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In plasmas with strong shape and large pedestal width, like DIII-D high poloidal-beta discharges, the eigenvalue spectrum of the peeling ballooning mode (PBM) is shown to shift to the very low-n regime near one, where n is the toroidal mode number. This peeling-type eigenvalue spectrum has a further shift to n = 1, thus being smoothly connected to the n = 1 external kink mode (EKM), as the normalized beta (βN) increases. Once this connection occurs, the mode takes a mixture form of the PBM and EKM with its mode structure varying from the PBM-like to the EKM-like one as βN increases. The mode stability also becomes sensitive to both the local pedestal gradient and global βN, thus allowing an anti-correlation between the two driving forces. These results appear to provide a qualitative explanation of the two unexpected features observed in the DIII-D high poloidal-beta discharges, that is, the dominance of the n = 1 mode in the edge-localized-modes and the negative correlation between the pedestal height and the internal transport barrier strength.

Radiographic factors estimate the state of the static knee joint, and it is questionable how well these parameters reflect the dynamic knee condition. The external knee adduction moment (KAM) during gait is known to be a kinetic variable contributing to osteoarthritis progression. This study aims to investigate the effects of static radiographic parameters on the dynamic KAM during gait.Overall, 123 patients (mean age, 65.7 years; standard deviation, 8.1 years; 34 men and 89 women) were included. Seven radiographic parameters including the mechanical tibiofemoral angle (mTFA), Kellgren-Lawrence grade, and ankle joint line orientation (AJLO) were measured on radiographs, and the maximum KAM and KAM-time integral in the stance phase were obtained using three-dimensional gait analysis. The correlation and multiple regression analyses were performed for identifying significant radiographic measurements associated with the KAM.Most of the radiographic measurements correlated with the maximum KAM and KAM-time integral. As a result of multiple regression analysis, the mTFA (p 0.001) and AJLO (p = 0.003) were identified as significant factors associated with the KAM-time integral (RThe mTFA and AJLO were significantly associated with the KAM. However, to be used as a surgical indication for corrective osteotomy, a longitudinal study is needed to validate whether the mTFA and AJLO values directly cause osteoarthritis progression as we have suggested.III.

While the peeling–ballooning mode is known to be stabilized by strong plasma shaping in a high-confinement mode (H-mode), a significant difference is found in the roles of elongation and triangularity. The elongation mainly stabilizes the high- n ballooning branch, while the triangularity of the low- n peeling one with some destabilization of the high- n ballooning one, where n is the toroidal mode number. This difference is conjectured mainly due to the magnetic shear effect which is substantially enhanced in a high triangularity regime, giving a destabilization on the ballooning branch, while a stabilization on the peeling one. An important consequence of these different roles of the two shape parameters is that they should work together to stabilize simultaneously both branches of the PBM, implying the necessity of synergy between them for the large pedestal height enhancement.