetic islands, are present in a tokamak plasma. So far, the analysis of the wave propagation and power deposition in the presence of NTMs has been performed mainly in the frame of an axisymmetric magnetic field, ignoring any effects from the island topology. Our analysis starts from an axisymmetric magnetic equilibrium, which is perturbed such as to exhibit magnetic islands. In this geometry, we compute the wave evolution with a ray-tracing code, focusing on the effect of the island topology on the efficiency of the absorption and current drive. To increase the precision in the calculation of the power deposition, the standard analytical flux-surface labeling for the island region has been adjusted from the usual cylindrical to toroidal geometry. The propagation up to the O-point is found to be little affected by the island topology, whereas the power absorbed and the driven current are significantly enhanced, because the resonant particles are bound to the small volumes in between the flux surfaces of the island. The consequences of these effects on the NTM evolution are investigated in terms of the modified Rutherford equation.
International Nuclear Information System (INIS)
Isliker, Heinz; Chatziantonaki, Ioanna; Tsironis, Christos; Vlahos, Loukas
2012-01-01
We analyze the propagation of electron-cyclotron waves, their absorption and current drive when neoclassical tearing modes (NTMs), in the form of magnetic islands, are present in a tokamak plasma. So far, the analysis of the wave propagation and power deposition in the presence of NTMs has been performed mainly in the frame of an axisymmetric magnetic field, ignoring any effects from the island topology. Our analysis starts from an axisymmetric magnetic equilibrium, which is perturbed such as to exhibit magnetic islands. In this geometry, we compute the wave evolution with a ray-tracing code, focusing on the effect of the island topology on the efficiency of the absorption and current drive. To increase the precision in the calculation of the power deposition, the standard analytical flux-surface labeling for the island region has been adjusted from the usual cylindrical to toroidal geometry. The propagation up to the O-point is found to be little affected by the island topology, whereas the power absorbed and the driven current are significantly enhanced, because the resonant particles are bound to the small volumes in between the flux surfaces of the island. The consequences of these effects on the NTM evolution are investigated in terms of the modified Rutherford equation. (paper)
International Nuclear Information System (INIS)
Spletzer, B.L.; Lambert, L.D.; Bergman, V.L.
1995-06-01
The overpressurization of a 1:6-scale reinforced concrete containment building demonstrated that liner tearing is a plausible failure mode in such structures under severe accident conditions. A combined experimental and analytical program was developed to determine the important parameters which affect liner tearing and to develop reasonably simple analytical methods for predicting when tearing will occur. Three sets of test specimens were designed to allow individual control over and investigation of the mechanisms believed to be important in causing failure of the liner plate. The series of tests investigated the effect on liner tearing produced by the anchorage system, the loading conditions, and the transition in thickness from the liner to the insert plate. Before testing, the specimens were analyzed using two- and three-dimensional finite element models. Based on the analysis, the failure mode and corresponding load conditions were predicted for each specimen. Test data and post-test examination of test specimens show mixed agreement with the analytical predictions with regard to failure mode and specimen response for most tests. Many similarities were also observed between the response of the liner in the 1:6-scale reinforced concrete containment model and the response of the test specimens. This work illustrates the fact that the failure mechanism of a reinforced concrete containment building can be greatly influenced by details of liner and anchorage system design. Further, it significantly increases the understanding of containment building response under severe conditions
Diet, nutraceuticals and the tear film.
Jalbert, Isabelle
2013-12-01
Nutrition disorders and their correlates such as obesity are increasingly prevalent worldwide. A number of studies to date have suggested numerous potential associations between diet and tear film health; this paper will provide a summary of the available literature. The tear film is characterized through its protein and lipid content and through clinical measurements of characteristics such as osmolarity, volume and stability. Malnutrition, protein and vitamin-A deficiencies are extremely deleterious to tear film health and supplementation with oral vitamin A in this setting is of clear benefit. The relative impact of diet on tear film within what would be considered normal ranges of consumption is less clear. A number of population studies have suggested that hyperlipidemia and a diet low in omega-3 fatty acids are risks factor for dry eye disease. Numerous studies have investigated the effectiveness of oral supplementation with antioxidants, omega-3 (e.g. fish oil and linseed oil) and omega-6 (e.g. evening primrose oil) fatty acids in the last 10 years. Taken together, these suggest a small benefit of oral supplementation on tear film volume, stability and decreased ocular symptoms in patients previously diagnosed with diseases involving the ocular surface (e.g. Sjögren's syndrome, meibomian gland dysfunction, dry eye disease) and contact lens wearers suffering from dry eye. More research is required to determine the exact composition, dosage and indications for their use and to fully characterize how these nutraceuticals modulate the tear film. Copyright © 2013 Elsevier Ltd. All rights reserved.
Software Simulation of Hot Tearing
DEFF Research Database (Denmark)
Andersen, S.; Hansen, P.N.; Hattel, Jesper Henri
1999-01-01
The brittleness of a solidifying alloy in a temperature range near the solidus temperature has been recognised since the fifties as the mechanism responsible for hot tearing. Due to this brittlenes, the metal will crack under even small amounts of strain in that temperature range. We see these hot...... tears in castings close to hot centres, where the level of strain is often too high.Although the hot tearing mechanism is well understood, until now it has been difficult to do much to reduce the hot tearing tendency in a casting. In the seventies, good hot tearing criteria were developed by considering...... the solidification rate and the strain rate of the hot tear prone areas. But, until recently it was only possible to simulate the solidification rate, so that the criteria could not be used effectively.Today, with new software developments, it is possible to also simulate the strain rate in the hot tear prone areas...
Kim, Yung Hui; Kang, Yeon Soo; Lee, Hyo Seok; Choi, Won; You, In Cheon; Yoon, Kyung Chul
2017-10-01
The aim of this study was to evaluate the effectiveness of combined tear film therapy targeted to aqueous, mucin, and lipid layers in patients with refractory evaporative dry eye (EDE) with short tear film breakup time (TBUT). The patients who had EDE with short TBUT and severe symptoms refractory to artificial tears were treated with hyaluronic acid (HA) 0.15% and diquafosol tetrasodium (DQS) 3% (Group 1), HA and carbomer-based lipid-containing eyedrops (Liposic EDO Gel, LPO) (Group 2), or HA, DQS, and LPO (Group 3). Ocular Surface Disease Index (OSDI) score, visual analog scale (VAS) symptom score, TBUT, Schirmer score, and corneal and conjunctival staining scores were evaluated, and noninvasive tear film breakup time (NIBUT) and tear meniscus height were measured using Keratograph ® 5 M before and 1 and 3 months after treatment. OSDI scores, VAS scores, TBUT, and NIBUT were improved at 1 and 3 months after treatment in all groups (all P film layers was most effective in improving ocular symptoms and tear film quality.
Living with a symptomatic rotator cuff tear 'bad days, bad nights': a qualitative study.
Minns Lowe, Catherine J; Moser, Jane; Barker, Karen
2014-07-09
Rotator cuff tears are a common cause of shoulder pain. There is an absence of information about symptomatic rotator cuffs from the patients' perspective; this limits the information clinicians can share with patients and the information that patients can access via sources such as the internet. This study describes the experiences of people with a symptomatic rotator cuff, their symptoms, the impact upon their daily lives and the coping strategies utilised by study participants. An interpretive phenomenological analysis approach was used. 20 participants of the UKUFF trial (The United Kingdom Rotator Cuff Surgery Trial) agreed to participate in in-depth semi-structured interviews about their experiences about living with a symptomatic rotator cuff tear. Interviews were digitally recorded and fully transcribed. Field notes, memos and a reflexive diary were used. Data was coded in accordance with interpretive phenomenological analysis. Peer review, code-recode audits and constant comparison of data, codes and categories occurred throughout. The majority of patients described intense pain and severely disturbed sleep. Limited movement and reduced muscle strength were described by some participants. The predominantly adverse impact that a symptomatic rotator cuff tear had upon activities of daily living, leisure activities and occupation was described. The emotional and financial impact and impact upon caring roles were detailed. Coping strategies included attempting to carry on as normally as possible, accepting their condition, using their other arm, using analgesics, aids and adaptions. Clinicians need to appreciate and understand the intensity and shocking nature of pain that may be experienced by participants with known rotator cuff tears and understand the detrimental impact tears can have upon all areas of patient's lives. Clinicians also need to be aware of the potential emotional impact caused by cuff tears and to ensure that patients needing help for
Evaluating tear clearance rate with optical coherence tomography.
Garaszczuk, Izabela K; Mousavi, Maryam; Cervino Exposito, Alejandro; Bartuzel, Maciej M; Montes-Micó, Robert; Iskander, D Robert
2018-02-01
To assess the early-phase of tear clearance rate (TCR) with anterior segment optical coherence tomography (OCT) and to determine the association between TCR and other clinical measures of the tear film in a group of young subjects with different levels of tear film quality. TCR was classified as the percentage decrease of subject's inferior tear meniscus height 30s after instillation of 5μl 0.9% saline solution. Fifty subjects (32F and 18M) aged (mean±standard deviation) 25.5±4.3 years volunteered for the study. It consisted of a review of medical history, Ocular Surface Disease Index (OSDI) questionnaire, tear film osmolarity measurements, slit lamp examination and TCR estimation based on dynamic measurements of the lower tear meniscus with OCT. Estimates of TCR were contrasted against subject age and tear film measures commonly used for dry eye diagnosis, which includes OSDI score, fluorescein tear film break-up time (FBUT), tear meniscus height (TMH), blinking frequency, tear film osmolarity and corneal staining. The group mean TCR was 29±13% and 36±19% respectively after 30 and 60s margin after saline solution instillation. Statistically significant correlations were found between TCR and FBUT (r 2 =0.319, placrimal functional unit. Copyright © 2017 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
Evaporation-driven instability of the precorneal tear film.
Peng, Cheng-Chun; Cerretani, Colin; Braun, Richard J; Radke, C J
2014-04-01
Tear-film instability is widely believed to be a signature of eye health. When an interblink is prolonged, randomly distributed ruptures occur in the tear film. "Black spots" and/or "black streaks" appear in 15 to 40 s for normal individuals. For people who suffer from dry eye, tear-film breakup time (BUT) is typically less than a few seconds. To date, however, there is no satisfactory quantitative explanation for the origin of tear rupture. Recently, it was proposed that tear-film breakup is related to locally high evaporative thinning. A spatial variation in the thickness of the tear-film lipid layer (TFLL) may lead to locally elevated evaporation and subsequent tear-film breakup. We examine the local-evaporation-driven tear-film-rupture hypothesis in a one-dimensional (1-D) model for the evolution of a thin aqueous tear film overriding the cornea subject to locally elevated evaporation at its anterior surface and osmotic water influx at its posterior surface. Evaporation rate depends on mass transfer both through the coating lipid layer and through ambient air. We establish that evaporation-driven tear-film breakup can occur under normal conditions but only for higher aqueous evaporation rates. Predicted roles of environmental conditions, such as wind speed and relative humidity, on tear-film stability agree with clinical observations. More importantly, locally elevated evaporation leads to hyperosmolar spots in the tear film and, hence, vulnerability to epithelial irritation. In addition to evaporation rate, tear-film instability depends on the strength of healing flow from the neighboring region outside the breakup region, which is determined by the surface tension at the tear-film surface and by the repulsive thin-film disjoining pressure. This study provides a physically consistent and quantitative explanation for the formation of black streaks and spots in the human tear film during an interblink. Copyright © 2013 Elsevier B.V. All rights reserved.
Atzei, A; Luchetti, R; Garagnani, L
2017-05-01
The classical definition of 'Palmer Type IB' triangular fibrocartilage complex tear, includes a spectrum of clinical conditions. This review highlights the clinical and arthroscopic criteria that enable us to categorize five classes on a treatment-oriented classification system of triangular fibrocartilage complex peripheral tears. Class 1 lesions represent isolated tears of the distal triangular fibrocartilage complex without distal radio-ulnar joint instability and are amenable to arthroscopic suture. Class 2 tears include rupture of both the distal triangular fibrocartilage complex and proximal attachments of the triangular fibrocartilage complex to the fovea. Class 3 tears constitute isolated ruptures of the proximal attachment of the triangular fibrocartilage complex to the fovea; they are not visible at radio-carpal arthroscopy. Both Class 2 and Class 3 tears are diagnosed with a positive hook test and are typically associated with distal radio-ulnar joint instability. If required, treatment is through reattachment of the distal radio-ulnar ligament insertions to the fovea. Class 4 lesions are irreparable tears due to the size of the defect or to poor tissue quality and, if required, treatment is through distal radio-ulnar ligament reconstruction with tendon graft. Class 5 tears are associated with distal radio-ulnar joint arthritis and can only be treated with salvage procedures. This subdivision of type IB triangular fibrocartilage complex tear provides more insights in the pathomechanics and treatment strategies. II.
Meniscotibial (coronary) ligament tears
International Nuclear Information System (INIS)
El-Khoury, G.Y.; Usta, H.Y.; Berger, R.A.
1984-01-01
Preservation of the meniscus whenever possible is essential in maintaining knee stability and preventing premature osteoarthritis. Peripheral meniscal tears are the most amenable to surgical repair. This study evaluates the peripheral attachments of the medial meniscus and focuses on a specific tear limited to the meniscotibial ligament (coronary ligament). The diagnosis is made arthrographically when the medial meniscus floats above the tibial plateau without separating completely from the capsule. The lateral meniscus is rarely involved in this type of injury. (orig.)
MR Imaging of Rotator Cuff Tears: Correlation with Arthroscopy
Bhandary, Sudarshan; Khandige, Ganesh; Kabra, Utkarsh
2017-01-01
Introduction Rotator cuff tears are quite common and can cause significant disability. Magnetic Resonance Imaging (MRI) has now emerged as the modality of choice in the preoperative evaluation of patients with rotator cuff injuries, in view of its improved inherent soft tissue contrast and resolution. Aim To evaluate the diagnostic accuracy of routine MRI in the detection and characterisation of rotator cuff tears, by correlating the findings with arthroscopy. Materials and Methods This prospective study was carried out between July 2014 and August 2016 at the AJ Institute of Medical Sciences, Mangalore, Karnataka, India. A total of 82 patients were diagnosed with rotator cuff injury on MRI during this period, out of which 45 patients who underwent further evaluation with arthroscopy were included in this study. The data collected was analysed for significant correlation between MRI diagnosis and arthroscopic findings using kappa statistics. The sensitivity, specificity, predictive value and accuracy of MRI for the diagnosis of full and partial thickness tears were calculated using arthroscopic findings as the reference standard. Results There were 27 males and 18 females in this study. The youngest patient was 22 years and the oldest was 74 years. Majority of rotator cuff tears (78%) were seen in patients above the age of 40 years. MRI showed a sensitivity of 89.6%, specificity of 100%, positive predictive value of 100% and negative predictive value of 83.3% for the diagnosis of full thickness rotator cuff tears. For partial thickness tears, MRI showed a sensitivity of 100%, specificity of 86.6%, positive predictive value of 78.9% and negative predictive value of 100%. The accuracy was 93.1% for full thickness tears and 91.1% for partial thickness tears. The p-value was less than 0.01 for both full and partial thickness tears. There was good agreement between the MRI and arthroscopic findings, with kappa value of 0.85 for full thickness tears and 0.81 for partial
An attempt at MHD mode control by feedback modulation of L.H. driven current
International Nuclear Information System (INIS)
Parlange, F.; Vallet, J.C
1986-01-01
MHD activity in Tokamak discharges with lower hybrid current drive has distinct features which can be used to stabilize tearing modes. A way of reducing the m=2 tearing mode was recently proposed, consisting in driving more current at the 0 point of the islands than at the X point, by means of amplitude modulated lower hybrid waves. The way it was tested in Petula is presented here
Directory of Open Access Journals (Sweden)
Jia-Lin Wu
Full Text Available Transtibial pullout suture (TPS repair of posterior medial meniscus root (PMMR tears was shown to achieve good clinical outcomes. The purpose of this study was to compare biomechanically, a novel technique designed to repair PMMR tears using tendon graft (TG and conventional TPS repair. Twelve porcine tibiae (n = 6 each TG group: flexor digitorum profundus tendon was passed through an incision in the root area, created 5 mm postero-medially along the edge of the attachment area. TPS group: a modified Mason-Allen suture was created using no. 2 FiberWire. The tendon grafts and sutures were threaded through the bone tunnel and then fixed to the anterolateral cortex of the tibia. The two groups underwent cyclic loading followed by a load-to-failure test. Displacements of the constructs after 100, 500, and 1000 loading cycles, and the maximum load, stiffness, and elongation at failure were recorded. The TG technique had significantly lower elongation and higher stiffness compared with the TPS. The maximum load of the TG group was significantly lower than that of the TPS group. Failure modes for all specimens were caused by the suture or graft cutting through the meniscus. Lesser elongation and higher stiffness of the constructs in TG technique over those in the standard TPS technique might be beneficial for postoperative biological healing between the meniscus and tibial plateau. However, a slower rehabilitation program might be necessary due to its relatively lower maximum failure load.
Age-related changes in the signal value of tears.
Zeifman, Debra M; Brown, Sarah A
2011-08-12
Emotional tears may be uniquely human and are an effective signal of distress in adults. The present study explored whether tears signal distress in younger criers and whether the effect of tears on observers is similar in magnitude across the life span. Participants rated photographs of crying infants, young children, and adults, with tears digitally removed or added. The effectiveness of tears in conveying sadness and eliciting sympathy was greatest for images of adults, intermediate for images of children, and least potent for images of infants. These findings suggest that the signal value of tears varies with the age of the crier. The results may shed light on the functional significance of crying at different stages of human development.
Nonlinear coupling of tearing fluctuations in the Madison Symmetric Torus
International Nuclear Information System (INIS)
Sarff, J.S.; Almagri, A.F.; Cekic, M.; Den Hartog, D.J.; Fiksel, G.; Hokin, S.A.; Ji, H.; Prager, S.C.; Shen, W.; Stoneking, M.R.; Assadi, S.; Sidikman, K.L.
1992-11-01
Three-wave, nonlinear, tearing mode coupling has been measured in the Madison Symmetric Torus (MST) reversed-field pinch (RFP) [Fusion Technol. 19, 131 (1991)] using bispectral analysis of edge magnetic fluctuations resolved in ''k-space. The strength of nonlinear three-wave interactions satisfying the sum rules m 1 + m 2 = m 3 and n 1 + n 2 = n 3 is measured by the bicoherency. In the RFP, m=l, n∼2R/a (6 for MST) internally resonant modes are linearly unstable and grow to large amplitude. Large values of bicoherency occur for two m=l modes coupled to an m=2 mode and the coupling of intermediate toroidal modes, e.g., n=6 and 7 coupled to n=13. These experimental bispectral features agree with predicted bispectral features derived from MHD computation. However, in the experiment, enhanced coupling occurs in the ''crash'' phase of a sawtooth oscillation concomitant with a broadened mode spectrum suggesting the onset of a nonlinear cascade
Tear ferning in normal dogs and dogs with keratoconjunctivitis sicca ...
African Journals Online (AJOL)
This study evaluates tear ferning as an ancillary technique for the evaluation of the canine tear film in normal eyes and eyes affected by keratoconjunctivitis sicca (KCS). Thirty dogs with KCS and 50 control dogs with normal tear film were evaluated with a full ophthalmoscopic examination and a Schirmer tear test type 1 ...
Role of MRI in predicting meniscal tear reparability
Energy Technology Data Exchange (ETDEWEB)
Felisaz, Paolo Florent [Universita degli Studi di Pavia, Pavia (Italy); Fondazione IRCCS Policlinico San Matteo, Istituto di Radiologia, Pavia (Italy); Alessandrino, Francesco; Perelli, Simone [Universita degli Studi di Pavia, Pavia (Italy); Zanon, Giacomo; Benazzo, Francesco [Fondazione IRCCS Policlinico San Matteo, Clinica Ortopedica e Traumatologica, Pavia (Italy); Calliada, Fabrizio; Sammarchi, Luigi [Fondazione IRCCS Policlinico San Matteo Radiologia, Diagnostica per Immagini-Istituto di Radiologia, Pavia (Italy)
2017-10-15
To elucidate the role of MRI in predicting meniscal tear reparability according to tear type and location in relation to vascular zones. In this retrospective study, two readers evaluated 79 pre-surgical MRIs of meniscal tears arthroscopically treated with meniscectomy or meniscal repair. Tears were classified according to type into vertical, horizontal, radial, complex, flaps and bucket handle and were considered reparable if the distance measured from the tear to the menisco-capsular junction was less than or equal to 5 mm. Predictions were compared with the surgical procedure performed in arthroscopy. We assessed the diagnostic performance of MRI, agreement between MRI and arthroscopy, and interrater agreement. Then, we conducted an ROC analysis on the distances measured by the first reader and built a multivariate logistic regression model. MRI had a sensitivity, specificity, PPV, NPV and accuracy, respectively, of 85%, 79%, 86%, 76% and 83% in predicting meniscal tear reparability. Correct predictions for the specific tear pattern were 76% for vertical, 84% for horizontal, 88% for radial, 86% for complex, 84% for flaps and 86% for bucket handle. Agreement between the two readers' predictions and arthroscopy was good (k = 0.65 and 0.61, respectively). Inter-rater agreement was almost excellent (k = 0.79). The ROC analysis revealed sensitivity and specificity of 73% and 83% with a cutoff value of <4 mm (p < 0.001). Anterior cruciate ligament injury and medial meniscal tear increased the likelihood of meniscal tear reparability. MRI can be a reliable and accurate tool to predict the reparability of meniscal tears, with higher prediction rates for bucket-handle tears. (orig.)
LENUS (Irish Health Repository)
Dias, A
2010-10-01
Large post intubation tracheal tears are usually detected intra-operatively due to unstable signs namely impaired ventilation and mediastinal emphysema and often require surgical management. Smaller tracheal tears are often missed during anaesthesia and recognized during the postoperative period. Conservative management should be considered in these latter cases.
Accuracy of MR imaging in partial tears of rotator cuff
International Nuclear Information System (INIS)
Eto, Masao; Ito, Nobuyuki; Tomonaga, Tadashi; Harada, Shin'ichi; Rabbi, M.E.; Iwasaki, Katsuro
1997-01-01
MRI is very useful for the diagnosis of the rotator cuff tear However. in case of partial tears it is sometimes controvertible. In this study, we studied the accuracy of MRI in the diagnosis of partial tears. 67 patients who underwent MRI investigation before operation were chosen for this study. There were 61 males and 6 females, ranging from 30 to 80 years (mean: 54.8 years at the time of operation). MRI was performed with 1.5T superconductive system with shoulder surface coil. MPGR T2-weighted images were performed in the coronal oblique and sagittal oblique planes. Complete tears were diagnosed when full thickness high intensity was observed in the rotator cuff, whereas with partial high intensity of the rotator cuff, was considered as partial tears. MRI demonstrated 77.8% sensitivity, 91.4% specificity and 89.6% accuracy in the diagnosis of partial tear. In 8 cases MRI had misinterpretation. In MPGR T2-weighted images, not only the partial tears but the degenerative changes also show high intensity of the rotator cuff. Therefore, it is difficult to differentiate and maybe this is the reason of misinterpretations of partial tears by MRI. MRI provided with useful pre-operative informations of partial tears of the rotator cuff. However, in few cases it is hard to differentiate for the degenerative changes of the rotator cuff. (author)
Kinetic theory of tearing instabilities
International Nuclear Information System (INIS)
Drake, J.F.; Lee, Y.C.
1977-01-01
The transition of the tearing instability from the collisional to the collisionless regime is investigated kinetically using a Fokker--Planck collision operator to represent electron-ion collisions. As a function of the collisionality of the plasma, the tearing instability falls into three regions, which are referred to as collisionless, semi-collisional, and collisional. The width Δ of the singular layer around kxB 0 =0 is limited by electron thermal motion along B 0 in the collisional and semi-collisional regimes and is typically smaller than rho/sub i/, the ion Larmor radius. Previously accepted theories, which are based on the assumption Δvery-much-greater-thanrho/sub i/, are found to be valid only in the collisional regime. The effects of density and temperature gradients on the instabilities are also studied. The tearing instability is only driven by the temperature gradient in the collisional and semi-collisional regimes. Numerical calculations indicate that the semi-collisional tearing instability is particularly relevant to present day high temperature tokamak discharges
Effects of toroidicity on resistive tearing modes
International Nuclear Information System (INIS)
Izzo, R.; Monticello, D.A.; Manickam, J.; Strauss, H.R.; Grimm, R.; McGuire, K.
1983-03-01
A reduced set of resistive MHD equations is solved numerically in three dimensions to study the stability of tokamak plasmas. Toroidal effects are included self-consistently to leading and next order in inverse aspect ratio, epsilon. The equations satisfy an energy integral. In addition, the momentum equation yields the Grad-Shafranov equation correct to all orders in epsilon. Low beta plasma are studied using several different q-profiles. In all cases, the linear growth rates are reduced by finite toroidicity. Excellent agreement with resistive PEST is obtianed. In some cases, toroidal effects lead to complete stabilization of the mode. Nonlinear results show smaller saturated island widths for finite aspect ratio compared to the cylindrical limit. If the current channel is wide enough so as to produce steep gradients towards the outside of the plasma, both the finite aspect ratio cases and cylindrical cases disrupt
Influence of Ophthalmic Solutions on Tear Components.
Shigeyasu, Chika; Yamada, Masakazu; Akune, Yoko
2016-11-01
Tear fluids are a mixture of secretions derived from lacrimal glands, accessory lacrimal glands, conjunctiva, and meibomian glands. Compositional changes to tears occur in the normal state and during ocular surface disease, such as dry eye conditions. We have investigated compositional changes to tears after topical application of ophthalmic solutions, with regard to tear-specific proteins (secretory immunoglobulin A, lactoferrin, lipocalin-1, and lysozyme) and ocular surface mucin in normal and dry eye conditions using high-performance liquid chromatography. After application of saline solution (0.9% sodium chloride) in normal subjects, transient but significant decreases in all tear components were observed. The recovery of protein concentrations took up to 30 minutes and lasted longer when the saline solution was applied more frequently. When applying ophthalmic solutions, a balance between washout and dilutional effects should be considered in addition to the therapeutic effect. Investigation of the effect of diquafosol solution (3%) in normal subjects revealed a significant increase in sialic acid concentration, a marker of ocular mucin, at 5 minutes after application, whereas a significant decrease was observed with saline. This result indicates the accelerated secretion of mucin from ocular tissues induced by diquafosol. A clinical study to determine the efficacy of diquafosol in patients with dry eye revealed improvements in tear breakup time, keratoconjunctival staining scores, and Schirmer test score, accompanied by an increase in sialic acid concentration in tears. Investigating normal and dry eye conditions through tear analysis may clarify the pathophysiology of dry eye conditions and support the efficacy of treatments.
Comparison of Medial and Lateral Meniscus Root Tears.
Directory of Open Access Journals (Sweden)
Ji Hyun Koo
Full Text Available The meniscus root plays an essential role in maintaining the circumferential hoop tension and preventing meniscal displacement. Studies on meniscus root tears have investigated the relationship of osteoarthritis and an anterior cruciate ligament tear. However, few studies have directly compared the medial and lateral root tears. To assess the prevalence of meniscal extrusion and its relationship with clinical features in medial and lateral meniscus root tears, we performed a retrospective review of the magnetic resonance imaging (MRI results of 42 knee patients who had meniscus posterior horn root tears and who had undergone arthroscopic operations. The presence of meniscal extrusion was evaluated and the exact extent was measured from the tibial margin. The results were correlated with arthroscopic findings. Clinical features including patients' ages, joint abnormalities, and previous trauma histories were evaluated. Twenty-two patients had medial meniscus root tears (MMRTs and twenty patients had lateral meniscus root tears (LMRTs. Meniscal extrusion was present in 18 MMRT patients and one LMRT patient. The mean extent of extrusion was 4.2mm (range, 0.6 to 7.8 in the MMRT group and 0.9mm (range, -1.9 to 3.4 in the LMRT group. Five patients with MMRT had a history of trauma, while 19 patients with LMRT had a history of trauma. Three patients with MMRT had anterior cruciate ligament (ACL tears, while 19 patients with LMRT had ACL tears. The mean age of the patients was 52 years (range: 29-71 years and 30 years (range: 14-62 years in the MMRT and LMRT group, respectively. There was a significant correlation between a MMRT and meniscal extrusion (p<0.0001, and between an ACL tear and LMRT (p<0.0001. A history of trauma was significantly common in LMRT (p<0.0001. LMRT patients were significantly younger than MMRT patients (p<0.0001. Kellgren-Lawrence (K-L grade differed significantly between MMRT and LMRT group (p<0.0001. Meniscal extrusion is
Superior glenoid inclination and rotator cuff tears.
Chalmers, Peter N; Beck, Lindsay; Granger, Erin; Henninger, Heath; Tashjian, Robert Z
2018-03-23
The objectives of this study were to determine whether glenoid inclination (1) could be measured accurately on magnetic resonance imaging (MRI) using computed tomography (CT) as a gold standard, (2) could be measured reliably on MRI, and (3) whether it differed between patients with rotator cuff tears and age-matched controls without evidence of rotator cuff tears or glenohumeral osteoarthritis. In this comparative retrospective radiographic study, we measured glenoid inclination on T1 coronal MRI corrected into the plane of the scapula. We determined accuracy by comparison with CT and inter-rater reliability. We compared glenoid inclination between patients with full-thickness rotator cuff tears and patients aged >50 years without evidence of a rotator cuff tear or glenohumeral arthritis. An a priori power analysis determined adequate power to detect a 2° difference in glenoid inclination. (1) In a validation cohort of 37 patients with MRI and CT, the intraclass correlation coefficient was 0.877, with a mean difference of 0° (95% confidence interval, -1° to 1°). (2) For MRI inclination, the inter-rater intraclass correlation coefficient was 0.911. (3) Superior glenoid inclination was 2° higher (range, 1°-4°, P rotator cuff tear group of 192 patients than in the control cohort of 107 patients. Glenoid inclination can be accurately and reliably measured on MRI. Although superior glenoid inclination is statistically greater in those with rotator cuff tears than in patients of similar age without rotator cuff tears or glenohumeral arthritis, the difference is likely below clinical significance. Copyright © 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.
Wei, Xiaojia Eric; Korth, John; Brown, Simon H J; Mitchell, Todd W; Truscott, Roger J W; Blanksby, Stephen J; Willcox, Mark D P; Zhao, Zhenjun
2013-12-09
To establish a simple and rapid analytical method, based on direct insertion/electron ionization-mass spectrometry (DI/EI-MS), for measuring free cholesterol in tears from humans and rabbits. A stable-isotope dilution protocol employing DI/EI-MS in selected ion monitoring mode was developed and validated. It was used to quantify the free cholesterol content in human and rabbit tear extracts. Tears were collected from adult humans (n = 15) and rabbits (n = 10) and lipids extracted. Screening, full-scan (m/z 40-600) DI/EI-MS analysis of crude tear extracts showed that diagnostic ions located in the mass range m/z 350 to 400 were those derived from free cholesterol, with no contribution from cholesterol esters. DI/EI-MS data acquired using selected ion monitoring (SIM) were analyzed for the abundance ratios of diagnostic ions with their stable isotope-labeled analogues arising from the D6-cholesterol internal standard. Standard curves of good linearity were produced and an on-probe limit of detection of 3 ng (at 3:1 signal to noise) and limit of quantification of 8 ng (at 10:1 signal to noise). The concentration of free cholesterol in human tears was 15 ± 6 μg/g, which was higher than in rabbit tears (10 ± 5 μg/g). A stable-isotope dilution DI/EI-SIM method for free cholesterol quantification without prior chromatographic separation was established. Using this method demonstrated that humans have higher free cholesterol levels in their tears than rabbits. This is in agreement with previous reports. This paper provides a rapid and reliable method to measure free cholesterol in small-volume clinical samples.
A review of patient and skin characteristics associated with skin tears.
Rayner, R; Carville, K; Leslie, G; Roberts, P
2015-09-01
Skin tears are the most common wound among the elderly and have the potential to cause infection, form chronic wounds, reduce quality of life and increase health-care costs. Our aim was to identify studies that reviewed patient and skin characteristics associated with skin tears. A review of skin tear studies reported in the English literature between 1980 and 2013 was undertaken using the following electronic databases: PubMed, Medline, CINAHL, Embase, Scopus, Evidence Based and Medicine Reviews (EBM). Search terms included aged, skin, tears or lacerations, skin tearing, geri tear, epidermal tear and prevalence. There were 343 articles found with using the search terms. After abstract review nine were found to be relevant to the search. The principle findings from these eight published articles and one unpublished study revealed that the most common patient characteristics were a history of skin tears, impaired mobility and impaired cognition. Skin characteristics associated with skin tears included senile purpura, ecchymosis and oedema. This review provides an overview of identified patient and skin characteristics that predispose the elderly to skin tears and exposes the lack of research within this domain. R. Rayner is a recipient of a 2013 Australian Postgraduate Award, Curtin University Postgraduate Scholarship and a Wound Management Cooperative Research Centre (CRC) PhD stipend. The School of Nursing, Midwifery and Paramedicine, Curtin University and the Silver Chain Group, Western Australia are participants in the Wound Management Innovation CRC. No conflict of interest exists among the authors.
Sebbag, Lionel; Park, Shin Ae; Kass, Philip H; Maggs, David J; Attar, Mayssa; Murphy, Christopher J
2017-07-01
To evaluate repeatability and reproducibility of tear osmolarity measured using the TearLab ™ osmometer in normal dogs and to assess its diagnostic potential in dogs with keratoconjunctivitis sicca (KCS). Beagle dogs; six normal and five with KCS. Tear osmolarity and Schirmer tear test-1 (STT-1) values were obtained at various times. Normal dogs were assessed for diurnal variation and repeatability and reproducibility of measurements. Dogs with KCS were evaluated before and after 5 months' topical twice-daily therapy with 2% cyclosporine. Mean ± SD tear osmolarity (mOsm/L) was significantly higher in normal dogs (337.4 ± 16.2) than in dogs with KCS before therapy (306.2 ± 18.0; P dogs, tear osmolarity readings were stable during the daytime (P = 0.99). Repeated measurements revealed high variability and typically poor-to-moderate repeatability and reproducibility, although this was improved by taking three successive measurements at each session. Considering combined data from all dogs, a positive correlation existed between STT-1 and tear osmolarity measurements (Pearson's correlation test, P = 0.04, r = 0.62). Canine tear osmolarity as determined by TearLab ™ osmometer was variable, required multiple readings to be informative, and differed from values reported for humans. Dogs with KCS had a lower tear osmolarity than did normal dogs, and this increased following cyclosporine therapy. © 2016 American College of Veterinary Ophthalmologists.
Interaction of lysozyme with a tear film lipid layer model: A molecular dynamics simulation study.
Wizert, Alicja; Iskander, D Robert; Cwiklik, Lukasz
2017-12-01
The tear film is a thin multilayered structure covering the cornea. Its outermost layer is a lipid film underneath of which resides on an aqueous layer. This tear film lipid layer (TFLL) is itself a complex structure, formed by both polar and nonpolar lipids. It was recently suggested that due to tear film dynamics, TFLL contains inhomogeneities in the form of polar lipid aggregates. The aqueous phase of tear film contains lachrymal-origin proteins, whereby lysozyme is the most abundant. These proteins can alter TFLL properties, mainly by reducing its surface tension. However, a detailed nature of protein-lipid interactions in tear film is not known. We investigate the interactions of lysozyme with TFLL in molecular details by employing coarse-grained molecular dynamics simulations. We demonstrate that lysozyme, due to lateral restructuring of TFLL, is able to penetrate the tear lipid film embedded in inverse micellar aggregates. Copyright © 2017 Elsevier B.V. All rights reserved.
Kaido, Minako; Kawashima, Motoko; Shigeno, Yuta; Yamada, Yoshiaki; Tsubota, Kazuo
2018-05-01
Complex mechanisms underlie dry eye (DE) symptom provocation. In particular, corneal hypersensitivity may provoke symptoms in short tear break-up time (BUT) DE characterized by tear film instability. We hypothesized that improved tear film stability may alleviate corneal sensitivity in patients with short tear BUT DE. Therefore, we investigated the effect of topical diquafosol tetrasodium (DQS) on corneal sensitivity in unstable tear film DE. This prospective, randomized study included 27 subjects (age: 39.1 ± 8.4 years; range: 25-59 years) with short tear BUT DE, defined based on the presence of DE symptoms and tear film instability. Subjects were randomly divided into DQS (3% DQS, 12 subjects) and artificial tear (AT; preservative-free AT, 15 subjects) groups. Subjects applied the medication 6 times a day for 5 weeks. The perception of touch (S-touch) and pain (S-pain) sensitivity was measured using a Cochet-Bonnet esthesiometer. Tear evaluation, corneal sensitivity, and DE symptoms were compared before and after DQS or AT administration. The correlation between the improvement degrees of corneal sensitivity and DE symptoms following medication was analyzed. DQS significantly improved tear BUT and tear meniscus height (TMH) scores (p short tear BUT DE. However, DQS seems to be more effective to adjust tear environment, leading to the normalization of corneal sensitivity and DE symptoms. UMIN Clinical Trials Registry Identifier, UMIN000014536.
Lipid peroxidation is increased in tears from the elderly.
Benlloch-Navarro, Soledad; Franco, Ilenia; Sánchez-Vallejo, Violeta; Silvestre, Dolores; Romero, Francisco Javier; Miranda, María
2013-10-01
We describe a procedure in which tears, obtained from Schirmer strips, are used to measure a marker of lipid peroxidation, malondialdehyde (MDA). We also compared the levels of proteins and MDA in tears from two groups of people: young adults (18-30 years old) and elderly adults (65-85 years old), because the data related to total protein concentration of human tears vary widely and because the majority of people over the age of 65 experience some symptoms of dry eyes and this condition has been recognized as an oxidative stress-induced disease. Our results show a significant difference in the protein concentration of the tears taken from the two age categories, younger adults (18-30 years old) and older adults (65-85 years old). Herein, we report for the first time an increase in MDA concentrations determined by HPLC in human tears based on age. It is possible that alterations in the tear lipid layer may lead to an increase in lipid peroxidation. Further studies are needed to understand the nature and function of tear film and stability in order to obtain new methods to analyze tears in patients with different diseases. In this sense, it would be interesting to compare MDA concentration in tears from control subjects and from people with meibomian gland dysfunction. Copyright © 2013 Elsevier Ltd. All rights reserved.
Occupational kneeling and meniscal tears: a magnetic resonance imaging study in floor layers
DEFF Research Database (Denmark)
Rytter, Søren; Jensen, Lilli Kirkeskov; Bonde, Jens Peter
2009-01-01
OBJECTIVE: To evaluate the association between occupational kneeling and degenerative meniscal tears. METHODS: Magnetic resonance imaging (MRI) of both knees was conducted in 92 male floor layers and 49 male graphic designers (referents), with a mean age of 55.6 years (range 42-70 yrs). The prese......OBJECTIVE: To evaluate the association between occupational kneeling and degenerative meniscal tears. METHODS: Magnetic resonance imaging (MRI) of both knees was conducted in 92 male floor layers and 49 male graphic designers (referents), with a mean age of 55.6 years (range 42-70 yrs......). The presence of grade 3 MRI signal intensities indicating degenerative tears of the anterior, middle, and posterior one-third of the lateral and medial menisci was assessed on 1.5-Tesla MRI scans. The odds ratio (OR) of meniscal tears was determined among floor layers compared to graphic designers. Using...... logistic regression, models were adjusted for age, body mass index, and knee-straining sports. RESULTS: Degenerative tears were significantly more prevalent in the medial meniscus among floor layers than among graphic designers [OR 2.28, 95% confidence interval (CI) 1.10-4.98] and significantly more floor...
A review on hot tearing of magnesium alloys
Directory of Open Access Journals (Sweden)
Jiangfeng Song
2016-09-01
Full Text Available Hot tearing is often a major casting defect in magnesium alloys and has a significant impact on the quality of their casting products. Hot tearing of magnesium alloys is a complex solidification phenomenon which is still not fully understood, it is of great importance to investigate the hot tearing behaviour of magnesium alloys. This review attempts to summarize the investigations on hot tearing of magnesium alloys over the past decades. The hot tearing criteria including recently developed Kou's criterion are summarized and compared. The numeric simulation and assessing methods of hot tearing, factors influencing hot tearing, and hot tearing susceptibility (HTS of magnesium alloys are discussed.
Liang, Q F; Du, X H; Su, Y D; Wang, N L; Wei, Z J; Labbé, Antoine
2017-07-11
Objective: To investigate the distribution of tear film lipid layer thickness (LLT) and the relationship between symptoms and signs of dry eye and tear film LLT in the population of Taishitun Community in Beijing. Methods: A cross-sectional study. From May 2016 to August 2016, three streets of Taishitun Community were randomly selected as survey districts and 540 persons were taken as investigation subjects. Every participant completed 6 items of dry eye examinations as follows: questionnaire (Ocular Surface Disease Index, OSDI), measurement of tear film LLT, tear film break-up time (TBUT), corneal and conjunctival staining, SchirmerⅠtest and the infrared meibomian photography. According to their age, all participants were divided into four groups: junior group (analysis and multivariate Logistic regression analysis, distribution of the variables of LLT and the relationship between dry eye symptoms and LLT were studied. Results: A total of 473 residents finally participated in this study, and the response ratio was 87.6%. The values of LLT were normally distributed. The average LLT was (59.87±18.50) nm [(60.16±19.15) nm in males and (59.67±18.57) nm in females], and the comparison of LLT with different genders was not statistically significant ( t= 0.198, P= 0.843). The tear film LLT of four different age groups had statistical significance ( F= 15.092, P0.05. F= 0.538, P >0.05). In the OSDI symptom questionnaire, only blurred vision and decreased visual acuity were related to the tear film LLT ( Pfilm LLT ( P> 0.05). Conclusions: In Taishitun Community of Beijing, the values of tear film LLT had a normal distribution. The LLT was positively correlated with age, but inversely correlated with the severity of the symptoms of dry eye. There was no significant correlation between the LLT and the TBUT, SchirmerⅠtest result and meibomian gland loss rate. (Chin J Ophthalmol, 2017, 53: 495-501) .
Tear function and ocular surface after Muller muscle-conjunctival resection.
Uğurbaş, Suat Hayri; Alpay, Atilla; Bahadır, Burak; Uğurbaş, Sılay Cantürk
2014-05-01
Muller muscle-conjunctival resection (MCR) is a surgical technique to correct mild and moderate ptosis. In this study, tear function tests and ocular surface are evaluated in patients who underwent unilateral surgery. Sixteen patients with normal preoperative tear function who underwent unilateral MCR were evaluated prospectively. The fellow eyes of the patients were taken as the control group. A dry eye assessment questionnaire, Schirmer testing, tear film break-up time, fluorescein stain, Rose-Bengal stain, and conjunctival impression cytology were used to assess the tear film functions and ocular surface changes in the operated and non-operated eyes. There was no statistically significant difference in the tear function tests and goblet cell densities between the operated and non-operated eyes. The results indicate that an MCR procedure has no apparent effect on tear function tests and goblet cell density in patients with normal preoperative tear function.
Partial Thickness Rotator Cuff Tears: Current Concepts
Matthewson, Graeme; Beach, Cara J.; Nelson, Atiba A.; Woodmass, Jarret M.; Ono, Yohei; Boorman, Richard S.; Lo, Ian K. Y.; Thornton, Gail M.
2015-01-01
Partial thickness rotator cuff tears are a common cause of pain in the adult shoulder. Despite their high prevalence, the diagnosis and treatment of partial thickness rotator cuff tears remains controversial. While recent studies have helped to elucidate the anatomy and natural history of disease progression, the optimal treatment, both nonoperative and operative, is unclear. Although the advent of arthroscopy has improved the accuracy of the diagnosis of partial thickness rotator cuff tears, the number of surgical techniques used to repair these tears has also increased. While multiple repair techniques have been described, there is currently no significant clinical evidence supporting more complex surgical techniques over standard rotator cuff repair. Further research is required to determine the clinical indications for surgical and nonsurgical management, when formal rotator cuff repair is specifically indicated and when biologic adjunctive therapy may be utilized. PMID:26171251
Partial Thickness Rotator Cuff Tears: Current Concepts
Directory of Open Access Journals (Sweden)
Graeme Matthewson
2015-01-01
Full Text Available Partial thickness rotator cuff tears are a common cause of pain in the adult shoulder. Despite their high prevalence, the diagnosis and treatment of partial thickness rotator cuff tears remains controversial. While recent studies have helped to elucidate the anatomy and natural history of disease progression, the optimal treatment, both nonoperative and operative, is unclear. Although the advent of arthroscopy has improved the accuracy of the diagnosis of partial thickness rotator cuff tears, the number of surgical techniques used to repair these tears has also increased. While multiple repair techniques have been described, there is currently no significant clinical evidence supporting more complex surgical techniques over standard rotator cuff repair. Further research is required to determine the clinical indications for surgical and nonsurgical management, when formal rotator cuff repair is specifically indicated and when biologic adjunctive therapy may be utilized.
Sela, Yaron; Eshed, Iris; Shapira, Shachar; Oran, Ariel; Vogel, Guy; Herman, Amir; Perry Pritsch, Moshe
2015-02-01
Magnetic resonance imaging (MRI) is considered to be the best non-invasive procedure for the evaluation of rotator cuff (RC) tendon tears. Burkhart's classification is a geometric classification of full-thickness RC tears on MRI. To correlate MRI and arthroscopic geometric full-thickness RC tears according to the Burkhart's classification with pre- and postoperative clinical findings. Patients who underwent arthroscopic RC repair between 2006 and 2010 were retrospectively evaluated. Preoperative MRI and arthroscopic surgical reports were reviewed for tear geometry (Burkhart's) by three (1 radiologist, 2 surgeons) and two (surgeons) readers. MRIs were also evaluated for tear size and change of tear size in successive sagittal sections and for muscle mass and fatty infiltration. Clinical examinations were performed preoperatively and at least 12 months afterwards. Postoperative function questionnaires were filled in by the patients. Forty-six patients (35 men, 11 women; mean age, 57 years; range, 41-72 years) were evaluated. Tears depicted on MRIs were classified as crescent in 11 patients (24%), longitudinal in three (6.5%), massive contracted in 29 (63%), and cuff arthropathy in three (6.5%). Muscle changes were noted almost exclusively in patients with massive tears and cuff arthropathy (16/32 patients, P = 0.013). MRIs and arthroscopic geometric classifications were in close agreement. Tear type did not correlate with pre- and postoperative physical examination or with postoperative clinical questionnaires scores. Geometric RC tear characterizations on preoperative MRIs were closely associated with arthroscopic findings. Postoperative results were not affected by the geometric pattern of the tears. © The Foundation Acta Radiologica 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
MRI of meniscal bucket-handle tears
Energy Technology Data Exchange (ETDEWEB)
Magee, T.H.; Hinson, G.W. [Menorah Medical Center, Overland Park, KS (United States). Dept. of Radiology
1998-09-01
A meniscal bucket-handle tear is a tear with an attached fragment displaced from the meniscus of the knee joint. Low sensitivity of MRI for detection of bucket-handle tears (64% as compared with arthroscopy) has been reported previously. We report increased sensitivity for detecting bucket-handle tears with the use of coronal short tau inversion recovery (STIR) images. Results. By using four criteria for diagnosis of meniscal bucket-handle tears, our overall sensitivity compared with arthroscopy was 93% (28 of 30 meniscal bucket-handle tears seen at arthroscopy were detected by MRI). The meniscal fragment was well visualized in all 28 cases on coronal STIR images. The double posterior cruciate ligament sign was seen in 8 of 30 cases, the flipped meniscus was seen in 10 of 30 cases and a fragment in the intercondylar notch was seen in 18 of 30 cases. (orig.)
Comparison of non-invasive tear film stability measurement techniques.
Wang, Michael Tm; Murphy, Paul J; Blades, Kenneth J; Craig, Jennifer P
2018-01-01
Measurement of tear film stability is commonly used to give an indication of tear film quality but a number of non-invasive techniques exists within the clinical setting. This study sought to compare three non-invasive tear film stability measurement techniques: instrument-mounted wide-field white light clinical interferometry, instrument-mounted keratoscopy and hand-held keratoscopy. Twenty-two subjects were recruited in a prospective, randomised, masked, cross-over study. Tear film break-up or thinning time was measured non-invasively by independent experienced examiners, with each of the three devices, in a randomised order, within an hour. Significant correlation was observed between instrument-mounted interferometric and keratoscopic measurements (p 0.05). Tear film stability values obtained from the hand-held device were significantly shorter and demonstrated narrower spread than the other two instruments (all p 0.05). Good clinical agreement exists between the instrument-mounted interferometric and keratoscopic measurements but not between the hand-held device and either of the instrument-mounted techniques. The results highlight the importance of specifying the instrument employed to record non-invasive tear film stability. © 2017 Optometry Australia.
Duchman, Kyle R.; Westermann, Robert W.; Spindler, Kurt P.; Reinke, Emily K.; Huston, Laura J.; Amendola, Annunziato; Wolf, Brian R.
2016-01-01
Background The management of meniscus tears identified at the time of primary ACL reconstruction is highly variable and includes repair, meniscectomy, and non-treatment. Hypothesis/Purpose The purpose of this study is to determine the reoperation rate for meniscus tears left untreated at the time of ACL reconstruction with minimum follow-up of 6 years. We hypothesize that small, peripheral tears identified at the time of ACL reconstruction managed with “no treatment” will have successful clinical outcomes. Study Design Retrospective study of a prospective cohort; Level of Evidence, 3 Methods Patients with meniscus tears left untreated at the time of primary ACL reconstruction were identified from a multicenter study group with minimum 6-year follow-up. Patient, tear, and reoperation data were obtained for analysis. Need for reoperation was used as the primary endpoint, with analysis performed to determine patient and tear characteristics associated with reoperation. Results There were 194 patients with 208 meniscus tears (71 medial; 137 lateral) left in situ without treatment with complete follow-up for analysis. Of these, 97.8% of lateral and 94.4% of medial untreated tears required no reoperation. Sixteen tears (7.7%) left in situ without treatment underwent subsequent reoperation: 9 tears (4.3%) underwent reoperation in the setting of revision ACL reconstruction and 7 tears (3.4%) underwent reoperation for isolated meniscus pathology. Patient age was significantly lower in patients requiring reoperation, while tears measuring ≥ 10 mm more frequently required reoperation. Conclusions Lateral and medial meniscus tears left in situ at the time of ACL reconstruction did not require reoperation at minimum 6-year follow-up for 97.8% and 94.4% of tears, respectively. These findings reemphasize the low reoperation rate following non-treatment of small, peripheral lateral meniscus tears while noting less predictable results for medial meniscus tears left without
Progression of Fatty Muscle Degeneration in Atraumatic Rotator Cuff Tears.
Hebert-Davies, Jonah; Teefey, Sharlene A; Steger-May, Karen; Chamberlain, Aaron M; Middleton, William; Robinson, Kathryn; Yamaguchi, Ken; Keener, Jay D
2017-05-17
The purpose of this prospective study was to examine the progression of fatty muscle degeneration over time in asymptomatic shoulders with degenerative rotator cuff tears. Subjects with an asymptomatic rotator cuff tear in 1 shoulder and pain due to rotator cuff disease in the contralateral shoulder were enrolled in a prospective cohort. Subjects were followed annually with shoulder ultrasonography, which evaluated tear size, location, and fatty muscle degeneration. Tears that were either full-thickness at enrollment or progressed to a full-thickness defect during follow-up were examined. A minimum follow-up of 2 years was necessary for eligibility. One hundred and fifty-six shoulders with full-thickness rotator cuff tears were potentially eligible. Seventy shoulders had measurable fatty muscle degeneration of at least 1 rotator cuff muscle at some time point. Patients with fatty muscle degeneration in the shoulder were older than those without degeneration (mean, 65.8 years [95% confidence interval (CI), 64.0 to 67.6 years] compared with 61.0 years [95% CI, 59.1 to 62.9 years]; p tears at baseline was larger in shoulders with degeneration than in shoulders that did not develop degeneration (13 and 10 mm wide, respectively, and 13 and 10 mm long; p Tears with fatty muscle degeneration were more likely to have enlarged during follow-up than were tears that never developed muscle degeneration (79% compared with 58%; odds ratio, 2.64 [95% CI, 1.29 to 5.39]; p muscle degeneration occurred more frequently in shoulders with tears that had enlarged (43%; 45 of 105) than in shoulders with tears that had not enlarged (20%; 10 of 51; p tears with enlargement and progression of muscle degeneration were more likely to extend into the anterior supraspinatus than were those without progression (53% and 17%, respectively; p tear size (p = 0.56). The median time from tear enlargement to progression of fatty muscle degeneration was 1.0 year (range, -2.0 to 6.9 years) for the
Tear exchange and contact lenses: a review.
Muntz, Alex; Subbaraman, Lakshman N; Sorbara, Luigina; Jones, Lyndon
2015-01-01
Tear exchange beneath a contact lens facilitates ongoing fluid replenishment between the ocular surface and the lens. This exchange is considerably lower during the wear of soft lenses compared with rigid lenses. As a result, the accumulation of tear film debris and metabolic by-products between the cornea and a soft contact lens increases, potentially leading to complications. Lens design innovations have been proposed, but no substantial improvement in soft lens tear exchange has been reported. Researchers have determined post-lens tear exchange using several methods, notably fluorophotometry. However, due to technological limitations, little remains known about tear hydrodynamics around the lens and, to-date, true tear exchange with contact lenses has not been shown. Further knowledge regarding tear exchange could be vital in aiding better contact lens design, with the prospect of alleviating certain adverse ocular responses. This article reviews the literature to-date on the significance, implications and measurement of tear exchange with contact lenses. Copyright © 2014 Spanish General Council of Optometry. Published by Elsevier Espana. All rights reserved.
International Nuclear Information System (INIS)
Lee, Hyang Mi; Shim, Jae Chan; Kim, Jin Goo; Lee, Jae Myeong; Nam, Mee Young; Lee, Ghi Jai; Kim, Ho Kyun; Suh, Jung Ho
2010-01-01
To evaluate the diagnostic accuracy of the various tear configurations in a medial meniscal posterior horn root tear and assess whether any correlation exists with other associated knee abnormalities in MR imaging. A retrospective review of 146 preoperative knee MR images were performed by one experienced musculoskeletal radiologist. The tear configuration and other abnormalities were evaluated. Sensitivity, specificity, and diagnostic accuracy of each configuration in the medial meniscal posterior horn root tear were calculated. A total of 48 medial meniscal posterior horn root tears including 38 full-thickness radial, 7 partial-thickness radial, and 3 complex tears were confirmed during arthroscopy. Overall, the sensitivity, specificity, and accuracy for the detection of medial meniscal posterior horn root tear were 92% (44/48), 99% (97/98), and 97% (141/146), respectively. For each tear configuration, sensitivity, specificity, and accuracy were 82% (31/38), 97% (105/108), and 93% (136/146) for full-thickness radial tears, respectively, and 43% (3/7), 94% (131/139), and 91% (134/146) for partial-thickness radial tears, respectively. The incidence of degenerative joint disease was 85% (41/48) for the tear group, revealing a strong association. In patients with a root tear and with degenerative joint disease, the incidence of high grade cartilage defects involving the medial femoral condyle was at 80% (33/41), compared to 56% (23/41) for the presence of medial meniscal extrusion. In contrast, a similar comparison of incidence for patients with no root tears but with degenerative joint disease was at 68% (17/25) and 26% (8/31), respectively. MR imaging is very sensitive for the detection of medial meniscal root tears, but has reduced the accuracy with regard to each tear configuration. Medial meniscal root tears showed a strong association with degenerative joint disease. High grade cartilage defects of the medial femoral condyle and medial meniscal extrusions also
Energy Technology Data Exchange (ETDEWEB)
Lee, Hyang Mi; Shim, Jae Chan; Kim, Jin Goo; Lee, Jae Myeong; Nam, Mee Young; Lee, Ghi Jai; Kim, Ho Kyun; Suh, Jung Ho [Inje University College of Medicine, Seoul Paik Hospital, Seoul (Korea, Republic of)
2010-11-15
To evaluate the diagnostic accuracy of the various tear configurations in a medial meniscal posterior horn root tear and assess whether any correlation exists with other associated knee abnormalities in MR imaging. A retrospective review of 146 preoperative knee MR images were performed by one experienced musculoskeletal radiologist. The tear configuration and other abnormalities were evaluated. Sensitivity, specificity, and diagnostic accuracy of each configuration in the medial meniscal posterior horn root tear were calculated. A total of 48 medial meniscal posterior horn root tears including 38 full-thickness radial, 7 partial-thickness radial, and 3 complex tears were confirmed during arthroscopy. Overall, the sensitivity, specificity, and accuracy for the detection of medial meniscal posterior horn root tear were 92% (44/48), 99% (97/98), and 97% (141/146), respectively. For each tear configuration, sensitivity, specificity, and accuracy were 82% (31/38), 97% (105/108), and 93% (136/146) for full-thickness radial tears, respectively, and 43% (3/7), 94% (131/139), and 91% (134/146) for partial-thickness radial tears, respectively. The incidence of degenerative joint disease was 85% (41/48) for the tear group, revealing a strong association. In patients with a root tear and with degenerative joint disease, the incidence of high grade cartilage defects involving the medial femoral condyle was at 80% (33/41), compared to 56% (23/41) for the presence of medial meniscal extrusion. In contrast, a similar comparison of incidence for patients with no root tears but with degenerative joint disease was at 68% (17/25) and 26% (8/31), respectively. MR imaging is very sensitive for the detection of medial meniscal root tears, but has reduced the accuracy with regard to each tear configuration. Medial meniscal root tears showed a strong association with degenerative joint disease. High grade cartilage defects of the medial femoral condyle and medial meniscal extrusions also
Immunoglobulin Concentration in Tears of Contact Lens Wearers
Maurya, Rajendra P.; Bhushan, Prashant; Singh, Virendra P.; Singh, Mahendra K.; Kumar, Prakash; Bhatia, Ravindra P.S.; Singh, Usha
2014-01-01
Purpose: To evaluate changes in the concentration of tear immunoglobulins in contact lens wearers. Methods: A total of 45 cases including 23 contact lens wearers (43 eyes) and 22 age and sex matched healthy controls having no ocular pathology were studied for immunoglobulins (IgA, IgG, IgM) in their tears by single radial immunodiffusion method. Results: Most of the cases used soft (56.6%) and semi-soft gas permeable (30.4%) contact lenses. Tear IgM was detected in only 17.4% and tear IgG in 43.6% of contact lens wearers, while in controls IgG was detected in 9.1% but none of the controls had IgM. There was a significant rise in total tear IgA (13.17 ± 4.44 mg/dl) in contact lens wearer as compared to controls (8.93 ± 3.79 mg/dl). Rise of tear IgA was more in symptomatic patients (15.38 ± 5.28 mg/dl) and in those wearing hard (19.73 ± 5.43 mg/dl) and semi-soft contact lenses (13.31 ± 5.43 mg/dl). A significant increase in tear IgA was noticed in subjects wearing lenses for >3 years (15.69 ± 5.39 mg/dl). About 43.4% of lens wearers were symptomatic and 80% of their lenses showed deposits and/or haziness. All cases with IgM in tear were symptomatic. Conclusion: The relation of immunoglobulin concentration with increasing duration of wear and material of contact lens shows that tear immunoglobulin rise accrues due to mechanical stimulation, hence contact lenses should not be used for a long period and lenses of hard nature should be discouraged. The maintenance, cleaning and deproteinization of the lenses are of high importance to avoid immunostimulation. PMID:25667732
Energy Technology Data Exchange (ETDEWEB)
Cochet, Hubert [Hopital Cardiologique du Haut-Leveque, CHU Bordeaux, Unite d' Imagerie Thoracique et Cardiovasculaire, Pessac (France); Couderc, Stephane; Pele, Eric; Moreau-Durieux, Marie-Helene; Hauger, Olivier [Hopital Pellegrin, CHU Bordeaux, Unite d' Imagerie Osteo-articulaire, Bordeaux (France); Amoretti, Nicolas [CHU Archet, Unite d' Imagerie Osteo-articulaire, Nice (France)
2010-05-15
To evaluate the impact of abduction and external rotation (ABER) positioning performed before image acquisition on the assessment of rotator cuff tears. Twenty-seven consecutive patients with clinically suspected rotator cuff tears underwent an initial CT arthrogram of the shoulder in neutral position, immediately followed by temporary ABER positioning, before a second CT acquisition in neutral position. Two observers blinded to potential pre-procedure ABER positioning independently analysed the randomly distributed images. Lesions were classified into partial-thickness (PT) and full-thickness (FT) tear subtypes. Lesion detection and measurements of pre- and post-ABER studies were compared. We found no influence of pre-test ABER positioning on FT detection or measurements. Every PT detected on pre-ABER study was also detected on post-ABER study (28/28 for reader 1, and 32/32 for reader 2). Seven and eight additional PT were found by readers 1 and 2, respectively, on post-ABER study. Lesion size increased after ABER in terms of area (P < 0.001 for both readers) and Ellman's grade (P = 0.02 and 0.002 for reader 1 and 2, respectively). ABER positioning before CT is associated with improved delineation of partial tears, a higher number of detected tears and modification of treatment planning. (orig.)
Nonlinear MHD and energetic particle modes in stellarators
International Nuclear Information System (INIS)
Strauss, H.R.
2002-01-01
The M3D code has been applied to ideal, resistive, two fluid, and hybrid simulations of compact quasi axisymmetric stellarators. When beta exceeds a threshold, low poloidal mode number (m=6∼18) modes grow exponentially, clearly distinguishable from the equilibrium evolution. Simulations of NCSX have beta limits are significantly higher than the infinite mode number ballooning limits. In the presence of resistivity, these modes occur well below the ideal limit. Their growth rate scaling with resistivity is similar to tearing modes. With sufficient viscosity, the growth rate becomes slow enough to allow calculations of magnetic island evolution. Hybrid gyrokinetic simulations with energetic particles indicate that global shear Alfven TAE - like modes can be destabilized in stellarators. Computations in a two - period compact stellarator obtained a predominantly n=1 toroidal mode with about the expected TAE frequency. Work is in progress to study fast ion-driven Alfven modes in NCSX. (author)
Interferometric characterization of tear film dynamics
Primeau, Brian Christopher
The anterior refracting surface of the eye is the thin tear film that forms on the surface of the cornea. When a contact lens is on worn, the tear film covers the contact lens as it would a bare cornea, and is affected by the contact lens material properties. Tear film irregularity can cause both discomfort and vision quality degradation. Under normal conditions, the tear film is less than 10 microns thick and the thickness and topography change in the time between blinks. In order to both better understand the tear film, and to characterize how contact lenses affect tear film behavior, two interferometers were designed and built to separately measure tear film behavior in vitro and in vivo. An in vitro method of characterizing dynamic fluid layers applied to contact lenses mounted on mechanical substrates has been developed using a phase-shifting Twyman-Green interferometer. This interferometer continuously measures light reflected from the surface of the fluid layer, allowing precision analysis of the dynamic fluid layer. Movies showing this fluid layer behavior can be generated. The fluid behavior on the contact lens surface is measured, allowing quantitative analysis beyond what typical contact angle or visual inspection methods provide. The in vivo interferometer is a similar system, with additional modules included to provide capability for human testing. This tear film measurement allows analysis beyond capabilities of typical fluorescein visual inspection or videokeratometry and provides better sensitivity and resolution than shearing interferometry methods.
Role of Neutral Lipids in Tear Fluid Lipid Layer: Coarse-Grained Simulation Study
DEFF Research Database (Denmark)
Telenius, J.; Koivuniemi, A.; Kulovesi, P.
2012-01-01
Tear fluid lipid layer (TFLL) residing at the air-water interface of tears has been recognized to play an important role in the development of dry eye syndrome. Yet, the composition, structure, and mechanical properties of TFLL are only partly known. Here, we report results of coarse...
Shi, Jing-lin; Miao, Wan-hong
2012-09-01
With the understanding of the immune inflammatory response in the pathogenesis of dry eyes, and the limitations of widely used artificial tears and numerous pharmaceuticals and methods to promote tear secretion, clinicians pay more attention to the therapies that can promote tear secretion actively. Acupuncture treatment for dry eye may meet this requirement. To observe the clinical efficacy of acupuncture treatment on dry eye and the effects on duration, and to examine the mechanisms of acupuncture in treating patients with dye eyes. The study was performed at Department of Ophthalmology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine from August 2010 to May 2011. Patients with the primary diagnosis of dry eye were enrolled. Sixty-five patients were randomly divided into treatment group and control group, and were given 3 weeks of acupuncture treatment or artificial tear therapy respectively. The enzyme-linked immunosorbent assay was used to detect the lactoferrin content of the tears before and after treatment. In order to evaluate the efficacy of the treatment methods, the Schirmer I test and break-up time were also measured. Compared with before treatment, the lactoferrin content in the tears of patients in the treatment group increased, break-up time was prolonged and the result of the Schirmer I test showed improvement after 3 weeks of treatment. The indexes mentioned above did not change in the control group after treatment. There were no significant differences in tear lactoferrin and Schirmer I test between one week after treatment and after 3-week treatment in the treatment group, but break-up time was significantly shortened. The result of Schirmer I test in the treatment group was significantly higher than that in the control group one week after treatment. Acupuncture can increase tear lactoferrin level, extend tear film break-up time and promote tear secretion in patients with dry eye in a time-limited trial. With the end of
MRI diagnosis in meniscal tears: a Meta analysis
International Nuclear Information System (INIS)
Liu Xiaosheng; Xu Jianrong; Hua Jia; Wang Baisong
2007-01-01
Objective: To perform a Meta-analysis to evaluate the overall diagnostic value of magnetic resonance imaging (MRI) in patients with suspected meniscal tears. Methods: All the papers concerning the diagnosis of meniscal tears using MRI in both English and Chinese published from 1998 to 2004 had been searched and reviewed, and the studies with the arthroscopy as the gold standard were adopted as eligible. Statistical analysis was performed employing SAS 8.0. Heterogeneity of the included articles was tested, which was used to select proper effect model to calculate pooled weighted sensitivity, specificity and accuracy. Summary receiver operating characteristic (SROC) analyses were performed for tears of both menisci. Finally, subgroup analysis on magnetic field strength was performed. Results: Totally 11 studies were met the inclusion criteria with a total of 1221 patients. The pooled indexes of diagnostic performance and SROC demonstrated a high discriminatory power for detecting tears of the medial and lateral menisci. The value of TPR * for medial and lateral menisci showed no significant difference (0.90, 0.86, respectively, Z=0.11, P>0.05). Subgroup analysis demonstrated no statistically significant difference on diagnostic performance for various magnetic field strength (P>0.05). Conclusion: MRI is a highly accurate diagnostic tool for detecting tears of the medial and lateral menisci. At present, there is no evidence to ascertain that higher magnetic field strength improves discriminatory power for meniscal tears. (authors)
ProTec Tear-Offs: A Preliminary Assessment
International Nuclear Information System (INIS)
Peeler, D
2005-01-01
The Savannah River National Laboratory (SRNL) has conducted a series of ''scoping'' tests (referred to as Phase 1) to assess the potential use of a Mylar(reg s ign) tear-off system as a primary or secondary protective barrier to minimize acid etching (''frosting''), accidental scratching, and/or radiation damage for shielded cells windows. Conceptually, thin, multi-layered sheets of Mylar (referred to as a ''tear-off'' system) could be directly applied to the Lexan(reg s ign) sheet or glovebox/hood sash window to serve as a secondary (or primary) barrier. Upon degradation of visual clarity due to accidental scratching, spills/splatters, and/or radiation damage, the outer layer (or sheet) of Mylar could be removed ''refreshing'' or restoring the view. Due to the multi-layer aspect, the remaining Mylar layers would provide continued protection for the window from potential reoccurrences (which could be immediate or after some extended time period). Although the concept of using a tear-off system as a protective barrier was conceptually enticing, potential technical issues were identified and addressed as part of this Phase 1 feasibility study. These included resistance to: (1) acid(s) (concentrated (28.9 M) HF, concentrated (15.9M) HNO 3 , 6M HCl, and 0.6M H 3 BO 3 ), (2) base (a simulated sludge with pH of 12.9), (3) gamma radiation (cumulative dose of ∼200,000 rad), and (4) scratch resistance (simulating accidental scratching with the manipulators). Not only can these four factors play a significant role in determining the visual clarity of the integrated system, they can also contribute to the mechanical integrity issues which could dictate the ability to remove the outer layer when visual clarity has degraded. The results of the Phase 1 study clearly indicate that the Mylar tear-off concept (as a primary or secondary protective barrier) is a potential technical solution to prevent or retard excessive damage that would result from acid etching, base damage (as a
Porritt, L. A.; Quane, S.; Russell, K.
2011-12-01
Pele's tears are a well known curiosity commonly associated with low viscosity basaltic explosive eruptions. However, these pyroclasts are rarely studied in detail and there is no full explanation for their formation. These intriguing pyroclasts have smooth glassy surfaces, vesiculated interiors, and fluidal morphologies tending towards droplets and then spheres as they decrease in size to Pele's tears from the 1959 fire-fountaining eruption of Kilauea Iki involving size and density measurements. Using thin section and SEM analysis we also consider their internal and external morphologies, porosity and bubble size distributions, and surface textures. Finally we consider the mechanisms of magma fragmentation, timescales of relaxation, and cooling rates that are responsible for their formation.
Rotator cuff tear: A detailed update
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Vivek Pandey
2015-01-01
Full Text Available Rotator cuff tear has been a known entity for orthopaedic surgeons for more than two hundred years. Although the exact pathogenesis is controversial, a combination of intrinsic factors proposed by Codman and extrinsic factors theorized by Neer is likely responsible for most rotator cuff tears. Magnetic resonance imaging remains the gold standard for the diagnosis of rotator cuff tears, but the emergence of ultrasound has revolutionized the diagnostic capability. Even though mini-open rotator cuff repair is still commonly performed, and results are comparable to arthroscopic repair, all-arthroscopic repair of rotator cuff tear is now fast becoming a standard care for rotator cuff repair. Appropriate knowledge of pathology and healing pattern of cuff, strong and biological repair techniques, better suture anchors, and gradual rehabilitation of postcuff repair have led to good to excellent outcome after repair. As the healing of degenerative cuff tear remains unpredictable, the role of biological agents such as platelet-rich plasma and stem cells for postcuff repair augmentation is still under evaluation. The role of scaffolds in massive cuff tear is also being probed.
MRI diagnosis of ACL bundle tears: value of oblique axial imaging
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Ng, Alex W.H.; Griffith, James F.; Hung, Esther H.Y. [Chinese University of Hong Kong, Department of Imaging and Interventional Radiology, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR (China); Law, Kan Yip; Yung, Patrick S.H. [Chinese University of Hong Kong, Department of Orthopedics and Traumatology, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR (China)
2013-02-15
To investigate the diagnostic accuracy of oblique axial intermediate weighting MR imaging in detecting partial thickness anterior cruciate ligament (ACL) bundle tears. The study protocol was approved by the institutional ethics committee. Sixty-one subjects (43 male, 18 female; mean age 27.4 years; range 9 to 57 years) with clinically suspected ACL tear or meniscal tear between September 2009 and January 2011 were studied with MRI and arthroscopy. Detection of partial tear for the ACL as a whole and for each ACL bundle by protocol A (standard orthogonal sequences) and protocol B (standard orthogonal sequences plus oblique axial intermediate weighted imaging) was compared in a blinded fashion. Performance characteristics for protocol A and protocol B were compared using sensitivity, specificity, accuracy and ROC curves. A two-tailed p value of <0.05 indicated statistical significance. Fifteen (24.6%) normal, 15 (24.6%) partial and 31 complete tears were diagnosed by arthroscopy. Sensitivity, specificity and accuracy of protocol A for the diagnosis of partial tear of the ACL was 33%, 87% and 74%, while for protocol B the values were 87%, 87% and 87% respectively. The area under the curve (AUC) for the diagnosis of partial ACL tear and individual bundle tear was higher for protocol B, although this difference did not reach statistical significance (p > 0.05). The addition of oblique axial imaging to standard MR imaging improves diagnostic accuracy for detecting partial tears of the ACL as well as individual bundle tears of the ACL. (orig.)
Effect of a static external magnetic perturbation on resistive mode stability in tokamaks
International Nuclear Information System (INIS)
Fitzpatrick, R.
1994-03-01
The influence of a general static external magnetic perturbation on the stability of resistive modes in a tokamak plasma is examined. There are three main parts to this investigation. Firstly, the vacuum perturbation is expanded as a set of well-behaved toroidal ring functions and is, thereafter, specified by the coefficients of this expansion. Secondly, a dispersion relation is derived for resistive plasma instabilities in the presence of a general external perturbation and finally, this dispersion relation is solved for the amplitudes of the tearing and twisting modes driven in the plasma by a specific perturbation. It is found that the amplitudes of driven tearing and twisting modes are negligible until a certain critical perturbation strength is exceeded. Only tearing modes are driven in low-β plasmas with εβ p p ∼>1. For error-field perturbations made up of a large number of different poloidal and toroidal harmonics the critical strength to drive locked modes has a open-quote staircase close-quote variation with edge-q, characterized by strong discontinuities as coupled rational surfaces enter or leave the plasma. For single harmonic perturbations the variation with edge-q is far smoother. Both types of behaviour have been observed experimentally. The critical perturbation strength is found to decrease strongly close to an ideal external kink stability boundary. This is also in agreement with experimental observations
Role of ultrasound in rotator cuff tears
International Nuclear Information System (INIS)
Siddiqi, H.A.; Mirza, T.
2010-01-01
The study was designed to evaluate the efficacy of ultrasound in rotator cuff tears and to compare it with MRI. Total number of patients was thirty. All of these were above thirty years of age and were referred by clinicians, with shoulder pain for diagnostic workup. Post operative patients were excluded. Ultrasound and Magnetic Resonance Imaging (MRI) were performed on each patient. Same operator performed ultrasound in all patients. Ultrasound (US) and Magnetic Resonance Imaging (MRI) detected equal number of full thickness tears while two partial thickness tears were missed on US. Hypoechoic defect was the most important primary sign while cortical irregularity and fluid in subacromial and subdeltroid busra were the most important secondary signs on US. US was equally effective to MRI in detection of rotator cuff tears. It should be the primary investigation because of its availability, cost effective and real time evaluation provided significant expertise is developed, as it is highly operator dependent. (author)
Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation
International Nuclear Information System (INIS)
Kang, Chang Ho; Kim, Sam Soo; Kim, Jung Hyuk; Chung, Kyoo Byung; Kim, Yun Hwan; Oh, Yu-Whan; Jeong, Woong-Kyo; Kim, Baek Hyun
2009-01-01
The objective of the study was to compare the diagnostic reliability of 3D US with MR arthrography in diagnosing supraspinatus tendon tears, with arthroscopic findings used as the standard. In a prospective study 50 patients who later underwent arthroscopic surgery of the rotator cuff were examined pre-operatively by 3D US with MR arthrography. The presence or absence of a full- or partial-thickness supraspinatus tendon tear and the tear size as demonstrated by each imaging and arthroscopy was recorded. The tear size was divided into three grades: small ( 3 cm). The arthroscopic diagnosis was a full-thickness tear in 40 patients, partial-thickness tears in 5, and intact supraspinatus tendon in 5. 3D US correctly diagnosed 35 out of 40 full-thickness tears and MR arthrography 39 out of 40 full-thickness tears. Regarding partial-thickness tears, 3D US underestimated 2 cases as no tear and overestimated 1 case as a full-thickness tear. MR arthrography underestimated 1 case as a partial-thickness tear and overestimated 2 cases as full-thickness and partial-thickness tears respectively. 3D US and MR arthrography yield a sensitivity for full-thickness tears of 87.5% and 97.5% with specificity of 90.0% and 90.0%. Based on the grading system, 3D US measurements correctly predicted the tear size of 23 (65.7%) of the 35 full-thickness tears and MR arthrography 30 (75.0%) of the 39 full-thickness tears. Three-dimensional ultrasound seems to be a promising imaging modality comparable to MR arthrography for the assessment of the supraspinatus tendon tears. (orig.)
Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation
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Kang, Chang Ho [Kangwon National University Hospital, Department of Radiology, Kangwon-do (Korea); Korea University Anam Hospital, Korea University College of Medicine, Department of Radiology, Seoul (Korea); Kim, Sam Soo [Kangwon National University Hospital, Department of Radiology, Kangwon-do (Korea); Kim, Jung Hyuk; Chung, Kyoo Byung; Kim, Yun Hwan; Oh, Yu-Whan [Korea University Anam Hospital, Korea University College of Medicine, Department of Radiology, Seoul (Korea); Jeong, Woong-Kyo [Korea University Anam Hospital, Korea University College of Medicine, Orthopaedic Surgery, Seoul (Korea); Kim, Baek Hyun [Korea University Ansan Hospital, Korea University College of Medicine, Department of Radiology, Ansan City (Korea)
2009-11-15
The objective of the study was to compare the diagnostic reliability of 3D US with MR arthrography in diagnosing supraspinatus tendon tears, with arthroscopic findings used as the standard. In a prospective study 50 patients who later underwent arthroscopic surgery of the rotator cuff were examined pre-operatively by 3D US with MR arthrography. The presence or absence of a full- or partial-thickness supraspinatus tendon tear and the tear size as demonstrated by each imaging and arthroscopy was recorded. The tear size was divided into three grades: small (<1 cm), medium (1-3 cm), and large (>3 cm). The arthroscopic diagnosis was a full-thickness tear in 40 patients, partial-thickness tears in 5, and intact supraspinatus tendon in 5. 3D US correctly diagnosed 35 out of 40 full-thickness tears and MR arthrography 39 out of 40 full-thickness tears. Regarding partial-thickness tears, 3D US underestimated 2 cases as no tear and overestimated 1 case as a full-thickness tear. MR arthrography underestimated 1 case as a partial-thickness tear and overestimated 2 cases as full-thickness and partial-thickness tears respectively. 3D US and MR arthrography yield a sensitivity for full-thickness tears of 87.5% and 97.5% with specificity of 90.0% and 90.0%. Based on the grading system, 3D US measurements correctly predicted the tear size of 23 (65.7%) of the 35 full-thickness tears and MR arthrography 30 (75.0%) of the 39 full-thickness tears. Three-dimensional ultrasound seems to be a promising imaging modality comparable to MR arthrography for the assessment of the supraspinatus tendon tears. (orig.)
Directory of Open Access Journals (Sweden)
Vishnumurthy H. Y
2016-09-01
Full Text Available INTRODUCTION Rotator cuff disease is the most common cause of shoulder pain. Ultrasonography being non-invasive, widely available, more cost-effective method and is the first choice in imaging of rotator cuff tears. Arthroscopy of shoulder is considered as the gold standard for diagnosis of rotator cuff tears. Objective of this study was to compare the diagnostic accuracy of high-resolution ultrasonography of shoulder for rotator cuff tears with arthroscopy of shoulder. METHODS Thirty patients clinically suspected to have rotator cuff tear who underwent ultrasonography and arthroscopy of shoulder were included in the study. Duration of study was for two years. All ultrasonography examinations were conducted in ultrasound machine using GE Voluson 730 PRO high frequency (10-12 MHz linear array transducer done by two experienced radiologists. Arthroscopies were done by two experienced shoulder arthroscopic surgeons. RESULTS Age of the patients with rotator cuff tears ranged from 40 to 80 years. 57% were females and 43% were males among the patients who had rotator cuff tears. 71.43% of the rotator cuff tears were found in the dominant arm. 64.28% of patients with rotator cuff tear had given history of fall or trauma to the corresponding shoulder within 6 months prior to presentation. 39.28% of patients who had rotator cuff tears were known diabetics. Supraspinatus tendon was the most commonly affected tendon, followed by infraspinatus and subscapularis tendons. For overall detection of rotator cuff tears, ultrasonography in comparison with the arthroscopy has sensitivity and specificity of 92.85% and 100%. For detection of full thickness rotator cuff tear, its sensitivity and specificity was 94.73% and 100% and for partial thickness rotator cuff tears 76.92% and 100%. Ultrasonography has 100% sensitivity and specificity for detection of supraspinatus full thickness tear. For supraspinatus partial thickness tear, sensitivity and specificity was 88
Potential of FTIR spectroscopy for analysis of tears for diagnosis purposes.
Travo, Adrian; Paya, Clément; Déléris, Gérard; Colin, Joseph; Mortemousque, Bruno; Forfar, Isabelle
2014-04-01
It has been widely reported that the tear film, which is crucially important as a protective barrier of the eye, undergoes biochemical changes as a result of a wide range of ocular pathology. This tends to suggest the possibility of early detection of ocular diseases on the basis of biochemical analysis of tears. However, studies of tears by conventional methods of biomolecular and biochemical analysis are often limited by methodological difficulties. Moreover, such analysis could not be applied in the clinic, where structural and morphological analyses by, mainly, slit-lamp biomicroscopy remains the recommended method. In this study, we assessed, for the first time, the potential of FTIR spectroscopy combined with advanced chemometric processing of spectral data for analysis of raw tears for diagnosis purposes. We first optimized sampling and spectral acquisition (tears collection method, tear sample volume, and preservation of the samples) for accurate spectral measurement. On the basis of the results, we focused our study on the possibility of discriminating tears from normal individuals from those of patients with different ocular pathologies, and showed that the most discriminating spectral range is that corresponding to variations of CH2 and CH3 of lipid aliphatic chains. We also report more subtle discrimination of tears from patients with keratoconus and those from patients with non-specific inflammatory ocular diseases, on the basis of variations in spectral ranges attributed notably to lipid and carbohydrate vibrations. Finally, we also succeeded in distinguishing tears from patients with early-stage and late-stage keratoconus on the basis of spectral features attributed to protein structure. Therefore, this study strongly suggests that FTIR spectral analysis of tears could be developed as a valuable and cost-saving tool for biochemical-based detection of ocular diseases, potentially before the appearance of the first morphological signs of diseases
Effectiveness Of Plain Shoulder Radiograph In Detecting Degenerate Rotator Cuff Tears.
Hussain, Adnan; Muzzammil, Muhammad; Butt, Faisal; Valsamis, Epaminondas Markos; Dwyer, Amitabh J
2018-01-01
Studies have demonstrated radiographic findings of sclerosis and cortical irregularity at the greater tuberosity can suggest a rotator cuff tear. Plain radiographs are the most easily attainable first-line investigations in evaluating shoulder injuries. This study determines the effectiveness in predicting degenerate rotator cuff tears by detecting radiographic changes on shoulder x-rays. Retrospective cross-sectional study with a consecutive series of patients conducted in Hinchingbrooke Hospital, Huntingdon, United Kingdom from January 2015 to June 2017. Anteroposterior shoulder radiographs of 150 symptomatic patients who underwent shoulder arthroscopy were independently analysed by surgeons who were blinded from the arthroscopic results. Patients aged fewer than 30 and over 70 years were excluded. Patients with advanced osteoarthritis and cuff tear arthropathy evident on x-rays were also excluded. Sixty-five patients included in the study had rotator cuff tears on arthroscopy. Radiographic changes were correlated with arthroscopic findings to determine this test's ability to predict degenerate rotator cuff tears. When both cortical irregularity and sclerosis were present on the plain radiograph, these signs had a sensitivity of 78.8% [95% CI 65.7, 87.8%] and specificity 77.4% [95% CI 67.2, 85.0%] with a positive predictive value of 68.3%, using contingency table analysis. The presence of cortical irregularity was found to be a better predictor of a tear as compared to sclerosis. This study concludes that plain radiograph are good modality for initial evaluation of rotator cuff tears and detecting when both cortical irregularity and sclerosis. Consideration of these radiographic findings serves as a useful adjunct in diagnostic workup and can guide subsequent investigations and treatment when evaluating rotator cuff tears of the shoulder.
Diagnosis of radial tear of posterior horn of medial meniscus by MR imaging. Prospective study
International Nuclear Information System (INIS)
Motoyama, Tatsuo; Ihara, Hidetoshi; Kawashima, Mahito
2002-01-01
It is not easy to detect radial tears of the posterior horn of the medial meniscus (torn posterior horn) under arthroscopy if the surgeon does not notice the tear before arthroscopy. Occasionally the tear goes undetected or is missed during arthroscopy. The sagittal view of MR imaging is very useful for diagnosing torn posterior horns. The normal posterior horn of the medial meniscus appears as an image of low intensity triangle of the sagittal MRI medial slice next to the PCL. On the contrary, the image of the torn posterior horn shows a high intensity triangle, so we refer to the feature as a white meniscus sign. We prospectively examined the accuracy of white meniscus sign of MRI. Forty-two knees in 41 patients were studied. They were over 40 years of age, diagnosed with medial meniscus tear and had undergone MRI before arthroscopy. Before arthroscopy, we predicted the existence of torn posterior horn by the white meniscus sign and examined the accuracy of the MRI after arthroscopy. Total accuracy rate was 90.5%, sensitivity was 94.1%, and specificity was 88.0%. We concluded that the white meniscus sign on MRI is very useful for defecting torn posterior horn of the medial meniscus. (author)
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Lee, Ro Woon; Choi, Soo-Jung; Ahn, Jae Hong; Shin, Dong Rock; Kang, Chae Hoon [University of Ulsan, College of Medicine, Department of Radiology, Asan Foundation, Gangneung Asan Hospital, Gangneung-si, Gangwon-do (Korea, Republic of); Lee, Man Ho [Andong Medical Center, Department of Radiology, Andong-si, Gyeongsangbuk-do (Korea, Republic of); Lee, Ki Won [University of Ulsan, College of Medicine, Department of Orthopedic Surgery, Asan Foundation, Gangneung Asan Hospital, Gangneung-si, Gangwon-do (Korea, Republic of)
2016-12-15
To evaluate the diagnostic performance (DP) of 3T (3 Tesla field strength) conventional shoulder magnetic resonance imaging (MRI) in detecting the long head of the biceps tendon (LHBT) tears in association with rotator cuff tendon tears. This study included 80 consecutive patients who underwent arthroscopic surgery for rotator cuff tendon tears. Two radiologists independently evaluated the preoperative 3T shoulder MRI for the presence of LHBT tears. The DP of MRI was evaluated using the results of arthroscopy as the reference standard. We also evaluated the DP of several MR signs of LHBT in detection of partial LHBT tears. Arthroscopic examination revealed 35 partial and 5 complete tears. According to the results of evaluation by reviewers 1 and 2, shoulder MRI exhibited sensitivities of 77.14 and 80 % and specificities of 71.11 and 73.33 % in detection of partial LHBT tears and sensitivities of 80 and 100 % and a specificity of 100% (both) in detection of complete LHBT tears. In detecting partial LHBT tears, increased T2 signal intensity of the LHBT exhibited high sensitivities (reviewers 1 and 2; 82.85 and 80 %, respectively) and the presence of intratendinous defects or C-signs exhibited the highest specificities (reviewers 1 and 2; 95.55 and 93.33 %, respectively), followed by abnormalities in shape and outer margins of the LHBT (reviewers 1 and 2; 91.11 and 82 %; 91.11 and 86.66 %, respectively). Non-contrast-enhanced 3T shoulder MRI is potentially highly accurate in detection of complete LHBT tears, but moderately accurate in detection of partial LHBT tears. (orig.)
International Nuclear Information System (INIS)
Lee, Ro Woon; Choi, Soo-Jung; Ahn, Jae Hong; Shin, Dong Rock; Kang, Chae Hoon; Lee, Man Ho; Lee, Ki Won
2016-01-01
To evaluate the diagnostic performance (DP) of 3T (3 Tesla field strength) conventional shoulder magnetic resonance imaging (MRI) in detecting the long head of the biceps tendon (LHBT) tears in association with rotator cuff tendon tears. This study included 80 consecutive patients who underwent arthroscopic surgery for rotator cuff tendon tears. Two radiologists independently evaluated the preoperative 3T shoulder MRI for the presence of LHBT tears. The DP of MRI was evaluated using the results of arthroscopy as the reference standard. We also evaluated the DP of several MR signs of LHBT in detection of partial LHBT tears. Arthroscopic examination revealed 35 partial and 5 complete tears. According to the results of evaluation by reviewers 1 and 2, shoulder MRI exhibited sensitivities of 77.14 and 80 % and specificities of 71.11 and 73.33 % in detection of partial LHBT tears and sensitivities of 80 and 100 % and a specificity of 100% (both) in detection of complete LHBT tears. In detecting partial LHBT tears, increased T2 signal intensity of the LHBT exhibited high sensitivities (reviewers 1 and 2; 82.85 and 80 %, respectively) and the presence of intratendinous defects or C-signs exhibited the highest specificities (reviewers 1 and 2; 95.55 and 93.33 %, respectively), followed by abnormalities in shape and outer margins of the LHBT (reviewers 1 and 2; 91.11 and 82 %; 91.11 and 86.66 %, respectively). Non-contrast-enhanced 3T shoulder MRI is potentially highly accurate in detection of complete LHBT tears, but moderately accurate in detection of partial LHBT tears. (orig.)
Möbius, R; Schleifenbaum, S; Grunert, R; Löffler, S; Werner, M; Prietzel, T; Hammer, N
2016-10-01
The removal of well-fixed acetabular components following THA (total hip arthroplasty) is a difficult operation and could be accompanied by the loss of acetabular bone stock. The optimal method for fixation is still under debate. The aim of this pilot study was to compare the tear-out resistance and failure behavior between osseo-integrated and non-integrated screw cups. Furthermore, we examined whether there are differences in the properties mentioned between screw sockets and cemented polyethylene cups. Tear-out resistance and related mechanical work required for the tear-out of osseo-integrated screw sockets are higher than in non-integrated screw sockets. Ten human coxal bones from six cadavers with osseo-integrated screw sockets (n=4), non-integrated (implanted post-mortem, n=3) screw sockets and cemented polyethylene cups (n=3) were used for tear-out testing. The parameters axial failure load and mechanical work for tear-out were introduced as measures for determining the stability of acetabular components following THA. The osseo-integrated screw sockets yielded slightly higher tear-out resistance (1.61±0.26kN) and related mechanical work compared to the non-integrated screw sockets (1.23±0.39kN, P=0.4). The cemented polyethylene cups yielded the lowest tear-out resistance with a failure load of 1.18±0.24kN. Compared to the screw cups implanted while alive, they also differ on a non-significant level (P=0.1). Osseous failure patterns differed especially for the screw sockets compared to the cemented polyethylene cups. Osseo-integration did not greatly influence the tear-out stability in cementless screw sockets following axial loading. Furthermore, the strength of the bone-implant-interface of cementless screw sockets appears to be similar to cemented polyethylene cups. However, given the high failure load, high mechanical load and because of the related bone failure patterns, removal should not be performed by means of tear-out but rather by osteotomes
MR accuracy and arthroscopic incidence of meniscal radial tears
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Magee, Thomas; Shapiro, Marc; Williams, David [Department of Radiology, Neuroimaging Institute, 27 East Hibiscus Blvd., Melbourne, FL 32901 (United States)
2002-12-01
A meniscal radial tear is a vertical tear that involves the inner meniscal margin. The tear is most frequent in the middle third of the lateral meniscus and may extend outward in any direction. We report (1) the arthroscopic incidence of radial tears, (2) MR signs that aid in the detection of radial tears and (3) our prospective accuracy in detection of radial tears. Design and patients. Three musculoskeletal radiologists prospectively read 200 consecutive MR examinations of the knee that went on to arthroscopy by one orthopedic surgeon. MR images were assessed for location and MR characteristics of radial tears. MR criteria used for diagnosis of a radial tear were those outlined by Tuckman et al.: truncation, abnormal morphology and/or lack of continuity or absence of the meniscus on one or more MR images. An additional criterion used was abnormal increased signal in that area on fat-saturated proton density or T2-weighted coronal and sagittal images. Prospective MR readings were correlated with the arthroscopic findings.Results. Of the 200 consecutive knee arthroscopies, 28 patients had radial tears reported arthroscopically (14% incidence). MR readings prospectively demonstrated 19 of the 28 radial tears (68% sensitivity) when the criteria for diagnosis of a radial tear were truncation or abnormal morphology of the meniscus. With the use of the additional criterion of increased signal in the area of abnormal morphology on fat-saturated T2-weighted or proton density weighted sequences, the prospective sensitivity was 25 of 28 radial tears (89% sensitivity). There were no radial tears described in MR reports that were not demonstrated on arthroscopy (i.e., there were no false positive MR readings of radial tears in these 200 patients). Radial tears are commonly seen at arthroscopy. There was a 14% incidence in this series of 200 patients who underwent arthroscopy. Prospective detection of radial tears was 68% as compared with arthroscopy when the criteria as
MR accuracy and arthroscopic incidence of meniscal radial tears
International Nuclear Information System (INIS)
Magee, Thomas; Shapiro, Marc; Williams, David
2002-01-01
A meniscal radial tear is a vertical tear that involves the inner meniscal margin. The tear is most frequent in the middle third of the lateral meniscus and may extend outward in any direction. We report (1) the arthroscopic incidence of radial tears, (2) MR signs that aid in the detection of radial tears and (3) our prospective accuracy in detection of radial tears. Design and patients. Three musculoskeletal radiologists prospectively read 200 consecutive MR examinations of the knee that went on to arthroscopy by one orthopedic surgeon. MR images were assessed for location and MR characteristics of radial tears. MR criteria used for diagnosis of a radial tear were those outlined by Tuckman et al.: truncation, abnormal morphology and/or lack of continuity or absence of the meniscus on one or more MR images. An additional criterion used was abnormal increased signal in that area on fat-saturated proton density or T2-weighted coronal and sagittal images. Prospective MR readings were correlated with the arthroscopic findings.Results. Of the 200 consecutive knee arthroscopies, 28 patients had radial tears reported arthroscopically (14% incidence). MR readings prospectively demonstrated 19 of the 28 radial tears (68% sensitivity) when the criteria for diagnosis of a radial tear were truncation or abnormal morphology of the meniscus. With the use of the additional criterion of increased signal in the area of abnormal morphology on fat-saturated T2-weighted or proton density weighted sequences, the prospective sensitivity was 25 of 28 radial tears (89% sensitivity). There were no radial tears described in MR reports that were not demonstrated on arthroscopy (i.e., there were no false positive MR readings of radial tears in these 200 patients). Radial tears are commonly seen at arthroscopy. There was a 14% incidence in this series of 200 patients who underwent arthroscopy. Prospective detection of radial tears was 68% as compared with arthroscopy when the criteria as
Posterior vitreous detachment - prevalence of and risk factors for retinal tears
Directory of Open Access Journals (Sweden)
Bond-Taylor M
2017-09-01
Full Text Available Martin Bond-Taylor,1 Gunnar Jakobsson,1,2 Madeleine Zetterberg1,2 1Department of Ophthalmology, Sahlgrenska University Hospital, Mölndal, 2Department of Clinical Neuroscience/Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden Purpose: The present study aimed to describe clinical characteristics of patients with posterior vitreous detachment (PVD, to determine the prevalence of retinal tears in PVD patients, and to find predictors for retinal tears in this patient group. Methods: Retrospective analysis of medical records on patients diagnosed with PVD, retinal tears, or vitreous hemorrhage at the Department of Ophthalmology at Sahlgrenska University Hospital, a tertiary eye center. Results: Between February and July 2009, 365 patients consulted the Department of Ophthalmology for PVD-related symptoms. The incidence of retinal tears was 14.5% (n=53 and that of vitreous and/or retinal hemorrhage was 22.7% (n=83. For analysis of possible predictors for complications to PVD, patients diagnosed with retinal tears or vitreous hemorrhage between May and July 2009 were also included in the study, resulting in a total of 426 patients. Predictors of a retinal tear were symptoms of visual impairment (P=0.024, the presence of vitreous or retinal hemorrhage at examination (P<0.001, and a duration of symptoms for <24 hours (P=0.004. Symptoms of flashes did not constitute an extra risk of retinal tears (P=0.135. Subsequent retinal pathology (follow-up time 4.5 years, including vitreous detachment/hemorrhage or retinal tears/detachment, occurred more often in patients presenting with a retinal tear. For patients with a retinal tear, the relative risk of having a retinal detachment in the same eye during the follow-up time was 17.7 when compared to patients without a retinal tear (risk ratio 17.7, 95% confidence interval 2.2–145. Conclusion: Patients seeking care on the first day have a
Postanaesthetic tear production and ocular irritation in cats.
Peche, N; Köstlin, R; Reese, S; Pieper, K
2015-01-01
General anaesthesia significantly reduces tear production and normal values are not immediately re-established on ending anaesthesia. Therefore, adequate protection of the cornea has to be assured during the perianaesthetic period. There are various methods available, including taping of the eyelids and the application of eye ointments, gels and drops. In human medicine studies, different formulations were found to induce signs of ocular irritation. The aim of the present study was to determine tear production in cats after general anaesthesia, and to identify possible causes of irritation. Tear production was determined in 41 cats after general anaesthesia and eyes were examined for signs of irritation. Two different anaesthetic protocols were used. To protect the cornea, an ointment and gel were applied to the right and left eyes, respectively. Postoperatively, tear production was significantly reduced for 6 hours and 18 hours in the right and left eyes, respectively. Two hours after anaesthesia, blepharospasm of the right eye was observed in 92.7% (n = 38) of the cats. In contrast, the left eye was always held open. This study demonstrated that tear production in cats is significantly decreased both during and after anaesthesia. The degree of reduction was independent of the anaesthetic protocol. Both the eye ointment and gel proved effective in protecting the corneal surface. However, eye gel use is recommended because the eye ointment consistently caused an irritation comparable to the foreign-body sensation reported in humans.
On tear film breakup (TBU): dynamics and imaging.
Braun, Richard J; Driscoll, Tobin A; Begley, Carolyn G; King-Smith, P Ewen; Siddique, Javed I
2018-06-13
We report the results of some recent experiments to visualize tear film dynamics. We then study a mathematical model for tear film thinning and tear film breakup (TBU), a term from the ocular surface literature. The thinning is driven by an imposed tear film thinning rate which is input from in vivo measurements. Solutes representing osmolarity and fluorescein are included in the model. Osmolarity causes osmosis from the model ocular surface, and the fluorescein is used to compute the intensity corresponding closely to in vivo observations. The imposed thinning can be either one-dimensional or axisymmetric, leading to streaks or spots of TBU, respectively. For a spatially-uniform (flat) film, osmosis would cease thinning and balance mass lost due to evaporation; for these space-dependent evaporation profiles TBU does occur because osmolarity diffuses out of the TBU into the surrounding tear film, in agreement with previous results. The intensity pattern predicted based on the fluorescein concentration is compared with the computed thickness profiles; this comparison is important for interpreting in vivo observations. The non-dimensionalization introduced leads to insight about the relative importance of the competing processes; it leads to a classification of large vs small TBU regions in which different physical effects are dominant. Many regions of TBU may be considered small, revealing that the flow inside the film has an appreciable influence on fluorescence imaging of the tear film.
Supraspinatus tendon tears: comparison of US and MR arthrography with surgical correlation
International Nuclear Information System (INIS)
Ferrari, Francesco S.; Governi, Simone; Burresi, Francesca; Vigni, Francesco; Stefani, Paolo
2002-01-01
The aim of this study was to compare the diagnostic reliability of US with MR arthrography in diagnosing supraspinatus tendon tears. Surgical findings were used as the gold standard in detecting tears. A total of 44 patients were assessed with transverse and longitudinal US scans with respect to the long axis of the rotator cuff tendons and then examined with MR arthrography. This technique involved free-hand injection of contrast medium into the shoulder joint. At surgery 20 incomplete and 24 complete tears were observed. Ultrasound offered good results for the large tears, but its sensitivity decreased proportionally with the size of the tears. Magnetic resonance arthrography correctly diagnosed 43 tears, whereas only one false-negative diagnosis of tendinosis was made for a partial tear on the bursal side. Since it improves the diagnosis of small tears, MR arthrography must be performed on all patients for whom surgical repair is necessary in order to restore normal functions. (orig.)
Supraspinatus tendon tears: comparison of US and MR arthrography with surgical correlation
Energy Technology Data Exchange (ETDEWEB)
Ferrari, Francesco S.; Governi, Simone; Burresi, Francesca; Vigni, Francesco; Stefani, Paolo [Department of Radiologic and Orthopaedic-Rehabilitative Sciences, University Hospital Siena (Italy)
2002-05-01
The aim of this study was to compare the diagnostic reliability of US with MR arthrography in diagnosing supraspinatus tendon tears. Surgical findings were used as the gold standard in detecting tears. A total of 44 patients were assessed with transverse and longitudinal US scans with respect to the long axis of the rotator cuff tendons and then examined with MR arthrography. This technique involved free-hand injection of contrast medium into the shoulder joint. At surgery 20 incomplete and 24 complete tears were observed. Ultrasound offered good results for the large tears, but its sensitivity decreased proportionally with the size of the tears. Magnetic resonance arthrography correctly diagnosed 43 tears, whereas only one false-negative diagnosis of tendinosis was made for a partial tear on the bursal side. Since it improves the diagnosis of small tears, MR arthrography must be performed on all patients for whom surgical repair is necessary in order to restore normal functions. (orig.)
[The incidence of retinal tears in patients with posterior vitreous detachment].
Karaman, Ksenija; Gverović-Antunica, Antonela; Bućan, Kajo; Znaor, Ljubo; Bulović, Dijana; Skelin, Sinia
2006-01-01
Posterior vitreous detachment (PVD) is a common finding in older patients, characterized by detachment of the posterior hyaloid membrane (PHM) from the retinal surface. The detachment of PHM normally occurs without complications, however, one has to be aware that retinal tear is its most common complication. The aim of the study was to determine the incidence of retinal tears in eyes with PVD. A series of 40 patients (70 eyes) with PVD were included in this retrospective study. Eyes with a history of ocular trauma, surgery or intraocular inflammation were excluded. Patient charts were reviewed to collect the following information: age, sex, profession, type and duration of symptoms, best corrected visual acuity, refractive status, prior ocular disease, coincidental retinal pathology-lattice degeneration, number, type and location of retinal tears and treatment. Statistical analysis was done with the SPSS 11.0.3 software (SPSS Inc., USA). Besides descriptive statistics, Student's t-test and chi2-test were used. Among all study eyes with PVD, 34 (48.6%) were myopic, 24 (34.3%) hypermetropic and 12 (17.1%) emetropic; statistical analysis showed a significant difference (chi2 = 10.40, df=2, p lattice malignant degeneration of peripheral retinal was diagnosed. Thorough examination of the fundus periphery revealed 16 (22.8%) eyes with PVD were found to have retinal tears, 11 (15.7%) had only one retinal tear and 5 (7.1%) two retinal tears. All retinal tears were treated with argon laser photocoagulation. Superotemporal eye quadrant was the most common localization of retinal tears (56.25%). These results indicate that thorough fundus periphery examination should be done in all patients with PVD because it can cause rather rarely though retinal tears that represent a potentially sight threatening condition.
Morton, Stephen; Crucian, Brian; Hagan, Suzanne; Satyamitra, Merriline; Daily, Anna
2018-01-01
The purpose of this pilot study is to investigate the collection, preparation, and analysis of tear biomarkers as a means of assessing ocular, neurological, and immunological health. At present, no published data exists on the cytokine profiles of tears from astronauts exposed to long periods of microgravity and space irradiations. In addition, no published data exist on cytokine (biomarker) profiles of tears that have been collected from irradiated non-human biological systems (primates and other animal models). A goal for the proposed pilot study is to discover novel tear biomarkers which can help inform researchers, clinicians, epidemiologist and healthcare providers about the health status of a living biological system, as well as informing them when a disease state is triggered. This would be done via analysis of the onset of expression of pro-inflammatory cytokines, leading up to the full progression of a disease (i.e. cancer, loss of vision, radiation-induced oxidative stress, cardiovascular disorders, fibrosis in major organs, bone loss). Another goal of this pilot study is to investigate the state of disease against proposed medical countermeasures, in order to determine whether the countermeasures are efficacious in preventing or mitigating these injuries. An example of an up and coming tear biomarker technology, Ascendant Dx, a clinical stage diagnostic company, is developing a screening test to detect breast cancer using proteins from tears. The team utilized Liquid Chromatography -Mass Spectrometry with Mass analysis (LC MS/MS) as a discovery platform followed by validation with ELISA to come up with a panel of protein biomarkers that can differentiate breast cancer samples from control ("cancer free") samples with results far surpassing the results of imaging techniques in use today. Continued research into additional proteins is underway to increase the sensitivity and specificity of the test and development efforts are on the way to transfer the
Multi-scale-nonlinear interactions among macro-MHD mode, micro-turbulence, and zonal flow
International Nuclear Information System (INIS)
Ishizawa, Akihiro; Nakajima, Noriyoshi
2007-01-01
This is the first numerical simulation demonstrating that macro-magnetohydrodynamic (macro-MHD) mode is exited as a result of multi-scale interaction in a quasi-steady equilibrium formed by a balance between zonal flow and micro-turbulence via reduced-two-fluid simulation. Only after obtaining the equilibrium which includes zonal flow and the turbulence caused by kinetic ballooning mode is this simulation of macro-MHD mode, double tearing mode, accomplished. In the quasi-steady equilibrium a macro-fluctuation which has the same helicity as that of double tearing mode is a part of the turbulence until it grows as a macro-MHD mode finally. When the macro-MHD grows it effectively utilize free energy of equilibrium current density gradient because of positive feedback loop between suppression of zonal flow and growth of the macro-fluctuation causing magnetic reconnection. Thus once the macro-MHD grows from the quasi-equilibrium, it does not go back. This simulation is more comparable with experimental observation of growing macro-fluctuation than traditional MHD simulation of linear instabilities in a static equilibrium. (author)
Prevalence of triceps tendon tears on MRI of the elbow and clinical correlation.
Koplas, Monica C; Schneider, Erika; Sundaram, Murali
2011-05-01
Triceps tendon injuries are reported to be very rare. To our knowledge, there have been no studies describing its prevalence or injury patterns on MR imaging. The purpose of this retrospective study was to determine the prevalence and patterns of triceps injuries based on a large series of consecutive MR examinations. Clinical correlation was obtained. From 801 consecutive elbow MR examinations over a 15-year period, 28 patients with 30 triceps tendon injuries were identified and graded as partial tendon tear and complete tendon tear. The patients' medical records were reviewed to determine age, gender, cause of tears, and management. The prevalence of triceps tendon injuries was 3.8%. There were 5 women and 23 men with partial or complete tears (mean age: 46.6 years; range: 2.7 to 75.1 years). The most common injury was partial tear, found in 18 patients. There were 10 patients with 12 complete tears (2 had re-torn following surgical repair). A tear was suspected in 12 out 28 (43%) patients prior to the MRI. The most common presenting symptom was pain. The most common cause was athletic injury (8 patients [29%], including weightlifting [2 patients]). Tendon tear was found to be a complication of infection in 6 patients, and in 3 patients the tears were a complication of steroid use. Thirteen tendon tears were surgically repaired (8 of these were complete tears). Triceps tendon injury is not as rare as commonly reported and may often be clinically underdiagnosed.
Tear film proteome in age-related macular degeneration.
Winiarczyk, Mateusz; Kaarniranta, Kai; Winiarczyk, Stanisław; Adaszek, Łukasz; Winiarczyk, Dagmara; Mackiewicz, Jerzy
2018-06-01
Age-related macular degeneration (AMD) is the main reason for blindness in elderly people in the developed countries. Current screening protocols have limitations in detecting the early signs of retinal degeneration. Therefore, it would be desirable to find novel biomarkers for early detection of AMD. Development of novel biomarkers would help in the prevention, diagnostics, and treatment of AMD. Proteomic analysis of tear film has shown promise in this research area. If an optimal set of biomarkers could be obtained from accessible body fluids, it would represent a reliable way to monitor disease progression and response to novel therapies. Tear films were collected on Schirmer strips from a total of 22 patients (8 with wet AMD, 6 with dry AMD, and 8 control individuals). 2D electrophoresis was used to separate tear film proteins prior to their identification with matrix-assisted laser desorption/ionization time of flight spectrometer (MALDI-TOF/TOF) and matching with functional databases. A total of 342 proteins were identified. Most of them were previously described in various proteomic studies concerning AMD. Shootin-1, histatin-3, fidgetin-like protein 1, SRC kinase signaling inhibitor, Graves disease carrier protein, actin cytoplasmic 1, prolactin-inducible protein 1, and protein S100-A7A were upregulated in the tear film samples isolated from AMD patients and were not previously linked with this disease in any proteomic analysis. The upregulated proteins supplement our current knowledge of AMD pathogenesis, providing evidence that certain specific proteins are expressed into the tear film in AMD. As far we are aware, this is the first study to have undertaken a comprehensive in-depth analysis of the human tear film proteome in AMD patients.
Tear ferning test in healthy dogs.
Oriá, Arianne P; Raposo, Ana Claudia S; Araújo, Nayone L L C; Lima, Felipe B; Masmali, Ali M
2017-11-07
To evaluate and compare three tear sampling methods using two grading scales for administering the tear ferning test (TFT) to healthy dogs. In total, 90 dogs (180 eyes) were subjected to tear sampling using millimetered strips, reused after the Schirmer tear test (STT) (Schirmer group, SG). Then, the dogs were subdivided into three groups according to sampling approach: micropipette (MPG), microcapillary (MCG), and Schirmer sample 2 (S2G). The collected tears were dried on a clean microscope glass slide at room temperature and humidity. The ferning patterns were observed under a polarized light microscope and classified according to the Rolando and Masmali grading scales. Although all three methods were feasible, the STT was easier to perform in clinical settings. Type I and Grade 1 were the most commonly observed (64.17% and 61.7%, respectively) regardless of collection method. There was no significant difference between the STT median values and the TFT classifications. The TFT is appropriate for dogs and can be performed using the three suggested sampling methods, with a higher frequency of Type I and Grade 1. Thus, it is possible to use both grading scales in the classification of tear ferning in dogs. © 2017 American College of Veterinary Ophthalmologists.
Tear clearance implications for ocular surface health.
de Paiva, Cintia Sade; Pflugfelder, Stephen C
2004-03-01
Tear clearance/turnover provides a global assessment of the function of the lacrimal functional unit and of tear exchange on the ocular surface. It is an indirect measure of dry eye induced inflammation on the ocular surface. It shows better correlation with the severity of ocular irritation symptoms and corneal epithelial disease in dry eye than the Schirmer 1 test. Delayed tear clearance may prove to be the best measure for identifying patients with tear film disorders who may respond to anti-inflammatory therapy.
Emotional tears facilitate the recognition of sadness and the perceived need for social support.
Balsters, Martijn J H; Krahmer, Emiel J; Swerts, Marc G J; Vingerhoets, Ad J J M
2013-02-12
The tearing effect refers to the relevance of tears as an important visual cue adding meaning to human facial expression. However, little is known about how people process these visual cues and their mediating role in terms of emotion perception and person judgment. We therefore conducted two experiments in which we measured the influence of tears on the identification of sadness and the perceived need for social support at an early perceptional level. In two experiments (1 and 2), participants were exposed to sad and neutral faces. In both experiments, the face stimuli were presented for 50 milliseconds. In experiment 1, tears were digitally added to sad faces in one condition. Participants demonstrated a significant faster recognition of sad faces with tears compared to those without tears. In experiment 2, tears were added to neutral faces as well. Participants had to indicate to what extent the displayed individuals were in need of social support. Study participants reported a greater perceived need for social support to both sad and neutral faces with tears than to those without tears. This study thus demonstrated that emotional tears serve as important visual cues at an early (pre-attentive) level.
Magnetic resonance imaging appearance of partial latissimus dorsi muscle tendon tear
International Nuclear Information System (INIS)
Le, Huy B.Q.; Lee, Steven T.; Lane, Michael D.; Munk, Peter L.; Malfair, David; Blachut, Piotr A.
2009-01-01
There is still a paucity of information about the clinical presentation, treatment and imaging findings of latissimus muscle tears. Only one study has specifically described the magnetic resonance imaging (MRI) features of latissimus tendon tears. We describe a case of a high-grade tear in the latissimus muscle tendon in an active water skier with no significant prior medical history. MRI demonstrated at least a 50% tear of the latissimus tendon, manifesting as increased signal intensity on T2-weighted sequences and surrounding edema, as well as a diminutive tendon at the humeral insertion. (orig.)
Tear film stability analysis system: introducing a new application for videokeratography.
Goto, Tomoko; Zheng, Xiaodong; Okamoto, Shigeki; Ohashi, Yuichi
2004-11-01
To review our previous studies regarding the development of a tear stability analysis system (TSAS) using videokeratography and the clinical application of TSAS for evaluation of tear film stability in patients subject to laser in situ keratomileusis (LASIK). New software, namely TSAS, was developed for the videokeratography system TMS-2N (topographic modeling system). TSAS automatically captures consecutive corneal surface images every second for 10 seconds. Corneal topographs were analyzed for tear breakup time (TMS-BUT) and tear breakup area (TMS-BUA, the ratio of breakup area to entire color-code area). First, we recruited volunteers to test the sensitivity and specificity of this new system in comparison with the routine method for tear stability analysis, tear film breakup time evaluation by slit-lamp microscope (SLE-BUT), with fluorescence staining. Second, we investigated the practicability of TSAS in dynamic evaluation of tear film stability before and after LASIK. TMS-BUT had a positive correlation with SLE-BUT, whereas TMS-BUA showed a negative correlation. Although they showed similar rates of specificity as SLE-BUT, the sensitivity rates of TMS-BUT and TMS-BUA were 97.5% and 95%, respectively, significantly higher than that of SLE-BUT (75%). The study on patients subject to LASIK showed that tear film stability significantly decreased during the early time period following LASIK and resolved at 6 months after surgery. Eyes that had abnormal TSAS evaluation tended to have higher risk of developing superficial punctuate keratitis and dry eye symptoms after LASIK, and their responses to treatment were slow. TSAS is a noninvasive and objective method with higher sensitivity for tear film stability analysis than SLE-BUT.
Influence of plasma rotation on tearing mode stability on the ASDEX upgrade tokamak
Energy Technology Data Exchange (ETDEWEB)
Fietz, Sina Marie Ariane
2013-12-16
Neoclassical tearing modes (NTM) are one of the most serious performance limiting instabilities in next-step fusion devices like ITER. NTMs are destabilised as a consequence of a seed perturbation (trigger) and are driven by a loss of helical bootstrap current inside the island. The appearance of these instabilities is accompanied with a loss of confined plasma energy. Additionally, these modes can stop the plasma rotation, lock to the vessel wall, flush out all plasma energy and terminate a discharge via a disruption. In ITER the confinement reduction will limit the achievable fusion power, whereas a disruption is likely to damage the vessel wall. In order to mitigate and control NTMs in ITER, extrapolations based on the present understanding and observations must be made. One key issue is the rotation dependence of NTMs, especially at the NTM onset. ITER will be operated at low plasma rotation, which is different from most present day experiments. No theory is currently available to describe this dependence. Experiments are therefore required to provide a basis for the theory to describe the physics. Additionally from the experiments scalings can be developed and extrapolated in order to predict the NTM behaviour in the parameter range relevant for ITER. Another important issue is the influence of externally applied magnetic perturbation (MP) fields on the NTM stability and frequency. These fields will be used in ITER primarily for the mitigation of edge instabilities. As a side effect they can slow down an NTM and the plasma rotation, which supports the appearance of locked modes. Additionally, they can also influence the stability of an NTM. This interaction has to be predicted for ITER, based on models validated at present day devices. In this work the influence of plasma rotation on the NTM onset at the ASDEX Upgrade tokamak (AUG) is investigated. An onset database has been created in which the different trigger mechanisms have been identified. Based on this
Influence of plasma rotation on tearing mode stability on the ASDEX upgrade tokamak
International Nuclear Information System (INIS)
Fietz, Sina Marie Ariane
2013-01-01
Neoclassical tearing modes (NTM) are one of the most serious performance limiting instabilities in next-step fusion devices like ITER. NTMs are destabilised as a consequence of a seed perturbation (trigger) and are driven by a loss of helical bootstrap current inside the island. The appearance of these instabilities is accompanied with a loss of confined plasma energy. Additionally, these modes can stop the plasma rotation, lock to the vessel wall, flush out all plasma energy and terminate a discharge via a disruption. In ITER the confinement reduction will limit the achievable fusion power, whereas a disruption is likely to damage the vessel wall. In order to mitigate and control NTMs in ITER, extrapolations based on the present understanding and observations must be made. One key issue is the rotation dependence of NTMs, especially at the NTM onset. ITER will be operated at low plasma rotation, which is different from most present day experiments. No theory is currently available to describe this dependence. Experiments are therefore required to provide a basis for the theory to describe the physics. Additionally from the experiments scalings can be developed and extrapolated in order to predict the NTM behaviour in the parameter range relevant for ITER. Another important issue is the influence of externally applied magnetic perturbation (MP) fields on the NTM stability and frequency. These fields will be used in ITER primarily for the mitigation of edge instabilities. As a side effect they can slow down an NTM and the plasma rotation, which supports the appearance of locked modes. Additionally, they can also influence the stability of an NTM. This interaction has to be predicted for ITER, based on models validated at present day devices. In this work the influence of plasma rotation on the NTM onset at the ASDEX Upgrade tokamak (AUG) is investigated. An onset database has been created in which the different trigger mechanisms have been identified. Based on this
Changes of tear film after trabeculectomy in glaucoma
Directory of Open Access Journals (Sweden)
Xue-Jun Li
2015-07-01
Full Text Available AIM: To learn the changes of the tear film before and after the trabeculectomy of glaucoma and explore the incidence of dry eye and the prevention and control measures.METHODS: The 36 patients(60 eyesof glaucoma were examined in detail before 3d of trabeculectomy and after the surgery at 3, 7, 14 and 30d. The examinations include lower eyelid central river of tears, break-up time(BUT, Schirmer Ⅰ test(SⅠtand staining scores of corneal fluorescein under slit lamp microscope.RESULTS:The tear meniscus height of central lower eyelid was increased and the tear film BUT was shortened at the same time, the scores of SⅠt was reduced and corneal fluorescein staining score was increased at postoperative 3 and 7d compared with that of preoperation. The tear meniscus height of central lower eyelid, tear film BUT and SIt and score of corneal fluorescein staining began to recover in most of the affected eyes after surgery 14d. At 30d after surgery, 22% of patients tear film failed to recover to the preoperative level; dry eye occured in 18% preoperative eyes with normal tear film.CONCLUSION:Trabeculectomy of glaucoma may affect the stability of the tear film and some patients showeing obvious dry eye and should be intervened and treatmented timely.
Cytokine changes in tears and relationship to contact lens discomfort.
Willcox, Mark D P; Zhao, Zhenjun; Naduvilath, Thomas; Lazon de la Jara, Percy
2015-01-01
To determine the reproducibility of a multiplex bead assay for measuring cytokines in tears and correlations between ocular discomfort with or without contact lens wear and the concentration of cytokines in tears. Ninety participants (divided into two groups) were enrolled in this prospective study. They were asked to rate their ocular comfort and collect their tears in the morning and just before sleep for 10 days with or without contact lenses. The participants collected their tears using a glass microcapillary tube for both stages. Galyfilcon A lenses were worn on a daily disposable basis during the contact lens stage, and comfort scores and tears were collected before lens insertion and prior to lens removal at the end of the day. Tears were analyzed for cytokine concentrations using a 27-plex multibead assay. Correlations were sought between cytokine concentrations and comfort. There was a significant (p-0.5 Log pg/ml, p-0.2 Log pg/ml, ptears was correlated to ocular comfort, but this was not changed by contact lens wear. Ocular comfort during the day is magnified by contact lens wear. However, the increase in the change in comfort during lens wear was not associated with changes in 15 cytokines in the tear film.
Meniscal Tear Film Fluid Dynamics Near Marx’s Line
Zubkov, V. S.
2013-07-03
Extensive studies have explored the dynamics of the ocular surface fluid, though theoretical investigations are typically limited to the use of the lubrication approximation, which is not guaranteed to be uniformly valid a-priori throughout the tear meniscus. However, resolving tear film behaviour within the meniscus and especially its apices is required to characterise the flow dynamics where the tear film is especially thin, and thus most susceptible to evaporatively induced hyperosmolarity and subsequent epithelial damage. Hence, we have explored the accuracy of the standard lubrication approximation for the tear film by explicit comparisons with the 2D Navier-Stokes model, considering both stationary and moving eyelids. Our results demonstrate that the lubrication model is qualitatively accurate except in the vicinity of the eyelids. In particular, and in contrast to lubrication theory, the solution of the full Navier-Stokes equations predict a distinct absence of fluid flow, and thus convective mixing in the region adjacent to the tear film contact line. These observations not only support emergent hypotheses concerning the formation of Marx\\'s line, a region of epithelial cell staining adjacent to the contact line on the eyelid, but also enhance our understanding of the pathophysiological consequences of the flow profile near the tear film contact line. © 2013 Society for Mathematical Biology.
MR imaging-based diagnosis and classification of meniscal tears.
Nguyen, Jie C; De Smet, Arthur A; Graf, Ben K; Rosas, Humberto G
2014-01-01
Magnetic resonance (MR) imaging is currently the modality of choice for detecting meniscal injuries and planning subsequent treatment. A thorough understanding of the imaging protocols, normal meniscal anatomy, surrounding anatomic structures, and anatomic variants and pitfalls is critical to ensure diagnostic accuracy and prevent unnecessary surgery. High-spatial-resolution imaging of the meniscus can be performed using fast spin-echo and three-dimensional MR imaging sequences. Normal anatomic structures that can mimic a tear include the meniscal ligament, meniscofemoral ligaments, popliteomeniscal fascicles, and meniscomeniscal ligament. Anatomic variants and pitfalls that can mimic a tear include discoid meniscus, meniscal flounce, a meniscal ossicle, and chondrocalcinosis. When a meniscal tear is identified, accurate description and classification of the tear pattern can guide the referring clinician in patient education and surgical planning. For example, longitudinal tears are often amenable to repair, whereas horizontal and radial tears may require partial meniscectomy. Tear patterns include horizontal, longitudinal, radial, root, complex, displaced, and bucket-handle tears. Occasionally, meniscal tears can be difficult to detect at imaging; however, secondary indirect signs, such as a parameniscal cyst, meniscal extrusion, or linear subchondral bone marrow edema, should increase the radiologist's suspicion for an underlying tear. Awareness of common diagnostic errors can ensure accurate diagnosis of meniscal tears. Online supplemental material is available for this article. ©RSNA, 2014.
Prevalence of triceps tendon tears on MRI of the elbow and clinical correlation
International Nuclear Information System (INIS)
Koplas, Monica C.; Schneider, Erika; Sundaram, Murali
2011-01-01
Triceps tendon injuries are reported to be very rare. To our knowledge, there have been no studies describing its prevalence or injury patterns on MR imaging. The purpose of this retrospective study was to determine the prevalence and patterns of triceps injuries based on a large series of consecutive MR examinations. Clinical correlation was obtained. From 801 consecutive elbow MR examinations over a 15-year period, 28 patients with 30 triceps tendon injuries were identified and graded as partial tendon tear and complete tendon tear. The patients' medical records were reviewed to determine age, gender, cause of tears, and management. The prevalence of triceps tendon injuries was 3.8%. There were 5 women and 23 men with partial or complete tears (mean age: 46.6 years; range: 2.7 to 75.1 years). The most common injury was partial tear, found in 18 patients. There were 10 patients with 12 complete tears (2 had re-torn following surgical repair). A tear was suspected in 12 out 28 (43%) patients prior to the MRI. The most common presenting symptom was pain. The most common cause was athletic injury (8 patients [29%], including weightlifting [2 patients]). Tendon tear was found to be a complication of infection in 6 patients, and in 3 patients the tears were a complication of steroid use. Thirteen tendon tears were surgically repaired (8 of these were complete tears). Triceps tendon injury is not as rare as commonly reported and may often be clinically underdiagnosed. (orig.)
Prevalence of triceps tendon tears on MRI of the elbow and clinical correlation
Energy Technology Data Exchange (ETDEWEB)
Koplas, Monica C. [University of Mississippi Medical Center, Section of Musculoskeletal Radiology, Department of Radiology, Jackson, MS (United States); Schneider, Erika [Cleveland Clinic, Imaging Institute, Cleveland, OH (United States); Sundaram, Murali [Cleveland Clinic, Section of Musculoskeletal Radiology, Imaging Institute, Cleveland, OH (United States)
2011-05-15
Triceps tendon injuries are reported to be very rare. To our knowledge, there have been no studies describing its prevalence or injury patterns on MR imaging. The purpose of this retrospective study was to determine the prevalence and patterns of triceps injuries based on a large series of consecutive MR examinations. Clinical correlation was obtained. From 801 consecutive elbow MR examinations over a 15-year period, 28 patients with 30 triceps tendon injuries were identified and graded as partial tendon tear and complete tendon tear. The patients' medical records were reviewed to determine age, gender, cause of tears, and management. The prevalence of triceps tendon injuries was 3.8%. There were 5 women and 23 men with partial or complete tears (mean age: 46.6 years; range: 2.7 to 75.1 years). The most common injury was partial tear, found in 18 patients. There were 10 patients with 12 complete tears (2 had re-torn following surgical repair). A tear was suspected in 12 out 28 (43%) patients prior to the MRI. The most common presenting symptom was pain. The most common cause was athletic injury (8 patients [29%], including weightlifting [2 patients]). Tendon tear was found to be a complication of infection in 6 patients, and in 3 patients the tears were a complication of steroid use. Thirteen tendon tears were surgically repaired (8 of these were complete tears). Triceps tendon injury is not as rare as commonly reported and may often be clinically underdiagnosed. (orig.)
Directory of Open Access Journals (Sweden)
Rui Su
2015-05-01
Full Text Available AIM: To discuss the artificial tears on the tear film of diabetic patients with dry eye preoperatively, and the influence on the tear film's fuctional after phacoemulsification.METHODS: Fifty-four diabetic patients with dry eye(60 eyeswere followed up before phacoemulsification. Preoperatively, group A(30 eyes in 28 caseswas treated with Hydroxyl Indican eye drops and group B(30 eyes in 26 caseswas not treated. Postoperatively, both group A and B were treated with Tobramycin Dexamethasone eye drops, Oprah Winfrey Ibuprofen eye drops and Hydroxyl Indican eye drops. Dry eye symptoms, break up time(BUT, Schirmer Ⅰ test(S Ⅰ t, fluorescein stain test(FIwere measured at 3d preoperatively, and 1, 7, 30, 90d postoperatively.RESULTS: At 3d preoperatively, there was no statistical differences between the two groups for dry eye symptoms, BUT, SⅠt, FI(P>0.05. At 1 and 7d postoperatively, there were significant statistical differents between the two groups for dry eye symptoms(PPP>0.05.CONCLUSION: Using artificial tears before phacoemulsification can improve symptoms of the diabetic patients with dry eye and accelerate the recovery of the tear film.
MR imaging of rotator cuff tears
International Nuclear Information System (INIS)
Kumagai, Hideo
1992-01-01
A total of 115 patients with clinical symptoms and signs suggesting rotator cuff tears underwent MR imaging with a 1.5-Tesla system. The body coil was used as the receiver coil in 24 patients and a single 10 cm surface coil in 91. Arthrography or MR imaging with intra-articular Gd-DTPA (MR arthrography) was performed in 95 of the 115. T2-weighted images with the body coil showed high signal intensity lesions in rotator cuffs in only seven of the 10 patients who had tears demonstrated by arthrography or MR arthrography. On the other hand, T2-weighted images with the surface coil demonstrated high signal intensity lesions in cuffs in all 27 patients who were diagnosed to have tears by arthrography or MR arthrography. In 12 patietns, T2-wighted images with the surface coil showed high signal intensity lesions in cuffs, while arthrography and MR arthrography did not show tears. Surgery was performed in four of the 12 patients and partial tears were confirmed. A single 10 cm surface coil, 3 mm slice thickness and 2.5 second repetition time seem to account for the fine visualization of cuff tears by the T2-weighted images. These results suggest that T2-weighted images obtained with the surface coil are superior to arthrography and MR arthrography. (author)
Numerical studies of non-linear evolution of kink and tearing modes in tokamaks
International Nuclear Information System (INIS)
White, R.; Monticello, D.; Rosenbluth, M.N.; Strauss, H.; Kadomtsev, B.B.
1975-01-01
A set of numerical techniques for investigating the full nonlinear unstable behavior of low β kink modes of given helical symmetry in Tokamaks is presented. Uniform current density plasmas display complicated deformations including the formation of large vacuum bubbles provided that the safety factor q is sufficiently close to integral. Fairly large m = 1 deformations, but not bubble formation, persist for a plasma with a parabolic current density profile (and hence shear). Deformations for m greater than or equal to 2 are, however, greatly suppressed. (auth)
Two types of peak emotional responses to music: The psychophysiology of chills and tears
Mori, Kazuma; Iwanaga, Makoto
2017-01-01
People sometimes experience a strong emotional response to artworks. Previous studies have demonstrated that the peak emotional experience of chills (goose bumps or shivers) when listening to music involves psychophysiological arousal and a rewarding effect. However, many aspects of peak emotion are still not understood. The current research takes a new perspective of peak emotional response of tears (weeping, lump in the throat). A psychophysiological experiment showed that self-reported chills increased electrodermal activity and subjective arousal whereas tears produced slow respiration during heartbeat acceleration, although both chills and tears induced pleasure and deep breathing. A song that induced chills was perceived as being both happy and sad whereas a song that induced tears was perceived as sad. A tear-eliciting song was perceived as calmer than a chill-eliciting song. These results show that tears involve pleasure from sadness and that they are psychophysiologically calming; thus, psychophysiological responses permit the distinction between chills and tears. Because tears may have a cathartic effect, the functional significance of chills and tears seems to be different. We believe that the distinction of two types of peak emotions is theoretically relevant and further study of tears would contribute to more understanding of human peak emotional response. PMID:28387335
Two types of peak emotional responses to music: The psychophysiology of chills and tears.
Mori, Kazuma; Iwanaga, Makoto
2017-04-07
People sometimes experience a strong emotional response to artworks. Previous studies have demonstrated that the peak emotional experience of chills (goose bumps or shivers) when listening to music involves psychophysiological arousal and a rewarding effect. However, many aspects of peak emotion are still not understood. The current research takes a new perspective of peak emotional response of tears (weeping, lump in the throat). A psychophysiological experiment showed that self-reported chills increased electrodermal activity and subjective arousal whereas tears produced slow respiration during heartbeat acceleration, although both chills and tears induced pleasure and deep breathing. A song that induced chills was perceived as being both happy and sad whereas a song that induced tears was perceived as sad. A tear-eliciting song was perceived as calmer than a chill-eliciting song. These results show that tears involve pleasure from sadness and that they are psychophysiologically calming; thus, psychophysiological responses permit the distinction between chills and tears. Because tears may have a cathartic effect, the functional significance of chills and tears seems to be different. We believe that the distinction of two types of peak emotions is theoretically relevant and further study of tears would contribute to more understanding of human peak emotional response.
The Onset of Magnetic Reconnection: Tearing Instability in Current Sheets with a Guide Field
Daldorff, L. K. S.; Klimchuk, J. A.; Knizhnik, K. J.
2016-12-01
Magnetic reconnection is fundamental to many solar phenomena, ranging from coronal heating, to jets, to flares and CMEs. A poorly understood yet crucial aspect of reconnection is that it does not occur until magnetic stresses have built to sufficiently high levels for significant energy release. If reconnection were to happen too soon, coronal heating would be weak and flares would be small. As part of our program to study the onset conditions for magnetic reconnection, we have investigated the instability of current sheets to tearing. Surprisingly little work has been done on this problem for sheets that include a guide field, i.e., for which the field rotates by less than 180 degrees. This is the most common situation on the Sun. We present numerical 3D resistive MHD simulations of several sheets and show how the behaviour depends on the shear angle (rotation). We compare our results to the predictions of linear theory and discuss the nonlinear evolution in terms of plasmoid formation and the interaction of different oblique tearing modes. The relevance to the Sun is explained.
Pharmacokinetic analysis of topical tobramycin in equine tears by automated immunoassay.
Czerwinski, Sarah L; Lyon, Andrew W; Skorobohach, Brian; Léguillette, Renaud
2012-08-21
Ophthalmic antibiotic therapy in large animals is often used empirically because of the lack of pharmacokinetics studies. The purpose of the study was to determine the pharmacokinetics of topical tobramycin 0.3% ophthalmic solution in the tears of normal horses using an automated immunoassay analysis. The mean tobramycin concentrations in the tears at 5, 10, 15, 30 minutes and 1, 2, 4, 6 hours after administration were 759 (±414), 489 (±237), 346 (±227), 147 (±264), 27.6 (±28.4), 14.8 (±66.6), 6.7 (±18.6), and 23.4 (±73.4) mg/L. Mean tobramycin concentration was maintained above the MIC90 for commonly isolated bacteria for 68.5 min. A single dose of topical tobramycin resulted in therapeutic concentrations of tobramycin in the tears for 1 h after administration. Therapeutic levels of tobramycin remained in equine tears 6 times longer than was reported in rabbit tears.
Rotator cuff tears in children and adolescents: experience at a large pediatric hospital
International Nuclear Information System (INIS)
Zbojniewicz, Andrew M.; Emery, Kathleen H.; Maeder, Matthew E.; Salisbury, Shelia R.
2014-01-01
Prior literature, limited to small case series and case reports, suggests that rotator cuff tears are rare in adolescents. However, we have identified rotator cuff tears in numerous children and adolescents who have undergone shoulder MRI evaluation. The purpose of this study is to describe the prevalence and characteristics of rotator cuff tears in children and adolescents referred for MRI evaluation of the shoulder at a large pediatric hospital and to correlate the presence of rotator cuff tears with concurrent labral pathology, skeletal maturity and patient activity and outcomes. We reviewed reports from 455 consecutive non-contrast MRI and magnetic resonance arthrogram examinations of the shoulder performed during a 2-year period, and following exclusions we yielded 205 examinations in 201 patients (ages 8-18 years; 75 girls, 126 boys). Rotator cuff tears were classified by tendon involved, tear thickness (partial or full), surface and location of tear (when partial) and presence of delamination. We recorded concurrent labral pathology when present. Physeal patency of the proximal humerus was considered open, closing or closed. Statistical analysis was performed to evaluate for a relationship between rotator cuff tears and degree of physeal patency. We obtained patient activity at the time of injury, surgical reports and outcomes from clinical records when available. Twenty-five (12.2%) rotator cuff tears were identified in 17 boys and 7 girls (ages 10-18 years; one patient had bilateral tears). The supraspinatus tendon was most frequently involved (56%). There were 2 full-thickness and 23 partial-thickness tears with articular-side partial-thickness tears most frequent (78%). Insertional partial-thickness tears were more common (78%) than critical zone tears (22%) and 10 (43%) partial-thickness tears were delamination tears. Nine (36%) patients with rotator cuff tears had concurrent labral pathology. There was no statistically significant relationship between
Rotator cuff tears in children and adolescents: experience at a large pediatric hospital
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Zbojniewicz, Andrew M.; Emery, Kathleen H. [University of Cincinnati College of Medicine, Department of Radiology, Cincinnati Children' s Hospital Medical Center, Cincinnati, OH (United States); Maeder, Matthew E. [University of Cincinnati College of Medicine, Department of Radiology, Cincinnati Children' s Hospital Medical Center, Cincinnati, OH (United States); Lenox Hill Hospital, Department of Radiology, New York, NY (United States); Salisbury, Shelia R. [University of Cincinnati College of Medicine, Division of Biostatistics and Epidemiology, Cincinnati Children' s Hospital Medical Center, Cincinnati, OH (United States)
2014-06-15
Prior literature, limited to small case series and case reports, suggests that rotator cuff tears are rare in adolescents. However, we have identified rotator cuff tears in numerous children and adolescents who have undergone shoulder MRI evaluation. The purpose of this study is to describe the prevalence and characteristics of rotator cuff tears in children and adolescents referred for MRI evaluation of the shoulder at a large pediatric hospital and to correlate the presence of rotator cuff tears with concurrent labral pathology, skeletal maturity and patient activity and outcomes. We reviewed reports from 455 consecutive non-contrast MRI and magnetic resonance arthrogram examinations of the shoulder performed during a 2-year period, and following exclusions we yielded 205 examinations in 201 patients (ages 8-18 years; 75 girls, 126 boys). Rotator cuff tears were classified by tendon involved, tear thickness (partial or full), surface and location of tear (when partial) and presence of delamination. We recorded concurrent labral pathology when present. Physeal patency of the proximal humerus was considered open, closing or closed. Statistical analysis was performed to evaluate for a relationship between rotator cuff tears and degree of physeal patency. We obtained patient activity at the time of injury, surgical reports and outcomes from clinical records when available. Twenty-five (12.2%) rotator cuff tears were identified in 17 boys and 7 girls (ages 10-18 years; one patient had bilateral tears). The supraspinatus tendon was most frequently involved (56%). There were 2 full-thickness and 23 partial-thickness tears with articular-side partial-thickness tears most frequent (78%). Insertional partial-thickness tears were more common (78%) than critical zone tears (22%) and 10 (43%) partial-thickness tears were delamination tears. Nine (36%) patients with rotator cuff tears had concurrent labral pathology. There was no statistically significant relationship between
Efficacy of artificial tears for children xerophthalmia
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Jie Yang
2016-03-01
Full Text Available AIM:To observe the efficacy and safety of artificial tears for children xerophthalmia.METHODS:Fifty-eight cases with 116 eyes were diagnosed as xerophthalmia by tear break-up time(BUT, Schirmer Ⅰ test(SⅠt, tear meniscus height, corneal staining, meibomian gland function test and were given artificial tears therapy for 1mo. Then the aforementioned tests were conducted again for statistical analysis.RESULTS:The mean BUT of all the children before treatments was 6.03±1.19s, SⅠt was 7.67±2.32mm/5min, tear meniscus height was 0.20±0.02mm, corneal staining was 1.02±0.13 scores and meibomian gland function was 2.45±0.86 scores. Sixty-two eyes in 31 cases were the lipid-deficient type, 40 eyes in 20 cases were aqueous-deficient type, and 14 eyes in 7 cases were other types. According to their types, corresponding artificial tears therapy was given. At 1mo after treatments, the clinical symptoms were improved significantly. BUT was 13.72±1.83s, SⅠt was 12.38±3.64mm/5min, tear meniscus height was 0.36±0.08mm, corneal fluorescein staining was 0.03±0.24 scores and meibomian gland function was 1.57±0.93 scores. Compared with those before treatments, the difference of each observed indicators was statistically significant(PCONCLUSION:Artificial tears treatment for children xerophthalmia is safe and effective.
Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation
International Nuclear Information System (INIS)
Waldt, S.; Bruegel, M.; Mueller, D.; Holzapfel, K.; Rummeny, E.J.; Woertler, K.; Imhoff, A.B.
2007-01-01
We assessed the diagnostic performance of magnetic resonance (MR) arthrography in the diagnosis of articular-sided partial-thickness and full-thickness rotator cuff tears in a large symptomatic population. MR arthrograms obtained in 275 patients including a study group of 139 patients with rotator cuff tears proved by arthroscopy and a control group of 136 patients with arthroscopically intact rotator cuff tendons were reviewed in random order. MR imaging was performed on a 1.0 T system (Magnetom Expert, Siemens). MR arthrograms were analyzed by two radiologists in consensus for articular-sided partial-thickness and full-thickness tears of the supraspinatus, infraspinatus, and subscapularis tendons. At arthroscopy, 197 rotator cuff tears were diagnosed, including 105 partial-thickness (93 supraspinatus, nine infraspinatus, three subscapularis) and 92 full-thickness (43 supraspinatus, 20 infraspinatus, 29 subscapularis) tendon tears. For full-thickness tears, sensitivity, specificity, and accuracy were 96%, 99%, and 98%, respectively, and for partial tears 80%, 97%, and 95%, respectively. False negative and positive assessments in the diagnosis of articular-sided partial-thickness tears were predominantly [78% (35/45)] observed with small articular-sided (Ellman grade1) tendon tears. MR arthrography is highly accurate in the diagnosis of full-thickness rotator cuff tears and is accurate in the diagnosis of articular-sided partial-thickness tears. Limitations in the diagnosis of partial-thickness tears are mainly restricted to small articular-sided tears (Ellman grade 1) due to difficulties in differentiation between fiber tearing, tendinitis, synovitic changes, and superficial fraying at tendon margins. (orig.)
Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation
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Waldt, S.; Bruegel, M.; Mueller, D.; Holzapfel, K.; Rummeny, E.J.; Woertler, K. [Technische Universitaet Muenchen, Department of Radiology, Munich (Germany); Imhoff, A.B. [Technische Universitaet Muenchen, Department of Sports Orthopedics, Munich (Germany)
2007-02-15
We assessed the diagnostic performance of magnetic resonance (MR) arthrography in the diagnosis of articular-sided partial-thickness and full-thickness rotator cuff tears in a large symptomatic population. MR arthrograms obtained in 275 patients including a study group of 139 patients with rotator cuff tears proved by arthroscopy and a control group of 136 patients with arthroscopically intact rotator cuff tendons were reviewed in random order. MR imaging was performed on a 1.0 T system (Magnetom Expert, Siemens). MR arthrograms were analyzed by two radiologists in consensus for articular-sided partial-thickness and full-thickness tears of the supraspinatus, infraspinatus, and subscapularis tendons. At arthroscopy, 197 rotator cuff tears were diagnosed, including 105 partial-thickness (93 supraspinatus, nine infraspinatus, three subscapularis) and 92 full-thickness (43 supraspinatus, 20 infraspinatus, 29 subscapularis) tendon tears. For full-thickness tears, sensitivity, specificity, and accuracy were 96%, 99%, and 98%, respectively, and for partial tears 80%, 97%, and 95%, respectively. False negative and positive assessments in the diagnosis of articular-sided partial-thickness tears were predominantly [78% (35/45)] observed with small articular-sided (Ellman grade1) tendon tears. MR arthrography is highly accurate in the diagnosis of full-thickness rotator cuff tears and is accurate in the diagnosis of articular-sided partial-thickness tears. Limitations in the diagnosis of partial-thickness tears are mainly restricted to small articular-sided tears (Ellman grade 1) due to difficulties in differentiation between fiber tearing, tendinitis, synovitic changes, and superficial fraying at tendon margins. (orig.)
Freezing Range, Melt Quality, and Hot Tearing in Al-Si Alloys
Uludağ, Muhammet; Çetin, Remzi; Dispinar, Derya
2018-02-01
In this study, three different aluminum-silicon alloys (A356, A413, and A380) that have different solidification morphology and solidification ranges were examined with an aim to evaluate the hot tearing susceptibility. T-shape mold and Constrained Rod Casting (CRC) mold were used for the characterization. Reduced Pressure Test (RPT) was used to quantify the casting quality by measuring bifilm index. It was found that bifilm index and solidification range have an important role on the hot tearing formation. As it is known, bifilms can cause porosity and in this case, it was shown that porosity formed by bifilms decreased hot tearing tendency. As the freezing range of alloy increases, bifilms find the time to unravel that reduces hot tearing. However, for eutectic alloy (A413), due to zero freezing range, regardless of bifilm content, hot tearing was never observed. A380.1 alloy had the highest tendency for hot tearing due to having the highest freezing range among the alloys investigated in this work.
Superior Labrum Anterior-Posterior Tears in the National Football League.
Chambers, Caitlin C; Lynch, T Sean; Gibbs, Daniel B; Ghodasra, Jason H; Sahota, Shawn; Franke, Kristina; Mack, Christina D; Nuber, Gordon W
2017-01-01
Shoulder disorders are common in football players, with up to 50% of National Football League (NFL) recruits reporting a history of shoulder injuries. Superior labrum anterior-posterior (SLAP) tears are an entity with well-described detrimental effects on return to play in overhead-throwing athletes but with minimal data in contact athletes. To identify the incidence, predisposing factors, and effect of SLAP tears in NFL athletes and prospects as well as the treatment patterns of NFL team physicians. Descriptive epidemiology study. This study was a comprehensive analysis of SLAP tears in elite football players using a dual approach: (1) SLAP injuries recorded in the NFL Injury Surveillance System from 2000 to 2014 were evaluated by player position, type of play, days/games lost, and surgical intervention; (2) NFL Scouting Combine athletes from 2003 to 2011 with prior SLAP repair were evaluated for draft success, and drafted athletes were compared with matched controls for career length and performance scores. SLAP tears represented a small portion (3.1%) of shoulder injuries in NFL athletes from 2000 to 2014, occurring most commonly in offensive linemen (28%). Surgically treated SLAP tears (42%) resulted in more days missed than did nonoperatively managed tears (140.2 vs 21.5 days; P football players, it is clear that these injuries have the potential to cause significant detriment to an athlete's career.
Long-Term MRI Findings in Operated Rotator Cuff Tear
International Nuclear Information System (INIS)
Kyroelae, K.; Niemitukia, L.; Jaroma, H.; Vaeaetaeinen, U.
2004-01-01
Purpose: To describe magnetic resonance imaging (MRI) findings at long-term follow-up after rotator cuff (RC) tear using standard MRI sequences without fat saturation. Material and Methods: Twenty-eight patients aged 55.8±7.6 underwent MRI examination 4.6±2.1 years after surgery for RC tear. Standard sequences in oblique coronal, oblique sagittal, and axial planes were obtained. The RC, including re-tears and tendon degeneration, was independently evaluated by two observers. Thickness of the supraspinatus tendon and narrowing of the subacromial space were measured. The clinical outcome was evaluated with the Constant score and compared with the MRI findings. Results: The RC tear was traumatic in 18 (64%) patients and degenerative in 10 (36%). At follow-up, 11 (39%) had normal RC tendons with good clinical outcome. Four (14%) patients had painful tendinosis without RC tear. A full-thickness RC tear was found in 7 (25%) patients and a partial tear in 6 (21%). In one patient with a full-thickness tear, and in two with partial tear, tendinosis was found in another of the RC tendons. The subacromial space was narrowed in 13 (46%) of the patients. A narrowing of the subacromial space correlated with re-tear (P<0.05). Conclusions: The RC may be evaluated with standard MRI sequences without fat saturation at long-term follow-up. A normal appearance of the RC is correlated with good clinical outcome, while re-tear and tendinosis are associated with pain
Proteases, proteolysis and inflammatory molecules in the tears of people with keratoconus.
Balasubramanian, Sivaraman Arumugam; Mohan, Sujatha; Pye, David Cecil; Willcox, Mark Duncan Perry
2012-06-01
To investigate the expression of proteases, proteolytic activity and cytokines in the tear film of people with keratoconus. Basal tears from people with keratoconus, from individuals who had undergone corneal collagen cross-linking for the treatment of keratoconus, and from normal controls were collected using a capillary tube. Corneal curvature of each subject was mapped. The total protein in tears was estimated. Levels and activity of proteases in the tears were analysed using specific antibody arrays and activity assays. The total tear protein level was significantly reduced in keratoconus (4.1 ± 0.9 mg/ml) compared with normals (6.7 ± 1.4 mg/ml) (p tear expression of matrix metalloproteinases (MMP) -1, -3, -7, -13, interleukins (IL) -4, -5, -6, -8 and tumour necrosis factor (TNF) -α, -β were evident in keratoconus. Tear IL-6 was the only cytokine significantly (p tears of keratoconus subjects compared with the collagen cross-linked group. No significant difference in tear proteases were observed between the normal and the cross-linked groups, although the expression of TNF-α was significantly (p tears from keratoconus compared with normal subjects. The activity of tear gelatinases (69.6 ± 22.2 FIU) and collagenases (5.7 ± 3.3 FIU) in the collagen cross-linked group was not significantly different compared with either keratoconus or normals. Tears of people with keratoconus had 1.9 times higher levels of proteolytic activity and over expression of several MMPs and cytokines compared with tears from controls. Further investigations are required to study the possible implications of these changes and whether they can be used to monitor disease progression or determine the success of corneal collagen cross-linking. © 2012 The Authors. Acta Ophthalmologica © 2012 Acta Ophthalmologica Scandinavica Foundation.
Epidemiology, natural history, and indications for treatment of rotator cuff tears.
Tashjian, Robert Z
2012-10-01
The etiology of rotator cuff disease is likely multifactorial, including age-related degeneration and microtrauma and macrotrauma. The incidence of rotator cuff tears increases with aging with more than half of individuals in their 80s having a rotator cuff tear. Smoking, hypercholesterolemia, and genetics have all been shown to influence the development of rotator cuff tearing. Substantial full-thickness rotator cuff tears, in general, progress and enlarge with time. Pain, or worsening pain, usually signals tear progression in both asymptomatic and symptomatic tears and should warrant further investigation if the tear is treated conservatively. Larger (>1-1.5 cm) symptomatic full-thickness cuff tears have a high rate of tear progression and, therefore, should be considered for earlier surgical repair in younger patients if the tear is reparable and there is limited muscle degeneration to avoid irreversible changes to the cuff, including tear enlargement and degenerative muscle changes. Smaller symptomatic full-thickness tears have been shown to have a slower rate of progression, similar to partial-thickness tears, and can be considered for initial nonoperative treatment due to the limited risk for rapid tear progression. In both small full-thickness tears and partial-thickness tears, increasing pain should alert physicians to obtain further imaging as it can signal tear progression. Natural history data, along with information on factors affecting healing after rotator cuff repair, can help guide surgeons in making appropriate decisions regarding the treatment of rotator cuff tears. The management of rotator cuff tears should be considered in the context of the risks and benefits of operative versus nonoperative treatment. Tear size and acuity, the presence of irreparable changes to the rotator cuff or glenohumeral joint, and patient age should all be considered in making this decision. Initial nonoperative care can be safely undertaken in older patients (>70
Relationship of Tear Size and Location to Fatty Degeneration of the Rotator Cuff
Kim, H. Mike; Dahiya, Nirvikar; Teefey, Sharlene A.; Keener, Jay D.; Galatz, Leesa M.; Yamaguchi, Ken
2010-01-01
Background: Fatty degeneration of the rotator cuff muscles may have detrimental effects on both anatomical and functional outcomes following shoulder surgery. The purpose of this study was to investigate the relationship between tear geometry and muscle fatty degeneration in shoulders with a deficient rotator cuff. Methods: Ultrasonograms of both shoulders of 262 patients were reviewed to assess the type of rotator cuff tear and fatty degeneration in the supraspinatus and infraspinatus muscles. The 251 shoulders with a full-thickness tear underwent further evaluation for tear size and location. The relationship of tear size and location to fatty degeneration of the supraspinatus and infraspinatus muscles was investigated with use of statistical comparisons and regression models. Results: Fatty degeneration was found almost exclusively in shoulders with a full-thickness rotator cuff tear. Of the 251 shoulders with a full-thickness tear, eighty-seven (34.7%) had fatty degeneration in either the supraspinatus or infraspinatus, or both. Eighty-two (32.7%) of the 251 full-thickness tears had a distance of 0 mm between the biceps tendon and anterior margin of the tear. Ninety percent of the full-thickness tears with fatty degeneration in both muscles had a distance of 0 mm posterior from the biceps, whereas only 9% of those without fatty degeneration had a distance of 0 mm. Tears with fatty degeneration had significantly greater width and length than those without fatty degeneration (p Tears with fatty degeneration had a significantly shorter distance posterior from the biceps than those without fatty degeneration (p tear width and length were found to be the most important predictors for infraspinatus fatty degeneration. Conclusions: Fatty degeneration of the rotator cuff muscles is closely associated with tear size and location. The finding of this study suggests that the integrity of the anterior supraspinatus tendon is important to the development of fatty
Posterior horn medial meniscal root tear: the prequel
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Umans, H. [Albert Einstein College of Medicine, Bronx, NY (United States); Lenox Hill Radiology and Imaging Associates, New York, NY (United States); Morrison, W. [Thomas Jefferson University Hospital, Philadelphia, PA (United States); DiFelice, G.S. [Hospital for Special Surgery, New York, NY (United States); Vaidya, N. [Crystal Run Healthcare, Middletown, NY (United States); Winalski, C.S. [Cleveland Clinic, Imaging Institute, Department of Biomedical Engineering, Lerner Research Institute, Cleveland, OH (United States)
2014-06-15
To determine whether subarticular marrow changes deep to the posterior horn medial meniscal root anchor might predict subsequent medial meniscal root tear. Fifteen patients with MR-diagnosed posterior horn medial meniscal root (PHMMR) tear and a knee MRI antecedent to the tear were identified at three imaging centers over a 7-year period. The pre- and post-tear MR images were evaluated for marrow signal changes deep to the root anchor, meniscal root signal intensity, medial compartment articular cartilage thinning, and meniscal body extrusion. Images of 29 age- and gender-matched individuals with two MRIs of the same knee were reviewed as a control group. MRI in 11 of 15 (73 %) cases with subsequent PHMMR tear demonstrated linear subcortical marrow edema deep to the meniscal root anchor on the antecedent MRI compared to only 1 of 29 (3 %) non-tear controls (p < 0.0001). The abnormal signal resolved on post-tear MRI in all but two patients. Cyst-like changes deep to the PHMMR were present on initial MRI in three of 15 (23 %) cases and three of 29 (10 %) controls, persisting in all but one case on follow-up imaging. The PHMMR was gray on the initial MRI in seven of 15 (47 %) of cases that developed tears compared to four of 29 (14 %) controls (p < 0.0001). There was medial meniscal extrusion (MME) prior to tear in two of 15 (13 %) patients and in ten of 15 (67 %) patients after PHMMR failure. In the control group, MME was present in one (3 %) and three (10 %) of 29 subjects on the initial and follow-up MRIs, respectively. Articular cartilage loss was noted in two of 15 (15 %) cases before tear and nine of 15 (69 %) on follow-up imaging, as compared to one (3 %) and four (14 %) of 29 subjects in the control group. Subcortical marrow edema deep to the PHMMR may result from abnormal stresses and thus be a harbinger of meniscal root failure. This hypothesis is supported by resolution of these marrow signal changes after root tear. Following tear, extrusion of the
Does the Rotator Cuff Tear Pattern Influence Clinical Outcomes After Surgical Repair?
Watson, Scott; Allen, Benjamin; Robbins, Chris; Bedi, Asheesh; Gagnier, Joel J; Miller, Bruce
2018-03-01
Limited literature exists regarding the influence of rotator cuff tear morphology on patient outcomes. To determine the effect of rotator cuff tear pattern (crescent, U-shape, L-shape) on patient-reported outcomes after rotator cuff repair. Cohort study; Level of evidence, 3. Patients undergoing arthroscopic repair of known full-thickness rotator cuff tears were observed prospectively at regular intervals from baseline to 1 year. The tear pattern was classified at the time of surgery as crescent, U-shaped, or L-shaped. Primary outcome measures were the Western Ontario Rotator Cuff Index (WORC), the American Shoulder and Elbow Surgeons (ASES), and a visual analog scale (VAS) for pain. The tear pattern was evaluated as the primary predictor while controlling for variables known to affect rotator cuff outcomes. Mixed-methods regression and analysis of variance (ANOVA) were used to examine the effects of tear morphology on patient-reported outcomes after surgical repair from baseline to 1 year. A total of 82 patients were included in the study (53 male, 29 female; mean age, 58 years [range, 41-75 years]). A crescent shape was the most common tear pattern (54%), followed by U-shaped (25%) and L-shaped tears (21%). There were no significant differences in outcome scores between the 3 groups at baseline. All 3 groups showed statistically significant improvement from baseline to 1 year, but analysis failed to show any predictive effect in the change in outcome scores from baseline to 1 year for the WORC, ASES, or VAS when tear pattern was the primary predictor. Further ANOVA also failed to show any significant difference in the change in outcome scores from baseline to 1 year for the WORC ( P = .96), ASES ( P = .71), or VAS ( P = .86). Rotator cuff tear pattern is not a predictor of functional outcomes after arthroscopic rotator cuff repair.
Goldmann tonometry tear film error and partial correction with a shaped applanation surface.
McCafferty, Sean J; Enikov, Eniko T; Schwiegerling, Jim; Ashley, Sean M
2018-01-01
The aim of the study was to quantify the isolated tear film adhesion error in a Goldmann applanation tonometer (GAT) prism and in a correcting applanation tonometry surface (CATS) prism. The separation force of a tonometer prism adhered by a tear film to a simulated cornea was measured to quantify an isolated tear film adhesion force. Acrylic hemispheres (7.8 mm radius) used as corneas were lathed over the apical 3.06 mm diameter to simulate full applanation contact with the prism surface for both GAT and CATS prisms. Tear film separation measurements were completed with both an artificial tear and fluorescein solutions as a fluid bridge. The applanation mire thicknesses were measured and correlated with the tear film separation measurements. Human cadaver eyes were used to validate simulated cornea tear film separation measurement differences between the GAT and CATS prisms. The CATS prism tear film adhesion error (2.74±0.21 mmHg) was significantly less than the GAT prism (4.57±0.18 mmHg, p film adhesion error was independent of applanation mire thickness ( R 2 =0.09, p =0.04). Fluorescein produces more tear film error than artificial tears (+0.51±0.04 mmHg; p film adhesion error (1.40±0.51 mmHg) was significantly less than that of the GAT prism (3.30±0.38 mmHg; p =0.002). Measured GAT tear film adhesion error is more than previously predicted. A CATS prism significantly reduced tear film adhesion error bŷ41%. Fluorescein solution increases the tear film adhesion compared to artificial tears, while mire thickness has a negligible effect.
Moosmayer, Stefan; Gärtner, Anne V; Tariq, Rana
2017-04-01
The natural course of nonoperatively treated rotator cuff tears is not fully understood. We explored the long-term development of tear anatomy and assessed functional outcomes. Eighty-nine small to medium-sized full-thickness tears of the rotator cuff, all primarily treated by physiotherapy, were identified retrospectively. Twenty-three tears needed surgical treatment later on, and 17 patients were unable to meet for follow-up. The remaining 49 still unrepaired tears were re-examined after 8.8 (8.2-11.0) years with sonography. Re-examination by magnetic resonance imaging was possible for 37 patients. Shoulder function was assessed with shoulder scores. Primary outcome measures were progression of tear size, muscle atrophy, and fatty degeneration and the Constant score (CS). Mean tear size increased by 8.3 mm in the anterior-posterior plane (P = .001) and by 4.5 mm in the medial-lateral plane (P = .001). Increase of tear size was -5 to +9.9 mm in 33 patients, 10 to 19.9 mm in 8 patients, and ≥20 mm in 8 patients. The CS was 81 points for tear increases Muscle atrophy and fatty degeneration progressed in 18 and 15 of the 37 patients, respectively. In tears with no progression of atrophy, the CS was 82 points compared with 75.5 points in tears with progression (P = .04). Anatomic tear deterioration was found in the majority of patients, but it was often moderate. Large tear size increases and progression of muscle atrophy were correlated to a poorer functional outcome. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.
Chou, Wen-Yi; Wang, Ching-Jen; Wu, Kuan-Ting; Yang, Ya-Ju; Cheng, Jai-Hong; Wang, Shih-Wei
2018-03-01
Refractory shoulder tendinitis or partial thickness rotator cuff tears (PTRCTs) are common findings in overhead athletes. Previous studies have examined the effectiveness of extracorporeal shockwave therapy (ESWT) for shoulder tendinitis. In the current study, we recruited 36 shoulders and performed a comparison between the professional athletes (13 shoulders, athletic group; AG) and the non-athletic population (23 shoulders, non-athletic group, NAG) with PTRCTs or shoulder tendinitis of the shoulder after ESWT. Patients with symptomatic tendinitis of the shoulder with or without a partial tear of the rotator cuff tendon and failed oral medication and physical therapy for more than 3 months were treated with electrohydraulic mode of ESWT. All patients that met the inclusion criteria were categorized into two groups according to their pre-treatment activity level. We found that NAG exhibited significant aging and degenerative change around the glenohumeral joint and subacromial space. After ESWT treatment, the patients in AG were with 53.8% high satisfaction rating and patients in NAG were 52.1% by one-year followed up. The results showed ESWT was equally effective treatment in both AG and NAG. In light of its efficacy and less-invasive nature, we suggest ESWT can be used to treat athletes with refractory tendinitis or PTRCTs before proceeding to arthroscopic intervention. Copyright © 2018 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
Contact Lens-Induced Discomfort and Protein Changes in Tears.
Masoudi, Simin; Stapleton, Fiona Jane; Willcox, Mark Duncan Perry
2016-08-01
Ocular discomfort is among the main causes of contact lens wear discontinuation. This study investigated the association between subjective ocular comfort ratings and diurnal changes in tear protein concentrations with and without contact lens wear. The study was a prospective, open-label, single-group two-staged investigation. Basal tears were collected from 30 experienced contact lens wearers twice a day (morning and evening) using a noninvasive method without lens wear (stage 1) and during wear of Etafilcon A contact lenses (stage 2) for 7 to 10 days. Subjects rated their ocular comfort on a scale of 1 to 100 (with 100 as extremely comfortable) at each time of tear collection. Tears were analyzed using liquid quadrupole mass spectrometry in conjunction with selected reaction monitoring (SRM) method. End-of-day comfort was reduced when wearing lenses (87.8 ± 14.3 AM vs. 79.2 ± 16.6 PM) compared to no lens wear (88.3 ± 12.6 AM vs. 84.7 ± 13.3 PM) (AM vs. PM, p tears (p < 0.05, r = -0.29). Only the absolute concentration of prolactin-induced protein correlated with subjective comfort ratings. Taking into consideration that prolactin-induced protein can be associated with disruption in water transport in lacrimal glands, our findings may indicate that changes to aqueous secretion are associated with contact lens discomfort.
MR imaging of delamination tears of the rotator cuff tendons
International Nuclear Information System (INIS)
Walz, Daniel M.; Chen, Steven; Miller, Theodore T.; Hofman, Josh
2007-01-01
The objective was to describe the imaging appearances and location of delamination tears of the rotator cuff tendons on non-contrast conventional MR imaging. This study was reviewed and approved by our Institutional Review Board. The reports of 548 consecutive MR examinations of the shoulder were reviewed, looking for mention or description of delamination tears of the rotator cuff. The images of the identified cases were then reviewed by two radiologists to confirm the findings. Correlation with surgical and arthroscopic information was then performed. Delamination tears were defined as horizontal retraction of either the bursal or articular surface of the tendon, manifest as thickening of the torn retracted edge, and/or interstitial splitting of the tendon, manifest as fluid-like high signal intensity on fat-suppressed T2-weighted oblique coronal images. Fourteen cases of delamination tears were identified in 13 patients. Ten of the cases involved the supraspinatus tendon, all with articular surface involvement. Nine of these supraspinatus cases were isolated tears and one occurred as part of a full thickness tear. All 10 of these supraspinatus cases showed medial retraction of the articular surface of the tendon, with thickening of the retracted edge, and 5 of the 10 had a demonstrable horizontal cleft in the interstitium. Four cases involved the subscapularis tendon, with articular surface disruption in three and pure interstitial delamination in one. Medial subluxation of the tendon of the long head of the biceps was present in all four cases. No delamination tears occurred on the bursal surface. Only three of the 14 shoulders underwent surgical repair with one confirmation of supraspinatus delamination, one confirmation of a subscapularis tear that had become a full thickness tear 10 months after initial imaging and another interstitial subscapularis delamination that was not identified arthroscopically. Delamination tears occur most often in the
MR imaging of delamination tears of the rotator cuff tendons
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Walz, Daniel M.; Chen, Steven [North Shore University Hospital, Department of Radiology, Manhasset, NY (United States); Miller, Theodore T. [Hospital for Special Surgery, Department of Radiology and Imaging, New York, NY (United States); Hofman, Josh [Long Island Jewish Medical Center, New Hyde Park, NY (United States)
2007-05-15
The objective was to describe the imaging appearances and location of delamination tears of the rotator cuff tendons on non-contrast conventional MR imaging. This study was reviewed and approved by our Institutional Review Board. The reports of 548 consecutive MR examinations of the shoulder were reviewed, looking for mention or description of delamination tears of the rotator cuff. The images of the identified cases were then reviewed by two radiologists to confirm the findings. Correlation with surgical and arthroscopic information was then performed. Delamination tears were defined as horizontal retraction of either the bursal or articular surface of the tendon, manifest as thickening of the torn retracted edge, and/or interstitial splitting of the tendon, manifest as fluid-like high signal intensity on fat-suppressed T2-weighted oblique coronal images. Fourteen cases of delamination tears were identified in 13 patients. Ten of the cases involved the supraspinatus tendon, all with articular surface involvement. Nine of these supraspinatus cases were isolated tears and one occurred as part of a full thickness tear. All 10 of these supraspinatus cases showed medial retraction of the articular surface of the tendon, with thickening of the retracted edge, and 5 of the 10 had a demonstrable horizontal cleft in the interstitium. Four cases involved the subscapularis tendon, with articular surface disruption in three and pure interstitial delamination in one. Medial subluxation of the tendon of the long head of the biceps was present in all four cases. No delamination tears occurred on the bursal surface. Only three of the 14 shoulders underwent surgical repair with one confirmation of supraspinatus delamination, one confirmation of a subscapularis tear that had become a full thickness tear 10 months after initial imaging and another interstitial subscapularis delamination that was not identified arthroscopically. Delamination tears occur most often in the
Non-invasive pre-lens tear film assessment with high-speed videokeratoscopy.
Llorens-Quintana, Clara; Mousavi, Maryam; Szczesna-Iskander, Dorota; Iskander, D Robert
2018-02-01
To evaluate the effect of two types of daily contact lenses (delefilcon A and omafilcon A) on the tear film and establish whether it is dependent on pre-corneal tear film characteristics using a new method to analyse high-speed videokeratoscopy recordings, as well as to determine the sensitivity of the method in differentiating between contact lens materials on eye. High-speed videokeratoscopy recordings were analysed using a custom made automated algorithm based on a fractal dimension approach that provides a set of parameters directly related to tear film stability. Fifty-four subjects participated in the study. Baseline measurements, in suppressed and natural blinking conditions, were taken before subjects were fitted with two different daily contact lenses and after four hours of contact lens wear. The method for analysing the stability of the tear film provides alternative parameters to the non-invasive break up time to assess the quality of the pre-corneal and pre-lens tear film. Both contact lenses significantly decreased the quality of the tear film in suppressed and natural blinking conditions (pfilm characteristics were not correlated with the decrease in pre-lens tear film quality. High-speed videokeratoscopy equipped with an automated method to analyse the dynamics of the tear film is able to distinguish between contact lens materials in vivo. Incorporating the assessment of pre-lens tear film to the clinical practice could aid improving contact lens fitting and understand contact lens comfort. Copyright © 2017 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
Bandlitz, Stefan; Purslow, Christine; Murphy, Paul J; Pult, Heiko
2014-08-26
Using a novel digital meniscometer (PDM), alterations in tear meniscus radius (TMR) were measured simultaneously with blink rate (BR) following the instillation of artificial tears. Central TMR and BR of 22 subjects (11 male and 11 female; mean age, 24.3 ± 2.6 SD years) were measured at baseline, and 0, 1, 5, 10, and 30 minutes after instillation of an artificial tear containing hydroxypropyl-guar and glycol (SYS) or saline (SAL). A dose of 35 μL was applied in one eye in a randomized order with a washout period between each drop. For SAL, compared to baseline TMR (0.33 ± 0.08 mm), TMR significantly increased with drop instillation (1.55 ± 0.69 mm) and at 1 minute (0.66 ± 0.36 mm; P tears. Difference in residence time reflects the different viscosity of each drop. An overload with a large drop may result in an initially increased BR. Copyright 2014 The Association for Research in Vision and Ophthalmology, Inc.
Goto, Tomoko; Zheng, Xiaodong; Klyce, Stephen D; Kataoka, Hisashi; Uno, Toshihiko; Yamaguchi, Masahiko; Karon, Mike; Hirano, Sumie; Okamoto, Shigeki; Ohashi, Yuichi
2004-01-01
To evaluate the tear film stability of patients before and after laser in situ keratomileusis (LASIK) using the tear film stability analysis system (TSAS). Prospective observational case series. New videokeratography software for a topographic modeling system (TMS-2N) was developed that can automatically capture consecutive corneal surface images every second for 10 seconds. Thirty-four subjects (64 eyes) who underwent myopia LASIK were enrolled in this study. All subjects were examined with the new system before LASIK and at 1 week, 1 month, 3 months, and 6 months after the surgery. Corneal topographs were analyzed for tear breakup time (TMS breakup time) and breakup area (TMS breakup area). Based on pre-LASIK TSAS analysis, subjects were separated into normal and abnormal TSAS value groups. The criteria for the normal group were either TMS breakup time more than 5 seconds or TMS breakup area less than 0.2. The percentage of the occurrence of superficial punctuate keratitis was compared between the two groups with regard to subject's dry eye signs and symptoms. Tear film stability decreased significantly during the early period after LASIK, as indexed by decreased TMS breakup time and increased TMS breakup area. Tear film instability resolved at 6 months after surgery. Before LASIK, 22 subjects (43 eyes) had normal TSAS evaluation and 12 subjects (21 eyes) were abnormal. After LASIK, among normal TSAS value eyes, 8 of 43 (18.6%) eyes developed superficial punctuate keratitis. In sharp contrast, 14 of 21 (66.7%) eyes in the abnormal group displayed superficial punctuate keratitis, correlating well with the patients' dry eye symptoms. The difference in the presence of superficial punctuate keratitis after LASIK between normal and abnormal TSAS value groups was statistically significant (P <.001). Subjects with abnormal TSAS evaluation also displayed resistance to dry eye treatment and had extended period of recovery. Tear film stability analysis can be a useful
The Effect Of Weave Construction On Tear Strength Of Woven Fabrics
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Eryuruk Selin Hanife
2015-09-01
Full Text Available The tear strength of a woven fabric is very important, since it is more closely related to serviceability of the fabric. Tearing strength of the fabrics depend on the mobility of the yarn within the fabric structure. In this study, the tearing strength of four types of fabrics warp rib, weft rib, ripstop and plain weave were analysed, which were produced in different densities and with filament and texturised polyester yarns.
Williams, Ariel A; Mancini, Nickolas S; Solomito, Matthew J; Nissen, Carl W; Milewski, Matthew D
2017-07-01
Access to health care services is a critical component of health care reform and may differ among patients with different types of insurance. Hypothesis/Purpose: The purpose was to compare adolescents with private and public insurance undergoing surgery for anterior cruciate ligament (ACL) and/or meniscal tears. We hypothesized that patients with public insurance would have a delayed presentation from the time of injury and therefore would have a higher incidence of chondral injuries and irreparable meniscal tears and lower preoperative International Knee Documentation Committee (IKDC) scores than patients with private insurance. Cross-sectional study; Level of evidence, 3. This was a retrospective study of patients under 21 years of age undergoing ACL reconstruction and/or meniscal repair or debridement from January 2013 to March 2016 at a single pediatric sports medicine center. Patients were identified by a search of Current Procedural Terminology (CPT) codes. A chart review was performed for insurance type; preoperative diagnosis; date of injury, initial office visit, and surgery; preoperative IKDC score; intraoperative findings; and procedures. The study group consisted of 119 patients (mean age, 15.0 ± 1.7 years). Forty-one percent of patients had private insurance, while 59% had public insurance. There were 27 patients with isolated meniscal tears, 59 with combined meniscal and ACL tears, and 33 with isolated ACL tears. The mean time from injury to presentation was 56 days (range, 0-457 days) in patients with private insurance and 136 days (range, 0-1120 days) in patients with public insurance ( P = .02). Surgery occurred, on average, 35 days after the initial office visit in both groups. The mean preoperative IKDC score was 53 in both groups. Patients with meniscal tears with public insurance were more likely to require meniscal debridement than patients with private insurance (risk ratio [RR], 2.3; 95% CI, 1.7-3.1; P = .02). Patients with public insurance
Tear osmolarity and dry eye symptoms in diabetics
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Fuerst N
2014-03-01
Full Text Available Nicole Fuerst,1 Nicole Langelier,1 Mina Massaro-Giordano,1 Maxwell Pistilli,1 Kalliopi Stasi,1 Carrie Burns,2 Serena Cardillo,2 Vatinee Y Bunya1 1Department of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; 2Division of Endocrinology, Diabetes, and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA Purpose: To assess the relationship between tear osmolarity and dry eye symptoms in patients with diabetes. Patients and methods: Fifty patients with diabetes were enrolled. Demographic information and past medical history were recorded. Symptoms were assessed using the ocular surface disease index (OSDI. Tear osmolarity of each eye was measured with the TearLab® Osmolarity System. Results: The majority of the subjects were female (76%, African American (56%, and/or had a diagnosis of type 2 diabetes (82%. The mean ± standard deviation (SD for age was 54.6±13.4, and maximum tear osmolarity was 304.6±12.7 mOsm/L. Men had higher osmolarity than women (mean ± standard error (SE 311.8±4.0 mOsm/L versus 302.3±1.9 mOsm/L, P=0.02. Age, race, use of artificial tears, years of diabetes, and hemoglobin A1c did not have a statistically significant association with tear osmolarity. Longer duration of diabetes was associated with lower (less severe OSDI scores (r=-0.35, P=0.01. Higher tear osmolarity was associated with lower (less severe OSDI scores (r=-0.29, P=0.04. Conclusion: Approximately half of the diabetic subjects in our study had elevated tear osmolarity, and half of our population also reported symptoms consistent with dry eye disease. However, the two were slightly inversely related in that those with higher osmolarity reported fewer symptoms. Subjects with a longer duration of diabetes also reported fewer dry eye symptoms. Therefore, health care providers should be aware that patients who are most likely to have ocular surface disease, including those with
Walter, S G; Stadler, T; Thomas, T S; Thomas, W
2018-03-02
To introduce a (semi-)quantitative surgical score for the classification of rotator cuff tears. A total of 146 consecutive patients underwent rotator cuff repair and were assessed using the previously defined Advanced Rotator Cuff Tear Score (ARoCuS) criteria: muscle tendon, size, tissue quality, pattern as well as mobilization of the tear. The data set was split into a training (125 patients) and a testing set (21 patients). The training data set fitted a nonlinear predictive model of the tear score based on the ARoCuS criteria, while the testing data served as control. Based on the scoring results, rotator cuff tears were assigned to one of four categories (ΔV I-IV) and received a stage-adapted treatment. For statistical analysis, mean values ± standard deviation, interclass correlation coefficients (ICC) and kappa values were calculated. Overall, 32 patients were classified as ΔV I, 68 as ΔV II and 37 as ΔV III. Nine patients showed ΔV IV tears. Patients of all ΔV groups improved significantly their Constant scores (p tears in a standardized and reproducible manner.
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Chun, Kyung Ah; Kim, Min Sung; Kim, Young Joo [Catholic University of Korea Uijeongbu St.Mary' s Hospital, Uijeongbu (Korea, Republic of)
2010-10-15
To assess the diagnostic performance of MR arthrography in the diagnosis of the various types of partial-thickness rotator cuff tears by comparing the MR imaging findings with the arthroscopic findings. The series of MR arthrography studies included 202 patients consisting of 100 patients with partial-thickness rotator cuff tears proved by arthroscopy and a control group of 102 patients with arthroscopically intact rotator cuffs, which were reviewed in random order. At arthroscopy, 54 articularsided, 26 bursal-sided, 20 both articular- and bursal-sided partial-thickness tears were diagnosed. The MR arthrographies were analyzed by two radiologists for articular-sided tears, bursal-sided tears, and both articular- and bursal-sided tears of the rotator cuff. The sensitivity and specificity of each type of partial-thickness tears were determined. Kappa statistics was calculated to determine the interand intra-observer agreement of the diagnosis of partial-thickness rotator cuff tears. The sensitivity and specificity of the various types of rotator cuff tears were 85% and 90%, respectively for articular-sided tears, 62% and 95% for bursal- sided tears, as well as 45% and 99% for both articular- and bursal-sided tears. False-negative assessments were primarily observed in the diagnosis of bursal-sided tears. Conversely, both articular- and bursal-sided tears were overestimated as full-thickness tears. Inter-observer agreement was excellent for the diagnosis of articular-sided tears (k = 0.70), moderate (k = 0.59) for bursal-sided tears, and fair (k = 0.34) for both articular- and bursal-sided tears, respectively. Intra-observer agreement for the interpretation of articular- and bursal-sided tears was excellent and good, respectively, whereas intra-observer agreement for both articular- and bursal-sided tears was moderate. MR arthrography is a useful diagnostic tool for partial-thickness rotator cuff tears, but has limitations in that it has low sensitivity in bursal- and
International Nuclear Information System (INIS)
Chun, Kyung Ah; Kim, Min Sung; Kim, Young Joo
2010-01-01
To assess the diagnostic performance of MR arthrography in the diagnosis of the various types of partial-thickness rotator cuff tears by comparing the MR imaging findings with the arthroscopic findings. The series of MR arthrography studies included 202 patients consisting of 100 patients with partial-thickness rotator cuff tears proved by arthroscopy and a control group of 102 patients with arthroscopically intact rotator cuffs, which were reviewed in random order. At arthroscopy, 54 articularsided, 26 bursal-sided, 20 both articular- and bursal-sided partial-thickness tears were diagnosed. The MR arthrographies were analyzed by two radiologists for articular-sided tears, bursal-sided tears, and both articular- and bursal-sided tears of the rotator cuff. The sensitivity and specificity of each type of partial-thickness tears were determined. Kappa statistics was calculated to determine the interand intra-observer agreement of the diagnosis of partial-thickness rotator cuff tears. The sensitivity and specificity of the various types of rotator cuff tears were 85% and 90%, respectively for articular-sided tears, 62% and 95% for bursal- sided tears, as well as 45% and 99% for both articular- and bursal-sided tears. False-negative assessments were primarily observed in the diagnosis of bursal-sided tears. Conversely, both articular- and bursal-sided tears were overestimated as full-thickness tears. Inter-observer agreement was excellent for the diagnosis of articular-sided tears (k = 0.70), moderate (k = 0.59) for bursal-sided tears, and fair (k = 0.34) for both articular- and bursal-sided tears, respectively. Intra-observer agreement for the interpretation of articular- and bursal-sided tears was excellent and good, respectively, whereas intra-observer agreement for both articular- and bursal-sided tears was moderate. MR arthrography is a useful diagnostic tool for partial-thickness rotator cuff tears, but has limitations in that it has low sensitivity in bursal- and
Detecting meniscal tears in primary care
Snoeker, B.A.M.
2017-01-01
Although meniscal tears are a very common phenomenon uncertainty exists about the diagnosis and treatment of meniscal tears in primary care. This thesis aims to provide evidence for general practitioners and physical therapists regarding the diagnosis and management of patients with a suspected
Duplex Tear Film Evaporation Analysis.
Stapf, M R; Braun, R J; King-Smith, P E
2017-12-01
Tear film thinning, hyperosmolarity, and breakup can cause irritation and damage to the human eye, and these form an area of active investigation for dry eye syndrome research. Recent research demonstrates that deficiencies in the lipid layer may cause locally increased evaporation, inducing conditions for breakup. In this paper, we explore the conditions for tear film breakup by considering a model for tear film dynamics with two mobile fluid layers, the aqueous and lipid layers. In addition, we include the effects of osmosis, evaporation as modified by the lipid, and the polar portion of the lipid layer. We solve the system numerically for reasonable parameter values and initial conditions and analyze how shifts in these cause changes to the system's dynamics.
Incomplete response to artificial tears is associated with features of neuropathic ocular pain.
Galor, Anat; Batawi, Hatim; Felix, Elizabeth R; Margolis, Todd P; Sarantopoulos, Konstantinos D; Martin, Eden R; Levitt, Roy C
2016-06-01
Artificial tears are first-line therapy for patients with dry eye symptoms. It is not known, however, which patient factors associate with a positive response to therapy. The purpose of this study was to evaluate whether certain ocular and systemic findings are associated with a differential subjective response to artificial tears. Cross-sectional study of 118 individuals reporting artificial tears use (hypromellose 0.4%) to treat dry eye-associated ocular pain. An evaluation was performed to assess dry eye symptoms (via the dry eye questionnaire 5 and ocular surface disease index), ocular and systemic (non-ocular) pain complaints and ocular signs (tear osmolarity, tear breakup time, corneal staining, Schirmer testing with anaesthesia, and eyelid and meibomian gland assessment). The main outcome measures were factors associated with differential subjective response to artificial tears. By self-report, 23 patients reported no improvement, 73 partial improvement and 22 complete improvement in ocular pain with artificial tears. Patients who reported no or partial improvement in pain with artificial tears reported higher levels of hot-burning ocular pain and sensitivity to wind compared with those with complete improvement. Patients were also asked to rate the intensity of systemic pain elsewhere in the body (other than the eye). Patients who reported no or incomplete improvement with artificial tears had higher systemic pain scores compared with those with complete improvement. Both ocular and systemic (non-ocular) pain complaints are associated with a differential subjective response to artificial tears. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
International Nuclear Information System (INIS)
Hinton, F.L.; Chu, M.S.; Dominguez, R.R.
1985-01-01
A theoretical picture of the H-mode is proposed which explains some of the most important features of this good confinement mode in neutral beam heated plasmas with divertors. From consideration of the transport through the separatrix and along the open field lines outside the separatrix, as well as the stability of the plasma inside the separatrix, we show that a bifurcation in the operating parameters is possible. At high edge temperatures, very large particle confinement times are possible because of the Ware pinch. The transport of particles and heat along the open field lines to the divertor region depends on temperature in a non-monotonic way, and the bifurcation of the thermal equilibrium which is implied may correspond to the L- to H-mode transition. The improvement of the interior confinement in the H-mode, when the edge temperature is higher, is shown to follow from the tearing mode stability properties of current profiles with pedestals. (author)
MRI evaluation of the posterior meniscus root tear
International Nuclear Information System (INIS)
Zhang Jianjun; Zheng Zhuozhao; Li Xuan
2010-01-01
Objective: To determine the value of MRI for diagnosing the posterior meniscus root tear. Methods: MR examinations of 30 patients with tear of the posterior meniscus root confirmed by knee arthroscopies were retrospectively reviewed. Of the 30 patients, 17 with posterior medial meniscus root tear (MMRT) and 13 with posterior lateral meniscus root tear (LMRT). The diagnostic sensitivity of' MRI for the posterior meniscus root tear was analyzed. Fisher's exact test was used to compare the detection rate of MRI for MMRT with that for LMRT. Results: All 17 cases with MMRT and 9 cases out of 13 with LMRT were correctly diagnosed by MRI and the diagnostic sensitivity of MRI for the posterior meniscus root tear was 86.7% (26/30). The main MR appearance of the posterior meniscus root tear was distortion of the meniscal root, with its low signal replaced by abnormal high signal. The detection rate of MRI for MMRT (17/17) was significantly greater than that for LMRT (9/13) (P=0.026). The prevalence of MMRT associated with meniscus extrusion (15/17) was significantly greater than that of LMRT (6/13) (P=0.020), but the prevalence of MMRT associated with anterior cruciate ligament (ACL) injury (5/17) was significantly lower than that of LMRT (11/13) (P=0.004). Conclusion: MRI is a relatively good method for detection of posterior meniscus root tears and associated injuries. (authors)
Goldmann tonometry tear film error and partial correction with a shaped applanation surface
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McCafferty SJ
2018-01-01
Full Text Available Sean J McCafferty,1–4 Eniko T Enikov,5 Jim Schwiegerling,2,3 Sean M Ashley1,3 1Intuor Technologies, 2Department of Ophthalmology, University of Arizona College of Medicine, 3University of Arizona College of Optical Science, 4Arizona Eye Consultants, 5Department of Mechanical and Aerospace, University of Arizona College of Engineering, Tucson, AZ, USA Purpose: The aim of the study was to quantify the isolated tear film adhesion error in a Goldmann applanation tonometer (GAT prism and in a correcting applanation tonometry surface (CATS prism.Methods: The separation force of a tonometer prism adhered by a tear film to a simulated cornea was measured to quantify an isolated tear film adhesion force. Acrylic hemispheres (7.8 mm radius used as corneas were lathed over the apical 3.06 mm diameter to simulate full applanation contact with the prism surface for both GAT and CATS prisms. Tear film separation measurements were completed with both an artificial tear and fluorescein solutions as a fluid bridge. The applanation mire thicknesses were measured and correlated with the tear film separation measurements. Human cadaver eyes were used to validate simulated cornea tear film separation measurement differences between the GAT and CATS prisms.Results: The CATS prism tear film adhesion error (2.74±0.21 mmHg was significantly less than the GAT prism (4.57±0.18 mmHg, p<0.001. Tear film adhesion error was independent of applanation mire thickness (R2=0.09, p=0.04. Fluorescein produces more tear film error than artificial tears (+0.51±0.04 mmHg; p<0.001. Cadaver eye validation indicated the CATS prism’s tear film adhesion error (1.40±0.51 mmHg was significantly less than that of the GAT prism (3.30±0.38 mmHg; p=0.002.Conclusion: Measured GAT tear film adhesion error is more than previously predicted. A CATS prism significantly reduced tear film adhesion error by ~41%. Fluorescein solution increases the tear film adhesion compared to
Effects of tear film dynamics on quality of vision.
Koh, Shizuka; Tung, Cynthia I; Inoue, Yasushi; Jhanji, Vishal
2018-06-15
The precorneal tear film is maintained by blinking and exhibits different phases in the tear cycle. The tear film serves as the most anterior surface of the eye and plays an important role as a first refractive component of the eye. Alterations in tear film dynamics may cause both vision-related and ocular surface-related symptoms. Although the optical quality associated with the tear film dynamics previously received little attention, objective measurements of optical quality using wavefront sensors have enabled us to quantify optical aberrations induced by the tear film. This has provided an objective method for assessing reduced optical quality in dry eye; thus, visual disturbances were included in the definition of dry eye disease in the 2007 Dry Eye Workshop report. In addition, sequential measurements of wavefront aberrations have provided us with valuable insights into the dynamic optical changes associated with tear film dynamics. This review will focus on the current knowledge of the mechanisms of wavefront variations that are caused by different aspects of tear film dynamics: specifically, quality, quantity and properties of the tear film, demonstrating the respective effects of dry eye, epiphora and instillation of eye drops on the quality of vision. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
US detection of rotator cuff tear
International Nuclear Information System (INIS)
Soble, M.G.; Guay, R.C.; Kaye, A.D.
1988-01-01
Between June 1986 and April 1988, 75 patients suspected of having a tear of the rotator cuff underwent shoulder sonography and arthrography. Compared with anthrography, US demonstrated 92% of rotor cuff tears, with a specificity of 84% and a negative predictive value of 95%. In 30 patients who underwent surgery for a rotator cuff tear or other soft-tissue abnormality, sonography demonstrated a sensitivity of 93% and specificity of 73%, while arthrography demonstrated a sensitivity of 87% and specificity of 100%. The above data indicate that US is a useful, noninvasive screening procedure for patients suspected of having rotator cuff injury
MR imaging characteristics and clinical symptoms related to displaced meniscal flap tears
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Lance, Valentin; Heilmeier, Ursula R.; Joseph, Gabby B.; Steinbach, Lynne; Link, Thomas M. [University of California, Department of Radiology and Biomedical Imaging, San Francisco, CA (United States); Ma, Benjamin [University of California, Department of Orthopedic Surgery and Sports Medicine, San Francisco (United States)
2014-11-16
The purpose of our study was (1) to analyze the flap tear location, direction of displacement and size on magnetic resonance (MR) imaging, (2) to describe associated knee abnormalities including presence of effusion, synovitis, bone marrow edema pattern or ligamentous tear, and (3) to assess clinical findings found with flap tears, including the pain score, and determine differences between operative and nonoperative groups. A retrospective radiology database search over the last 3 years identified 238 patients with flap tears, of which ultimately 58 with isolated flap tears were included after exclusion of patients with other significant knee internal derangement, severe degenerative change or prior surgery. MR studies of the knee were analyzed by two radiologists. Imaging characteristics were correlated with associated knee abnormalities and clinical findings. Statistical analysis employed linear and logistic regression models. Inter- and intrareader reliability was calculated. The medial meniscus was the most common site of flap tears (52/60, 87 %), with inferior displacement (47/60, 78 %). The degree of tibial cartilage loss had a positive correlation with the visual analog pain scale (p = 0.03). Patients who underwent arthroscopy were younger than those who did not (p = 0.01) and more likely to have a positive clinical McMurray test (p = 0.01). Medially and inferiorly displaced flap tears are the most common tear pattern. Those undergoing arthroscopy are more likely to have positive meniscal signs on clinical examination. A greater degree of cartilage loss involving the tibia on MR imaging was associated with increasing visual analog pain scores. (orig.)
MR imaging characteristics and clinical symptoms related to displaced meniscal flap tears
International Nuclear Information System (INIS)
Lance, Valentin; Heilmeier, Ursula R.; Joseph, Gabby B.; Steinbach, Lynne; Link, Thomas M.; Ma, Benjamin
2015-01-01
The purpose of our study was (1) to analyze the flap tear location, direction of displacement and size on magnetic resonance (MR) imaging, (2) to describe associated knee abnormalities including presence of effusion, synovitis, bone marrow edema pattern or ligamentous tear, and (3) to assess clinical findings found with flap tears, including the pain score, and determine differences between operative and nonoperative groups. A retrospective radiology database search over the last 3 years identified 238 patients with flap tears, of which ultimately 58 with isolated flap tears were included after exclusion of patients with other significant knee internal derangement, severe degenerative change or prior surgery. MR studies of the knee were analyzed by two radiologists. Imaging characteristics were correlated with associated knee abnormalities and clinical findings. Statistical analysis employed linear and logistic regression models. Inter- and intrareader reliability was calculated. The medial meniscus was the most common site of flap tears (52/60, 87 %), with inferior displacement (47/60, 78 %). The degree of tibial cartilage loss had a positive correlation with the visual analog pain scale (p = 0.03). Patients who underwent arthroscopy were younger than those who did not (p = 0.01) and more likely to have a positive clinical McMurray test (p = 0.01). Medially and inferiorly displaced flap tears are the most common tear pattern. Those undergoing arthroscopy are more likely to have positive meniscal signs on clinical examination. A greater degree of cartilage loss involving the tibia on MR imaging was associated with increasing visual analog pain scores. (orig.)
Investigation of pepsin in tears of children with laryngopharyngeal reflux disease.
Iannella, Giannicola; Di Nardo, Giovanni; Plateroti, Rocco; Rossi, Paolo; Plateroti, Andrea Maria; Mariani, Paola; Magliulo, Giuseppe
2015-12-01
Numerous investigations postulated that laryngopharyngeal reflux (LPR) is implicated in the pathogenesis of various upper airway inflammatory diseases as sinusitis or dacryostenosis. The presence of pepsin in tears might be confirmed the presuntive hypothesis of the arrival in the nasolacrimal ducts and precorneal tears film through the laryngopharyngeal reflux of either gastric acid or stomach secretions (pepsin) with inflammatory potentialities. The aim of this preliminary study was to identify the presence or absence of pepsin in the tears collected from children with a high suspicion of LPR who underwent 24-h pH (MII-pH) monitoring to confirm the disease. This study enrolled 20 patients suffering from symptoms of laryngopharyngeal reflux that underwent 24-h multichannel intraluminal impedance (MII)-pH monitoring to confirm the disease. The findings of the study group were compared with those of a control group of patients with negative pH monitoring. The quantitative analysis of human pepsin concentration in the tear samples was performed by ELISA method in both groups. Four children (20%) of the study group showed pepsin in the tears. All of the subjects belonging to the control group were negative for its presence. No difference differences in the total number of reflux episodes and the number of weakly basic reflux in the pepsin positive patients vs. pepsin negative children were present. 20% of the children with diagnosed LPR showed pepsin in the tears. Our specific investigation might provide information regarding sinusitis or dacryostenosis. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Allergy and allergic mediators in tears.
Leonardi, Andrea
2013-12-01
The identification of inflammatory mediators in the tear fluid have been extensively used in ocular allergy to find either a 'disease marker', to better understand the immune mechanisms involved in the ocular surface inflammation, or to identify potential targets for therapeutic interventions. While the clinical characteristics allow a relatively convincing diagnosis of ocular allergic diseases, in the initial, non active phases, or in the chronic stages, the diagnosis may not be clear. Although not highly specific, total tear IgE can be measured with local tests by inserting a paper strip in the lower meniscus. The measurement of tear specific inflammatory markers, such as histamine, tryptase, ECP, IL-4, IL-5 and eotaxin, may be useful for the diagnosis or monitoring ocular allergy. New technologies such as multiplex bead assays, membrane-bound antibody array and proteomic techniques can characterize the distribution of a wide range of bioactive trace proteins in tears. Dozens of mediators, cytokines, chemokines, growth factors, angiogenic modulators, enzymes and inhibitors were thus identified in small tear samples using these techniques, providing the possible identification of specific biomarker for either specific disease or disease activity. However, to date, there is no a single specific laboratory test suitable for the diagnosis and monitoring of allergic conjunctivitis. Copyright © 2013 Elsevier Ltd. All rights reserved.
Magnetic Resonance Imaging of Rotator Cuff Tears in Shoulder Impingement Syndrome
International Nuclear Information System (INIS)
Freygant, Magdalena; Dziurzyńska-Białek, Ewa; Guz, Wiesław; Samojedny, Antoni; Gołofit, Andrzej; Kostkiewicz, Agnieszka; Terpin, Krzysztof
2014-01-01
Shoulder joint is a common site of musculoskeletal pain caused, among other things, by rotator cuff tears due to narrowing of subacromial space, acute trauma or chronic shoulder overload. Magnetic resonance imaging (MRI) is an excellent modality for imaging of soft tissues of the shoulder joint considering a possibility of multiplanar image acquisition and non-invasive nature of the study. The aim of this study was to evaluate the prevalence of partial and complete rotator cuff tears in magnetic resonance images of patients with shoulder impingement syndrome and to review the literature on the causes and classification of rotator cuff tears. We retrospectively analyzed the results of 137 shoulder MRI examinations performed in 57 women and 72 men in Magnetic Resonance facility of the Department of Radiology and Diagnostic Imaging at the St. Jadwiga the Queen Regional Hospital No. 2 in Rzeszow between June 2010 and February 2013. Examinations were performed using Philips Achieva 1.5T device, including spin echo and gradient echo sequences with T1-, T2- and PD-weighted as well as fat saturation sequences in transverse, frontal and sagittal oblique planes. Patients were referred from hospital wards as well as from outpatient clinics of the subcarpathian province. The most frequently reported injuries included partial supraspinatus tendon tear and complete tearing most commonly involved the supraspinatus muscle tendon. The smallest group comprised patients with complete tear of subscapularis muscle tendon. Among 137 patients in the study population, 129 patients suffered from shoulder pain, including 57 patients who reported a history of trauma. There was 44% women and 56% men in a group of patients with shoulder pain. Posttraumatic shoulder pain was predominantly reported by men, while women comprised a larger group of patients with shoulder pain not preceded by injury. Rotator cuff injury is a very common pathology in patients with shoulder impingement syndrome
MR imaging of meniscal tears: correlation with history of trauma
International Nuclear Information System (INIS)
Choi, Jong Cheul; Yang, Seoung Oh; Choi, Sun Seob; Son, Seok Hyun; Lee, Yung Il; Chung, Duck Hwan; Kim, Kyung Taek; Sohn, Sung Keun; Lee, Jung Yoon
1994-01-01
The medial meniscus is injured much more than the lateral meniscus. Because the medial meniscus is much larger in diameter, is thinner in its periphery and narrower in body than the lateral meniscus, and dose not attach to either cruciate ligament. We evaluated correlations with sites of tear and history of trauma. We reviewed retrospectively in 43 patients with meniscal tears on MR(51 cases) and correlated them with history of trauma. The most common site of injury was the posterior horn of the medial meniscuc(32/51), but high incidence of lateral meniscal tear compared with previous reports was seen. In the cases which had history of trauma, the posterior horn of medial meniscus was most commonly injured(26/34) and 5 meniscal tears were combined with meniscal tear in the other site. The tear in the anterior horn of the medial meniscus was seen only in a patient which had history of trauma and combined with meniscal tear in the other site. But in the meniscal tears without definite history of trauma, the incidence of meniscal tear was different from the meniscal tear with history of trauma. The incidence of lateral meniscal tear(11/17) was higher than medial meniscal tear and the posterior horn of lateral meniscus was commonly injured. We concluded that the medial meniscus was commonly injured, especially posterior horn, but in the cases which had no definite history of trauma, the lateral meniscus was commonly injured. An awareness of prevalent site of meniscal injuries may be helpful in the diagnostic interpretation of MR imaging of knee
Physics and Control of Locked Modes in the DIII-D Tokamak
International Nuclear Information System (INIS)
Volpe, Francesco
2017-01-01
This Final Technical Report summarizes an investigation, carried out under the auspices of the DOE Early Career Award, of the physics and control of non-rotating magnetic islands (''locked modes'') in tokamak plasmas. Locked modes are one of the main causes of disruptions in present tokamaks, and could be an even bigger concern in ITER, due to its relatively high beta (favoring the formation of Neoclassical Tearing Mode islands) and low rotation (favoring locking). For these reasons, this research had the goal of studying and learning how to control locked modes in the DIII-D National Fusion Facility under ITER-relevant conditions of high pressure and low rotation. Major results included: the first full suppression of locked modes and avoidance of the associated disruptions; the demonstration of error field detection from the interaction between locked modes, applied rotating fields and intrinsic errors; the analysis of a vast database of disruptive locked modes, which led to criteria for disruption prediction and avoidance.
Tear dysfunction and the cornea: LXVIII Edward Jackson Memorial Lecture.
Pflugfelder, Stephen C
2011-12-01
To describe the cause and consequence of tear dysfunction-related corneal disease. Perspective on effects of tear dysfunction on the cornea. Evidence is presented on the effects of tear dysfunction on corneal morphology, function, and health, as well as efficacy of therapies for tear dysfunction-related corneal disease. Tear dysfunction is a prevalent eye disease and the most frequent cause for superficial corneal epithelial disease that results in corneal barrier disruption, an irregular optical surface, light scattering, optical aberrations, and exposure and sensitization of pain-sensing nerve endings (nociceptors). Tear dysfunction-related corneal disease causes irritation and visual symptoms such as photophobia and blurred and fluctuating vision that may decrease quality of life. Dysfunction of 1 or more components of the lacrimal functional unit results in changes in tear composition, including elevated osmolarity and increased concentrations of matrix metalloproteinases, inflammatory cytokines, and chemokines. These tear compositional changes promote disruption of tight junctions, alter differentiation, and accelerate death of corneal epithelial cells. Corneal epithelial disease resulting from tear dysfunction causes eye irritation and decreases visual function. Clinical and basic research has improved understanding of the pathogenesis of tear dysfunction-related corneal epithelial disease, as well as treatment outcomes. Copyright © 2011 Elsevier Inc. All rights reserved.
Differences in Risk Factors for Rotator Cuff Tears between Elderly Patients and Young Patients.
Watanabe, Akihisa; Ono, Qana; Nishigami, Tomohiko; Hirooka, Takahiko; Machida, Hirohisa
2018-02-01
It has been unclear whether the risk factors for rotator cuff tears are the same at all ages or differ between young and older populations. In this study, we examined the risk factors for rotator cuff tears using classification and regression tree analysis as methods of nonlinear regression analysis. There were 65 patients in the rotator cuff tears group and 45 patients in the intact rotator cuff group. Classification and regression tree analysis was performed to predict rotator cuff tears. The target factor was rotator cuff tears; explanatory variables were age, sex, trauma, and critical shoulder angle≥35°. In the results of classification and regression tree analysis, the tree was divided at age 64. For patients aged≥64, the tree was divided at trauma. For patients agedrotator cuff tears in this study. However, these risk factors showed different trends according to age group, not a linear relationship.
High spatial sampling global mode structure measurements via multichannel reflectometry in NSTX
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Crocker, N A; Peebles, W A; Kubota, S; Zhang, J [Department of Physics and Astronomy, University of California-Los Angeles, Los Angeles, CA 90095-7099 (United States); Bell, R E; Fredrickson, E D; Gorelenkov, N N; LeBlanc, B P; Menard, J E; Podesta, M [Princeton Plasma Physics Laboratory, PO Box 451, Princeton, NJ 08543-0451 (United States); Sabbagh, S A [Department of Applied Physics and Applied Mathematics, Columbia University, New York, NY 10027 (United States); Tritz, K [Johns Hopkins University, Baltimore, MD 21218 (United States); Yuh, H [Nova Photonics, Princeton, NJ 08540 (United States)
2011-10-15
Global modes-including kinks and tearing modes (f <{approx} 50 kHz), toroidicity-induced Alfven eigenmodes (TAE; f {approx} 50-250 kHz) and global and compressional Alfven eigenmodes (GAE and CAE; f >{approx} 400 kHz)-play critical roles in many aspects of plasma performance. Their investigation on NSTX is aided by an array of fixed-frequency quadrature reflectometers used to determine their radial density perturbation structure. The array has been recently upgraded to 16 channels spanning 30-75 GHz (n{sub cutoff} = (1.1-6.9) x 10{sup 19} m{sup -3} in O-mode), improving spatial sampling and access to the core of H-mode plasmas. The upgrade has yielded significant new results that advance the understanding of global modes in NSTX. The GAE and CAE structures have been measured for the first time in the core of an NSTX high-power (6 MW) beam-heated H-mode plasma. The CAE structure is strongly core-localized, which has important implications for electron thermal transport. The TAE structure has been measured with greatly improved spatial sampling, and measurements of the TAE phase, the first in NSTX, show strong radial variation near the midplane, indicating radial propagation caused by non-ideal MHD effects. Finally, the tearing mode structure measurements provide unambiguous evidence of coupling to an external kink.
Cytokine and chemokine levels in tears from healthy subjects.
Carreño, Ester; Enríquez-de-Salamanca, Amalia; Tesón, Marisa; García-Vázquez, Carmen; Stern, Michael E; Whitcup, Scott M; Calonge, Margarita
2010-11-01
There is growing evidence for the existence of an 'immune tone' in normal tears. The aim of this study was to determine the levels of a large panel of cytokines and chemokines in tears obtained from healthy subjects. These levels can then serve as baseline values for comparison with patients suffering from ocular surface diseases. Nine healthy subjects participated in this study, and normal ocular surface health was documented by the results of a dry eye questionnaire, Schirmer strip wetting, and vital staining of the cornea. Four microliters of tears were collected from each eye and analysed separately with multiplex bead-based assays for the concentration of 30 cytokines and chemokines. Twenty-five cytokines/chemokines were detected. CCL11/Eotaxin1, GM-CSF, G-CSF, IFN-γ, IL-2, IL-3, IL-4, IL-5, IL-10, IL-13, IL-12p70, IL-15, CX3CL1/Fractalkine, TNF-α, epidermal growth factor, and CCL4/MIP-1β were present at 5-100 pg/ml. IL-1β, IL-6, IL-7A, CXCL8/IL-8, and CCL2/MCP-1 were present at 100-400 pg/ml. IL-1Ra, CXCL10/IP-10 and vascular endothelial growth factor were present at more than 1000 pg/ml. Multiplex bead-based assays are convenient for cytokine/chemokine detection in tears. Fracktalkine has been detected in human healthy tears for the first time. The knowledge of cytokine/chemokine concentrations in tears from normal subjects is an important reference for further comparison with patients suffering from ocular surface diseases. Variability in their levels can reflect a phenomenon of potential importance for the understanding of the ocular surface cytokine pattern. © 2010 The Authors. Journal compilation © 2010 Acta Ophthalmol.
Behavioral and neural responses to infant and adult tears: The impact of maternal love withdrawal.
Riem, Madelon M E; van IJzendoorn, Marinus H; De Carli, Pietro; Vingerhoets, Ad J J M; Bakermans-Kranenburg, Marian J
2017-09-01
The current study examined behavioral and neural responses to infant and adult tears, taking into account childhood experiences with parental love-withdrawal. With functional MRI (fMRI), we measured neural reactivity to pictures of infants and adults with and without tears on their faces in nulliparous women with varying childhood experiences of maternal use of love withdrawal. Behavioral responses to infant and adult tears were measured with an approach-avoidance task. We found that individuals with experiences of love withdrawal showed less amygdala and insula reactivity to adult tears, but love withdrawal did not affect amygdala and insula reactivity to infant tears. During the approach-avoidance task, individuals responded faster to adult tears in the approach condition compared with the avoidance condition, indicating that adult tears facilitate approach behavior. Individuals responded faster to infant tears than to adult tears, regardless of approach or avoidance condition. Our findings suggest that infant tears are highly salient and may, therefore, overrule the effects of contextual and personal characteristics that influence the perception of adult crying. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Detection of endogenous cortisol in equine tears and blood at rest and after simulated stress.
Monk, Caroline S; Hart, Kelsey A; Berghaus, Roy D; Norton, Natalie A; Moore, Phillip A; Myrna, Kathern E
2014-07-01
To determine whether cortisol is present in equine tears at rest and during simulated stress and compare tear cortisol to serum free and total cortisol. Fourteen healthy adult horses were included. Paired tear total cortisol and serum total and free cortisol concentrations were measured with ELISA, chemiluminescent immunoassay, and ultrafiltration methodology, respectively, in 10 horses at rest once daily for five consecutive days. In an additional four horses, paired tear and serum samples were collected for cortisol measurement before and after adrenocorticotropic hormone (ACTH) stimulation (cosyntropin, 1 μg/kg IV). Cortisol was detectable in equine tears at rest. Following ACTH stimulation, tear cortisol increased significantly from baseline at 60-120 min (P ≤ 0.001). Serum total and free cortisol also increased significantly at 30-180 min after ACTH stimulation (P ≤ 0.001). Both serum and tear cortisol returned to baseline concentrations by 360 min. Changes in tear cortisol were similarly associated with changes in serum total and free cortisol, although high tear cortisol concentrations suggest a portion of tear cortisol may be protein-bound. Cortisol is present in equine tears and increases in concert with serum cortisol following ACTH stimulation. Further study is needed to determine whether endogenous cortisol in tears contributes to ocular pathology. © 2013 American College of Veterinary Ophthalmologists.
Daytime Variations of Tear Osmolarity Measurement in Dry Eye Patients
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Ulviye Yiğit
2013-12-01
Full Text Available Purpose: We have targeted primarily to show the variations of tear osmolarity during the daytime period in subjects with dry eyes and non-dry eyes and, secondarily, to evaluate the relationship of these variations with Schirmer’s test and break-up time (BUT. Material and Method: Twenty newly diagnosed dry eye patients and 20 healthy voluntary subjects with similar age and gender were included in this prospective study. In addition to the full ophthalmic examination, Schirmer’s test and BUT test were applied to all participants. Tear osmolarity measurements were done after pre-examination but in different day. The measurements were registered with TearLab Osmolarity System (TearLab Corporation, San Diego, CA, USA every 3 hours within 8:00 AM and 5:00 PM. The results were evaluated statistically. Results: No statistically significant difference was found between the mean age and gender of dry eye syndrome (DES and control groups (p>0.05. The mean measurements of Schirmer’s test and BUT in the DES group were statistically significantly lower than those in the control group (p=0.0001. The mean measurements of tear osmolarity at 8:00 AM, 11:00 AM, 2:00 PM, and 5:00 PM in the DES group were statistically significantly higher than those in the control group (p=0.001, p=0.0001. No statistically significant difference in tear osmolarity at 8:00 AM, 11: 00 AM, 2:00 PM, and 5:00 PM was found between the groups, and within DES and control groups (p>0.05. Discussion: We did not determine significant change in daytime variations of the tear osmolarity in dry eye patients and healthy subjects. As a secondary result, we can conclude that there is no difference among tear osmolarity, Shirmer’s and BUT tests in the diagnosis of DES. (Turk J Ophthalmol 2013; 43: 437-41
Relationships between rotator cuff tear types and radiographic abnormalities
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Lee, Soo Hyun; Chun, Kyung Ah; Lee Soo Jung; Kang, Min Ho; Yi, Kyung Sik; Zhang, Ying [Dept. of Diagnostic Radiology, College of Medicine, Chungbuk National University, Cheongju (Korea, Republic of)
2014-11-15
To determine relationships between different types of rotator cuff tears and radiographic abnormalities. The shoulder radiographs of 104 patients with an arthroscopically proven rotator cuff tear were compared with similar radiographs of 54 age-matched controls with intact cuffs. Two radiologists independently interpreted all radiographs for; cortical thickening with subcortical sclerosis, subcortical cysts, osteophytes in the humeral greater tuberosity, humeral migration, degenerations of the acromioclavicular and glenohumeral joints, and subacromial spurs. Statistical analysis was performed to determine relationships between each type of rotator cuff tears and radiographic abnormalities. Inter-observer agreements with respect to radiographic findings were analyzed. Humeral migration and degenerative change of the greater tuberosity, including sclerosis, subcortical cysts, and osteophytes, were more associated with full-thickness tears (p < 0.01). Subacromial spurs were more common for full-thickness and bursal-sided tears (p < 0.01). No association was found between degeneration of the acromioclavicular or glenohumeral joint and the presence of a cuff tear. Different types of rotator cuff tears are associated with different radiographic abnormalities.
Relationships between rotator cuff tear types and radiographic abnormalities
International Nuclear Information System (INIS)
Lee, Soo Hyun; Chun, Kyung Ah; Lee Soo Jung; Kang, Min Ho; Yi, Kyung Sik; Zhang, Ying
2014-01-01
To determine relationships between different types of rotator cuff tears and radiographic abnormalities. The shoulder radiographs of 104 patients with an arthroscopically proven rotator cuff tear were compared with similar radiographs of 54 age-matched controls with intact cuffs. Two radiologists independently interpreted all radiographs for; cortical thickening with subcortical sclerosis, subcortical cysts, osteophytes in the humeral greater tuberosity, humeral migration, degenerations of the acromioclavicular and glenohumeral joints, and subacromial spurs. Statistical analysis was performed to determine relationships between each type of rotator cuff tears and radiographic abnormalities. Inter-observer agreements with respect to radiographic findings were analyzed. Humeral migration and degenerative change of the greater tuberosity, including sclerosis, subcortical cysts, and osteophytes, were more associated with full-thickness tears (p < 0.01). Subacromial spurs were more common for full-thickness and bursal-sided tears (p < 0.01). No association was found between degeneration of the acromioclavicular or glenohumeral joint and the presence of a cuff tear. Different types of rotator cuff tears are associated with different radiographic abnormalities.
Anatomical and visual outcomes of ranibizumab injections in retinal pigment epithelium tears
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Muhammet Kazım Erol
2015-06-01
Full Text Available ABSTRACT Purpose: To report the anatomical and visual results in patients diagnosed as having retinal pigment epithelium (RPE tears after receiving ranibizumab injections. Methods: Eyes diagnosed as having RPE tears with a minimum 6-month follow-up were retrospectively evaluated. Each eye was treated with at least three doses of ranibizumab at monthly intervals. Best-corrected visual acuity (BCVA, anterior segment findings, intraocular pressure, and fundus examination results were evaluated during control visits. Color fundus photography, fundus fluorescein angiographies, fundus autofluorescence, and spectral domain optical coherence tomography (SD-OCT images were obtained. The height of pigment epithelial detachment (PED was measured by SD-OCT. Results: Twelve eyes with RPE tears were studied. Nine eyes (75% developed RPE tears during ranibizumab injections for choroidal neovascularization (eight eyes with vascularized PED and one eye with choroidal osteoma, and tears occurred in three eyes before any injections. The median number of ranibizumab injections after diagnosis of RPE tears was 3 (min 2, max 5. In the most recent follow-up visit, there was no statistically significant correlation between the grade of RPE and logMAR of BCVA (p>0.05, r=0.112. Eight of twelve eyes had PED, and seven of these had irregular PED contours before injection therapy. The mean PED height was 447 ± 122 µm. Conclusions: In this series, RPE tears developed mostly after intravitreal anti-VEGF injections for vascularized PED. Increased vertical height and irregular contours of the PEDs can be risk factors for the formation of RPE tears. The continuation of anti-VEGF therapy after tear formation is beneficial for vision improvement in eyes with RPE tears.
Meniscus tears of the knee: Postarthrogram high resolution CT
International Nuclear Information System (INIS)
Kim, Jae Hyoung; Do, Young Soo; You, Jin Jong; Gong, Jae Chul; Kim, Hyung Jin; Chung, Sung Hoon
1990-01-01
Thirty-eight knees with clinically suspected meniscal tears were examined with high resolution computed tomography(HRCT) immediately following double contrast arthrography. All subsequently underwent arthroscopy. The findings of postarthrogram HRCT and arthroscopy were compared to evaluated the usefulness of postarthrogram HRCT in diagnosis of the meniscal tears. The sensitivity, specificity and accuracy of HRCT were 96.2%. 83.3% and 92.1% respectively. The anatomic details of the meniscal tears were clearly visible on the HRCT scans. Sagittal and coronal reformation views well visualized the horizontal tears and the relationship of torn meniscal fragments, and well differential the peripheral tears from the synovial recess. Our result indicate that postarthrogram HRCT not only is a sensitive and effective method for the detection and characterization of the meniscal tears, but also provides arthroscopists with the appropriate surgical plans
Post-lens tear turbidity and visual quality after scleral lens wear.
Carracedo, Gonzalo; Serramito-Blanco, Maria; Martin-Gil, Alba; Wang, Zicheng; Rodriguez-Pomar, Candela; Pintor, Jesús
2017-11-01
The aim was to evaluate the turbidity and thickness of the post-lens tear layer and its effect on visual quality in patients with keratoconus after the beginning of lens wear and before lens removal at the end of eight hours. Twenty-six patients with keratoconus (aged 36.95 ± 8.95 years) participated voluntarily in the study. The sample was divided into two groups: patients with intrastromal corneal ring (ICRS group) and patients without ICRS (KC group). Distance visual acuity (VA), contrast sensitivity, pachymetry, post-lens tear layer height and post-lens tear layer turbidity (percentage area occupied and number of particles per mm 2 ) were evaluated with optical coherence tomography before and after wearing a scleral lens. A significant increase of turbidity was found in all groups assessed (p turbidity parameters with distance VA but no correlation between turbidity and post-lens tear layer thickness at the beginning was found (p > 0.05). A strong correlation in all groups between the post-lens tear layer at the beginning and differences of tear layer thickness between two measures was also found (p turbidity. © 2017 Optometry Australia.
Tear film measurement by optical reflectometry technique
Lu, Hui; Wang, Michael R.; Wang, Jianhua; Shen, Meixiao
2014-01-01
Abstract. Evaluation of tear film is performed by an optical reflectometer system with alignment guided by a galvanometer scanner. The reflectometer system utilizes optical fibers to deliver illumination light to the tear film and collect the film reflectance as a function of wavelength. Film thickness is determined by best fitting the reflectance-wavelength curve. The spectral reflectance acquisition time is 15 ms, fast enough for detecting film thickness changes. Fast beam alignment of 1 s is achieved by the galvanometer scanner. The reflectometer was first used to evaluate artificial tear film on a model eye with and without a contact lens. The film thickness and thinning rate have been successfully quantified with the minimum measured thickness of about 0.3 μm. Tear films in human eyes, with and without a contact lens, have also been evaluated. A high-contrast spectral reflectance signal from the precontact lens tear film is clearly observed, and the thinning dynamics have been easily recorded from 3.69 to 1.31 μm with lipid layer thickness variation in the range of 41 to 67 nm. The accuracy of the measurement is better than ±0.58% of the film thickness at an estimated tear film refractive index error of ±0.001. The fiber-based reflectometer system is compact and easy to handle. PMID:24500519
Magnetic resonance findings in skeletal muscle tears
International Nuclear Information System (INIS)
De Smet, A.A.
1993-01-01
Magnetic resonance (MR) images of skeletal muscle tears can clearly delineate the severity of muscle injury. Although MR imaging is seldom necessary in patients with acute musle trauma, it can be helpful in deciding on clinical management. The two major MR findings in acute muscle tears are deformity of the muscle and the presence of abnormal signal reflecting hemorrhage and edema. In acute tears, methemoglobin within the extravascular blood causes high-signal areas on both T1- and T2-weighted images. With partial tears, the blood may dissect in a distinctive linear pattern along the muscle bundles and fibers. As healing begins, the muscle signal diminishes, first on the T1-weighted images and then on the T2-weighted images. When there is residual abnormal signal on images obtained more than several months after the injury, it is presumed to represent hemorrhage from recurrent tears. In patients with a questionable history of a remote injury, the clinical presentation may be that of persistent pain or a soft tissue mass. In these cases MR imaging may identify the cause of the pain and can exclude a neoplasm by proving that the mass is a hypertrophied or retracted musle. Thus, MR imaging has a limited, but occasionally important role in selected patients with skeletal muscle tears. (orig.)
Problems of rotator cuff re-tear cases. Examination of operative findings
International Nuclear Information System (INIS)
Ishitani, Eiichi; Matsuura, Komei; Shin, Kunichika; Kawamoto, Taisaku; Hosokawa, Akira
2007-01-01
High re-tear rate is reported after rotator cuff repair in large and massive tear cases. Previously, we reported that 15% of patients after rotator cuff repair showed re-tear in MRI findings. In this study, 116 consecutive rotator cuff repaired patients who had been operated arthroscopically since 2003 were evaluated for size, torn site, fixation methods, mobility, and tendon quality. In addition, rehabilitation methods and occupation after revision were also evaluated. There were four patients who underwent re-operation. Rotator cuff repairs by revision surgery failed mechanically due to two reasons: the main factor of failure was suture material breakage in three cases and the second was tendon pulling through sutures in one case. The lack of thread strength was suggested. In addition, it is important to pull cuff stump to greater tubercle without excessive tension. Of re-operated cases, three engaging in manual labor suffered large and massive tear. In two cases, premature return to manual labor suggested cause of re-tear. (author)
A case of recurrent bloody tears
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Karslıoğlu Ş
2011-07-01
Full Text Available Şafak Karslioğlu1, Ilke Bahçeci Şimşek2, Müslime Akbaba11Ìstanbul Oculoplastic and Orbital Surgery and Ocular Oncology Center, 2Ophthalmology Department, Medicine Hospital, Ìstanbul, TurkeyAbstract: Well-known causes of blood-tinged epiphora are conjunctival lesions, tumors of the lacrimal apparatus, and systemic bleeding disorders. We describe an unusual patient who presented with recurrent episodes of bloody tearing which began following an erythema multiforme-like drug eruption. He experienced chronic conjunctivitis which resulted in a few minor symblephara. One year later, the patient developed attacks of bloody tearing. All clinical, radiologic, and laboratory investigations related to bloody epiphora were within normal limits except for a mild, nonspecific chronic inflammatory reaction in the perivascular tissues of the lacrimal gland and orbital soft tissues. Also, an increase in vascular permeability and contrast extravasation on carotid angiography was detected. High-dose vitamin C was administered. The patient continued to have unilateral bloody tears intermittently for two years, but the episodes became much less frequent and had resolved by three years. It is conceivable that increased vascular permeability following the systemic inflammatory process could have played a role in the etiology of recurrent bloody tears in this atypical patient.Keywords: bloody tears, erythema multiforme, drug eruption, vitamin C
Collin, Philippe; Matsumura, Noboru; Lädermann, Alexandre; Denard, Patrick J; Walch, Gilles
2014-08-01
Management of massive chronic rotator cuff tears remains controversial, with no clearly defined clinical presentation as yet. The purpose of the study was to evaluate the effect of tear size and location on active motion in patients with chronic and massive rotator cuff tears with severe muscle degeneration. One hundred patients with massive rotator cuff tears accompanied by muscle fatty infiltration beyond Goutallier stage 3 were prospectively included in this study. All patients were divided into 5 groups on the basis of tear pattern (supraspinatus, superior subscapularis, inferior subscapularis, infraspinatus, and teres minor). Active range of shoulder motion was assessed in each group and differences were analyzed. Active elevation was significantly decreased in patients with 3 tear patterns involved. Pseudoparalysis was found in 80% of the cases with supraspinatus and complete subscapularis tears and in 45% of the cases with tears involving the supraspinatus, infraspinatus, and superior subscapularis. Loss of active external rotation was related to tears involving the infraspinatus and teres minor; loss of active internal rotation was related to tears of the subscapularis. This study revealed that dysfunction of the entire subscapularis and supraspinatus or 3 rotator cuff muscles is a risk factor for pseudoparalysis. For function to be preserved in patients with massive chronic rotator cuff tears, it may be important to avoid fatty infiltration with anterior extension into the lower subscapularis or involvement of more than 2 rotator cuff muscles. Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Bureau, Nathalie J; Blain-Paré, Etienne; Tétreault, Patrice; Rouleau, Dominique M; Hagemeister, Nicola
2016-09-01
To assess the prevalence of sonographic visualization of the rotator cable in patients with symptomatic full-thickness rotator cuff tears and asymptomatic controls and to correlate rotator cable visualization with tear size, muscular fatty infiltration and atrophy, and the functional outcome in the patients with rotator cuff tears. Fifty-seven patients with rotator cuff tears and 30 asymptomatic volunteers underwent shoulder sonography for prospective assessment of the rotator cable and rotator cuff tear and responded to 2 functional outcome questionnaires (shortened Disabilities of the Arm, Shoulder, and Hand [QuickDASH] and Constant). In the patients with rotator cuff tears, appropriate tests were used to correlate rotator cable visualization with the tear size, functional outcome, muscular fatty infiltration, and atrophy. The patients with rotator cuff tears included 25 women and 32 men (mean age,57 years; range, 39-67 years), and the volunteers included 13 women and 17 men (mean age, 56 years; range, 35-64 years). The rotator cable was identified in 77% (23 of 30) of controls and 23% (13 of 57) of patients with rotator cuff tears. In the patients, nonvisualization of the rotator cable correlated with larger tears (P tears than asymptomatic controls and was associated with a larger tear size and greater supraspinatus fatty infiltration and atrophy. Diligent assessment of the supraspinatus muscle should be done in patients with rotator cuff tears without a visible rotator cable, as the integrity of these anatomic structures may be interdependent.
Effect of castor oil emulsion eyedrops on tear film composition and stability.
Maïssa, Cécile; Guillon, Michel; Simmons, Peter; Vehige, Joseph
2010-04-01
An emulsion eyedrop containing castor oil has been shown to modify the tear film lipid layer and increase tear film stability. The primary objectives of this investigation were to measure the prevalence of castor oil in the tear fluid over time and quantify the effects on the lipid layer. A secondary objective was to quantify the initial effects on ocular symptomatology. The investigation was an open label pilot study on 5 normal and 10 dry eye subjects. A single eyedrop (Castor oil emulsion, Allergan) was instilled in each eye; the tear film appearance and composition were monitored for 4h via in vivo visualisation using the Tearscope and post in vivo tear samples analysis by HPLC. Combined results for both normal and dry eye subjects showed that castor oil was detected up to 4h after a single eyedrop instillation and associated with an increase in the level of tear film lipid. The relative amount of various lipid families was also changed. An increase in tear lipid layer thickness was significant up to one hour post-instillation for the symptomatic sub-population. The changes in tear film characteristics were associated with significantly lower symptoms up to four hours post-instillation for the symptomatic sub-population. This pilot investigation showed that castor oil eyedrops achieved a residence time of at least four hours post-instillation, producing a more stable tear film and an associated significant decrease in ocular symptoms over the entire follow-up period for the symptomatic subjects. 2009 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
Yeo, Daniel Y T; Walton, Judie R; Lam, Patrick; Murrell, George A C
2017-03-01
Rotator cuff repair often results in significant pain postoperatively, the cause of which is undetermined. Purpose/Hypothesis: The aim of this study was to evaluate the relationship between rotator cuff tear area and postoperative pain in patients who had undergone arthroscopic rotator cuff repair. We hypothesized that larger tears would be more painful because of elevated repair tension at 1 week postoperatively but that smaller tears would be more painful because of a greater healing response, especially from 6 weeks postoperatively. Cohort study; Level of evidence, 3. A total of 1624 patients who underwent arthroscopic rotator cuff repair were included in this study. Exclusion criteria were moderate to severe osteoarthritis, isolated subscapularis repair, calcific tendinitis, synthetic patch repair, revision surgery, and retears on ultrasound at 6 months after surgery. Rotator cuff tears were subdivided into groups based on the tear size and retear rate found for each group. A modified L'Insalata questionnaire was given before surgery and at 1 week, 6 weeks, 3 months, and 6 months after surgery. Pearson and Spearman correlation coefficient tests were performed between rotator cuff tear areas and pain scores. Intraoperative rotator cuff tear areas did not correlate with pain scores preoperatively or at 1 week after surgery. A smaller tear area was associated with more frequent and severe pain with overhead activities, at rest, and during sleep as well as a poorer perceived overall shoulder condition at 6 weeks, 3 months, and 6 months after repair ( r = 0.11-0.23, P 8 cm 2 . There were fewer retears with smaller tears, but they were more painful than large tears postoperatively from 6 weeks to 6 months after surgery. Smaller tears may heal more vigorously, causing more pain. Patients with smaller tears experienced more pain after rotator cuff repair compared with patients with larger tears. These findings are contrary to previous ideas about tear size and
Kim, Sung-Jae; Jung, Min; Lee, Jae-Hoo; Kim, Chul; Chun, Yong-Min
2014-12-17
The purpose of this study was to compare the clinical outcomes and structural integrity after two techniques of arthroscopic anterosuperior rotator cuff repair: in continuity and disruption of the tear margin. This study included fifty-nine patients who underwent arthroscopic repair of an anterosuperior rotator cuff tear that was done either by disrupting the margin between the subscapularis and supraspinatus tears (Group A) or by performing the repair in continuity without disrupting the margin (Group B). Clinical outcomes were assessed on the basis of a visual analog scale (VAS) pain score, subjective shoulder value (SSV), American Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles (UCLA) shoulder score, and active range of motion of the shoulder. Subscapularis strength was assessed with use of the modified belly-press test. Magnetic resonance arthrography (MRA) or computed tomographic arthrography (CTA) was performed at six months after surgery to assess the structural integrity of the repair. At the two-year follow-up evaluation, VAS pain scores, SSVs, ASES scores, UCLA shoulder scores, subscapularis strength, and active range of motion improved significantly in both groups compared with preoperatively (p tears of the rotator cuff, the technique of in-continuity repair did not produce better clinical outcomes or structural integrity than the technique involving disruption of the tear margin. If the muscle in an anterosuperior rotator cuff tear is of good quality, it does not appear to matter whether the tear margin between the subscapularis and supraspinatus is preserved or disrupted. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.
Physics and Control of Locked Modes in the DIII-D Tokamak
Energy Technology Data Exchange (ETDEWEB)
Volpe, Francesco [Columbia Univ., New York, NY (United States). Dept. of Applied Physics and Applied Mathematics
2017-01-30
This Final Technical Report summarizes an investigation, carried out under the auspices of the DOE Early Career Award, of the physics and control of non-rotating magnetic islands (“locked modes”) in tokamak plasmas. Locked modes are one of the main causes of disruptions in present tokamaks, and could be an even bigger concern in ITER, due to its relatively high beta (favoring the formation of Neoclassical Tearing Mode islands) and low rotation (favoring locking). For these reasons, this research had the goal of studying and learning how to control locked modes in the DIII-D National Fusion Facility under ITER-relevant conditions of high pressure and low rotation. Major results included: the first full suppression of locked modes and avoidance of the associated disruptions; the demonstration of error field detection from the interaction between locked modes, applied rotating fields and intrinsic errors; the analysis of a vast database of disruptive locked modes, which led to criteria for disruption prediction and avoidance.
Forced tearing of ductile and brittle thin sheets.
Tallinen, T; Mahadevan, L
2011-12-09
Tearing a thin sheet by forcing a rigid object through it leads to complex crack morphologies; a single oscillatory crack arises when a tool is driven laterally through a brittle sheet, while two diverging cracks and a series of concertinalike folds forms when a tool is forced laterally through a ductile sheet. On the other hand, forcing an object perpendicularly through the sheet leads to radial petallike tears in both ductile and brittle materials. To understand these different regimes we use a combination of experiments, simulations, and simple theories. In particular, we describe the transition from brittle oscillatory tearing via a single crack to ductile concertina tearing with two tears by deriving laws that describe the crack paths and wavelength of the concertina folds and provide a simple phase diagram for the morphologies in terms of the material properties of the sheet and the relative size of the tool.
Can MRI distinguish between acute partial and complete anterior cruciate ligament tear?
International Nuclear Information System (INIS)
Yamato, Minoru; Yamagishi, Tsuneo.
1996-01-01
A study to elucidate the title problem was done. Subjects were 8 patients with partial anterior cruciate ligament (ACL) tear diagnosed by both MRI and arthroscopy within 6 weeks after trauma, 14 patients with complete ACL tear diagnosed similarly and 10 control patients with arthroscopically intact ACL. Proton density-and T2-weighted MRI imaging of the sagittal section of the knee was performed with 1.5 T magnets (Siemens Magnetom H15, Shimadzu SMT150GUX) by using a dedicated knee coil, with slice thickness of 4-5 mm and 14-16 cm field of view. The examination was done on the primary (discontinuity of low signal band, abnormal axis of the ligament and focal or diffuse increased signal intensity) and secondary (bone bruise, anterior translocation of the tibia and PCL curvature value) signs of ACL tear. In proton density-weighted sagittal images, it was found easy to distinguish acute partial ACL tear from normal ligament but not from complete ACL tear. In T2-weighted images, partial ACL tear was suggested to keep continuity of the ligament. (H.O.)
Assessment and treatment strategies for rotator cuff tears
Al-Hakim, Wisam; Noorani, Ali
2014-01-01
Tears of the rotator cuff are common and becoming an increasingly frequent problem. There is a vast amount of literature on the merits and limitations of the various methods of clinical and radiological assessment of rotator cuff tears. This is also the case with regard to treatment strategies. Certain popular beliefs and principles practiced widely and the basis upon which they are derived may be prone to inaccuracy. We provide an overview of the historical management of rotator cuff tears, as well as an explanation for how and why rotator cuff tears should be managed, and propose a structured methodology for their assessment and treatment. PMID:27582960
International Nuclear Information System (INIS)
Malara, F.; Veltri, P.; Carbone, V.
1991-01-01
The time evolution of the instability of a sheet pinch is numerically studied using a sufficiently high ratio of system length to width in order to allow the simultaneous growth of several unstable wavelengths. This numerical simulation provides new insights into the nonlinear development of the tearing instability. Before the instability saturates, the nonlinear interactions among the unstable modes produce local coalescence phenomena that destroy the weaker current pinches and reduce the number of magnetic islands. In contrast with the usual picture, this coalescence is not due to the attraction between the current maxima, but is due to the stretching of the X-neutral points associated with the most intense current pinches. The global perturbation growth rate remains essentially unchanged in time, being of the order of the resistive instability growth rate
Glycan involvement in the adhesion of Pseudomonas aeruginosa to tears.
Kautto, Liisa; Nguyen-Khuong, Terry; Everest-Dass, Arun; Leong, Andrea; Zhao, Zhenjun; Willcox, Mark D P; Packer, Nicolle H; Peterson, Robyn
2016-04-01
The human eye is constantly bathed by tears, which protect the ocular surface via a variety of mechanisms. The O-linked glycans of tear mucins have long been considered to play a role in binding to pathogens and facilitating their removal in the tear flow. Other conjugated glycans in tears could similarly contribute to pathogen binding and removal but have received less attention. In the work presented here we assessed the contribution of glycan moieties, in particular the protein attached N-glycans, presented by the broad complement of tear proteins to the adhesion of the opportunistic pathogen Pseudomonas aeruginosa, a leading cause of microbial keratitis and ulceration of the cornea. Our adhesion assay involved immobilising the macromolecular components of tears into the wells of a polyvinyl difluoride (PVDF) microtitre filter plate and probing the binding of fluorescently labelled bacteria. Three P. aeruginosa strains were studied: a cytotoxic strain (6206) and an invasive strain (6294) from eye infections, and an invasive strain (320) from a urinary tract infection (UTI). The ocular isolates adhered two to three times more to human tears than to human saliva or porcine gastric mucin, suggesting ocular niche-specific adaptation. Support for the role of the N-glycans carried by human tear proteins in the binding and removal of P. aeruginosa from the eye was shown by: 1) pre-incubation of the bacteria with free component sugars, galactose, mannose, fucose and sialyl lactose (or combination thereof) inhibiting adhesion of all the P. aeruginosa strains to the immobilised tear proteins, with the greatest inhibition of binding of the ocular cytotoxic 6206 and least for the invasive 6294 strain; 2) pre-incubation of the bacteria with N-glycans released from the commercially available human milk lactoferrin, an abundant protein that carries N-linked glycans in tears, inhibiting the adhesion to tears of the ocular bacteria by up to 70%, which was significantly more
Dynamic measurement of the corneal tear film with a Twyman-Green interferometer
Micali, Jason D.; Greivenkamp, John E.; Primeau, Brian C.
2015-05-01
An interferometer for measuring dynamic properties of the in vivo tear film on the human cornea has been developed. The system is a near-infrared instantaneous phase-shifting Twyman-Green interferometer. The laser source is a 785 nm solid-state laser, and the system has been carefully designed and calibrated to ensure that the system operates at eye-safe levels. Measurements are made over a 6 mm diameter on the cornea. Successive frames of interferometric height measurements are combined to produce movies showing both the quantitative and qualitative changes in the topography of the tear film surface and structure. To date, measurement periods of up to 120 s at 28.6 frames per second have been obtained. Several human subjects have been examined using this system, demonstrating a surface height resolution of 25 nm and spatial resolution of 6 μm. Examples of features that have been observed in these preliminary studies of the tear film include postblink disruption, evolution, and stabilization of the tear film; tear film artifacts generated by blinking; tear film evaporation and breakup; and the propagation of foreign objects in the tear film. This paper discusses the interferometer design and presents results from in vivo measurements.
Sonographic evaluation of digital annular pulley tears
International Nuclear Information System (INIS)
Martinoli, C.; Derchi, L.E.; Bianchi, S.; Garcia, J.F.; Nebiolo, M.
2000-01-01
Objective. To evaluate the sonographic (US) appearance of digital annular pulley (DAP) tears in high-level rock climbers. Design and patients. We performed a retrospective analysis of the US examinations of 16 high-level rock climbers with clinical signs of DAP lesions. MRI and surgical evaluation were performed in five and three patients respectively. The normal US and MRI appearances of DAP were evaluated in 40 and three normal fingers respectively. Results. Nine of 16 patients presented a DAP tear. In eight subjects (seven with complete tears involving the fourth finger and one the fifth finger), US diagnosis was based on the indirect sign of volar bowstringing of the flexor tendons. Injured pulleys were not appreciated by US. Tears concerned the A2 and A3 in six patients and the A3 and A4 in two patients. A2 pulley thickening and hypoechogenicity compatible with a partial tear was demonstrated in one patient. MRI and surgical data correlated well with the US findings. Four patients had tenosynovitis of the flexor tendons but no evidence of pulley disruption. US examinations of three patients were normal. In the healthy subjects US demonstrated DAP in 16 of 40 digits. Conclusion. US can diagnose DAP tears and correlates with the MRI and surgical data. Because of its low cost and non-invasiveness we suggest US as the first imaging modality in the evaluation of injuries of the digital pulley. (orig.)
Sonographic evaluation of digital annular pulley tears
Energy Technology Data Exchange (ETDEWEB)
Martinoli, C.; Derchi, L.E. [Istituto di Radiologia, Universita di Genova, Genoa (Italy); Bianchi, S.; Garcia, J.F. [Dept. de Radiologie, Hopital Cantonal Universitaire de Geneve (Switzerland); Nebiolo, M. [Reparto Pronto Soccorso Medico, Pietra Ligure (Italy)
2000-07-01
Objective. To evaluate the sonographic (US) appearance of digital annular pulley (DAP) tears in high-level rock climbers. Design and patients. We performed a retrospective analysis of the US examinations of 16 high-level rock climbers with clinical signs of DAP lesions. MRI and surgical evaluation were performed in five and three patients respectively. The normal US and MRI appearances of DAP were evaluated in 40 and three normal fingers respectively. Results. Nine of 16 patients presented a DAP tear. In eight subjects (seven with complete tears involving the fourth finger and one the fifth finger), US diagnosis was based on the indirect sign of volar bowstringing of the flexor tendons. Injured pulleys were not appreciated by US. Tears concerned the A2 and A3 in six patients and the A3 and A4 in two patients. A2 pulley thickening and hypoechogenicity compatible with a partial tear was demonstrated in one patient. MRI and surgical data correlated well with the US findings. Four patients had tenosynovitis of the flexor tendons but no evidence of pulley disruption. US examinations of three patients were normal. In the healthy subjects US demonstrated DAP in 16 of 40 digits. Conclusion. US can diagnose DAP tears and correlates with the MRI and surgical data. Because of its low cost and non-invasiveness we suggest US as the first imaging modality in the evaluation of injuries of the digital pulley. (orig.)
Relationship Between Locked Modes and Disruptions in the DIII-D Tokamak
Sweeney, Ryan
This thesis is organized into three body chapters: (1) the first use of naturally rotating tearing modes to diagnose intrinsic error fields is presented with experimental results from the EXTRAP T2R reversed field pinch, (2) a large scale study of locked modes (LMs) with rotating precursors in the DIII-D tokamak is reported, and (3) an in depth study of LM induced thermal collapses on a few DIII-D discharges is presented. The amplitude of naturally rotating tearing modes (TMs) in EXTRAP T2R is modulated in the presence of a resonant field (given by the superposition of the resonant intrinsic error field, and, possibly, an applied, resonant magnetic perturbation (RMP)). By scanning the amplitude and phase of the RMP and observing the phase-dependent amplitude modulation of the resonant, naturally rotating TM, the corresponding resonant error field is diagnosed. A rotating TM can decelerate and lock in the laboratory frame, under the effect of an electromagnetic torque due to eddy currents induced in the wall. These locked modes often lead to a disruption, where energy and particles are lost from the equilibrium configuration on a timescale of a few to tens of milliseconds in the DIII-D tokamak. In fusion reactors, disruptions pose a problem for the longevity of the reactor. Thus, learning to predict and avoid them is important. A database was developed consisting of ˜ 2000 DIII-D discharges exhibiting TMs that lock. The database was used to study the evolution, the nonlinear effects on equilibria, and the disruptivity of locked and quasi-stationary modes with poloidal and toroidal mode numbers m = 2 and n = 1 at DIII-D. The analysis of 22,500 discharges shows that more than 18% of disruptions present signs of locked or quasi-stationary modes with rotating precursors. A parameter formulated by the plasma internal inductance li divided by the safety factor at 95% of the toroidal flux, q95, is found to exhibit predictive capability over whether a locked mode will
Rotator cuff tear measurement by arthropneumotomography
International Nuclear Information System (INIS)
Kilcoyne, R.F.; Matsen, F.A. III
1983-01-01
Five years of experience with a method of shoulder arthrography using upright tomography in cases of suspected or known rotator cuff tears has demonstrated its effectiveness. The value of the procedure lies in its ability to demonstrate the size of the cuff tear and the thickness of the remaining cuff tissue. This information provides the surgeon with a preoperative estimate of the difficulty of the repair and the prognosis for a good functional recovery. In 33 cases, there was good correlation between the upright thin-section tomogram findings and the surgical results. The tomograms provided better information about the size of the tear and the quality of the remaining cuff than did plain arthrograms