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- Chalmers, J. R., et al.
(författare)
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Report from the fourth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)
- 2016
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Ingår i: British Journal of Dermatology. - : Oxford University Press (OUP). - 0007-0963 .- 1365-2133. ; 175:1, s. 69-79
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Tidskriftsartikel (refereegranskat)abstract
- This article is a report of the fourth meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in Malmo, Sweden on 23-24 April 2015 (HOME IV). The aim of the meeting was to achieve consensus over the preferred outcome instruments for measuring patient-reported symptoms and quality of life for the HOME core outcome set for atopic eczema (AE). Following presentations, which included data from systematic reviews, consensus discussions were held in a mixture of whole group and small group discussions. Small groups were allocated a priori to ensure representation of different stakeholders and countries. Decisions were voted on using electronic keypads. For the patient-reported symptoms, the group agreed by vote that itch, sleep loss, dryness, redness/inflamed skin and irritated skin were all considered essential aspects of AE symptoms. Many instruments for capturing patient-reported symptoms were discussed [ including the Patient-Oriented SCOring Atopic Dermatitis index, Patient-Oriented Eczema Measure (POEM), Self-Administered Eczema Area and Severity Index, Itch Severity Scale, Atopic Dermatitis Quickscore and the Nottingham Eczema Severity Score] and, by consensus, POEM was selected as the preferred instrument to measure patient-reported symptoms. Further work is needed to determine the reliability and measurement error of POEM. Further work is also required to establish the importance of pain/soreness and the importance of collecting information regarding the intensity of symptoms in addition to their frequency. Much of the discussion on quality of life concerned the Dermatology Life Quality Index and Quality of Life Index for Atopic Dermatitis; however, consensus on a preferred instrument for measuring this domain could not be reached. In summary, POEM is recommended as the HOME core outcome instrument for measuring AE symptoms.
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- Chalmers, J. R., et al.
(författare)
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Report from the fifth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative)
- 2018
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Ingår i: British Journal of Dermatology. - : John Wiley & Sons. - 0007-0963 .- 1365-2133. ; 178:5, s. E332-E341
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Tidskriftsartikel (refereegranskat)abstract
- This is the report from the fifth meeting of the Harmonising Outcome Measures for Eczema initiative (HOME V). The meeting was held on 12-14 June 2017 in Nantes, France, with 81 participants. The main aims of the meeting were (i) to achieve consensus over the definition of the core domain of long-term control and how to measure it and (ii) to prioritize future areas of research for the measurement of the core domain of quality of life (QoL) in children. Moderated whole-group and small-group consensus discussions were informed by presentations of qualitative studies, systematic reviews and validation studies. Small-group allocations were performed a priori to ensure that each group included different stakeholders from a variety of geographical regions. Anonymous whole-group voting was carried out using handheld electronic voting pads according to pre-defined consensus rules. It was agreed by consensus that the long-term control domain should include signs, symptoms, quality of life and a patient global instrument. The group agreed that itch intensity should be measured when assessing long-term control of eczema in addition to the frequency of itch captured by the symptoms domain. There was no recommendation of an instrument for the core outcome domain of quality of life in children, but existing instruments were assessed for face validity and feasibility, and future work that will facilitate the recommendation of an instrument was agreed upon.
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- Chalmers, J. R., et al.
(författare)
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Report from the third international consensus meeting to harmonise core outcome measures for atopic eczema/dermatitis clinical trials (HOME)
- 2014
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Ingår i: British Journal of Dermatology. - : Oxford University Press (OUP). - 1365-2133 .- 0007-0963. ; 171:6, s. 1318-1325
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Tidskriftsartikel (refereegranskat)abstract
- This report provides a summary of the third meeting of the Harmonising Outcome Measures for Eczema (HOME) initiative held in San Diego, CA, U.S.A., 6-7 April 2013 (HOME III). The meeting addressed the four domains that had previously been agreed should be measured in every eczema clinical trial: clinical signs, patient-reported symptoms, long-term control and quality of life. Formal presentations and nominal group techniques were used at this working meeting, attended by 56 voting participants (31 of whom were dermatologists). Significant progress was made on the domain of clinical signs. Without reference to any named scales, it was agreed that the intensity and extent of erythema, excoriation, oedema/papulation and lichenification should be included in the core outcome measure for the scale to have content validity. The group then discussed a systematic review of all scales measuring the clinical signs of eczema and their measurement properties, followed by a consensus vote on which scale to recommend for inclusion in the core outcome set. Research into the remaining three domains was presented, followed by discussions. The symptoms group and quality of life groups need to systematically identify all available tools and rate the quality of the tools. A definition of long-term control is needed before progress can be made towards recommending a core outcome measure.
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- Hirai, T., et al.
(författare)
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Performance and erosion of a tungsten brush limiter exposed at the TEXTOR tokamak
- 2003
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Ingår i: Journal of Nuclear Materials. - 0022-3115 .- 1873-4820. ; 313, s. 67-71
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Tidskriftsartikel (refereegranskat)abstract
- To examine the performance of a castellated structure under plasma loading, a hemispherical solid tungsten brush limiter was exposed to the plasma in the TEXTOR-94 tokamak. Due to the thermally isolated column of W segments, IR camera showed a non-uniform temperature distribution. The maximum incident power density was calculated to be about 35-40 MW/m(2). Concerning impurity generation, the structure did not show any particular effects. During plasma exposure, only some minor cracks developed in one of the columns, however, the crack propagation was interrupted by a groove. It can be concluded that the W brush limiter had comparable performance and superior mechanical behaviour compared to a solid W limiter. To study erosion and long-range transport of W atoms, a graphite limiter was exposed simultaneously with the brush limiter. As a result, the deposited W atoms via long-range transportation were estimated to be 10(15) cm(-2) shot(-1) at 46.5 cm from the plasma centre of TEXTOR.
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- Huber, A., et al.
(författare)
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Comparison of impurity production, recycling and power deposition on carbon and tungsten limiters in TEXTOR-94
- 2001
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Ingår i: Journal of Nuclear Materials. - 0022-3115 .- 1873-4820. ; 290, s. 276-280
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Tidskriftsartikel (refereegranskat)abstract
- Impurity production, hydrogen recycling and power deposition on carbon and tungsten limiters have been investigated in TEXTOR-94 using a C-W twin test limiter. Considerable differences have been observed on W and C surfaces, which can be explained by the different particle and energy reflection coefficients of hydrogen on these surfaces. The measurements show in addition that the majority of the carbon release is from recycled carbon and that only a small part (below 10%) is due to net-erosion from the bulk carbon material. The heat deposition on C and W sides differs under the same plasma conditions significantly and is typically about 30% larger on the cal bon surface. The behaviour of the impurity production: recycling and power deposition for various discharge conditions is presented.
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- Ohya, K., et al.
(författare)
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Modeling of erosion and deposition patterns on C-W and W-Ta twin limiters exposed to the TEXTOR edge plasmas
- 2004
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Ingår i: Journal of Nuclear Materials. - : Elsevier BV. - 0022-3115 .- 1873-4820. ; 329-33, s. 732-736
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Tidskriftsartikel (refereegranskat)abstract
- The erosion and deposition patterns on tungsten and tantalum test limiters exposed to the TEXTOR deuterium plasma containing a small amount of C impurity are simulated with the modified EDDY code. At the very top of the W and Ta limiters, there occurs neither erosion nor deposition, but the erosion proceeds slowly along the surface. When approaching the edge, the surface is covered by a thick C layer, which shows a very sharp boundary similar to the observation in surface measurements. In the erosion zone, the re-deposited carbon forms a W (Ta)-C mixed layer with small C concentration. Assumptions for chemical erosion yields of similar to0.01 for W and
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- Ohya, K., et al.
(författare)
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Simulation calculations of mutual contamination between tungsten and carbon and its impact on plasma surface interactions
- 2001
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Ingår i: Journal of Nuclear Materials. - 0022-3115 .- 1873-4820. ; 290, s. 303-307
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Tidskriftsartikel (refereegranskat)abstract
- Mutual contamination between C and W, resulting from the simultaneous use of these materials as plasma facing components, is simulated by means of a computer simulation code, Erosion and Deposition based on Dynamic model (EDDY). W deposition on C rapidly increases the reflection coefficient for D and C impurity. In comparison between the calculation and a C-W twin test limiter experiment in TEXTOR-94, C release from the C side of the limiter is dominated by reflection of C impurity from the W deposits, in addition to physical sputtering of C; chemical erosion is strongly suppressed. Due to the dynamic effect which makes C-W mixed layer, C deposition on W gradually changes the reflection coefficient and sputter yields. Formation of a sharp boundary between erosion and C deposition zones on the W side of the limiter is well reproduced by simulation. Local redeposition patterns of C and W on the limiter surface are also calculated.
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- Ohya, K., et al.
(författare)
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Simulation study of carbon and tungsten deposition on W/C twin test limiter in TEXTOR-94
- 2000
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Ingår i: Journal of Nuclear Materials. - 0022-3115 .- 1873-4820. ; 283, s. 1182-1186
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Tidskriftsartikel (refereegranskat)abstract
- In order to investigate the impurity release and surface modification on a W/C twin test limiter, made of a half of W and the other half of C, exposed to the edge plasma of TEXTOR-94, simulation calculations of ion-surface interaction are conducted by a Monte Carlo code. According to the calculations, experimentally observed spatial distributions of WI and CII line intensities around the W side of the limiter can be explained by physical sputtering of W, reflection of bombarding C ions and physical sputtering of implanted C. The CII line emission, resulting from thermal C atoms, around the C side of the limiter is suppressed by deposition of W, and the reflection of C ions from W deposited on C causes the CII intensity to decay more slowly than that from C without the deposition. Bombardment with deuterium edge plasmas, containing impurity W, produces a thick W layer on the C side of the limiter, whereas C implanted in the W side is strongly sputtered due to impact of most constituent D ions.
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