Publications by authors named "I H Holmes"

Article Synopsis
  • The study highlights a shortage of skilled faculty in point of care ultrasound (POCUS) within internal medicine, prompting an investigation into the long-term proficiency of graduates from an annual POCUS program.
  • Out of the 89 program graduates, 46 responded to a test and survey, with an average test score of 72%, revealing they felt most confident in lung imaging and often used POCUS for conditions like ascites and dyspnea.
  • Those who completed an image portfolio demonstrated significantly higher test scores (92% vs. 68%), greater confidence in their imaging skills, and were more actively engaged in teaching POCUS, suggesting educational programs should emphasize continuous practice and portfolio completion.
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The SPARC tokamak is a high-field, Bt0 ∼12 T, medium-sized, R0 = 1.85 m, tokamak that is presently under construction in Devens, MA, led by Commonwealth Fusion Systems. It will be used to de-risk the high-field tokamak path to a fusion power plant and demonstrate the commercial viability of fusion energy.

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Introduction/objective: Biliary brushing cytology (BB) to detect cholangiocarcinoma (CCA) is integral in the surveillance of patients with primary sclerosing cholangitis (PSC). Since reactive changes can mimic carcinoma, indeterminant results are frequent. Fluorescence in situ hybridization (FISH) using the UroVysion probe set has been advocated to enhance the detection of CCA.

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Neutron measurement is the primary tool in the SPARC tokamak for fusion power (Pfus) monitoring, research on the physics of burning plasmas, validation of the neutronics simulation workflows, and providing feedback for machine protection. A demanding target uncertainty (10% for Pfus) and coverage of a wide dynamic range (>8 orders of magnitude going up to 5 × 1019 n/s), coupled with a fast-track timeline for design and deployment, make the development of the SPARC neutron diagnostics challenging. Four subsystems are under design that exploit the high flux of direct DT and DD plasma neutrons emanating from a shielded opening in a midplane diagnostic port.

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This paper presents the development and application of high-fidelity neutronic models of the SPARC tokamak for the design of neutron flux monitors (NFM) for application during plasma operations. NFMs measure the neutron flux in the tokamak hall, which is related to fusion power via calibration. We have explored Boron-10 gamma-compensated ionization chambers (ICs) and parallel-plate Uranium-238 fission chambers (FCs).

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