Achieving the aims of education: curricular decisions in critical care

Curricula for residents on rotations through intensive care units are necessarily abbreviated. The selection (and omission) of topics can be informed by assessment of perceived needs. A curriculum cannot, however, be formed exclusively from the top-scoring needs. Topics that are encountered exclusively in the critical care unit (such as brain death) must be included

Novel representation of physiologic states during critical illness and recovery

Clinicians depend on recognizing particular critical illnesses (such as sepsis and cardiac failure) from patterns of vital signs. The relationship between a vital sign pattern and a specific condition is explored

Validating a Method for Turbocharging Single Cylinder Four Stroke Engines

This paper presents a method for turbocharging single cylinder four stroke internal combustion engines, an experimental setup used to test this method, and the results from this experiment. A turbocharged engine has better fuel economy, cost efficiency, and power density than an equivalently sized, naturally aspirated engine. Most multi-cylinder diesel engines are turbocharged for this reason. However, due to the timing mismatch between the exhaust stroke (when the turbocharger is powered) and the intake stroke (when the engine intakes air), turbocharging is not used in commercial single cylinder engines. Single cylinder engines are ubiquitous in developing world offgrid power applications such as tractors, generators, and water pumps due to their low cost. Turbocharging these engines could give users a lower cost and more fuel efficient engine. The proposed solution is to add an air capacitor, in the form of a large volume intake manifold, between the turbocharger compressor and the engine intake to smooth out the flow. This research builds on a previous theoretical study where the turbocharger, capacitor, and engine system were modeled analytically. In order to validate the theoretical model, an experimental setup was created around a single cylinder four stroke diesel engine. A typical developing world engine was chosen and was fitted with a turbocharger. A series of sensors were added to this engine to measure pressure, temperature, and power output. Our tests showed that a turbocharger and air capacitor could be successfully fitted to a single cylinder engine to increase intake air density by forty-three percent and peak power output by twenty-nine percent.Massachusetts Institute of Technology. Tata Center for Technology and DesignNational Science Foundation (U.S.). Graduate Research Fellowship (Grant No. 1122374

Improved outer boundary conditions for Einstein's field equations

In a recent article, we constructed a hierarchy B_L of outer boundary conditions for Einstein's field equations with the property that, for a spherical outer boundary, it is perfectly absorbing for linearized gravitational radiation up to a given angular momentum number L. In this article, we generalize B_2 so that it can be applied to fairly general foliations of spacetime by space-like hypersurfaces and general outer boundary shapes and further, we improve B_2 in two steps: (i) we give a local boundary condition C_2 which is perfectly absorbing including first order contributions in 2M/R of curvature corrections for quadrupolar waves (where M is the mass of the spacetime and R is a typical radius of the outer boundary) and which significantly reduces spurious reflections due to backscatter, and (ii) we give a non-local boundary condition D_2 which is exact when first order corrections in 2M/R for both curvature and backscatter are considered, for quadrupolar radiation.Comment: accepted Class. Quant. Grav. numerical relativity special issue; 17 pages and 1 figur

Explicit solution of the linearized Einstein equations in TT gauge for all multipoles

We write out the explicit form of the metric for a linearized gravitational wave in the transverse-traceless gauge for any multipole, thus generalizing the well-known quadrupole solution of Teukolsky. The solution is derived using the generalized Regge-Wheeler-Zerilli formalism developed by Sarbach and Tiglio.Comment: 9 pages. Minor corrections, updated references. Final version to appear in Class. Quantum Gra

Analyzing the Effect of Air Capacitor Turbocharging Single Cylinder Engines on Fuel Economy and Emissions Through Modeling and Experimentation

Turbocharging can provide a cost effective means for increasing the power output and fuel economy of an internal combustion engine. A turbocharger added to an internal combustion engine consists of a coupled turbine and compressor. Currently, turbocharging is common in multi-cylinder engines, but it is not commonly used on single-cylinder engines due to the phase mismatch between the exhaust stroke (when the turbocharger is powered) and the intake stroke (when the engine intakes the compressed air). The proposed method adds an air capacitor, an additional volume in series with the intake manifold, between the turbocharger compressor and the engine intake, to buffer the output from the turbocharger compressor and deliver pressurized air during the intake stroke. This research builds on previous work where it was shown experimentally that a power gain of 29% was achievable and that analytically a power gain of 40-60% was possible using a turbocharger and air capacitor system. The goal of this study is to further analyze the commercial viability of this technology by analyzing the effect of air capacitor turbocharging on emissions, fuel economy, and power density. An experiment was built and conducted that looked at how air capacitor sizing affected emissions, fuel economy, and the equivalence ratio. The experimental data was then used to calibrate a computational model built in Ricardo Wave. Finally this model was used to evaluate strategies to further improve the performance of a single cylinder diesel turbocharged engine with an air capacitor.Massachusetts Institute of Technology. Tata Center for Technology and DesignNational Science Foundation (U.S.). Graduate Research Fellowship (Grant No. 1122374

Implementation of higher-order absorbing boundary conditions for the Einstein equations

We present an implementation of absorbing boundary conditions for the Einstein equations based on the recent work of Buchman and Sarbach. In this paper, we assume that spacetime may be linearized about Minkowski space close to the outer boundary, which is taken to be a coordinate sphere. We reformulate the boundary conditions as conditions on the gauge-invariant Regge-Wheeler-Zerilli scalars. Higher-order radial derivatives are eliminated by rewriting the boundary conditions as a system of ODEs for a set of auxiliary variables intrinsic to the boundary. From these we construct boundary data for a set of well-posed constraint-preserving boundary conditions for the Einstein equations in a first-order generalized harmonic formulation. This construction has direct applications to outer boundary conditions in simulations of isolated systems (e.g., binary black holes) as well as to the problem of Cauchy-perturbative matching. As a test problem for our numerical implementation, we consider linearized multipolar gravitational waves in TT gauge, with angular momentum numbers l=2 (Teukolsky waves), 3 and 4. We demonstrate that the perfectly absorbing boundary condition B_L of order L=l yields no spurious reflections to linear order in perturbation theory. This is in contrast to the lower-order absorbing boundary conditions B_L with L<l, which include the widely used freezing-Psi_0 boundary condition that imposes the vanishing of the Newman-Penrose scalar Psi_0.Comment: 25 pages, 9 figures. Minor clarifications. Final version to appear in Class. Quantum Grav

Schwarzschild Tests of the Wahlquist-Estabrook-Buchman-Bardeen Tetrad Formulation for Numerical Relativity

A first order symmetric hyperbolic tetrad formulation of the Einstein equations developed by Estabrook and Wahlquist and put into a form suitable for numerical relativity by Buchman and Bardeen (the WEBB formulation) is adapted to explicit spherical symmetry and tested for accuracy and stability in the evolution of spherically symmetric black holes (the Schwarzschild geometry). The lapse and shift which specify the evolution of the coordinates relative to the tetrad congruence are reset at frequent time intervals to keep the constant-time hypersurfaces nearly orthogonal to the tetrad congruence and the spatial coordinate satisfying a kind of minimal rate of strain condition. By arranging through initial conditions that the constant-time hypersurfaces are asymptotically hyperbolic, we simplify the boundary value problem and improve stability of the evolution. Results are obtained for both tetrad gauges (``Nester'' and ``Lorentz'') of the WEBB formalism using finite difference numerical methods. We are able to obtain stable unconstrained evolution with the Nester gauge for certain initial conditions, but not with the Lorentz gauge.Comment: (accepted by Phys. Rev. D) minor changes; typos correcte

Electrostatic Patch Effect in Cylindrical Geometry. I. Potential and Energy between Slightly Non-Coaxial Cylinders

We study the effect of any uneven voltage distribution on two close cylindrical conductors with parallel axes that are slightly shifted in the radial and by any length in the axial direction. The investigation is especially motivated by certain precision measurements, such as the Satellite Test of the Equivalence Principle (STEP). By energy conservation, the force can be found as the energy gradient in the vector of the shift, which requires determining potential distribution and energy in the gap. The boundary value problem for the potential is solved, and energy is thus found to the second order in the small transverse shift, and to lowest order in the gap to cylinder radius ratio. The energy consists of three parts: the usual capacitor part due to the uniform potential difference, the one coming from the interaction between the voltage patches and the uniform voltage difference, and the energy of patch interaction, entirely independent of the uniform voltage. Patch effect forces and torques in the cylindrical configuration are derived and analyzed in the next two parts of this work.Comment: 26 pages, 1 Figure. Submitted to Classical and Quantum Gravit

Combinations of motor measures more strongly predict adverse health outcomes in old age: the rush memory and aging project, a community-based cohort study

<p>Abstract</p> <p>Objective</p> <p>Motor impairment in old age is a growing public-health concern, and several different constructs have been used to identify motor impairments in older people. We tested the hypothesis that combinations of motor constructs more strongly predict adverse health outcomes in older people.</p> <p>Methods</p> <p>In total, 949 people without dementia, history of stroke or Parkinson's disease, who were participating in the Rush Memory and Aging Project (a longitudinal community-based cohort study), underwent assessment at study entry. From this, three constructs were derived: 1) physical frailty based on grip strength, timed walk, body mass index and fatigue; 2) Parkinsonian Signs Score based on the modified motor section of the Unified Parkinson's Disease Rating Scale; and 3) a motor construct, based on nine strength measures and nine motor performances. Disability and cognitive status were assessed annually. A series of Cox proportional-hazards models, controlling for age, sex and education, were used to examine the association of each of these three constructs alone and in various combinations with death, disability and Alzheimer's disease (AD).</p> <p>Results</p> <p>All three constructs were related (mean <it>r </it>= 0.50, all <it>P </it>< 0.001), and when considered individually in separate proportional-hazards models, were associated with risk of death, incident disability and AD. However, when considered together, combinations of these constructs more strongly predicted adverse health outcomes.</p> <p>Conclusions</p> <p>Physical frailty, parkinsonian signs score and global motor score are related constructs that capture different aspects of motor function. Assessments using several motor constructs may more accurately identify people at the highest risk of adverse health consequences in old age.</p