ITER collective Thomson scattering-Preparing to diagnose fusion-born alpha particles (invited).

The ITER Collective Thomson scattering (CTS) diagnostic will measure the dynamics of fusion-born alpha particles in the burning ITER plasma by scattering a 1 MW 60 GHz gyrotron beam off fast-ion induced fluctuations in the plasma. The diagnostic will have seven measurement volumes across the ITER cross section and will resolve the alpha particle energies in the range from 300 keV to 3.5 MeV; importantly, the CTS diagnostic is the only diagnostic capable of measuring confined alpha particles for energies below ∼1.7 MeV and will also be sensitive to the other fast-ion populations. The temporal resolution is 100 ms, allowing the capture of dynamics on that timescale, and the typical spatial resolution is 10-50 cm. The development and design of the in-vessel and primary parts of the CTS diagnostic has been completed. This marks the beginning of a new phase of preparation to maximize the scientific benefit of the diagnostic, e.g., by investigating the capability to contribute to the determination of the fuel-ion ratio and the bulk ion temperature as well as integrating data analysis with other fast-ion and bulk-ion diagnostics.

Malignant pericardial effusions: usefulness of pericardioscopy.

In cases of malignant pericardial effusion, surgical subxiphoid biopsy sometimes fails to prove malignancy. To assess the usefulness of pericardioscopy, which allows an endoscopic investigation of the pericardial cavity, this technique was systematically performed during surgical drainage procedures that were performed on 40 patients who had pericardial effusions of suspected malignant origin. Twenty-six patients had a history of neoplasm, 10 had a history of hematologic malignancy, and four had recent tumors or lymphadenopathies that were suspected to be of malignant origin. Classical tests that are usually performed during a conventional surgical drainage procedure (fluid studies and subxiphoid biopsy) were combined with direct visualization of the pericardial surfaces and guided biopsies of suspicious areas. The follow-up period after pericardioscopy was at least 12 months. Two early deaths occurred after pericardioscopy, but no death was directly related to the endoscopy. According to all of the tests that were performed, diagnoses were malignant pericardial effusion in 15 of 40 patients (group I, 37%) and nonmalignant pericardial effusion in 25 of 40 patients (group II, 73%). In 3 of 13 patients (23%) in group I, the diagnosis was obtained only by pericardioscopy (results of cytologic studies and subxiphoid biopsy were negative). In two patients in group I, pericardioscopy could not be completed, but the diagnosis of malignant pericardial effusion was obtained by pericardiocentesis. In group II, effusion was considered to be postradiation pericarditis in five cases, infectious pericarditis in three cases (bacterial in one and tuberculous in two), hemopericardium induced by coagulation disturbances in three cases, and idiopathic pericarditis in 14 cases.(ABSTRACT TRUNCATED AT 250 WORDS)

The six languages of social work.

This article describes the six languages that scientifically minded and practice-competent social workers need to be fluent in: the lay language of the client, the abstract language of the theorist, the empirical and often quantitative language of the researcher, the categorical language of the information scientist, the technical terminology or jargon used by helping professionals, and the preferential language that conveys values. It is the thesis of this article that social workers need multilingual and translingual proficiency in moving rapidly back and forth among these languages for maximum effectiveness and humane service.

Comparison of self-help groups for mental health.

This study examines and compares three international mental health self-help organizations: Recovery, Inc., Emotions Anonymous, and GROW International. The authors investigated membership characteristics, ideologies, meeting procedures, and the organizational characteristics of degree of centralization and formalization, roles of professionals, and sources of funding. The findings suggest differences in what types of clients benefit from participation in each of the three organizations, and counter criticisms of self-help groups.

Linking between social workers and mental health mutual-aid groups.

A survey of 120 mental health social workers inquired about their interactions with four mental health mutual-aid groups in Chicago. Fifty-six percent of the sample referred to one or more of the four groups but only 26% performed linking activities other than referral. The results indicated that, while theoretically positive about mutual-help groups in general, many of the social workers did not refer clients to the mental health groups, particularly those that were more therapeutically focused. The linking roles they recommended were directive, rather than egalitarian. Recommendations for practice are offered.

[Approach to a definition of mal-union callus after Pouteau-Colles fractures (author's transl)]. / Approche d'une définition du cal vicieux du poignet.

Sixty-four patients with a Pouteau-Colles fracture of the wrist were reviewed. Different aspects of mal-union are correlated with subsequent function. A suitable classification is proposed.