3,003 research outputs found
A feasibility study of signed consent for the collection of patient identifiable information for a national paediatric clinical audit database
Objectives: To investigate the feasibility of obtaining signed consent
for submission of patient identifiable data to a national clinical
audit database and to identify factors influencing the consent process
and its success.
Design: Feasibility study.
Setting: Seven paediatric intensive care units in England.
Participants: Parents/guardians of patients, or patients aged 12-16
years old, approached consecutively over three months for signed
consent for submission of patient identifiable data to the national
clinical audit database the Paediatric Intensive Care Audit Network
(PICANet).
Main outcome measures: The numbers and proportions of admissions for
which signed consent was given, refused, or not obtained (form not
returned or form partially completed but not signed), by age, sex,
level of deprivation, ethnicity (South Asian or not), paediatric index
of mortality score, length of hospital stay (days in paediatric
intensive care).
Results: One unit did not start and one did not fully implement the
protocol, so analysis excluded these two units. Consent was obtained
for 182 of 422 admissions (43%) (range by unit 9% to 84%). Most
(101/182; 55%) consents were taken by staff nurses. One refusal (0.2%)
was received. Consent rates were significantly better for children who
were more severely ill on admission and for hospital stays of six days
or more, and significantly poorer for children aged 10-14 years. Long
hospital stays and children aged 10-14 years remained significant in a
stepwise regression model of the factors that were significant in the
univariate model.
Conclusion: Systematically obtaining individual signed consent for
sharing patient identifiable information with an externally located
clinical audit database is difficult. Obtaining such consent is
unlikely to be successful unless additional resources are specifically
allocated to training, staff time, and administrative support
Magnetic Reconnection with Radiative Cooling. I. Optically-Thin Regime
Magnetic reconnection, a fundamental plasma process associated with a rapid
dissipation of magnetic energy, is believed to power many disruptive phenomena
in laboratory plasma devices, the Earth magnetosphere, and the solar corona.
Traditional reconnection research, geared towards these rather tenuous
environments, has justifiably ignored the effects of radiation on the
reconnection process. However, in many reconnecting systems in high-energy
astrophysics (e.g., accretion-disk coronae, relativistic jets, magnetar flares)
and, potentially, in powerful laser plasma and z-pinch experiments, the energy
density is so high that radiation, in particular radiative cooling, may start
to play an important role. This observation motivates the development of a
theory of high-energy-density radiative magnetic reconnection. As a first step
towards this goal, we present in this paper a simple Sweet--Parker-like theory
of non-relativistic resistive-MHD reconnection with strong radiative cooling.
First, we show how, in the absence of a guide magnetic field, intense cooling
leads to a strong compression of the plasma in the reconnection layer,
resulting in a higher reconnection rate. The compression ratio and the layer
temperature are determined by the balance between ohmic heating and radiative
cooling. The lower temperature in the radiatively-cooled layer leads to a
higher Spitzer resistivity and hence to an extra enhancement of the
reconnection rate. We then apply our general theory to several specific
astrophysically important radiative processes (bremsstrahlung, cyclotron, and
inverse-Compton) in the optically thin regime, for both the zero- and
strong-guide-field cases. We derive specific expressions for key reconnection
parameters, including the reconnection rate. We also discuss the limitations
and conditions for applicability of our theory.Comment: 31 pages, 1 figur
Bluff Body Fuel Mixer
A combustor is provided. The combustor may include an axial fuel injection system, and a radial fuel injection system aft of the axial fuel injection system. The axial fuel injection system includes a mixer having a bluff body at an exit port of the mixer, and a fuel injector disposed within the mixer. A fuel and air mixer is also provided and comprises an outer housing with an exit port and a bluff body. The bluff body extends across the exit port of the outer housing. A fuel injection system is also provided. The systems comprise a mixer having a bluff body at an exit port of the mixer and a fuel injector disposed within the mixer
Analytic, Group-Theoretic Density Profiles for Confined, Correlated N-Body Systems
Confined quantum systems involving identical interacting particles are to
be found in many areas of physics, including condensed matter, atomic and
chemical physics. A beyond-mean-field perturbation method that is applicable,
in principle, to weakly, intermediate, and strongly-interacting systems has
been set forth by the authors in a previous series of papers. Dimensional
perturbation theory was used, and in conjunction with group theory, an analytic
beyond-mean-field correlated wave function at lowest order for a system under
spherical confinement with a general two-body interaction was derived. In the
present paper, we use this analytic wave function to derive the corresponding
lowest-order, analytic density profile and apply it to the example of a
Bose-Einstein condensate.Comment: 15 pages, 2 figures, accepted by Physics Review A. This document was
submitted after responding to a reviewer's comment
Conservation of Mass: An Old Principle That Needs More Usage in Hot & Humid Climates
Conservation of mass is such a basic principal that
most designers no longer consider it for most design
calculations. Design phase commissioning checks on
several recent projects indicate designers should
include conservation of mass calculations in the
design. Recent retro-commissioning project indicate
the concept should be considered by building owners
and operators as well
Design, analysis and test verification of advanced encapsulation systems, phase 2 program results
Optical, electrical isolation, thermal structural, structural deflection, and thermal tests are reported. The utility of the optical, series capacitance, and structural deflection models was verified
The rarity of terrestrial gamma-ray flashes
We report on the first search for Terrestrial Gamma-ray Flashes (TGFs) from altitudes where they are thought to be produced. The Airborne Detector for Energetic Lightning Emissions (ADELE), an array of gamma-ray detectors, was flown near the tops of Florida thunderstorms in August/September 2009. The plane passed within 10 km horizontal distance of 1213 lightning discharges and only once detected a TGF. If these discharges had produced TGFs of the same intensity as those seen from space, every one should have been seen by ADELE. Separate and significant nondetections are established for intracloud lightning, negative cloud-to-ground lightning, and narrow bipolar events. We conclude that TGFs are not a primary triggering mechanism for lightning. We estimate the TGF-to-flash ratio to be on the order of 10^(−2) to 10^(−3) and show that TGF intensities cannot follow the well-known power-law distribution seen in earthquakes and solar flares, due to our limits on the presence of faint events
Feeling Safe in the Dark : Examining the Effect of Entrapment, Lighting Levels, and Gender on Feelings of Safety and Lighting Policy Acceptability
This research examined to what extent physical factors, notably lighting and entrapment (blocked escape), and individual factors, notably gender, affect feelings of safety and the acceptability of reduced lighting levels. The authors reasoned that acceptability of reduced street lighting depends on perceived safety, which in turn depends on entrapment, lighting, and gender. Virtual representations of a residential street were used, systematically manipulating entrapment and lighting levels. As expected, people felt less safe in lower lighting and higher entrapment settings, and these settings were evaluated as less acceptable. Although women perceived a situation as less safe compared with men, the authors found no gender differences in acceptability, which extends previous research. Importantly, as hypothesized, perceived safety mediated the effect of lighting on acceptability levels, suggesting that people can accept lower lighting levels when social safety is not threatened
Intervention Delivery Matters: What Mothers at High Risk for Type 2 Diabetes Want in a Diabetes Prevention Program—Results from a Comparative Effectiveness Trial
Participants in the ENCOURAGE Healthy Families Study, a family-focused, modified Diabetes Prevention Program, reported challenges to and preferences for engaging in a diabetes prevention program. Challenges with flexible intervention delivery, accessibility, the traditional group-based format, and Coronavirus Disease 2019 (COVID-19) exposure risk can be mitigated by participant preferences for one-on-one, virtual/online intervention delivery.This work was supported by the JPB Foundation, New York, NY and the IUPUI Signature Center Initiative Fund. Sponsors did not contribute to the writing of this report or in the decision to submit the article for publication. The Journal’s Rapid Service Fee is funded by the University of Arizona Health Sciences Center for Border Health Disparities
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