10,394 research outputs found

    Pottery in the computer age

    Full text link
    Published versio

    Barriers and Facilitators of Suicide Risk Assessment in Emergency Departments: A Qualitative Study of Provider Perspectives

    Get PDF
    Objective To understand emergency department (ED) providers’ perspectives regarding the barriers and facilitators of suicide risk assessment and to use these perspectives to inform recommendations for best practices in ED suicide risk assessment. Methods Ninety-two ED providers from two hospital systems in a Midwestern state responded to open-ended questions via an online survey that assessed their perspectives on the barriers and facilitators to assess suicide risk as well as their preferred assessment methods. Responses were analyzed using an inductive thematic analysis approach. Results Qualitative analysis yielded six themes that impact suicide risk assessment. Time, privacy, collaboration and consultation with other professionals and integration of a standard screening protocol in routine care exemplified environmental and systemic themes. Patient engagement/participation in assessment and providers’ approach to communicating with patients and other providers also impacted the effectiveness of suicide risk assessment efforts. Conclusions The findings inform feasible suicide risk assessment practices in EDs. Appropriately utilizing a collaborative, multidisciplinary approach to assess suicide-related concerns appears to be a promising approach to ameliorate the burden placed on ED providers and facilitate optimal patient care. Recommendations for clinical care, education, quality improvement and research are offered

    Investigation of Aerobraking to Return the Space Maneuver Vehicle to Low Earth Orbit from Geotransfer Orbit

    Get PDF
    This study investigated the use of ballistic and Double-Dip\u27\u27 aerobraking reentry to return the Space Maneuver Vehicle (SMV) from geotransfer orbit in no more than two atmosphere passes. Lift and drag accelerations were applied to the two-body problem when either of their magnitudes exceeded 1/1000 g. Lift and drag coefficients, along with the SMV model, were taken from Investigation of Atmospheric Reentry for the Space Maneuver Vehicle by Captain McNabb, AFIT/GA/ENY/04-M03. Target perigees were formulated using the two-body problem. The orbit from each target perigee was numerically integrated around a planar earth model using a fourth order Runge-Kutta method. Ballistic and Double-Dip\u27\u27 reentry schemes were attempted with 45 and 70 km altitude floors. Ballistic reentry produced a near circular, low earth orbit when the SMV\u27s true perigee altitude resided between 66.801 and 68.449 km for a one pass reentry and between 72.226 and 73.445 km for a two pass reentry. Double-Dip\u27\u27 reentry produced a near circular, low earth orbit when the SMV\u27s perigee altitude rested between 62.416 and 64.962 km. The resulting perigee windows, their respective heating rates, and experienced accelerations were analyzed. Effects of uncertainty in the atmosphere model on successful perigee windows for each reentry scheme were analyzed by repeating the simulation with an increased atmospheric density

    Current and emerging treatment strategies for the treatment of actinic keratosis

    Get PDF
    Actinic keratoses are encountered by physicians worldwide on a daily basis. As these precancerous lesions can transform to skin carcinomas, it is important to understand the many available options to use as treatment. In recent years, new therapeutic options have emerged to treat this common condition. These treatments as well as a review of the literature of conventional therapies will be discussed

    The Levantine Ceramics Project

    Full text link
    Accepted manuscrip

    Tverberg plus constraints

    Full text link
    Many of the strengthenings and extensions of the topological Tverberg theorem can be derived with surprising ease directly from the original theorem: For this we introduce a proof technique that combines a concept of "Tverberg unavoidable subcomplexes" with the observation that Tverberg points that equalize the distance from such a subcomplex can be obtained from maps to an extended target space. Thus we obtain simple proofs for many variants of the topological Tverberg theorem, such as the colored Tverberg theorem of Zivaljevic and Vrecica (1992). We also get a new strengthened version of the generalized van Kampen-Flores theorem by Sarkaria (1991) and Volovikov (1996), an affine version of their "j-wise disjoint" Tverberg theorem, and a topological version of Soberon's (2013) result on Tverberg points with equal barycentric coordinates.Comment: 15 pages; revised version, accepted for publication in Bulletin London Math. Societ
    corecore