Development of a compact helicon plasma source with two sets of ring array permanent magnets for the study of blue core plasma.

A compact helicon plasma source for the study of helicon plasma, especially for the study of blue core plasma, is designed and developed with permanent magnets (PMs). The structure of the PMs consists of two sets of ring array magnets with opposite magnetization. This structure can provide a higher magnetic field with fewer PMs, which is helpful for controlling the device's mass. A quartz tube with 50 cm in length, 5 cm in outer diameter, and 0.3 cm in thickness is used. Argon helicon plasma is produced at ∼38 sccm (3.4 Pa inlet chamber and 0.122 Pa diffusion chamber) by a radio frequency (RF) power of ∼13.56 MHz using a helical antenna under a high magnetic field (∼1600 G). Preliminary results measured by the Langmuir probe, photomultiplier tube (PMT), CCD, and Hall coil are applied to characterize the helicon plasma in this source, such as the mode transition and the formation of the blue core with the RF power variation. The device generates the blue core (W mode) plasma at a lower power of about 200 W, and the energy coupling efficiency is as high as 65%.

Experimental Determination of Hydrogen Isotope Transport Parameters in Vanadium.

Deuterium permeation through vanadium membranes in a wide range of pressures and the temperature range ~250-550 °C was experimentally investigated. Measurements on the same material were carried out in three laboratories with different features for an extended characterization and for cross-check validation. A unified equation for deuterium permeability in pure vanadium (99%) was provided as Φ=1.27×10-4·e-8667/T mol m-1 s-1 Pa-0.5, which represents a significant progress for the characterization of the transport properties in this material, given the spread of data, which can currently be found in the literature. Adsorption and recombination rate constants were also measured for hydrogen and deuterium at low pressure for the same range of temperatures. Finally, the influence of the surface roughness was examined by measuring samples with different surface finish.

Laparoscopic uterovaginal anastomosis in patients with congenital cervicovaginal atresia: An institutional experience with 23 patients.

OBJECTIVE: To introduce our experience of laparoscopic uterovaginal anastomosis and operative outcomes following this technique and update the clinical management of congenital cervicovaginal atresia. STUDY DESIGN: Between March 2015 and January 2019, twenty-three patients with congenital cervicovaginal atresia underwent laparoscopic uterovaginal anastomosis and Luohu procedure. Their clinical characteristics, surgical outcomes and follow-up data were retrospectively reviewed. RESULTS: The mean ± SD age of the cases was 16.4 ± 4.0 (11-26) years. All patients had a history of primary amenorrhea and cyclical abdominal pain, and the average delay in diagnosis from first symptoms was 33.5 ± 38 (1-156) months. Most of the patients had 1-3 cm long vaginal pouch. The operative procedure lasted 125 ± 32 (80-190) min. The average vaginal length at 1 month was 7.9 ± 1.3 (range 6-9) cm. All patients showed resumption of menstruation. The patients were followed for a mean of 27 ± 13 (12-56) months. During the follow-up, cervical stenosis did not occur in any of the cases. CONCLUSION: Laparoscopic uterovaginal anastomosis with Luohu procedure provided a minimally invasive, safe, and effective surgical option for the patients with congenital cervicovaginal atresia. The technique is uncomplicated, easy to learn and perform, and provides a functional and anatomic satisfactory result. No special surgical instruments are required with this technique.

Detection of de novo genetic variants in Mayer-Rokitansky-Küster-Hauser syndrome by whole genome sequencing.

OBJECTIVE: The aim of this study was to use whole genome sequencing (WGS) help detect de novo mutations or pathogenic genes of Mayer-Rokitansky-Küster-Hauser syndrome type 1(MRKH syndrome type 1). STUDY DESIGN: This was a case-parent trios study. Nine unrelated probands, with MRKH syndrome type 1 and their parents were enrolled. The enrollment, sequencing process, establishment of the de novo mutations detecting procedure and experiment part were performed over a 2-year period. RESULTS: we detected 632 de novo single nucleotide variants (SNVs), 267 de novo small insertions/deletions (indels), 39 de novo structural variations (SVs) and 28 de novo copy number alterations (CNAs). Three novel damaging coding de novo SNVs with three damaging coding de novo genes (PIK3CD, SLC4A10 and TNK2) were revealed. Two SNVs were annotated of the promoter region of gene NBPF10 and 3'UTR of NOTCH2NL, potentially contributing to the pathogenesis of MRKH. CONCLUSION: We identified five de novo mutations in BAZ2B, KLHL18, PIK3CD, SLC4A10 and TNK2 by performing WGS, the functional involvement of all deleterious mutations in MRKH candidate genes of the trios warrant further study. WGS may complement conventional array to capture the complete landscape of the genome in MRKH.

Remote in situ laser-induced breakdown spectroscopic approach for diagnosis of the plasma facing components on experimental advanced superconducting tokamak.

The diagnosis of the fuel retention and impurity deposition on the plasma facing components (PFCs) is very important for monitoring plasma-wall interactions and improving the performance of long-pulse operation for tokamak devices. In this study, a remote in situ laser-induced breakdown spectroscopic (RIS-LIBS) system has been developed to be an effective and routine method for the diagnosis of the composition of the PFCs on Experimental Advanced Superconducting Tokamak (EAST). The RIS-LIBS system can be operated between EAST discharges via a remote network control system. This allows a flexible diagnosis for the PFCs at a specific EAST discharge operation or under planned plasma scenarios according to the experimental requirement. Measurements on the fuel retention and impurity deposition of the PFCs have been performed for the test of the RIS-LIBS system, and the depth resolution and the lateral resolution of the RIS-LIBS system have been achieved to be ∼100 nm and ∼3.0 mm, respectively. For the test of detectable elements, the fuel (deuterium) and impurities have been detected and identified clearly. In addition, the measurement of fuel abundance on the first wall as a function of the days of EAST deuterium plasma discharges has been carried out for the first time. These results well manifest a significant prospect of the RIS-LIBS for the diagnosis of the PFCs in the upcoming fusion devices like China Fusion Engineering Test Reactor (CFETR) and ITER.

Using 3D MRI can potentially enhance the ability of trained surgeons to more precisely diagnose Mullerian duct anomalies compared to MR alone.

OBJECTIVE: The aim of this study was to examine if the advanced tool of 3D MRI model provides more precise information on the anatomy of pelvic organs than MRI alone, and compare to clinical and operative finding of patients with vagina in Müllerian duct anomalies. STUDY DESIGN: One hundred and ten patients with clinically and operatively proven Müllerian duct anomalies were included. The consistency of diagnosis of Mullerian tract anomalies by MRI and 3D MRI compared to clinically and surgically proven anomalies defined according to ASRM classification. RESULTS: We successfully reconstructed retrospectively all 110 patients' three-dimensional models from the simple MRI scans. Eighty-six of the patients (78.2%) showed an agenesis of the uterus, four patients presented with uterine didephys (3.6%). Septate uterus was detectable in 8 of 110 cases (7.3%). Arcuate uterus was detectable in 3 of 110 cases (2.7%). The remaining patients presented with either unilateral (n = 4; 3.6%) or bilateral (n = 5; 4.5%) uterine horns. Reviewed by radiologists, comparing the agreement rate between 3D- MRI reconstruction models and simple MRI, there was a trend towards but not significant difference (P = 0.064). Reviewed by trained surgeons, the agreement between three-dimensional MRI reconstruction models and MRI, there was significant difference (P = 0.003). CONCLUSION: 3D MRI model is a non-expensive add-on software tool that enhance the ability of expert surgeon to reach a more precise diagnosis of the pelvic anatomy structures, compared to MRI alone. Getting a more precise description of the pelvic anatomy allows a better planning of the corrective procedure needed and preoperative assessment of the expected prognosis.

A multichannel visible spectroscopy system for the ITER-like W divertor on EAST.

To facilitate long-pulse high power operation, an ITER-like actively cooled tungsten (W) divertor was installed in Experimental Advanced Superconducting Tokamak (EAST) to replace the original upper graphite divertor in 2014. A dedicated multichannel visible spectroscopic diagnostic system has been accordingly developed for the characterization of the plasma and impurities in the W divertor. An array of 22 lines-of-sight (LOSs) provides a profile measurement of the light emitted from the plasma along upper outer divertor, and the other 17 vertical LOSs view the upper inner divertor, achieving a 13 mm poloidal resolution in both regions. The light emitted from the plasma is collected by a specially designed optical lens assembly and then transferred to a Czerny-Turner spectrometer via 40 m quartz fibers. At the end, the spectra dispersed by the spectrometer are recorded with an Electron-Multiplying Charge Coupled Device (EMCCD). The optical throughput and quantum efficiency of the system are optimized in the wavelength range 350-700 nm. The spectral resolution/coverage can be adjusted from 0.01 nm/3 nm to 0.41 nm/140 nm by switching the grating with suitable groove density. The frame rate depends on the setting of LOS number in EMCCD and can reach nearly 2 kHz for single LOS detection. The light collected by the front optical lens can also be divided and partly transferred to a photomultiplier tube array with specified bandpass filter, which can provide faster sampling rates by up to 200 kHz. The spectroscopic diagnostic is routinely operated in EAST discharges with absolute optical calibrations applied before and after each campaign, monitoring photon fluxes from impurities and H recycling in the upper divertor. This paper presents the technical details of the diagnostic and typical measurements during EAST discharges.

Thermal strain measurement of EAST tungsten divertor component with bare fiber Bragg grating sensors.

Fiber Bragg Gratings (FBGs) have been widely used in the sensor field to monitor temperature and strain. However, the weak mechanical property of optical fibers and insufficient heat-resistant property of general optic-fiber sensors have prevented it from being widely used, such as in some extreme engineering situations. In this work, a bare FBG sensor system had been introduced to measure thermal strain of an Experimental Advanced Superconducting Tokamak tungsten divertor component under baking condition. This strain measurement system had withstood as high temperature as 210 °C and finished the measurement experiment successfully. Meaningful measurement results had been obtained and analyzed, which showed the applicability of such a bare fiber grating sensor system and as well contributed to studying on tungsten divertor's thermal strain conditions.

Phenotypic and clinical aspects of Mayer-Rokitansky-Küster-Hauser syndrome in a Chinese population: an analysis of 594 patients.

OBJECTIVE: To analyze the phenotypic and clinical aspects of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. DESIGN: Cross-sectional study. SETTING: University hospital. PATIENT(S): Five hundred and ninety-four patients with MRKH syndrome. INTERVENTION(S): Clinical examination, abdominal or perineal/rectal ultrasound, magnetic resonance imaging, hormonal profile, karyotype, and laparoscopy. MAIN OUTCOME MEASURE(S): Clinicopathologic data, VCUAM (vagina cervix uterus adnex-associated malformation) classification, types with cycle phase, and karyotype. RESULT(S): We identified associated malformations in 43 out of 594 (7.2%) cases of MRKH. The 594 patients could be grouped into hormone phases: 53.7% follicular, 35.2% luteal, and 11.1% ovulatory. The major karyotype of MRKH patients was 46,XX; abnormal karyotypes were found in two cases. CONCLUSION(S): A lower proportion of associated malformations were found when compared with those provided in the current literature. Renal anomalies were the most frequent associated malformations, and most of the patients presented with a normal karyotype. Given the large cohort of this study, the lower malformation rates might be related to geographic or referral patterns, so further investigation is warranted.

[Laparoscopy-insisted vaginoplasty with peritoneum in patients with androgen insensitivity syndrome].

OBJECTIVE: To investigate the technique and therapeutic effect of laparoscopy-insisted vaginoplasty with peritoneum in patients with androgen insensitivity syndrome. METHODS: From May. in the Fifth People' s Hospital of Shenzhen. The therapeutic effect was retrospectively analyzed. RESULTS: Laparoscopy-insisted vaginoplasty was successfully completely with peritoneum in patients with androgen in 4 cases. Ileumtivity segyndroment was used instead of peritoneum in one case. Open operation was not adopted in any cases. The ectopic testicles were removed during operation in 4 cases. The average operation time and bleeding volume was 60 min and 20 ml, respectively. Rectum, bladder and urethra were not injured in any case. The average vaginal length was 9 cm (range 8-10 cm) 21-28 days after operation. 6 months after operation, the surface of reconstructed vagina was smooth, ruddy and flexible, with satisfactory anatomical and functional results. Normal sexual activity was achieved in 2 cases. CONCLUSIONS: Laparoscopy-insisted vaginoplasty with peritoneum could be used for female patients with androgen insensitivity syndrome. The ectopic testicles should be removed. Estrogen supplement and psychological guide after operation are also important.

[Feasibility study of laparoscopic complicate myomectomy: analysis of 67 cases].

OBJECTIVE: To investigate the feasibility of complicate myomectomy. METHODS: Six-seven patients with complicated uterine myomas undergoing laparoscopic myomectomy were retrospectively analyzed. The myomectomy was done using ureteral infravision imaging system or/and with self-made myoma segregate-stick. Among the total, there are 29 cases of multiple myomas (the number of myomas > or = 5) and 23 cases of single myoma (the diameter of myoma > or = 7cm, including 19 cases of intramural myoma, 4 cases of subserous myoma), 6 cases of myoma of broad ligament of uterus and 9 cases of cervical myoma. RESULTS: All cases were performed successfully laparoscopically. No intra-operative laparotomy or complications occurred. The average operating time and blood loss were (114 +/- 32) min and (114 +/- 78) ml respectively. The average time of hospital stay was 5.1 d. The average operating time and blood loss in the group (including multiple myoma group, intramural myoma group and cervical myoma) were significantly exceeded the other groups (including myoma of broad ligament of uterus group and subserous myoma group). CONCLUSIONS: Laparoscopic complicate myomectomy can be performed and the operation indication is enlarged using Ureteral Infravision Imaging System. Advancement in surgical instruments and expert operating skills are the key to operation success.