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1,011 results on '"Cary, W."'

3. Respiratory virus testing and clinical outcomes among children hospitalized with pneumonia

Author

Daniel J. Shapiro, Cary W. Thurm, Matthew Hall, Susan C. Lipsett, Adam L. Hersh, Lilliam Ambroggio, Samir S. Shah, Thomas V. Brogan, Jeffrey S. Gerber, Carlos G. Grijalva, Anne J. Blaschke, Jonathan D. Cogen, and Mark I. Neuman

Subjects
Leadership and Management, Health Policy, COVID-19, Infant, Pneumonia, General Medicine, Assessment and Diagnosis, Hospitals, Pediatric, United States, Anti-Bacterial Agents, Community-Acquired Infections, Hospitalization, Viruses, Humans, Fundamentals and skills, Child, Pandemics, Care Planning, Retrospective Studies
Abstract

Despite the increased availability of diagnostic tests for respiratory viruses, their clinical utility for children with community-acquired pneumonia (CAP) remains uncertain.To identify patterns of respiratory virus testing across children's hospitals prior to the COVID-19 pandemic and to determine whether hospital-level rates of viral testing were associated with clinical outcomes.Multicenter retrospective cohort study of children hospitalized for CAP at 19 children's hospitals in the United States from 2010-2019.Using a novel method to identify the performance of viral testing, we assessed time trends in the use of viral tests, both overall and stratified by testing method. Adjusted proportions of encounters with viral testing were compared across hospitals and were correlated with length of stay, antibiotic and oseltamivir use, and performance of ancillary laboratory testing.There were 46,038 hospitalizations for non-severe CAP among children without complex chronic conditions. The proportion with viral testing increased from 38.8% to 44.2% during the study period (p .001). Molecular testing increased (27.2% to 40.0%, p .001) and antigen testing decreased (33.2% to 7.8%, p .001). Hospital-specific adjusted proportions of testing ranged from 10.0% to 83.5% and were not associated with length of stay, antibiotic use, or antiviral use. Hospitals that performed more viral testing did not have lower rates of ancillary laboratory testing.Viral testing practices varied widely across children's hospitals and were not associated with clinically important process or outcome measures. Viral testing may not influence clinical management for many children hospitalized with CAP.

Published
2022

5. Clostridioides difficile Infection in Hospitalized Pediatric Patients: Comparisons of Epidemiology, Testing, and Treatment from 2013 to 2019

Author

Edwards, Price T., primary, Thurm, Cary W., additional, Hall, Matthew, additional, Busing, Jordan D., additional, Kahn, Stacy A., additional, Kellermayer, Richard, additional, Kociolek, Larry K., additional, Oliva-Hemker, Maria M., additional, Sammons, Julia S., additional, Weatherly, Madison, additional, Edwards, Kathryn M., additional, and Nicholson, Maribeth R., additional

Published
2023
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6. Ribavirin Use in Hospitalized Children

Author

William R Otto, Giyoung Lee, Cary W Thurm, Adam L Hersh, and Jeffrey S Gerber

Subjects
Infectious Diseases, Treatment Outcome, Pediatrics, Perinatology and Child Health, Ribavirin, Research Letter, Humans, Drug Therapy, Combination, General Medicine, Respiratory Syncytial Virus Infections, Child, Antiviral Agents, Child, Hospitalized
Abstract

We describe ribavirin administration in hospitalized children over an 11-year period. Most patients were immunocompromised; there was variability in ribavirin use across hospitals. There was a clear shift toward the use of oral ribavirin despite a lack of evidence for its use.

Published
2022

7. Respiratory virus testing and clinical outcomes among children hospitalized with pneumonia

Author

Shapiro, Daniel J., primary, Thurm, Cary W., additional, Hall, Matthew, additional, Lipsett, Susan C., additional, Hersh, Adam L., additional, Ambroggio, Lilliam, additional, Shah, Samir S., additional, Brogan, Thomas V., additional, Gerber, Jeffrey S., additional, Grijalva, Carlos G., additional, Blaschke, Anne J., additional, Cogen, Jonathan D., additional, and Neuman, Mark I., additional

Published
2022
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9. Clostridioides difficile Infection in Hospitalized Pediatric Patients: Comparisons of Epidemiology, Testing, and Treatment from 2013 to 2019

Author

Price T. Edwards, Cary W. Thurm, Matthew Hall, Jordan D. Busing, Stacy A. Kahn, Richard Kellermayer, Larry K. Kociolek, Maria M. Oliva-Hemker, Julia S. Sammons, Madison Weatherly, Kathryn M. Edwards, and Maribeth R. Nicholson

Subjects
Adolescent, Clostridioides difficile, Child, Preschool, Metronidazole, Incidence, Neoplasms, Pediatrics, Perinatology and Child Health, Infant, Newborn, Clostridium Infections, Humans, Infant, Child, Anti-Bacterial Agents
Abstract

To compare the incidence, epidemiology, testing patterns, treatment, and outcomes of Clostridioides difficile infection (CDI) among hospitalized pediatric patients from 2013 to 2019.The Pediatric Health Information System database was queried for patient admissions (age 0-17 years) with International Classification of Diseases, 9th and 10th edition, codes for diagnoses of CDI with a billing code for a CDI-related antibiotic treatment.We identified 17 142 pediatric patients, representing 23 052 admissions, with CDI. The adjusted annual CDI incidence decreased over the study period from 7.09 cases per 10 000 patient-days (95% CI, 6.15-8.18) in 2013 to 4.89 cases per 10 000 patient-days (95% CI, 4.03-5.93) in 2019 (P .001). C difficile-specific testing also decreased during the study period (P .001). Chronic gastrointestinal conditions (36%) and malignancy (32%) were the most common comorbidities in CDI encounters. Oral metronidazole use decreased during the study period (P .01) and oral vancomycin use increased (P .001).Our study demonstrates a decrease in CDI incidence in hospitalized pediatric patients, a notable change from prior studies, although this may have been influenced by altered testing patterns. We found a high incidence of CDI in patients with cancer and gastrointestinal conditions: groups that warrant targeted evaluation of CDI prevention and treatment.

Published
2022

10. DIII-D research advancing the physics basis for optimizing the tokamak approach to fusion energy

Author

Fenstermacher, M.E., Abbate, J., Abe, S., Abrams, T., Adams, M., Adamson, B., Aiba, N., Akiyama, T., Aleynikov, P., Allen, E., Allen, S., Anand, H., Anderson, J., Andrew, Y., Andrews, T., Appelt, D., Arbon, R., Ashikawa, N., Ashourvan, A., Aslin, M., Asnis, Y., Austin, M., Ayala, D., Bak, J., Bandyopadhyay, I., Banerjee, S., Barada, K., Bardoczi, L., Barr, J., Bass, E., Battaglia, D., Battey, A., Baumgartner, W., Baylor, L., Beckers, J., Beidler, M., Belli, E., Berkery, J., Bernard, T., Bertelli, N., Beurskens, M., Bielajew, R., Bilgili, S., Biswas, B., Blondel, S., Boedo, J., Bogatu, I., Boivin, R., Bolzonella, T., Bongard, M., Bonnin, X., Bonoli, P., Bonotto, M., Bortolon, A., Bose, S., Bosviel, N., Bouwmans, S., Boyer, M., Boyes, W., Bradley, L., Brambila, R., Brennan, D., Bringuier, S., Brodsky, L., Brookman, M., Brooks, J., Brower, D., Brown, G., Brown, W., Burke, M., Burrell, K., Butler, K., Buttery, R., Bykov, I., Byrne, P., Cacheris, A., Callahan, K., Callen, J., Campbell, G., Candy, J., Canik, J., Cano-Megias, P., Cao, N., Carayannopoulos, L., Carlstrom, T., Carrig, W., Carter, T., Cary, W., Casali, L., Cengher, M., Cespedes Paz, G., Chaban, R., Chan, V., Chapman, B., Char, I., Chattopadhyay, A., Chen, R., Chen, J., Chen, X., Chen, M., Chen, Z., Choi, M., Choi, W., Choi, G., Chousal, L., Chrobak, C., Chrystal, C., Chung, Y., Churchill, R., Cianciosa, M., Clark, J., Clement, M., Coda, S., Cole, A., Collins, C., Conlin, W., Cooper, A., Cordell, J., Coriton, B., Cote, T., Cothran, J., Creely, A., Crocker, N., Crowe, C., Crowley, B., Crowley, T., Cruz-Zabala, D., Cummings, D., Curie, M., Curreli, D., Dal Molin, A., Dannels, B., Dautt-Silva, A., Davda, K., De Tommasi, G., de Vries, P., Degrandchamp, G., Degrassie, J., Demers, D., Denk, S., Depasquale, S., Deshazer, E., Diallo, A., Diem, S., Dimits, A., Ding, R., Ding, S., Ding, W., Do, T., Doane, J., Dong, G., Donovan, D., Drake, J., Drews, W., Drobny, J., Du, X., Du, H., Duarte, V., Dudt, D., Dunn, C., Duran, J., Dvorak, A., Effenberg, F., Eidietis, N., Elder, D., Eldon, D., Ellis, R., Elwasif, W., Ennis, D., Erickson, K., Ernst, D., Fasciana, M., Fedorov, D., Feibush, E., Ferraro, N., Ferreira, J., Ferron, J., Fimognari, P., Finkenthal, D., Fitzpatrick, R., Fox, P., Fox, W., Frassinetti, L., Frerichs, H., Frye, H., Fu, Y., Gage, K., Galdon Quiroga, J., Gallo, A., Gao, Q., Garcia, A., Garcia Munoz, M., Garnier, D., Garofalo, A., Gattuso, A., Geng, D., Gentle, K., Ghosh, D., Giacomelli, L., Gibson, S., Gilson, E., Giroud, C., Glass, F., Glasser, A., Glibert, D., Gohil, P., Gomez, R., Gomez, S., Gong, X., Gonzales, E., Goodman, A., Gorelov, Y., Graber, V., Granetz, R., Gray, T., Green, D., Greenfield, C., Greenwald, M., Grierson, B., Groebner, R., Grosnickle, W., Groth, M., Grunloh, H., Gu, S., Guo, W., Guo, H., Gupta, P., Guterl, J., Guttenfelder, W., Guzman, T., Haar, S., Hager, R., Hahn, S., Halfmoon, M., Hall, T., Hallatschek, K., Halpern, F., Hammett, G., Han, H., Hansen, E., Hansen, C., Hansink, M., Hanson, J., Hanson, M., Hao, G., Harris, A., Harvey, R., Haskey, S., Hassan, E., Hassanein, A., Hatch, D., Hawryluk, R., Hayashi, W., Heidbrink, W., Herfindal, J., Hicok, J., Hill, D., Hinson, E., Holcomb, C., Holland, L., Holland, C., Hollmann, E., Hollocombe, J., Holm, A., Holmes, I., Holtrop, K., Honda, M., Hong, R., Hood, R., Horton, A., Horvath, L., Hosokawa, M., Houshmandyar, S., Howard, N., Howell, E., Hoyt, D., Hu, W., Hu, Y., Hu, Q., Huang, J., Huang, Y., Hughes, J., Human, T., Humphreys, D., Huynh, P., Hyatt, A., Ibanez, C., Ibarra, L., Icasas, R., Ida, K., Igochine, V., In, Y., Inoue, S., Isayama, A., Izacard, O., Izzo, V., Jackson, A., Jacobsen, G., Jaervinen, A., Jalalvand, A., Janhunen, J., Jardin, S., Jarleblad, H., Jeon, Y., Ji, H., Jian, X., Joffrin, E., Johansen, A., Johnson, C., Johnson, T., Jones, C., Joseph, I., Jubas, D., Junge, B., Kalb, W., Kalling, R., Kamath, C., Kang, J., Kaplan, D., Kaptanoglu, A., Kasdorf, S., Kates-Harbeck, J., Kazantzidis, P., Kellman, A., Kellman, D., Kessel, C., Khumthong, K., Kim, E., Kim, H., Kim, J., Kim, S., Kim, K., Kim, C., Kimura, W., King, M., King, J., Kinsey, J., Kirk, A., Kiyan, B., Kleiner, A., Klevarova, V., Knapp, R., Knolker, M., Ko, W., Kobayashi, T., Koch, E., Kochan, M., Koel, B., Koepke, M., Kohn, A., Kolasinski, R., Kolemen, E., Kostadinova, E., Kostuk, M., Kramer, G., Kriete, D., Kripner, L., Kubota, S., Kulchar, J., Kwon, K., La Haye, R., Laggner, F., Lan, H., Lantsov, R., Lao, L., Lasa Esquisabel, A., Lasnier, C., Lau, C., Leard, B., Lee, J., Lee, R., Lee, M., Lee, Y., Lee, C., Lee, S., Lehnen, M., Leonard, A., Leppink, E., Lesher, M., Lestz, J., Leuer, J., Leuthold, N., Li, X., Li, K., Li, E., Li, G., Li, L., Li, Z., Li, J., Li, Y., Lin, Z., Lin, D., Liu, X., Liu, J., Liu, Y., Liu, T., Liu, C., Liu, Z., Liu, D., Liu, A., Loarte-Prieto, A., Lodestro, L., Logan, N., Lohr, J., Lombardo, B., Lore, J., Luan, Q., Luce, T., Luda Di Cortemiglia, T., Luhmann, N., Lunsford, R., Luo, Z., Lvovskiy, A., Lyons, B., Ma, X., Madruga, M., Madsen, B., Maggi, C., Maheshwari, K., Mail, A., Mailloux, J., Maingi, R., Major, M., Makowski, M., Manchanda, R., Marini, C., Marinoni, A., Maris, A., Markovic, T., Marrelli, L., Martin, E., Mateja, J., Matsunaga, G., Maurizio, R., Mauzey, P., Mauzey, D., McArdle, G., McClenaghan, J., McCollam, K., McDevitt, C., McKay, K., McKee, G., McLean, A., Mehta, V., Meier, E., Menard, J., Meneghini, O., Merlo, G., Messer, S., Meyer, W., Michael, C., Michoski, C., Milne, P., Minet, G., Misleh, A., Mitrishkin, Y., Moeller, C., Montes, K., Morales, M., Mordijck, S., Moreau, D., Morosohk, S., Morris, P., Morton, L., Moser, A., Moyer, R., Moynihan, C., Mrazkova, T., Mueller, D., Munaretto, S., Munoz Burgos, J., Murphy, C., Murphy, K., Muscatello, C., Myers, C., Nagy, A., Nandipati, G., Navarro, M., Nave, F., Navratil, G., Nazikian, R., Neff, A., Neilson, G., Neiser, T., Neiswanger, W., Nelson, D., Nelson, A., Nespoli, F., Nguyen, R., Nguyen, L., Nguyen, X., Nichols, J., Nocente, M., Nogami, S., Noraky, S., Norausky, N., Nornberg, M., Nygren, R., Odstrcil, T., Ogas, D., Ogorman, T., Ohdachi, S., Ohtani, Y., Okabayashi, M., Okamoto, M., Olavson, L., Olofsson, E., Omullane, M., Oneill, R., Orlov, D., Orvis, W., Osborne, T., Pace, D., Paganini Canal, G., Pajares Martinez, A., Palacios, L., Pan, C., Pan, Q., Pandit, R., Pandya, M., Pankin, A., Park, Y., Park, J., Parker, S., Parks, P., Parsons, M., Patel, B., Pawley, C., Paz-Soldan, C., Peebles, W., Pelton, S., Perillo, R., Petty, C., Peysson, Y., Pierce, D., Pigarov, A., Pigatto, L., Piglowski, D., Pinches, S., Pinsker, R., Piovesan, P., Piper, N., Pironti, A., Pitts, R., Pizzo, J., Plank, U., Podesta, M., Poli, E., Poli, F., Ponce, D., Popovic, Z., Porkolab, M., Porter, G., Powers, C., Powers, S., Prater, R., Pratt, Q., Pusztai, I., Qian, J., Qin, X., Ra, O., Rafiq, T., Raines, T., Raman, R., Rauch, J., Raymond, A., Rea, C., Reich, M., Reiman, A., Reinhold, S., Reinke, M., Reksoatmodjo, R., Ren, Q., Ren, Y., Ren, J., Rensink, M., Renteria, J., Rhodes, T., Rice, J., Roberts, R., Robinson, J., Rodriguez Fernandez, P., Rognlien, T., Rosenthal, A., Rosiello, S., Rost, J., Roveto, J., Rowan, W., Rozenblat, R., Ruane, J., Rudakov, D., Ruiz Ruiz, J., Rupani, R., Saarelma, S., Sabbagh, S., Sachdev, J., Saenz, J., Saib, S., Salewski, M., Salmi, A., Sammuli, B., Samuell, C., Sandorfi, A., Sang, C., Sarff, J., Sauter, O., Schaubel, K., Schmitz, L., Schmitz, O., Schneider, J., Schroeder, P., Schultz, K., Schuster, E., Schwartz, J., Sciortino, F., Scotti, F., Scoville, J., Seltzman, A., Seol, S., Sfiligoi, I., Shafer, M., Sharapov, S., Shen, H., Sheng, Z., Shepard, T., Shi, S., Shibata, Y., Shin, G., Shiraki, D., Shousha, R., Si, H., Simmerling, P., Sinclair, G., Sinha, J., Sinha, P., Sips, G., Sizyuk, T., Skinner, C., Sladkomedova, A., Slendebroek, T., Slief, J., Smirnov, R., Smith, J., Smith, S., Smith, D., Snipes, J., Snoep, G., Snyder, A., Snyder, P., Solano, E., Solomon, W., Song, J., Sontag, A., Soukhanovskii, V., Spendlove, J., Spong, D., Squire, J., Srinivasan, C., Stacey, W., Staebler, G., Stagner, L., Stange, T., Stangeby, P., Stefan, R., Stemprok, R., Stephan, D., Stillerman, J., Stoltzfus-Dueck, T., Stonecipher, W., Storment, S., Strait, E., Su, D., Sugiyama, L., Sun, Y., Sun, P., Sun, Z., Sun, A., Sundstrom, D., Sung, C., Sungcoco, J., Suttrop, W., Suzuki, Y., Suzuki, T., Svyatkovskiy, A., Swee, C., Sweeney, R., Sweetnam, C., Szepesi, G., Takechi, M., Tala, T., Tanaka, K., Tang, X., Tang, S., Tao, Y., Tao, R., Taussig, D., Taylor, T., Teixeira, K., Teo, K., Theodorsen, A., Thomas, D., Thome, K., Thorman, A., Thornton, A., Ti, A., Tillack, M., Timchenko, N., Tinguely, R., Tompkins, R., Tooker, J., Torrezan De Sousa, A., Trevisan, G., Tripathi, S., Trujillo Ochoa, A., Truong, D., Tsui, C., Turco, F., Turnbull, A., Umansky, M., Unterberg, E., Vaezi, P., Vail, P., Valdez, J., Valkis, W., Van Compernolle, B., Van Galen, J., van Kampen, R., Van Zeeland, M., Verdoolaege, G., Vianello, N., Victor, B., Viezzer, E., Vincena, S., Wade, M., Waelbroeck, F., Wai, J., Wakatsuki, T., Walker, M., Wallace, G., Waltz, R., Wampler, W., Wang, L., Wang, H., Wang, Y., Wang, Z., Wang, G., Ward, S., Watkins, M., Watkins, J., Wehner, W., Wei, Y., Weiland, M., Weisberg, D., Welander, A., White, A., White, R., Wiesen, S., Wilcox, R., Wilks, T., Willensdorfer, M., Wilson, H., Wingen, A., Wolde, M., Wolff, M., Woller, K., Wolz, A., Wong, H., Woodruff, S., Wu, M., Wu, Y., Wukitch, S., Wurden, G., Xiao, W., Xie, R., Xing, Z., Xu, X., Xu, C., Xu, G., Yan, Z., Yang, X., Yang, S., Yokoyama, T., Yoneda, R., Yoshida, M., You, K., Younkin, T., Yu, J., Yu, M., Yu, G., Yuan, Q., Zaidenberg, L., Zakharov, L., Zamengo, A., Zamperini, S., Zarnstorff, M., Zeger, E., Zeller, K., Zeng, L., Zerbini, M., Zhang, L., Zhang, X., Zhang, R., Zhang, B., Zhang, J., Zhao, L., Zhao, B., Zheng, Y., Zheng, L., Zhu, B., Zhu, J., Zhu, Y., Zsutty, M., Zuin, M., Fenstermacher, M.E., Abbate, J., Abe, S., Abrams, T., Adams, M., Adamson, B., Aiba, N., Akiyama, T., Aleynikov, P., Allen, E., Allen, S., Anand, H., Anderson, J., Andrew, Y., Andrews, T., Appelt, D., Arbon, R., Ashikawa, N., Ashourvan, A., Aslin, M., Asnis, Y., Austin, M., Ayala, D., Bak, J., Bandyopadhyay, I., Banerjee, S., Barada, K., Bardoczi, L., Barr, J., Bass, E., Battaglia, D., Battey, A., Baumgartner, W., Baylor, L., Beckers, J., Beidler, M., Belli, E., Berkery, J., Bernard, T., Bertelli, N., Beurskens, M., Bielajew, R., Bilgili, S., Biswas, B., Blondel, S., Boedo, J., Bogatu, I., Boivin, R., Bolzonella, T., Bongard, M., Bonnin, X., Bonoli, P., Bonotto, M., Bortolon, A., Bose, S., Bosviel, N., Bouwmans, S., Boyer, M., Boyes, W., Bradley, L., Brambila, R., Brennan, D., Bringuier, S., Brodsky, L., Brookman, M., Brooks, J., Brower, D., Brown, G., Brown, W., Burke, M., Burrell, K., Butler, K., Buttery, R., Bykov, I., Byrne, P., Cacheris, A., Callahan, K., Callen, J., Campbell, G., Candy, J., Canik, J., Cano-Megias, P., Cao, N., Carayannopoulos, L., Carlstrom, T., Carrig, W., Carter, T., Cary, W., Casali, L., Cengher, M., Cespedes Paz, G., Chaban, R., Chan, V., Chapman, B., Char, I., Chattopadhyay, A., Chen, R., Chen, J., Chen, X., Chen, M., Chen, Z., Choi, M., Choi, W., Choi, G., Chousal, L., Chrobak, C., Chrystal, C., Chung, Y., Churchill, R., Cianciosa, M., Clark, J., Clement, M., Coda, S., Cole, A., Collins, C., Conlin, W., Cooper, A., Cordell, J., Coriton, B., Cote, T., Cothran, J., Creely, A., Crocker, N., Crowe, C., Crowley, B., Crowley, T., Cruz-Zabala, D., Cummings, D., Curie, M., Curreli, D., Dal Molin, A., Dannels, B., Dautt-Silva, A., Davda, K., De Tommasi, G., de Vries, P., Degrandchamp, G., Degrassie, J., Demers, D., Denk, S., Depasquale, S., Deshazer, E., Diallo, A., Diem, S., Dimits, A., Ding, R., Ding, S., Ding, W., Do, T., Doane, J., Dong, G., Donovan, D., Drake, J., Drews, W., Drobny, J., Du, X., Du, H., Duarte, V., Dudt, D., Dunn, C., Duran, J., Dvorak, A., Effenberg, F., Eidietis, N., Elder, D., Eldon, D., Ellis, R., Elwasif, W., Ennis, D., Erickson, K., Ernst, D., Fasciana, M., Fedorov, D., Feibush, E., Ferraro, N., Ferreira, J., Ferron, J., Fimognari, P., Finkenthal, D., Fitzpatrick, R., Fox, P., Fox, W., Frassinetti, L., Frerichs, H., Frye, H., Fu, Y., Gage, K., Galdon Quiroga, J., Gallo, A., Gao, Q., Garcia, A., Garcia Munoz, M., Garnier, D., Garofalo, A., Gattuso, A., Geng, D., Gentle, K., Ghosh, D., Giacomelli, L., Gibson, S., Gilson, E., Giroud, C., Glass, F., Glasser, A., Glibert, D., Gohil, P., Gomez, R., Gomez, S., Gong, X., Gonzales, E., Goodman, A., Gorelov, Y., Graber, V., Granetz, R., Gray, T., Green, D., Greenfield, C., Greenwald, M., Grierson, B., Groebner, R., Grosnickle, W., Groth, M., Grunloh, H., Gu, S., Guo, W., Guo, H., Gupta, P., Guterl, J., Guttenfelder, W., Guzman, T., Haar, S., Hager, R., Hahn, S., Halfmoon, M., Hall, T., Hallatschek, K., Halpern, F., Hammett, G., Han, H., Hansen, E., Hansen, C., Hansink, M., Hanson, J., Hanson, M., Hao, G., Harris, A., Harvey, R., Haskey, S., Hassan, E., Hassanein, A., Hatch, D., Hawryluk, R., Hayashi, W., Heidbrink, W., Herfindal, J., Hicok, J., Hill, D., Hinson, E., Holcomb, C., Holland, L., Holland, C., Hollmann, E., Hollocombe, J., Holm, A., Holmes, I., Holtrop, K., Honda, M., Hong, R., Hood, R., Horton, A., Horvath, L., Hosokawa, M., Houshmandyar, S., Howard, N., Howell, E., Hoyt, D., Hu, W., Hu, Y., Hu, Q., Huang, J., Huang, Y., Hughes, J., Human, T., Humphreys, D., Huynh, P., Hyatt, A., Ibanez, C., Ibarra, L., Icasas, R., Ida, K., Igochine, V., In, Y., Inoue, S., Isayama, A., Izacard, O., Izzo, V., Jackson, A., Jacobsen, G., Jaervinen, A., Jalalvand, A., Janhunen, J., Jardin, S., Jarleblad, H., Jeon, Y., Ji, H., Jian, X., Joffrin, E., Johansen, A., Johnson, C., Johnson, T., Jones, C., Joseph, I., Jubas, D., Junge, B., Kalb, W., Kalling, R., Kamath, C., Kang, J., Kaplan, D., Kaptanoglu, A., Kasdorf, S., Kates-Harbeck, J., Kazantzidis, P., Kellman, A., Kellman, D., Kessel, C., Khumthong, K., Kim, E., Kim, H., Kim, J., Kim, S., Kim, K., Kim, C., Kimura, W., King, M., King, J., Kinsey, J., Kirk, A., Kiyan, B., Kleiner, A., Klevarova, V., Knapp, R., Knolker, M., Ko, W., Kobayashi, T., Koch, E., Kochan, M., Koel, B., Koepke, M., Kohn, A., Kolasinski, R., Kolemen, E., Kostadinova, E., Kostuk, M., Kramer, G., Kriete, D., Kripner, L., Kubota, S., Kulchar, J., Kwon, K., La Haye, R., Laggner, F., Lan, H., Lantsov, R., Lao, L., Lasa Esquisabel, A., Lasnier, C., Lau, C., Leard, B., Lee, J., Lee, R., Lee, M., Lee, Y., Lee, C., Lee, S., Lehnen, M., Leonard, A., Leppink, E., Lesher, M., Lestz, J., Leuer, J., Leuthold, N., Li, X., Li, K., Li, E., Li, G., Li, L., Li, Z., Li, J., Li, Y., Lin, Z., Lin, D., Liu, X., Liu, J., Liu, Y., Liu, T., Liu, C., Liu, Z., Liu, D., Liu, A., Loarte-Prieto, A., Lodestro, L., Logan, N., Lohr, J., Lombardo, B., Lore, J., Luan, Q., Luce, T., Luda Di Cortemiglia, T., Luhmann, N., Lunsford, R., Luo, Z., Lvovskiy, A., 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Abstract

DIII-D physics research addresses critical challenges for the operation of ITER and the next generation of fusion energy devices. This is done through a focus on innovations to provide solutions for high performance long pulse operation, coupled with fundamental plasma physics understanding and model validation, to drive scenario development by integrating high performance core and boundary plasmas. Substantial increases in off-axis current drive efficiency from an innovative top launch system for EC power, and in pressure broadening for Alfven eigenmode control from a co-/counter-I p steerable off-axis neutral beam, all improve the prospects for optimization of future long pulse/steady state high performance tokamak operation. Fundamental studies into the modes that drive the evolution of the pedestal pressure profile and electron vs ion heat flux validate predictive models of pedestal recovery after ELMs. Understanding the physics mechanisms of ELM control and density pumpout by 3D magnetic perturbation fields leads to confident predictions for ITER and future devices. Validated modeling of high-Z shattered pellet injection for disruption mitigation, runaway electron dissipation, and techniques for disruption prediction and avoidance including machine learning, give confidence in handling disruptivity for future devices. For the non-nuclear phase of ITER, two actuators are identified to lower the L-H threshold power in hydrogen plasmas. With this physics understanding and suite of capabilities, a high poloidal beta optimized-core scenario with an internal transport barrier that projects nearly to Q = 10 in ITER at ∼8 MA was coupled to a detached divertor, and a near super H-mode optimized-pedestal scenario with co-I p beam injection was coupled to a radiative divertor. The hybrid core scenario was achieved directly, without the need for anomalous current diffusion, using off-axis current drive actuators. Also, a controller to assess proximity to stability limit

Published
2022

11. DIII-D research advancing the physics basis for optimizing the tokamak approach to fusion energy

Author

Fenstermacher, M, Abbate, J, Abe, S, Abrams, T, Adams, M, Adamson, B, Aiba, N, Akiyama, T, Aleynikov, P, Allen, E, Allen, S, Anand, H, Anderson, J, Andrew, Y, Andrews, T, Appelt, D, Arbon, R, Ashikawa, N, Ashourvan, A, Aslin, M, Asnis, Y, Austin, M, Ayala, D, Bak, J, Bandyopadhyay, I, Banerjee, S, Barada, K, Bardoczi, L, Barr, J, Bass, E, Battaglia, D, Battey, A, Baumgartner, W, Baylor, L, Beckers, J, Beidler, M, Belli, E, Berkery, J, Bernard, T, Bertelli, N, Beurskens, M, Bielajew, R, Bilgili, S, Biswas, B, Blondel, S, Boedo, J, Bogatu, I, Boivin, R, Bolzonella, T, Bongard, M, Bonnin, X, Bonoli, P, Bonotto, M, Bortolon, A, Bose, S, Bosviel, N, Bouwmans, S, Boyer, M, Boyes, W, Bradley, L, Brambila, R, Brennan, D, Bringuier, S, Brodsky, L, Brookman, M, Brooks, J, Brower, D, Brown, G, Brown, W, Burke, M, Burrell, K, Butler, K, Buttery, R, Bykov, I, Byrne, P, Cacheris, A, Callahan, K, Callen, J, Campbell, G, Candy, J, Canik, J, Cano-Megias, P, Cao, N, Carayannopoulos, L, Carlstrom, T, 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Brodsky, L, Brookman, M, Brooks, J, Brower, D, Brown, G, Brown, W, Burke, M, Burrell, K, Butler, K, Buttery, R, Bykov, I, Byrne, P, Cacheris, A, Callahan, K, Callen, J, Campbell, G, Candy, J, Canik, J, Cano-Megias, P, Cao, N, Carayannopoulos, L, Carlstrom, T, Carrig, W, Carter, T, Cary, W, Casali, L, Cengher, M, Paz, G, Chaban, R, Chan, V, Chapman, B, Char, I, Chattopadhyay, A, Chen, R, Chen, J, Chen, X, Chen, M, Chen, Z, Choi, M, Choi, W, Choi, G, Chousal, L, Chrobak, C, Chrystal, C, Chung, Y, Churchill, R, Cianciosa, M, Clark, J, Clement, M, Coda, S, Cole, A, Collins, C, Conlin, W, Cooper, A, Cordell, J, Coriton, B, Cote, T, Cothran, J, Creely, A, Crocker, N, Crowe, C, Crowley, B, Crowley, T, Cruz-Zabala, D, Cummings, D, Curie, M, Curreli, D, Dal Molin, A, Dannels, B, Dautt-Silva, A, Davda, K, De Tommasi, G, De Vries, P, Degrandchamp, G, Degrassie, J, Demers, D, Denk, S, Depasquale, S, Deshazer, E, Diallo, A, Diem, S, Dimits, A, Ding, R, Ding, S, Ding, W, Do, T, Doane, J, Dong, G, 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Yang, S, Yokoyama, T, Yoneda, R, Yoshida, M, You, K, Younkin, T, Yu, J, Yu, M, Yu, G, Yuan, Q, Zaidenberg, L, Zakharov, L, Zamengo, A, Zamperini, S, Zarnstorff, M, Zeger, E, Zeller, K, Zeng, L, Zerbini, M, Zhang, L, Zhang, X, Zhang, R, Zhang, B, Zhang, J, Zhao, L, Zhao, B, Zheng, Y, Zheng, L, Zhu, B, Zhu, J, Zhu, Y, Zsutty, M, Zuin, M, Fenstermacher, ME, Paz, GC, Quiroga, JG, Munoz, MG, Esquisabel, AL, Di Cortemiglia, TL, Burgos, JM, Canal, GP, Martinez, AP, Fernandez, PR, Ruiz, JR, De Sousa, AT, and Ochoa, AT

Abstract

DIII-D physics research addresses critical challenges for the operation of ITER and the next generation of fusion energy devices. This is done through a focus on innovations to provide solutions for high performance long pulse operation, coupled with fundamental plasma physics understanding and model validation, to drive scenario development by integrating high performance core and boundary plasmas. Substantial increases in off-axis current drive efficiency from an innovative top launch system for EC power, and in pressure broadening for Alfven eigenmode control from a co-/counter-I (p) steerable off-axis neutral beam, all improve the prospects for optimization of future long pulse/steady state high performance tokamak operation. Fundamental studies into the modes that drive the evolution of the pedestal pressure profile and electron vs ion heat flux validate predictive models of pedestal recovery after ELMs. Understanding the physics mechanisms of ELM control and density pumpout by 3D magnetic perturbation fields leads to confident predictions for ITER and future devices. Validated modeling of high-Z shattered pellet injection for disruption mitigation, runaway electron dissipation, and techniques for disruption prediction and avoidance including machine learning, give confidence in handling disruptivity for future devices. For the non-nuclear phase of ITER, two actuators are identified to lower the L-H threshold power in hydrogen plasmas. With this physics understanding and suite of capabilities, a high poloidal beta optimized-core scenario with an internal transport barrier that projects nearly to Q = 10 in ITER at similar to 8 MA was coupled to a detached divertor, and a near super H-mode optimized-pedestal scenario with co-I (p) beam injection was coupled to a radiative divertor. The hybrid core scenario was achieved directly, without the need for anomalous current diffusion, using off-axis current drive actuators. Also, a controller to assess proximity to stab

Published
2022

12. DIII-D research advancing the physics basis for optimizing the tokamak approach to fusion energy

Author

Fenstermacher, M. E., Abbate, J., Abe, S., Abrams, T., Adams, M., Adamson, B., Aiba, N., Akiyama, T., Aleynikov, P., Allen, E., Allen, S., Anand, H., Anderson, J., Andrew, Y., Andrews, T., Appelt, D., Arbon, R., Ashikawa, N., Ashourvan, A., Aslin, M., Asnis, Y., Austin, M., Ayala, D., Bak, J., Bandyopadhyay, I., Banerjee, S., Barada, K., Bardoczi, L., Barr, J., Bass, E., Battaglia, D., Battey, A., Baumgartner, W., Baylor, L., Beckers, J., Beidler, M., Belli, E., Berkery, J., Bernard, T., Bertelli, N., Beurskens, M., Bielajew, R., Bilgili, S., Biswas, B., Blondel, S., Boedo, J., Bogatu, I., Boivin, R., Bolzonella, T., Bongard, M., Bonnin, X., Bonoli, P., Bonotto, M., Bortolon, A., Bose, S., Bosviel, N., Bouwmans, S., Boyer, M., Boyes, W., Bradley, L., Brambila, R., Brennan, D., Bringuier, S., Brodsky, L., Brookman, M., Brooks, J., Brower, D., Brown, G., Brown, W., Burke, M., Burrell, K., Butler, K., Buttery, R., Bykov, I., Byrne, P., Cacheris, A., Callahan, K., Callen, J., Campbell, G., Candy, J., Canik, J., Cano-Megias, P., Cao, N., Carayannopoulos, L., Carlstrom, T., Carrig, W., Carter, T., Cary, W., Casali, L., Cengher, M., Cespedes Paz, G., Chaban, R., Chan, V., Chapman, B., Char, I., Chattopadhyay, A., Chen, R., Chen, J., Chen, X., Chen, M., Chen, Z., Choi, M., Choi, W., Choi, G., Chousal, L., Chrobak, C., Chrystal, C., Chung, Y., Churchill, R., Cianciosa, M., Clark, J., Clement, M., Coda, S., Cole, A., Collins, C., Conlin, W., Cooper, A., Cordell, J., Coriton, B., Cote, T., Cothran, J., Creely, A., Crocker, N., Crowe, C., Crowley, B., Crowley, T., Cruz-Zabala, D., Cummings, D., Curie, M., Curreli, D., Dal Molin, A., Dannels, B., Dautt-Silva, A., Davda, K., De Tommasi, G., De Vries, P., Degrandchamp, G., Degrassie, J., Demers, D., Denk, S., Depasquale, S., Deshazer, E., Diallo, A., Diem, S., Dimits, A., Ding, R., Ding, S., Ding, W., Do, T., Doane, J., Dong, G., Donovan, D., Drake, J., Drews, W., Drobny, J., Du, X., Du, H., Duarte, V., Dudt, D., Dunn, C., Duran, J., Dvorak, A., Effenberg, F., Eidietis, N., Elder, D., Eldon, D., Ellis, R., Elwasif, W., Ennis, D., Erickson, K., Ernst, D., Fasciana, M., Fedorov, D., Feibush, E., Ferraro, N., Ferreira, J., Ferron, J., Fimognari, P., Finkenthal, D., Fitzpatrick, R., Fox, P., Fox, W., Frassinetti, L., Frerichs, H., Frye, H., Fu, Y., Gage, K., Galdon Quiroga, J., Gallo, A., Gao, Q., Garcia, A., Garcia Munoz, M., Garnier, D., Garofalo, A., Gattuso, A., Geng, D., Gentle, K., Ghosh, D., Giacomelli, L., Gibson, S., Gilson, E., Giroud, C., Glass, F., Glasser, A., Glibert, D., Gohil, P., Gomez, R., Gomez, S., Gong, X., Gonzales, E., Goodman, A., Gorelov, Y., Graber, V., Granetz, R., Gray, T., Green, D., Greenfield, C., Greenwald, M., Grierson, B., Groebner, R., Grosnickle, W., Groth, M., Grunloh, H., Gu, S., Guo, W., Guo, H., Gupta, P., Guterl, J., Guttenfelder, W., Guzman, T., Haar, S., Hager, R., Hahn, S., Halfmoon, M., Hall, T., Hallatschek, K., Halpern, F., Hammett, G., Han, H., Hansen, E., Hansen, C., Hansink, M., Hanson, J., Hanson, M., Hao, G., Harris, A., Harvey, R., Haskey, S., Hassan, E., Hassanein, A., Hatch, D., Hawryluk, R., Hayashi, W., Heidbrink, W., Herfindal, J., Hicok, J., Hill, D., Hinson, E., Holcomb, C., Holland, L., Holland, C., Hollmann, E., Hollocombe, J., Holm, A., Holmes, I., Holtrop, K., Honda, M., Hong, R., Hood, R., Horton, A., Horvath, L., Hosokawa, M., Houshmandyar, S., Howard, N., Howell, E., Hoyt, D., Hu, W., Hu, Y., Hu, Q., Huang, J., Huang, Y., Hughes, J., Human, T., Humphreys, D., Huynh, P., Hyatt, A., Ibanez, C., Ibarra, L., Icasas, R., Ida, K., Igochine, V., In, Y., Inoue, S., Isayama, A., Izacard, O., Izzo, V., Jackson, A., Jacobsen, G., Jaervinen, A., Jalalvand, A., Janhunen, J., Jardin, S., Jarleblad, H., Jeon, Y., Ji, H., Jian, X., Joffrin, E., Johansen, A., Johnson, C., Johnson, T., Jones, C., Joseph, I., Jubas, D., Junge, B., Kalb, W., Kalling, R., Kamath, C., Kang, J., Kaplan, D., Kaptanoglu, A., Kasdorf, S., Kates-Harbeck, J., Kazantzidis, P., Kellman, A., Kellman, D., Kessel, C., Khumthong, K., Kim, E., Kim, H., Kim, J., Kim, S., Kim, K., Kim, C., Kimura, W., King, M., King, J., Kinsey, J., Kirk, A., Kiyan, B., Kleiner, A., Klevarova, V., Knapp, R., Knolker, M., Ko, W., Kobayashi, T., Koch, E., Kochan, M., Koel, B., Koepke, M., Kohn, A., Kolasinski, R., Kolemen, E., Kostadinova, E., Kostuk, M., Kramer, G., Kriete, D., Kripner, L., Kubota, S., Kulchar, J., Kwon, K., La Haye, R., Laggner, F., Lan, H., Lantsov, R., Lao, L., Lasa Esquisabel, A., Lasnier, C., Lau, C., Leard, B., Lee, J., Lee, R., Lee, M., Lee, Y., Lee, C., Lee, S., Lehnen, M., Leonard, A., Leppink, E., Lesher, M., Lestz, J., Leuer, J., Leuthold, N., Li, X., Li, K., Li, E., Li, G., Li, L., Li, Z., Li, J., Li, Y., Lin, Z., Lin, D., Liu, X., Liu, J., Liu, Y., Liu, T., Liu, C., Liu, Z., Liu, D., Liu, A., Loarte-Prieto, A., Lodestro, L., Logan, N., Lohr, J., Lombardo, B., Lore, J., Luan, Q., Luce, T., Luda Di Cortemiglia, T., Luhmann, N., Lunsford, R., Luo, Z., Lvovskiy, A., Lyons, B., Ma, X., Madruga, M., Madsen, B., Maggi, C., Maheshwari, K., Mail, A., Mailloux, J., Maingi, R., Major, M., Makowski, M., Manchanda, R., Marini, C., Marinoni, A., Maris, A., Markovic, T., Marrelli, L., Martin, E., Mateja, J., Matsunaga, G., Maurizio, R., Mauzey, P., Mauzey, D., McArdle, G., McClenaghan, J., McCollam, K., McDevitt, C., McKay, K., McKee, G., McLean, A., Mehta, V., Meier, E., Menard, J., Meneghini, O., Merlo, G., Messer, S., Meyer, W., Michael, C., Michoski, C., Milne, P., Minet, G., Misleh, A., Mitrishkin, Y., Moeller, C., Montes, K., Morales, M., Mordijck, S., Moreau, D., Morosohk, S., Morris, P., Morton, L., Moser, A., Moyer, R., Moynihan, C., Mrazkova, T., Mueller, D., Munaretto, S., Munoz Burgos, J., Murphy, C., Murphy, K., Muscatello, C., Myers, C., Nagy, A., Nandipati, G., Navarro, M., Nave, F., Navratil, G., Nazikian, R., Neff, A., Neilson, G., Neiser, T., Neiswanger, W., Nelson, D., Nelson, A., Nespoli, F., Nguyen, R., Nguyen, L., Nguyen, X., Nichols, J., Nocente, M., Nogami, S., Noraky, S., Norausky, N., Nornberg, M., Nygren, R., Odstrcil, T., Ogas, D., Ogorman, T., Ohdachi, S., Ohtani, Y., Okabayashi, M., Okamoto, M., Olavson, L., Olofsson, E., Omullane, M., Oneill, R., Orlov, D., Orvis, W., Osborne, T., Pace, D., Paganini Canal, G., Pajares Martinez, A., Palacios, L., Pan, C., Pan, Q., Pandit, R., Pandya, M., Pankin, A., Park, Y., Park, J., Parker, S., Parks, P., Parsons, M., Patel, B., Pawley, C., Paz-Soldan, C., Peebles, W., Pelton, S., Perillo, R., Petty, C., Peysson, Y., Pierce, D., Pigarov, A., Pigatto, L., Piglowski, D., Pinches, S., Pinsker, R., Piovesan, P., Piper, N., Pironti, A., Pitts, R., Pizzo, J., Plank, U., Podesta, M., Poli, E., Poli, F., Ponce, D., Popovic, Z., Porkolab, M., Porter, G., Powers, C., Powers, S., Prater, R., Pratt, Q., Pusztai, I., Qian, J., Qin, X., Ra, O., Rafiq, T., Raines, T., Raman, R., Rauch, J., Raymond, A., Rea, C., Reich, M., Reiman, A., Reinhold, S., Reinke, M., Reksoatmodjo, R., Ren, Q., Ren, Y., Ren, J., Rensink, M., Renteria, J., Rhodes, T., Rice, J., Roberts, R., Robinson, J., Rodriguez Fernandez, P., Rognlien, T., Rosenthal, A., Rosiello, S., Rost, J., Roveto, J., Rowan, W., Rozenblat, R., Ruane, J., Rudakov, D., Ruiz Ruiz, J., Rupani, R., Saarelma, S., Sabbagh, S., Sachdev, J., Saenz, J., Saib, S., Salewski, M., Salmi, A., Sammuli, B., Samuell, C., Sandorfi, A., Sang, C., Sarff, J., Sauter, O., Schaubel, K., Schmitz, L., Schmitz, O., Schneider, J., Schroeder, P., Schultz, K., Schuster, E., Schwartz, J., Sciortino, F., Scotti, F., Scoville, J., Seltzman, A., Seol, S., Sfiligoi, I., Shafer, M., Sharapov, S., Shen, H., Sheng, Z., Shepard, T., Shi, S., Shibata, Y., Shin, G., Shiraki, D., Shousha, R., Si, H., Simmerling, P., Sinclair, G., Sinha, J., Sinha, P., Sips, G., Sizyuk, T., Skinner, C., Sladkomedova, A., Slendebroek, T., Slief, J., Smirnov, R., Smith, J., Smith, S., Smith, D., Snipes, J., Snoep, G., Snyder, A., Snyder, P., Solano, E., Solomon, W., Song, J., Sontag, A., Soukhanovskii, V., Spendlove, J., Spong, D., Squire, J., Srinivasan, C., Stacey, W., Staebler, G., Stagner, L., Stange, T., Stangeby, P., Stefan, R., Stemprok, R., Stephan, D., Stillerman, J., Stoltzfus-Dueck, T., Stonecipher, W., Storment, S., Strait, E., Su, D., Sugiyama, L., Sun, Y., Sun, P., Sun, Z., Sun, A., Sundstrom, D., Sung, C., Sungcoco, J., Suttrop, W., Suzuki, Y., Suzuki, T., Svyatkovskiy, A., Swee, C., Sweeney, R., Sweetnam, C., Szepesi, G., Takechi, M., Tala, T., Tanaka, K., Tang, X., Tang, S., Tao, Y., Tao, R., Taussig, D., Taylor, T., Teixeira, K., Teo, K., Theodorsen, A., Thomas, D., Thome, K., Thorman, A., Thornton, A., Ti, A., Tillack, M., Timchenko, N., Tinguely, R., Tompkins, R., Tooker, J., Torrezan De Sousa, A., Trevisan, G., Tripathi, S., Trujillo Ochoa, A., Truong, D., Tsui, C., Turco, F., Turnbull, A., Umansky, M., Unterberg, E., Vaezi, P., Vail, P., Valdez, J., Valkis, W., Van Compernolle, B., Van Galen, J., Van Kampen, R., Van Zeeland, M., Verdoolaege, G., Vianello, N., Victor, B., Viezzer, E., Vincena, S., Wade, M., Waelbroeck, F., Wai, J., Wakatsuki, T., Walker, M., Wallace, G., Waltz, R., Wampler, W., Wang, L., Wang, H., Wang, Y., Wang, Z., Wang, G., Ward, S., Watkins, M., Watkins, J., Wehner, W., Wei, Y., Weiland, M., Weisberg, D., Welander, A., White, A., White, R., Wiesen, S., Wilcox, R., Wilks, T., Willensdorfer, M., Wilson, H., Wingen, A., Wolde, M., Wolff, M., Woller, K., Wolz, A., Wong, H., Woodruff, S., Wu, M., Wu, Y., Wukitch, S., Wurden, G., Xiao, W., Xie, R., Xing, Z., Xu, X., Xu, C., Xu, G., Yan, Z., Yang, X., Yang, S., Yokoyama, T., Yoneda, R., Yoshida, M., You, K., Younkin, T., Yu, J., Yu, M., Yu, G., Yuan, Q., Zaidenberg, L., Zakharov, L., Zamengo, A., Zamperini, S., Zarnstorff, M., Zeger, E., Zeller, K., Zeng, L., Zerbini, M., Zhang, L., Zhang, X., Zhang, R., Zhang, B., Zhang, J., Zhao, L., Zhao, B., Zheng, Y., Zheng, L., Zhu, B., Zhu, J., Zhu, Y., Zsutty, M., Zuin, M., Fenstermacher, M. E., Abbate, J., Abe, S., Abrams, T., Adams, M., Adamson, B., Aiba, N., Akiyama, T., Aleynikov, P., Allen, E., Allen, S., Anand, H., Anderson, J., Andrew, Y., Andrews, T., Appelt, D., Arbon, R., Ashikawa, N., Ashourvan, A., Aslin, M., Asnis, Y., Austin, M., Ayala, D., Bak, J., Bandyopadhyay, I., Banerjee, S., Barada, K., Bardoczi, L., Barr, J., Bass, E., Battaglia, D., Battey, A., Baumgartner, W., Baylor, L., Beckers, J., Beidler, M., Belli, E., Berkery, J., Bernard, T., Bertelli, N., Beurskens, M., Bielajew, R., Bilgili, S., Biswas, B., Blondel, S., Boedo, J., Bogatu, I., Boivin, R., Bolzonella, T., Bongard, M., Bonnin, X., Bonoli, P., Bonotto, M., Bortolon, A., Bose, S., Bosviel, N., Bouwmans, S., Boyer, M., Boyes, W., Bradley, L., Brambila, R., Brennan, D., Bringuier, S., Brodsky, L., Brookman, M., Brooks, J., Brower, D., Brown, G., Brown, W., Burke, M., Burrell, K., Butler, K., Buttery, R., Bykov, I., Byrne, P., Cacheris, A., Callahan, K., Callen, J., Campbell, G., Candy, J., Canik, 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A., Kellman, D., Kessel, C., Khumthong, K., Kim, E., Kim, H., Kim, J., Kim, S., Kim, K., Kim, C., Kimura, W., King, M., King, J., Kinsey, J., Kirk, A., Kiyan, B., Kleiner, A., Klevarova, V., Knapp, R., Knolker, M., Ko, W., Kobayashi, T., Koch, E., Kochan, M., Koel, B., Koepke, M., Kohn, A., Kolasinski, R., Kolemen, E., Kostadinova, E., Kostuk, M., Kramer, G., Kriete, D., Kripner, L., Kubota, S., Kulchar, J., Kwon, K., La Haye, R., Laggner, F., Lan, H., Lantsov, R., Lao, L., Lasa Esquisabel, A., Lasnier, C., Lau, C., Leard, B., Lee, J., Lee, R., Lee, M., Lee, Y., Lee, C., Lee, S., Lehnen, M., Leonard, A., Leppink, E., Lesher, M., Lestz, J., Leuer, J., Leuthold, N., Li, X., Li, K., Li, E., Li, G., Li, L., Li, Z., Li, J., Li, Y., Lin, Z., Lin, D., Liu, X., Liu, J., Liu, Y., Liu, T., Liu, C., Liu, Z., Liu, D., Liu, A., Loarte-Prieto, A., Lodestro, L., Logan, N., Lohr, J., Lombardo, B., Lore, J., Luan, Q., Luce, T., Luda Di Cortemiglia, T., Luhmann, N., Lunsford, R., Luo, Z., Lvovskiy, A., Lyons, B., Ma, X., Madruga, M., Madsen, B., Maggi, C., Maheshwari, K., Mail, A., Mailloux, J., Maingi, R., Major, M., Makowski, M., Manchanda, R., Marini, C., Marinoni, A., Maris, A., Markovic, T., Marrelli, L., Martin, E., Mateja, J., Matsunaga, G., Maurizio, R., Mauzey, P., Mauzey, D., McArdle, G., McClenaghan, J., McCollam, K., McDevitt, C., McKay, K., McKee, G., McLean, A., Mehta, V., Meier, E., Menard, J., Meneghini, O., Merlo, G., Messer, S., Meyer, W., Michael, C., Michoski, C., Milne, P., Minet, G., Misleh, A., Mitrishkin, Y., Moeller, C., Montes, K., Morales, M., Mordijck, S., Moreau, D., Morosohk, S., Morris, P., Morton, L., Moser, A., Moyer, R., Moynihan, C., Mrazkova, T., Mueller, D., Munaretto, S., Munoz Burgos, J., Murphy, C., Murphy, K., Muscatello, C., Myers, C., Nagy, A., Nandipati, G., Navarro, M., Nave, F., Navratil, G., Nazikian, R., Neff, A., Neilson, G., Neiser, T., Neiswanger, W., Nelson, D., Nelson, A., Nespoli, F., Nguyen, R., Nguyen, L., Nguyen, X., Nichols, J., Nocente, M., Nogami, S., Noraky, S., Norausky, N., Nornberg, M., Nygren, R., Odstrcil, T., Ogas, D., Ogorman, T., Ohdachi, S., Ohtani, Y., Okabayashi, M., Okamoto, M., Olavson, L., Olofsson, E., Omullane, M., Oneill, R., Orlov, D., Orvis, W., Osborne, T., Pace, D., Paganini Canal, G., Pajares Martinez, A., Palacios, L., Pan, C., Pan, Q., Pandit, R., Pandya, M., Pankin, A., Park, Y., Park, J., Parker, S., Parks, P., Parsons, M., Patel, B., Pawley, C., Paz-Soldan, C., Peebles, W., Pelton, S., Perillo, R., Petty, C., Peysson, Y., Pierce, D., Pigarov, A., Pigatto, L., Piglowski, D., Pinches, S., Pinsker, R., Piovesan, P., Piper, N., Pironti, A., Pitts, R., Pizzo, J., Plank, U., Podesta, M., Poli, E., Poli, F., Ponce, D., Popovic, Z., Porkolab, M., Porter, G., Powers, C., Powers, S., Prater, R., Pratt, Q., Pusztai, I., Qian, J., Qin, X., Ra, O., Rafiq, T., Raines, T., Raman, R., Rauch, J., Raymond, A., Rea, C., Reich, M., Reiman, A., Reinhold, S., Reinke, M., Reksoatmodjo, R., Ren, Q., Ren, Y., Ren, J., Rensink, M., Renteria, J., Rhodes, T., Rice, J., Roberts, R., Robinson, J., Rodriguez Fernandez, P., Rognlien, T., Rosenthal, A., Rosiello, S., Rost, J., Roveto, J., Rowan, W., Rozenblat, R., Ruane, J., Rudakov, D., Ruiz Ruiz, J., Rupani, R., Saarelma, S., Sabbagh, S., Sachdev, J., Saenz, J., Saib, S., Salewski, M., Salmi, A., Sammuli, B., Samuell, C., Sandorfi, A., Sang, C., Sarff, J., Sauter, O., Schaubel, K., Schmitz, L., Schmitz, O., Schneider, J., Schroeder, P., Schultz, K., Schuster, E., Schwartz, J., Sciortino, F., Scotti, F., Scoville, J., Seltzman, A., Seol, S., Sfiligoi, I., Shafer, M., Sharapov, S., Shen, H., Sheng, Z., Shepard, T., Shi, S., Shibata, Y., Shin, G., Shiraki, D., Shousha, R., Si, H., Simmerling, P., Sinclair, G., Sinha, J., Sinha, P., Sips, G., Sizyuk, T., Skinner, C., Sladkomedova, A., Slendebroek, T., Slief, J., Smirnov, R., Smith, J., Smith, S., Smith, D., Snipes, J., Snoep, G., Snyder, A., Snyder, P., Solano, E., Solomon, W., Song, J., 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Abstract

DIII-D physics research addresses critical challenges for the operation of ITER and the next generation of fusion energy devices. This is done through a focus on innovations to provide solutions for high performance long pulse operation, coupled with fundamental plasma physics understanding and model validation, to drive scenario development by integrating high performance core and boundary plasmas. Substantial increases in off-axis current drive efficiency from an innovative top launch system for EC power, and in pressure broadening for Alfven eigenmode control from a co-/counter-I p steerable off-axis neutral beam, all improve the prospects for optimization of future long pulse/steady state high performance tokamak operation. Fundamental studies into the modes that drive the evolution of the pedestal pressure profile and electron vs ion heat flux validate predictive models of pedestal recovery after ELMs. Understanding the physics mechanisms of ELM control and density pumpout by 3D magnetic perturbation fields leads to confident predictions for ITER and future devices. Validated modeling of high-Z shattered pellet injection for disruption mitigation, runaway electron dissipation, and techniques for disruption prediction and avoidance including machine learning, give confidence in handling disruptivity for future devices. For the non-nuclear phase of ITER, two actuators are identified to lower the L-H threshold power in hydrogen plasmas. With this physics understanding and suite of capabilities, a high poloidal beta optimized-core scenario with an internal transport barrier that projects nearly to Q = 10 in ITER at ∼8 MA was coupled to a detached divertor, and a near super H-mode optimized-pedestal scenario with co-I p beam injection was coupled to a radiative divertor. The hybrid core scenario was achieved directly, without the need for anomalous current diffusion, using off-axis current drive actuators. Also, a controller to assess proximity to stability limit

Published
2022

13. DIII-D research advancing the physics basis for optimizing the tokamak approach to fusion energy

Author

Fenstermacher, M. E., primary, Abbate, J., additional, Abe, S., additional, Abrams, T., additional, Adams, M., additional, Adamson, B., additional, Aiba, N., additional, Akiyama, T., additional, Aleynikov, P., additional, Allen, E., additional, Allen, S., additional, Anand, H., additional, Anderson, J., additional, Andrew, Y., additional, Andrews, T., additional, Appelt, D., additional, Arbon, R., additional, Ashikawa, N., additional, Ashourvan, A., additional, Aslin, M., additional, Asnis, Y., additional, Austin, M., additional, Ayala, D., additional, Bak, J., additional, Bandyopadhyay, I., additional, Banerjee, S., additional, Barada, K., additional, Bardoczi, L., additional, Barr, J., additional, Bass, E., additional, Battaglia, D., additional, Battey, A., additional, Baumgartner, W., additional, Baylor, L., additional, Beckers, J., additional, Beidler, M., additional, Belli, E., additional, Berkery, J., additional, Bernard, T., additional, Bertelli, N., additional, Beurskens, M., additional, Bielajew, R., additional, Bilgili, S., additional, Biswas, B., additional, Blondel, S., additional, Boedo, J., additional, Bogatu, I., additional, Boivin, R., additional, Bolzonella, T., additional, Bongard, M., additional, Bonnin, X., additional, Bonoli, P., additional, Bonotto, M., additional, Bortolon, A., additional, Bose, S., additional, Bosviel, N., additional, Bouwmans, S., additional, Boyer, M., additional, Boyes, W., additional, Bradley, L., additional, Brambila, R., additional, Brennan, D., additional, Bringuier, S., additional, Brodsky, L., additional, Brookman, M., additional, Brooks, J., additional, Brower, D., additional, Brown, G., additional, Brown, W., additional, Burke, M., additional, Burrell, K., additional, Butler, K., additional, Buttery, R., additional, Bykov, I., additional, Byrne, P., additional, Cacheris, A., additional, Callahan, K., additional, Callen, J., additional, Campbell, G., additional, Candy, J., additional, Canik, J., additional, Cano-Megias, P., additional, Cao, N., additional, Carayannopoulos, L., additional, Carlstrom, T., additional, Carrig, W., additional, Carter, T., additional, Cary, W., additional, Casali, L., additional, Cengher, M., additional, Cespedes Paz, G., additional, Chaban, R., additional, Chan, V., additional, Chapman, B., additional, Char, I., additional, Chattopadhyay, A., additional, Chen, R., additional, Chen, J., additional, Chen, X., additional, Chen, M., additional, Chen, Z., additional, Choi, M., additional, Choi, W., additional, Choi, G., additional, Chousal, L., additional, Chrobak, C., additional, Chrystal, C., additional, Chung, Y., additional, Churchill, R., additional, Cianciosa, M., additional, Clark, J., additional, Clement, M., additional, Coda, S., additional, Cole, A., additional, Collins, C., additional, Conlin, W., additional, Cooper, A., additional, Cordell, J., additional, Coriton, B., additional, Cote, T., additional, Cothran, J., additional, Creely, A., additional, Crocker, N., 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additional, Elder, D., additional, Eldon, D., additional, Ellis, R., additional, Elwasif, W., additional, Ennis, D., additional, Erickson, K., additional, Ernst, D., additional, Fasciana, M., additional, Fedorov, D., additional, Feibush, E., additional, Ferraro, N., additional, Ferreira, J., additional, Ferron, J., additional, Fimognari, P., additional, Finkenthal, D., additional, Fitzpatrick, R., additional, Fox, P., additional, Fox, W., additional, Frassinetti, L., additional, Frerichs, H., additional, Frye, H., additional, Fu, Y., additional, Gage, K., additional, Galdon Quiroga, J., additional, Gallo, A., additional, Gao, Q., additional, Garcia, A., additional, Garcia Munoz, M., additional, Garnier, D., additional, Garofalo, A., additional, Gattuso, A., additional, Geng, D., additional, Gentle, K., additional, Ghosh, D., additional, Giacomelli, L., additional, Gibson, S., additional, Gilson, E., additional, Giroud, C., additional, Glass, F., additional, Glasser, A., additional, Glibert, D., additional, Gohil, P., additional, Gomez, R., additional, Gomez, S., additional, Gong, X., additional, Gonzales, E., additional, Goodman, A., additional, Gorelov, Y., additional, Graber, V., additional, Granetz, R., additional, Gray, T., additional, Green, D., additional, Greenfield, C., additional, Greenwald, M., additional, Grierson, B., additional, Groebner, R., additional, Grosnickle, W., additional, Groth, M., additional, Grunloh, H., additional, Gu, S., additional, Guo, W., additional, Guo, H., additional, Gupta, P., additional, Guterl, J., additional, Guttenfelder, W., additional, Guzman, T., additional, Haar, S., additional, Hager, R., additional, Hahn, S., additional, Halfmoon, M., additional, Hall, T., additional, Hallatschek, K., additional, Halpern, F., additional, Hammett, G., additional, Han, H., additional, Hansen, E., additional, Hansen, C., additional, Hansink, M., additional, Hanson, J., additional, Hanson, M., additional, Hao, G., additional, Harris, A., 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additional, Kim, H., additional, Kim, J., additional, Kim, S., additional, Kim, K., additional, Kim, C., additional, Kimura, W., additional, King, M., additional, King, J., additional, Kinsey, J., additional, Kirk, A., additional, Kiyan, B., additional, Kleiner, A., additional, Klevarova, V., additional, Knapp, R., additional, Knolker, M., additional, Ko, W., additional, Kobayashi, T., additional, Koch, E., additional, Kochan, M., additional, Koel, B., additional, Koepke, M., additional, Kohn, A., additional, Kolasinski, R., additional, Kolemen, E., additional, Kostadinova, E., additional, Kostuk, M., additional, Kramer, G., additional, Kriete, D., additional, Kripner, L., additional, Kubota, S., additional, Kulchar, J., additional, Kwon, K., additional, La Haye, R., additional, Laggner, F., additional, Lan, H., additional, Lantsov, R., additional, Lao, L., additional, Lasa Esquisabel, A., additional, Lasnier, C., additional, Lau, C., additional, Leard, B., additional, Lee, J., additional, Lee, R., additional, Lee, M., additional, Lee, Y., additional, Lee, C., additional, Lee, S., additional, Lehnen, M., additional, Leonard, A., additional, Leppink, E., additional, Lesher, M., additional, Lestz, J., additional, Leuer, J., additional, Leuthold, N., additional, Li, X., additional, Li, K., additional, Li, E., additional, Li, G., additional, Li, L., additional, Li, Z., additional, Li, J., additional, Li, Y., additional, Lin, Z., additional, Lin, D., additional, Liu, X., additional, Liu, J., additional, Liu, Y., additional, Liu, T., additional, Liu, C., additional, Liu, Z., additional, Liu, D., additional, Liu, A., additional, Loarte-Prieto, A., additional, Lodestro, L., additional, Logan, N., additional, Lohr, J., additional, Lombardo, B., additional, Lore, J., additional, Luan, Q., additional, Luce, T., additional, Luda Di Cortemiglia, T., additional, Luhmann, N., additional, Lunsford, R., additional, Luo, Z., additional, Lvovskiy, A., additional, Lyons, B., additional, Ma, X., additional, Madruga, M., additional, Madsen, B., additional, Maggi, C., additional, Maheshwari, K., additional, Mail, A., additional, Mailloux, J., additional, Maingi, R., additional, Major, M., additional, Makowski, M., additional, Manchanda, R., additional, Marini, C., additional, Marinoni, A., additional, Maris, A., additional, Markovic, T., additional, Marrelli, L., additional, Martin, E., additional, Mateja, J., additional, Matsunaga, G., additional, Maurizio, R., additional, Mauzey, P., additional, Mauzey, D., additional, Mcardle, G., additional, Mcclenaghan, J., additional, Mccollam, K., additional, Mcdevitt, C., additional, Mckay, K., additional, Mckee, G., additional, Mclean, A., additional, Mehta, V., additional, Meier, E., additional, Menard, J., additional, Meneghini, O., additional, Merlo, G., additional, Messer, S., additional, Meyer, W., additional, Michael, C., additional, Michoski, C., additional, Milne, P., additional, Minet, G., additional, 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Noraky, S., additional, Norausky, N., additional, Nornberg, M., additional, Nygren, R., additional, Odstrcil, T., additional, Ogas, D., additional, Ogorman, T., additional, Ohdachi, S., additional, Ohtani, Y., additional, Okabayashi, M., additional, Okamoto, M., additional, Olavson, L., additional, Olofsson, E., additional, Omullane, M., additional, Oneill, R., additional, Orlov, D., additional, Orvis, W., additional, Osborne, T., additional, Pace, D., additional, Paganini Canal, G., additional, Pajares Martinez, A., additional, Palacios, L., additional, Pan, C., additional, Pan, Q., additional, Pandit, R., additional, Pandya, M., additional, Pankin, A., additional, Park, Y., additional, Park, J., additional, Parker, S., additional, Parks, P., additional, Parsons, M., additional, Patel, B., additional, Pawley, C., additional, Paz-Soldan, C., additional, Peebles, W., additional, Pelton, S., additional, Perillo, R., additional, Petty, C., additional, Peysson, Y., additional, Pierce, D., additional, Pigarov, A., additional, Pigatto, L., additional, Piglowski, D., additional, Pinches, S., additional, Pinsker, R., additional, Piovesan, P., additional, Piper, N., additional, Pironti, A., additional, Pitts, R., additional, Pizzo, J., additional, Plank, U., additional, Podesta, M., additional, Poli, E., additional, Poli, F., additional, Ponce, D., additional, Popovic, Z., additional, Porkolab, M., additional, Porter, G., additional, Powers, C., additional, Powers, S., additional, Prater, R., additional, Pratt, Q., additional, Pusztai, I., additional, Qian, J., additional, Qin, X., additional, Ra, O., additional, Rafiq, T., additional, Raines, T., additional, Raman, R., additional, Rauch, J., additional, Raymond, A., additional, Rea, C., additional, Reich, M., additional, Reiman, A., additional, Reinhold, S., additional, Reinke, M., additional, Reksoatmodjo, R., additional, Ren, Q., additional, Ren, Y., additional, Ren, J., additional, Rensink, M., additional, Renteria, J., additional, Rhodes, T., additional, Rice, J., additional, Roberts, R., additional, Robinson, J., additional, Rodriguez Fernandez, P., additional, Rognlien, T., additional, Rosenthal, A., additional, Rosiello, S., additional, Rost, J., additional, Roveto, J., additional, Rowan, W., additional, Rozenblat, R., additional, Ruane, J., additional, Rudakov, D., additional, Ruiz Ruiz, J., additional, Rupani, R., additional, Saarelma, S., additional, Sabbagh, S., additional, Sachdev, J., additional, Saenz, J., additional, Saib, S., additional, Salewski, M., additional, Salmi, A., additional, Sammuli, B., additional, Samuell, C., additional, Sandorfi, A., additional, Sang, C., additional, Sarff, J., additional, Sauter, O., additional, Schaubel, K., additional, Schmitz, L., additional, Schmitz, O., additional, Schneider, J., additional, Schroeder, P., additional, Schultz, K., additional, Schuster, E., additional, Schwartz, J., additional, Sciortino, F., additional, Scotti, F., additional, Scoville, J., additional, Seltzman, A., additional, Seol, S., additional, Sfiligoi, I., additional, Shafer, M., additional, Sharapov, S., additional, Shen, H., additional, Sheng, Z., additional, Shepard, T., additional, Shi, S., additional, Shibata, Y., additional, Shin, G., additional, Shiraki, D., additional, Shousha, R., additional, Si, H., additional, Simmerling, P., additional, Sinclair, G., additional, Sinha, J., additional, Sinha, P., additional, Sips, G., additional, Sizyuk, T., additional, Skinner, C., additional, Sladkomedova, A., additional, Slendebroek, T., additional, Slief, J., additional, Smirnov, R., additional, Smith, J., additional, Smith, S., additional, Smith, D., additional, Snipes, J., additional, Snoep, G., additional, Snyder, A., additional, Snyder, P., additional, Solano, E., additional, Solomon, W., additional, Song, J., additional, Sontag, A., additional, Soukhanovskii, V., additional, Spendlove, J., additional, Spong, D., additional, Squire, J., additional, Srinivasan, C., additional, Stacey, W., additional, Staebler, G., additional, Stagner, L., additional, Stange, T., additional, Stangeby, P., additional, Stefan, R., additional, Stemprok, R., additional, Stephan, D., additional, Stillerman, J., additional, Stoltzfus-Dueck, T., additional, Stonecipher, W., additional, Storment, S., additional, Strait, E., additional, Su, D., additional, Sugiyama, L., additional, Sun, Y., additional, Sun, P., additional, Sun, Z., additional, Sun, A., additional, Sundstrom, D., additional, Sung, C., additional, Sungcoco, J., additional, Suttrop, W., additional, Suzuki, Y., additional, Suzuki, T., additional, Svyatkovskiy, A., additional, Swee, C., additional, Sweeney, R., additional, Sweetnam, C., additional, Szepesi, G., additional, Takechi, M., additional, Tala, T., additional, Tanaka, K., additional, Tang, X., additional, Tang, S., additional, Tao, Y., additional, Tao, R., additional, Taussig, D., additional, Taylor, T., additional, Teixeira, K., additional, Teo, K., additional, Theodorsen, A., additional, Thomas, D., additional, Thome, K., additional, Thorman, A., additional, Thornton, A., additional, Ti, A., additional, Tillack, M., additional, Timchenko, N., additional, Tinguely, R., additional, Tompkins, R., additional, Tooker, J., additional, Torrezan De Sousa, A., additional, Trevisan, G., additional, Tripathi, S., additional, Trujillo Ochoa, A., additional, Truong, D., additional, Tsui, C., additional, Turco, F., additional, Turnbull, A., additional, Umansky, M., additional, Unterberg, E., additional, Vaezi, P., additional, Vail, P., additional, Valdez, J., additional, Valkis, W., additional, Van Compernolle, B., additional, Van Galen, J., additional, Van Kampen, R., additional, Van Zeeland, M., additional, Verdoolaege, G., additional, Vianello, N., additional, Victor, B., additional, Viezzer, E., additional, Vincena, S., additional, Wade, M., additional, Waelbroeck, F., additional, Wai, J., additional, Wakatsuki, T., additional, Walker, M., additional, Wallace, G., additional, Waltz, R., additional, Wampler, W., additional, Wang, L., additional, Wang, H., additional, Wang, Y., additional, Wang, Z., additional, Wang, G., additional, Ward, S., additional, Watkins, M., additional, Watkins, J., additional, Wehner, W., additional, Wei, Y., additional, Weiland, M., additional, Weisberg, D., additional, Welander, A., additional, White, A., additional, White, R., additional, Wiesen, S., additional, Wilcox, R., additional, Wilks, T., additional, Willensdorfer, M., additional, Wilson, H., additional, Wingen, A., additional, Wolde, M., additional, Wolff, M., additional, Woller, K., additional, Wolz, A., additional, Wong, H., additional, Woodruff, S., additional, Wu, M., additional, Wu, Y., additional, Wukitch, S., additional, Wurden, G., additional, Xiao, W., additional, Xie, R., additional, Xing, Z., additional, Xu, X., additional, Xu, C., additional, Xu, G., additional, Yan, Z., additional, Yang, X., additional, Yang, S., additional, Yokoyama, T., additional, Yoneda, R., additional, Yoshida, M., additional, You, K., additional, Younkin, T., additional, Yu, J., additional, Yu, M., additional, Yu, G., additional, Yuan, Q., additional, Zaidenberg, L., additional, Zakharov, L., additional, Zamengo, A., additional, Zamperini, S., additional, Zarnstorff, M., additional, Zeger, E., additional, Zeller, K., additional, Zeng, L., additional, Zerbini, M., additional, Zhang, L., additional, Zhang, X., additional, Zhang, R., additional, Zhang, B., additional, Zhang, J., additional, Zhao, L., additional, Zhao, B., additional, Zheng, Y., additional, Zheng, L., additional, Zhu, B., additional, Zhu, J., additional, Zhu, Y., additional, Zsutty, M., additional, and Zuin, M., additional

Published
2022
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16. Towpaths to Oblivion. The Middlesex Canal and the Coming of the Railroad 1792-1853.

Author

Northeastern Univ., Boston, MA. Bureau of Business and Economic Research., Federal Reserve Bank of Boston, MA., and Holmes, Cary W.

Abstract

This narrative history of the Middlesex Canal from 1792-1853 is designed to be used with "Canal," a role-playing, decision-making game found in SO 011 886. Economic, social, and political factors related to planning, building, and implementing the canal are considered. The document is presented in three parts. Part I states reasons for studying the Middlesex Canal. It was the first lengthy canal in the United States and served as a model for other canals. In addition, the problems that arose are typical of those that must be dealt with in relation to any type of transportation system. Part II describes events leading up to the canal opening in 1803, including legislative grants, court regulations, surveys, the introduction of the magnetic compass, and actual construction with its concomitant employment and technical problems. Part III outlines events and factors affecting the rise and fall of revenues, and concludes with the canal's demise in 1853 following the growth of railroad systems. 1804-1815 saw growth and extension of the canal into New Hampshire, which helped alleviate competition with the Connecticut River. From 1816-1835, the primary problem was in making the canal more attractive than hauling by land, and cloth hauling from Lowell to Boston and back was set up. However, in 1836 the Boston and Lowell Railroad was opened and canal traffic dwindled until the canal was closed in 1853. Railroads were better adapted to Massachusetts needs, because they could operate year-round, cost less to build, and were available for all to use. (CK)

Published
1975

17. Teacher's Guide to Canal. The Middlesex Canal: A Role Playing Exercise.

Author

Federal Reserve Bank of Boston, MA., Holmes, Cary W., and Tedesco, Paul H.

Abstract

The document consists of a role-playing game and related teacher's guide designed to illustrate decision-making processes leading to the building of the Middlesex Canal in Massachusetts in 1793. The primary educational objective is to involve students in the decision-making process through role play. The game is designed to facilitate consideration of economic problems preceding construction; known economic, social, and political facts; and a wide range of alternative actions and their consequences. The teacher's guide describes the game, which takes place in 1792 in Boston. The game involves 19 players, whose problem is whether to invest capital in the building of the canal. Teacher and student materials are listed, decision rules are noted, and nine suggestions for orientation are made. The guide includes a checklist intended to measure student data comprehension and interpretation, as well as 14 lead-in questions. The game itself contains one page noting the objective, time, and place, listing the cast, and stating the problem. Materials include 19 profile cards describing each role's vita, nine correspondence, population, and economic cards containing background information, an overview of the geography of the New England region, and a map of 1790 New England. Other relevant documents include a case study of the Middlesex Canal (SO 011 887) and a set of gas station maps of New England to be obtained by the teacher. "Teaching with Case Studies" (ED 100 764) would be helpful in using the material. (CK)

Published
1975

29. Indirect Standardization as a Case Mix Adjustment Method to Improve Comparison of Children's Hospitals' Antimicrobial Use

Author

Rachel L, Wattier, Cary W, Thurm, Sarah K, Parker, Ritu, Banerjee, Adam L, Hersh, and Alicen B, Spaulding

Subjects
0301 basic medicine, Microbiology (medical), Pediatric health, 030106 microbiology, Child health, 03 medical and health sciences, 0302 clinical medicine, Case mix index, Anti-Infective Agents, Interquartile range, Statistics, Medicine, Humans, 030212 general & internal medicine, Child, business.industry, Risk adjustment, Reference Standards, Hospitals, Pediatric, Confidence interval, Indirect standardization, Anti-Bacterial Agents, Infectious Diseases, Antimicrobial use, Risk Adjustment, business
Abstract

Antimicrobial use (AU) in days of therapy per 1000 patient-days (DOT/1000 pd) varies widely among children’s hospitals. We evaluated indirect standardization to adjust AU for case mix, a source of variation inadequately addressed by current measurements. Hospitalizations from the Pediatric Health Information System were grouped into 85 clinical strata. Observed to expected (O:E) ratios were calculated by indirect standardization and compared with DOT/1000 pd. Outliers were defined by O:E z-scores. Antibacterial DOT/1000 pd ranged from 345 to 776 (2.2-fold variation; interquartile range [IQR] 552–679), whereas O:E ratios ranged from 0.8 to 1.14 (1.4-fold variation; IQR 0.93–1.05). O:E ratios were moderately correlated with DOT/1000 pd (correlation estimate 0.44; 95% confidence interval, 0.19–0.64; P = .0009). Using indirect standardization to adjust for case mix reduces apparent AU variation and may enhance stewardship efforts by providing adjusted comparisons to inform interventions.

Published
2020

30. Mid-Winter Breakout of Landfast Sea Ice and Major Storm Leads to Significant Ice Push Event Along Chukchi Sea Coastline

Author

Owen K. Mason, Christopher V. Maio, Richard M. Buzard, R. C. Bogardus, Cary W. de Wit, and Andrew R. Mahoney

Subjects
geography, geography.geographical_feature_category, 010504 meteorology & atmospheric sciences, Lead (sea ice), Storm surge, Storm, Driftwood, Kotzebue Sound, erosion, 010502 geochemistry & geophysics, 01 natural sciences, Debris, sea ice, Arctic, Oceanography, Cape Espenberg, storm surge, Sea ice, Extratropical cyclone, General Earth and Planetary Sciences, lcsh:Q, lcsh:Science, Geology, 0105 earth and related environmental sciences
Abstract

During the winter of 2016, anomalous sea ice conditions and a powerful storm culminated in a destructive erosion event along the Chukchi Sea coastline of Cape Espenberg, Alaska. This event is commonly referred to as an “ice push” or “ivu,” the Inupiat word for an ice ridging event. In this article, we report the process and impact of this event by combining traditional ecological knowledge, news accounts, meteorological data, remote sensing, and ground surveys. The midwinter detachment of shorefast ice was caused by a low-pressure system and wind-driven swell that destabilized shorefast ice, while northerly winds developed an open-water lead offshore to the eventual impact area. These conditions preceded the impact of an extratropical cyclone on December 31, 2016, when powerful southerly winds and the second largest storm surge in Kotzebue Sound since at least 2003 led to the compressional failure of the ice cover under uniaxial loading perpendicular to the southern coastline of the Cape, resulting in the ice push event. Ice-pushed debris was shoved up to 6.2 m above mean high water, with ∼3.5 km of coastline experiencing net erosion. The largest accumulation of ice-pushed debris had a volume of 1,000 m3, and rose 3 + m above the surrounding ground surface even after roughly 6 months of melting. On low-lying areas, driftwood and other debris were deposited 130 m landward by the surge 5.0 m above mean high water, indicating the potential threat of such events to property, infrastructure, and, in this case, archeological sites and associated cultural resources. The anomalous environmental and sea ice conditions that preceded the ivu seem to suggest that such events may occur more frequently in a warmer Arctic.

Published
2020

31. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in north American NICUs

Author

Sharek, Paul J., Horbar, Jeffrey D., Mason, Wilbert, Bisarya, Hema, Thurm, Cary W., Suresh, Gautham, Gray, James E., Edwards, William H., Goldmann, Donald, and Classen, David

Subjects
Neonatal intensive care -- Reports, Infants -- Patient outcomes, Infants -- Statistics, Infants -- Control, Drugs -- Adverse and side effects, Drugs -- Risk factors, Drugs -- Patient outcomes
Abstract

OBJECTIVES. Currently there are few practical methods to identify and measure harm to hospitalized children. Patients in NICUs are at high risk and warrant a detailed assessment of harm to guide patient safety efforts. The purpose of this work was to develop a NICU-focused tool for adverse event detection and to describe the incidence of adverse events in NICUs identified by this tool. METHODS. A NICU-focused trigger tool for adverse event detection was developed and tested. Fifty patients from each site with a minimum 2-day NICU stay were randomly selected. All adverse events identified using the trigger tool were evaluated for severity, preventability, ability to mitigate, ability to identify the event earlier, and presence of associated occurrence report. Each trigger, and the entire tool, was evaluated for positive predictive value. Study chart reviewers, in aggregate, identified 88.0% of all potential triggers and 92.4% of all potential adverse events. RESULTS. Review of 749 randomly selected charts from 15 NICUs revealed 2218 triggers or 2.96 per patient, and 554 unique adverse events or 0.74 per patient. The positive predictive value of the trigger tool was 0.38. Adverse event rates were higher for patients CONCLUSIONS. Adverse event rates in the NICU setting are substantially higher than previously described. Many adverse events resulted in permanent harm and the majority were classified as preventable. Only 8% were identified using traditional voluntary reporting methods. Our NICU-focused trigger tool appears efficient and effective at identifying adverse events. Key Words trigger, adverse event, harm, NICU, patient safety Abbreviations AE--adverse event ADE--adverse drug event CHCA--Child Health Corporation of America IRB--institutional review board PPV--positive predictive value ECMO--extracorporeal membrane oxygenation, IN THE REPORT To Err is Human, (1) the Institute of Medicine concluded that between 44 000 and 98 000 lives are lost per year in US hospitals as a [...]

Published
2006

38. Variation in Early Inflammatory Marker Testing for Infection-Related Hospitalizations in Children

Author

Markham, Jessica L., primary, Thurm, Cary W., additional, Hall, Matt, additional, Shah, Samir S., additional, Quinonez, Ricardo, additional, Tchou, Michael J., additional, Antoon, James W., additional, Genies, Marquita C., additional, Parlar-Chun, Raymond, additional, Johnson, David P., additional, Shah, Snehal P., additional, Ittel, Molli, additional, and Brady, Patrick W., additional

Published
2020
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42. Lazy leisure: a qualitative investigation of the relational uses of television in marriage

Author

Finucane, Margaret O. and Horvath, Cary W.

Subjects
Married people, Television viewers -- Research, Television viewers -- Comparative analysis, Television and family -- Comparative analysis, Interpersonal relations -- Research, Television -- Social aspects, Communication in marriage -- Research, Enhanced TV, Education
Abstract

Communication researchers have examined television from the perspective of the individual's uses and gratifications, family viewing, and within specific contexts such as soap opera or Olympic coviewing. However, little is known about married couples and the role of television in their relationships. This study sought to use extensive personal interviews to examine why couples watch television together, how they perceive the role of television in their relationships, and any positive or negative effects of television use in their relationship. Results were compared to earlier research regarding family TV use, and quantitative research on couples' uses of television. A new dimension, interpersonal control, was identified as an outcome of coviewing for married couples. KEY CONCEPTS television, coviewing, marriage, couples, relationships

Published
2000

48. Opportunity

Author

Adams, Cary W., primary, Gupta, Praveen, additional, and Wilson, Charles E., additional

Published
2003
Full Text
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49. Black Belts

Author

Adams, Cary W., primary, Gupta, Praveen, additional, and Wilson, Charles E., additional

Published
2003
Full Text
View/download PDF

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