1,271 research outputs found

    The Grammars of Modern Identity

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    Bung Karno and the Fossilization of Soekarno's Thought

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    Page range: 1-2

    Bibliography of Indonesian publications: newspapers, non-government periodicals and bulletins, 1945-1958, at Cornell University

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    Data Paper: Number 33. Total number of pages: 69 p

    Oral and intravenous bretylium disposition

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/109931/1/cptclpt1980190.pd

    Determining Success or Failure After Foot and Ankle Surgery Using Patient Acceptable Symptom State (PASS) and Patient Reported Outcome Information System (PROMIS)

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    Background: As the role of generic patient-reported outcomes (PROs) expands, important questions remain about their interpretation. In particular, how the Patient Reported Outcome Measurement Instrumentation System (PROMIS) t score values correlate with the patients’ perception of success or failure (S/F) of their surgery is unknown. The purposes of this study were to characterize the association of PROMIS t scores, the patients’ perception of their symptoms (patient acceptable symptom state [PASS]), and determination of S/F after surgery. Methods: This retrospective cohort study contacted patients after the 4 most common foot and ankle surgeries at a tertiary academic medical center (n = 88). Patient outcome as determined by phone interviews included PASS and patients’ judgment of whether their surgery was a S/F. Assessment also included PROMIS physical function (PF), pain interference (PI), and depression (D) scales. The association between S/F and PASS outcomes was evaluated by chi-square analysis. A 2-way analysis of variance (ANOVA) evaluated the ability of PROMIS to discriminate PASS and/or S/F outcomes. Receiver operator curve (ROC) analysis was used to evaluate the ability of pre- (n = 63) and postoperative (n = 88) PROMIS scores to predict patient outcomes (S/F and PASS). Finally, the proportion of individuals classified by the identified thresholds were evaluated using chi-square analysis. Results: There was a strong association between PASS and S/F after surgery (chi-square \u3c0.01). Two-way ANOVA demonstrated that PROMIS t scores discriminate whether patients experienced positive or negative outcome for PASS (P \u3c .001) and S/F (P \u3c .001). The ROC analysis showed significant accuracy (area under the curve \u3e 0.7) for postoperative but not preoperative PROMIS t scores in determining patient outcome for both PASS and S/F. The proportion of patients classified by applying the ROC analysis thresholds using PROMIS varied from 43.0% to 58.8 % for PASS and S/F. Conclusions: Patients who found their symptoms and activity at a satisfactory level (ie, PASS yes) also considered their surgery a success. However, patients who did not consider their symptoms and activity at a satisfactory level did not consistently consider their surgery a failure. PROMIS t scores for physical function and pain demonstrated the ability to discriminate and accurately predict patient outcome after foot and ankle surgery for 43.0% to 58.8% of participants. These data improve the clinical utility of PROMIS scales by suggesting thresholds for positive and negative patient outcomes independent of other factors. Level of Evidence: II, prospective comparative series

    Precision Astrometry with Adaptive Optics

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    We investigate the limits of ground-based astrometry with adaptive optics using the core of the Galactic globular cluster M5. Adaptive optics systems provide near diffraction-limit imaging with the world's largest telescopes. The substantial improvement in both resolution and signal-to-noise ratio enables high-precision astrometry from the ground. We describe the dominant systematic errors that typically limit ground-based differential astrometry, and enumerate observational considerations for mitigating their effects. After implementing these measures, we find that the dominant limitation on astrometric performance in this experiment is caused by tilt anisoplanatism. We then present an optimal estimation technique for measuring the position of one star relative to a grid of reference stars in the face of this correlated random noise source. Our methodology has the advantage of reducing the astrometric errors as the square root of time and faster than the square root of the number of reference stars -- effectively eliminating noise caused by atmospheric tilt to the point that astrometric performance is limited by centering accuracy. Using 50 reference stars we demonstrate single-epoch astrometric precision of ~ 1 mas in 1 second, decreasing to < 100 microarcseconds in 2 minutes of integration time at the Hale 200-inch telescope. We also show that our astrometry is accurate to <~ 100 microarcseconds for observations separated by 2 months. Finally, we discuss the limits and potential of differential astrometry with current and next generation large aperture telescopes. At this level of accuracy, numerous astrometric applications become accessible, including planet detection, astrometric microlensing signatures, and kinematics of distant Galactic stellar populations.Comment: 32 pages, 12 figures; submitted to A

    Radiation from the extremal black holes

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    The radiation from extreme Reissner-Nordstr\"{o}m black holes is computed by explicitly considering the collapse of a spherical charged shell. No neutral scalar radiation is found but there is emission of charged particles, provided the charge to mass ratio be different from one. The absence of thermal effects is in accord with the predictions of the euclidean theory but since the body emits charged particles the entropy issue is not the same as for eternal extreme black holes.Comment: 4 pages, LaTex, no figure

    Tail States in a Superconductor with Magnetic Impurities

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    A field theoretic approach is developed to investigate the profile and spectrum of sub-gap states in a superconductor subject to a weak magnetic impurity potential. Such states are found to be associated with inhomogeneous supersymmetry broken instanton configurations of the action.Comment: 4 pages, 2 eps figure

    Superconductors with Magnetic Impurities: Instantons and Sub-gap States

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    When subject to a weak magnetic impurity potential, the order parameter and quasi-particle energy gap of a bulk singlet superconductor are suppressed. According to the conventional mean-field theory of Abrikosov and Gor'kov, the integrity of the energy gap is maintained up to a critical concentration of magnetic impurities. In this paper, a field theoretic approach is developed to critically analyze the validity of the mean field theory. Using the supersymmetry technique we find a spatially homogeneous saddle-point that reproduces the Abrikosov-Gor'kov theory, and identify instanton contributions to the density of states that render the quasi-particle energy gap soft at any non-zero magnetic impurity concentration. The sub-gap states are associated with supersymmetry broken field configurations of the action. An analysis of fluctuations around these configurations shows how the underlying supersymmetry of the action is restored by zero modes. An estimate of the density of states is given for all dimensionalities. To illustrate the universality of the present scheme we apply the same method to study `gap fluctuations' in a normal quantum dot coupled to a superconducting terminal. Using the same instanton approach, we recover the universal result recently proposed by Vavilov et al. Finally, we emphasize the universality of the present scheme for the description of gap fluctuations in d-dimensional superconducting/normal structures.Comment: 18 pages, 9 eps figure

    Value-Driven Analysis of New Paradigms in Space Architectures: An Ilities-Based Approach

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    Current commercial, civil, and military space architecture designs perform exquisitely and reliably. However, today’s architecture paradigms are also characterized by expensive launches, large and expensive high-performance spacecraft, long development cycles, and wide variations in ground architectures. While current assets provide high-quality services, and future assets are slated to improve performance within the same design frameworks, proposed future architectures may not be capitalizing on technology improvements, system innovations, or policy alternatives explored during the last two decades. This paper identifies five “trends” along which space architectures may develop, aimed at granting systems several “ilities,” such as resiliency, robustness, flexibility, scalability, and affordability. The trends examined include: commercialization of space, significant reductions in launch costs and the development of hybrid or reusable launch systems, development of on-orbit infrastructure and servicing, aggregation or disaggregation of orbital assets, and the automation and standardization of ground architectures. Further refinement of these key technological and system trends could result in major paradigm shifts in the development and fielding of space operations as well as lead to space architecture designs in the future that are radically different from those today. Within the framework of systems engineering ilities and risk management, this paper reviews current literature surrounding these new change trends and justifies their potential to cause significant paradigm shifts. By examining the work and research conducted so far through an ilities-based approach, systems engineers can more fully appreciate the value being offered by these trends
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