286 research outputs found

    On Jordan curves

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    Thesis (M.S.)--University of Kansas, Mathematics, 1923

    Wo steht die evangelische Theologie heute?

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    Eine Betrachtung von Prof. D. Paul Althaus, Erlangen. (Ev. Pressedient vom 14. Juni 1950)

    Successful heart transplantation in a patient with Ivemark syndrome combined with situs inversus, single atrium and ventricle after total cavo-pulmonary connection

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    Heart transplantation represents a valuable therapeutical option for patients with congenital heart disease and end-stage heart failure. We report the case of a young adult patient with a situs inversus and additional complex congenital malformations of the heart who underwent several prior palliative interventions, a biventricular repair being impossible. Orthotopic cardiac transplantation with several technical modifications was performed successfully at the age of 19 year

    Medical care of asylum seekers: a descriptive study of the appropriateness of nurse practitioners' care compared to traditional physician-based care in a gatekeeping system

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    <p>Abstract</p> <p>Background</p> <p>Medical care for asylum seekers is a complex and critical issue worldwide. It is influenced by social, political, and economic pressures, as well as premigration conditions, the process of migration, and postmigration conditions in the host country. Increasing needs and healthcare costs have led public health authorities to put nurse practitioners in charge of the management of a gatekeeping system for asylum seekers. The quality of this system has never been evaluated. We assessed the competencies of nurses and physicians in identifying the medical needs of asylum seekers and providing them with appropriate treatment that reflects good clinical practice.</p> <p>Methods</p> <p>This cross-sectional descriptive study evaluated the appropriateness of care provided to asylum seekers by trained nurse practitioners in nursing healthcare centers and by physicians in private practices, an academic medical outpatient clinic, and the emergency unit of the university hospital in Lausanne, Switzerland. From 1687 asylum seeking patients who had consulted each setting between June and December 2003, 450 were randomly selected to participate. A panel of experts reviewed their medical records and assessed the appropriateness of medical care received according to three parameters: 1) use of appropriate procedures to identify medical needs (medical history, clinical examination, complementary investigations, and referral), 2) provision of access to treatment meeting medical needs, and 3) absence of unnecessary medical procedures.</p> <p>Results</p> <p>In the nurse practitioner group, the procedures used to identify medical needs were less often appropriate (79% of reports vs. 92.4% of reports; p < 0.001). Nevertheless, access to treatment was judged satisfactory and was similar (p = 0.264) between nurse practitioners and physicians (99% and 97.6% of patients, respectively, received adequate care). Excessive care was observed in only 2 physician reports (0.8%) and 3 nurse reports (1.5%) (p = 0.481).</p> <p>Conclusion</p> <p>Although the nursing gatekeeping system provides appropriate treatment to asylum seekers, it might be improved with further training in recording medical history and performing targeted clinical examination.</p

    Process-Integrated Lubrication in Sheet Metal Forming

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    The deep-drawability of a sheet metal blank is strongly influenced by the tribological conditions prevailing in a deep-drawing process. Therefore, new methods to influence the tribology represent an important research topic. In this work, the application of a process-integrated lubrication in a deep-drawing process is investigated. Most promising geometries of the lubrication channels and outlet openings are first identified by means of numerical simulation at the example of a demonstrator process. Cylindrical test specimens with the specified channel geometries are additively manufactured and installed in a strip drawing test stand. Additive manufacturing enables the possibility of manufacturing complex channel geometries which cannot be manufactured by conventional methods. A hydraulic metering device for conveying lubricant is connected to the cylindrical test specimens. Thus, hydraulically lubricated strip drawing tests are performed. The tests are evaluated according to the force curves and the fluid mechanical buildup of pressure cushion. The performance of process-integrated lubrication is thus analyzed and evaluated. By means of a coupled forming and SPH simulation, the lubrication channels could be optimally designed. From the practical tests, it could be achieved that the drawing force decreases up to 27% with pressure cushion build up. In this research, a hydraulic lubrication in the area of highest contact normal stresses is the most optimal process parameter regarding friction reduction

    An asteroseismic constraint on the mass of the axion from the period drift of the pulsating DA white dwarf star L19-2

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    We employ an asteroseismic model of L19-2, a relatively massive M? ∼ 0.75M and hot (Teff ∼ 12 100 K) pulsating DA (H-rich atmosphere) white dwarf star (DAV or ZZ Ceti variable), and use the observed values of the temporal rates of period change of its dominant pulsation modes (Π ∼ 113 s and Π ∼ 192 s), to derive a new constraint on the mass of the axion, the hypothetical non-barionic particle considered as a possible component of the dark matter of the Universe. If the asteroseismic model employed is an accurate representation of L19-2, then our results indicate hints of extra cooling in this star, compatible with emission of axions of mass ma cos2 β . 25 meV or an axion-electron coupling constant of gae . 7×10−13Instituto de Astrofísica de La PlataFacultad de Ciencias Astronómicas y Geofísica

    Pulsating H-deficient WDs and pre-WDs observed with TESS: V. Discovery of two new DBV pulsators, WD J152738.4-450207.4 and WD 1708-871, and asteroseismology of the already known DBV stars PG 1351+489, EC 20058-5234, and EC 04207-4748

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    The {\sl TESS} space mission has recently demonstrated its great potential to discover new pulsating white dwarf and pre-white dwarf stars, and to detect periodicities with high precision in already known white-dwarf pulsators. We report the discovery of two new pulsating He-rich atmosphere white dwarfs (DBVs) and present a detailed asteroseismological analysis of three already known DBV stars employing observations collected by the {\sl TESS} mission along with ground-based data. We extracted frequencies from the {\sl TESS} light curves of these DBV stars using a standard pre-whitening procedure to derive the potential pulsation frequencies. All the oscillation frequencies that we found are associated with gg-mode pulsations with periods spanning from 190\sim 190 s to 936\sim 936 s. We find hints of rotation from frequency triplets in some of the targets, including the two new DBVs. For three targets, we find constant period spacings, which allowed us to infer their stellar masses and constrain the harmonic degree \ell of the modes. We also performed period-to-period fit analyses and found an asteroseismological model for three targets, with stellar masses generally compatible with the spectroscopic masses. Obtaining seismological models allowed us to estimate the seismological distances and compare them with the precise astrometric distances measured with {\it Gaia}. We find a good agreement between the seismic and the astrometric distances for three stars (PG~1351+489, EC~20058-5234, and EC~04207-4748), although for the other two stars (WD~J152738.4-50207 and WD~1708-871), the discrepancies are substantial. The high-quality data from the {\sl TESS} mission continue to provide important clues to determine the internal structure of pulsating pre-white dwarf and white dwarf stars through the tools of asteroseismology.Comment: 22 pages, 27 figures, 21 tables. To be published in Astronomy & Astrophysic

    Pulsating hydrogen-deficient white dwarfs and pre-white dwarfs observed with TESS : III. Asteroseismology of the DBV star GD 358

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    Context. The collection of high-quality photometric data by space telescopes, such as the completed Kepler mission and the ongoing TESS program, is revolutionizing the area of white-dwarf asteroseismology. Among the different kinds of pulsating white dwarfs, there are those that have He-rich atmospheres, and they are called DBVs or V777 Her variable stars. The archetype of these pulsating white dwarfs, GD 358, is the focus of the present paper. Aims. We report a thorough asteroseismological analysis of the DBV star GD 358 (TIC 219074038) based on new high-precision photometric data gathered by the TESS space mission combined with data taken from the Earth. Methods. We reduced TESS observations of the DBV star GD 358 and performed a detailed asteroseismological analysis using fully evolutionary DB white-dwarf models computed accounting for the complete prior evolution of their progenitors. We assessed the mass of this star by comparing the measured mean period separation with the theoretical averaged period spacings of the models, and we used the observed individual periods to look for a seismological stellar model. We detected potential frequency multiplets for GD 358, which we used to identify the harmonic degree (`) of the pulsation modes and rotation period. Results. In total, we detected 26 periodicities from the TESS light curve of this DBV star using standard pre-whitening. The oscillation frequencies are associated with nonradial g(gravity)-mode pulsations with periods from ∼422 s to ∼1087 s. Moreover, we detected eight combination frequencies between ∼543 s and ∼295 s. We combined these data with a huge amount of observations from the ground. We found a constant period spacing of 39.25 ± 0.17 s, which helped us to infer its mass (M? = 0.588 ± 0.024 M ) and constrain the harmonic degree ` of the modes. We carried out a period-fit analysis on GD 358, and we were successful in finding an asteroseismological model with a stellar mass (M? = 0.584+0.025 −0.019 M ), compatible with the stellar mass derived from the period spacing, and in line with the spectroscopic mass (M? = 0.560 ± 0.028M ). In agreement with previous works, we found that the frequency splittings vary according to the radial order of the modes, suggesting differential rotation. Obtaining a seismological model made it possible to estimate the seismological distance (dseis = 42.85 ± 0.73 pc) of GD 358, which is in very good accordance with the precise astrometric distance measured by Gaia EDR3 (π = 23.244 ± 0.024, dGaia = 43.02 ± 0.04 pc). Conclusions. The high-quality data measured with the TESS space telescope, used in combination with data taken from ground-based observatories, provides invaluable information for conducting asteroseismological studies of DBV stars, analogously to what happens with other types of pulsating white-dwarf stars. The currently operating TESS mission, together with the advent of other similar space missions and new stellar surveys, will give an unprecedented boost to white dwarf asteroseismology

    Asteroseismological analysis of the polluted ZZ Ceti star G29-38 with TESS

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    G\,29-38 (TIC~422526868) is one of the brightest (V=13.1V=13.1) and closest (d=17.51d = 17.51\,pc) pulsating white dwarfs with a hydrogen-rich atmosphere (DAV/ZZ Ceti class). It was observed by the {\sl TESS} spacecraft in sectors 42 and 56. The atmosphere of G~29-38 is polluted by heavy elements that are expected to sink out of visible layers on short timescales. The photometric {\sl TESS} data set spans 51\sim 51 days in total, and from this, we identified 56 significant pulsation frequencies, that include rotational frequency multiplets. In addition, we identified 30 combination frequencies in each sector. The oscillation frequencies that we found are associated with gg-mode pulsations, with periods spanning from \sim 260 s to \sim 1400 s. We identified %three distinct rotational frequency triplets with a mean separation δν=1\delta \nu_{\ell=1} of 4.67 μ\muHz and a quintuplet with a mean separation δν=2\delta \nu_{\ell=2} of 6.67 μ\muHz, from which we estimated a rotation period of about 1.35±0.11.35 \pm 0.1 days. We determined a constant period spacing of 41.20~s for =1\ell= 1 modes and 22.58\,s for =2\ell= 2 modes. We performed period-to-period fit analyses and found an asteroseismological model with M/M=0.632±0.03M_{\star}/M_{\odot}=0.632 \pm 0.03, Teff=11635±178T_{\rm eff}=11\, 635\pm 178 K, and logg=8.048±0.005\log{g}=8.048\pm0.005 (with a hydrogen envelope mass of MH5.6×105MM_{\rm H}\sim 5.6\times 10^{-5}M_{\star}), in good agreement with the values derived from spectroscopy. We obtained an asteroseismic distance of 17.54 pc, which is in excellent agreement with that provided by {\sl Gaia} (17.51 pc).Comment: 17 pages, Accepted for publication in MNRA
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