19,521 research outputs found
Evaluation of effectiveness of various devices for attenuation of trailing vortices based on model tests in a large towing basin
The effectiveness of various candidate aircraft-wing devices for attenuation of trailing vortices generated by large aircraft is evaluated on basis of results of experiments conducted with a 0.03-scale model of a Boeing 747 transport aircraft using a technique developed at the HYDRONAUTICS Ship Model Basin. Emphasis is on the effects produced by these devices in the far-field (up to 8 kilometers downstream of full-scale generating aircraft) where the unaltered vortex-wakes could still be hazardous to small following aircraft. The evaluation is based primarily on quantitative measurements of the respective vortex velocity distributions made by means of hot-film probe traverses in a transverse plane at selected stations downstream. The effects of these altered wakes on rolling moment induced on a small following aircraft are also studied using a modified lifting-surface theory with a synthesized Gates Learjet as a typical example. Lift and drag measurements concurrently obtained in the model tests are used to appraise the effects of each device investigated on the performance characteristics of the generating aircraft
Clinical measurements versus patient-reported outcomes: analysis of the American Shoulder and Elbow Surgeons physician assessment in patients undergoing reverse total shoulder arthroplasty.
BackgroundThe American Shoulder and Elbow Surgeons (ASES) score is composed of a patient-reported portion and a physician assessment. Although the patient-reported score is frequently used to assess postoperative outcomes after shoulder arthroplasty, no previous studies have used the physician-assessment component. This study evaluated the relationship of the ASES physician-assessment measurements with patient-reported shoulder and general health outcomes.MethodsA retrospective review of a prospectively collected multicenter database was used to analyze patients who underwent primary reverse total shoulder arthroplasty (RTSA) from 2012 to 2015 with a minimum 2-year follow-up. ASES physician-assessment and patient-reported components and 12-Item Short Form Health Survey (SF-12) general health questionnaires were obtained preoperatively and 2 years postoperatively. The relationship between ASES physician measurements with ASES patient-reported outcome (PRO) scores and SF-12 Physical and Mental domain scores was assessed with Pearson correlation coefficients.ResultsIncluded were 74 patients (32 men; mean age, 69.2 years; body mass index, 29.4 kg/m2). Preoperative physician measurements and PRO scores were not significantly correlated. Postoperatively, only the ASES physician-measured active (R = 0.54, P < .01) and passive forward flexion (R = 0.53, P < .01) demonstrated moderate correlation with ASES patient scores. The remaining clinical measurements had no significant correlations with ASES patient or SF-12 scores. During the 2-year period, only improvements in active forward flexion correlated with improvements in ASES patient scores (R = 0.36, P < .01).ConclusionsLittle correlation exists between clinical measurements from the ASES physician component and PROs, including the ASES patient-reported and SF-12 general health surveys, in RTSA patients. Improvement in active forward flexion is the only clinical measurement correlated with PRO improvement at 2 years
The Effect of Projection on Derived Mass-Size and Linewidth-Size Relationships
Power law mass-size and linewidth-size correlations, two of "Larson's laws,"
are often studied to assess the dynamical state of clumps within molecular
clouds. Using the result of a hydrodynamic simulation of a molecular cloud, we
investigate how geometric projection may affect the derived Larson
relationships. We find that large scale structures in the column density map
have similar masses and sizes to those in the 3D simulation (PPP). Smaller
scale clumps in the column density map are measured to be more massive than the
PPP clumps, due to the projection of all emitting gas along lines of sight.
Further, due to projection effects, structures in a synthetic spectral
observation (PPV) may not necessarily correlate with physical structures in the
simulation. In considering the turbulent velocities only, the linewidth-size
relationship in the PPV cube is appreciably different from that measured from
the simulation. Including thermal pressure in the simulated linewidths imposes
a minimum linewidth, which results in a better agreement in the slopes of the
linewidth-size relationships, though there are still discrepancies in the
offsets, as well as considerable scatter. Employing commonly used assumptions
in a virial analysis, we find similarities in the computed virial parameters of
the structures in the PPV and PPP cubes. However, due to the discrepancies in
the linewidth- and mass- size relationships in the PPP and PPV cubes, we
caution that applying a virial analysis to observed clouds may be misleading
due to geometric projection effects. We speculate that consideration of
physical processes beyond kinetic and gravitational pressure would be required
for accurately assessing whether complex clouds, such as those with highly
filamentary structure, are bound.Comment: 25 pages, including 7 Figures; Accepted for publication in Ap
Construction of a polarization insensitive lens from a quasi-isotropic metamaterial slab
We propose to employ the quasiisotropic metamaterial (QIMM) slab to construct
a polarization insensitive lens, in which both E- and H-polarized waves exhibit
the same refocusing effect. For shallow incident angles, the QIMM slab will
provide some degree of refocusing in the same manner as an isotropic negative
index material. The refocusing effect allows us to introduce the ideas of
paraxial beam focusing and phase compensation by the QIMM slab. On the basis of
angular spectrum representation, a formalism describing paraxial beams
propagating through a QIMM slab is presented. Because of the negative phase
velocity in the QIMM slab, the inverse Gouy phase shift and the negative
Rayleigh length of paraxial Gaussian beam are proposed. We find that the phase
difference caused by the Gouy phase shift in vacuum can be compensated by that
caused by the inverse Gouy phase shift in the QIMM slab. If certain matching
conditions are satisfied, the intensity and phase distributions at object plane
can be completely reconstructed at image plane. Our simulation results show
that the superlensing effect with subwavelength image resolution could be
achieved in the form of a QIMM slab.Comment: 25 pages, 8 figure
Non-substitutional single-atom defects in the Ge_(1-x)Sn_x alloy
Ge_(1-x)Sn_x alloys have proved difficult to form at large x, contrary to
what happens with other group IV semiconductor combinations. However, at low x
they are typical examples of well-behaved substitutional compounds, which is
desirable for harnessing the electronic properties of narrow band
semiconductors. In this paper, we propose the appearance of another kind of
single-site defect (), consisting of a single Sn atom in the center
of a Ge divacancy, that may account for these facts. Accordingly, we examine
the electronic and structural properties of these alloys by performing
extensive numerical ab-initio calculations around local defects. The results
show that the environment of the defect relaxes towards a cubic
octahedral configuration, facilitating the nucleation of metallic white tin and
its segregation, as found in amorphous samples. Using the information stemming
from these local defect calculations, we built a simple statistical model to
investigate at which concentration these defects can be formed in
thermal equilibrium. These results agree remarkably well with experimental
findings, concerning the critical concentration above which the homogeneous
alloys cannot be formed at room temperature. Our model also predicts the
observed fact that at lower temperature the critical concentration increases.
We also performed single site effective-field calculations of the electronic
structure, which further support our hypothesis.Comment: 12 pages, 1 table, 16 figure
A Systematic Review: Light Therapy for Individuals with Dementia and Implications for Practice
This systematic review seeks to answer the question: is light therapy an effective intervention for sundowning symptoms experienced by individuals who have dementia
A systematic review and critical appraisal of quality indicators to assess optimal palliative care for older people with dementia
Setting priorities to inform assessment of care homes’ readiness to participate in healthcare innovation: a systematic mapping review and consensus process
© 2020 The Author(s). This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedOrganisational context is known to impact on the successful implementation of healthcare initiatives in care homes. We undertook a systematic mapping review to examine whether researchers have considered organisational context when planning, conducting, and reporting the implementation of healthcare innovations in care homes. Review data were mapped against the Alberta Context Tool, which was designed to assess organizational context in care homes. The review included 56 papers. No studies involved a systematic assessment of organisational context prior to implementation, but many provided post hoc explanations of how organisational context affected the success or otherwise of the innovation. Factors identified to explain a lack of success included poor senior staff engagement, non-alignment with care home culture, limited staff capacity to engage, and low levels of participation from health professionals such as general practitioners (GPs). Thirty-five stakeholders participated in workshops to discuss findings and develop questions for assessing care home readiness to participate in innovations. Ten questions were developed to initiate conversations between innovators and care home staff to support research and implementation. This framework can help researchers initiate discussions about health-related innovation. This will begin to address the gap between implementation theory and practice.Peer reviewe
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