A clinical informaticist to support primary care decision making

Objectives—To develop and evaluate an information service in which a "clinical informaticist" (a GP with training in evidence-based medicine) provided evidence-based answers to questions posed by GPs and nurse practitioners. Design—Descriptive pilot study with systematic recording of the process involved in searching for and critically appraising literature. Evaluation by questionnaire and semi-structured interview. Setting—General practice. Participants—34 clinicians from two London primary care groups (Fulham and Hammersmith). Main outcome measures—Number and origin of questions; process and time involved in producing summaries; satisfaction with the service. Results—All 100 clinicians in two primary care groups were approached. Thirty four agreed to participate, of whom 22 asked 60 questions over 10 months. Participants were highly satisfied with the summaries they received. For one third of questions the clinicians stated they would change practice in the index patient, and for 55% the participants stated they would change practice in other patients. Answering questions thoroughly was time consuming (median 130 minutes). The median turnaround time was 9 days; 82% of questions were answered within the timeframe specified by the questioner. Without the informaticist, one third of questions would not have been pursued. Conclusion—The clinical informaticist service increased access to evidence for busy clinicians. Satisfaction was high among users and clinicians stated that changes in practice would occur. However, uptake of the service was lower than expected (22% of those offered the service). Further research is needed into how this method of increasing access to evidence compares with other strategies, and whether it results in improved health outcomes for patients

Connected to the Organization: A Survey of Communication Technologies in the Modern Organizational Landscape

In today’s organizations, traditional and cutting-edge technologies compete for increased usage. This exploratory project provides a snapshot of the communication technology (CT) landscape by examining the use of 25 different CTs and their relations to a variety of common demographic variables. Results suggest that, although newer CTs are in use today, more traditional and established CTs such as e-mail, Internet, telephones, and voicemail still dominate the landscape

Sound radiation from randomly vibrating beams of finite circular cross section

The radiation of sound from vibrating cylindrical beams is analyzed based on the frequency of the beam vibrations and the physical characteristics of the beam and its surroundings. A statistical analysis of random beam vibrations allows this result to be independent of the boundary conditions at the ends of the beam. The acoustic power radiated by the beam can be determined from a knowledge of the frequency band vibration data without a knowledge of the individual modal vibration amplitudes. A practical example of the usefulness of this technique is provided by the application of the theoretical calculations to the prediction of the octave band acoustic power output of the picking sticks of an automatic textile loom. Calculations are made of the expected octave band sound pressure levels based on measured acceleration data. These theoretical levels are subsequently compared with actual sound pressure level measurements of loom noise

Titanium-nitrogen reaction investigated for application to gettering systems

Titanium is one of several gettering materials available for removing nitrogen from inert gases. The reaction rate of titanium-metal sponge and nitrogen in argon-nitrogen mixtures was studied at 900 degrees C. The rate was found to depend upon the partial pressure of nitrogen in the gas phase. Mathematical relationships simulate titanium systems

Recent tests at Langley with a University of Tennessee Space Institute (UTSI) skin friction balance

The experience at LaRC with the University of Tennessee Space Institute skin friction balances is summarized. The Karman-Schoenherr flat plate skin friction formulation is included for comparison. It is concluded that the balance is capable of operation in environments as diverse as cryogenic, transonic, high-shear rate of the 0.3 meter Transonic Cryogenic Tunnel, and high-temperature supersonic environment of the Unitary Plan Wind Tunnel. Proposed new research is outlined

Inversion of spinning sound fields

A method is presented for the reconstruction of rotating monopole source distributions using acoustic pressures measured on a sideline parallel to the source axis. The method requires no \textit{a priori} assumptions about the source other than that its strength at the frequency of interest vary sinusoidally in azimuth on the source disc so that the radiated acoustic field is composed of a single circumferential mode. When multiple azimuthal modes are present, the acoustic field can be decomposed into azimuthal modes and the method applied to each mode in sequence. The method proceeds in two stages, first finding an intermediate line source derived from the source distribution and then inverting this line source to find the radial variation of source strength. A far-field form of the radiation integrals is derived, showing that the far field pressure is a band-limited Fourier transform of the line source, establishing a limit on the quality of source reconstruction which can be achieved using far-field measurements. The method is applied to simulated data representing wind-tunnel testing of a ducted rotor system (tip Mach number~0.74) and to control of noise from an automotive cooling fan (tip Mach number~0.14), studies which have appeared in the literature of source identification.Comment: Revised version of paper submitted to JASA; five more figures; expanded content with more discussion of error behaviour and relation to Nearfield Acoustical Holograph

Applications of acoustics in the measurement of coal slab thickness

The determination of the possibility of employing acoustic waves at ultrasonic frequencies for measurements of thicknesses of slabs of coal backed by shale is investigated. Fundamental information concerning the acoustical properties of coal, and the relationship between these properties and the structural and compositional parameters used to characterize coal samples was also sought. The testing device, which utilizes two matched transducers, is described

Simulation model of erosion and deposition on a barchan dune

Erosion and deposition over a barchan dune near the Salton Sea, California, are modeled by bookkeeping the quantity of sand in saltation following streamlines of transport. Field observations of near surface wind velocity and direction plus supplemental measurements of the velocity distribution over a scale model of the dune are combined as input to Bagnold type sand transport formulas corrected for slope effects. A unidirectional wind is assumed. The resulting patterns of erosion and deposition compare closely with those observed in the field and those predicted by the assumption of equilibrium (downwind translation of the dune without change in size or geometry). Discrepancies between the simulated results and the observed or predicted erosional patterns appear to be largely due to natural fluctuations in the wind direction. The shape of barchan dunes is a function of grain size, velocity, degree of saturation of the oncoming flow, and the variability in the direction of the oncoming wind. The size of the barchans may be controlled by natural atmospheric scales, by the age of the dunes, or by the upwind roughness. The upwind roughness can be controlled by fixed elements or by sand in the saltation. In the latter case, dune scale is determined by grain size and wind velocity

High-fidelity simulation of an ultrasonic standing-wave thermoacoustic engine with bulk viscosity effects

We have carried out boundary-layer-resolved, unstructured fully-compressible Navier--Stokes simulations of an ultrasonic standing-wave thermoacoustic engine (TAE) model. The model is constructed as a quarter-wavelength engine, approximately 4 mm by 4 mm in size and operating at 25 kHz, and comprises a thermoacoustic stack and a coin-shaped cavity, a design inspired by Flitcroft and Symko (2013). Thermal and viscous boundary layers (order of 10 $\mathrm{\mu}$m) are resolved. Vibrational and rotational molecular relaxation are modeled with an effective bulk viscosity coefficient modifying the viscous stress tensor. The effective bulk viscosity coefficient is estimated from the difference between theoretical and semi-empirical attenuation curves. Contributions to the effective bulk viscosity coefficient can be identified as from vibrational and rotational molecular relaxation. The inclusion of the coefficient captures acoustic absorption from infrasonic ($\sim$10 Hz) to ultrasonic ($\sim$100 kHz) frequencies. The value of bulk viscosity depends on pressure, temperature, and frequency, as well as the relative humidity of the working fluid. Simulations of the TAE are carried out to the limit cycle, with growth rates and limit-cycle amplitudes varying non-monotonically with the magnitude of bulk viscosity, reaching a maximum for a relative humidity level of 5%. A corresponding linear model with minor losses was developed; the linear model overpredicts transient growth rate but gives an accurate estimate of limit cycle behavior. An improved understanding of thermoacoustic energy conversion in the ultrasonic regime based on a high-fidelity computational framework will help to further improve the power density advantages of small-scale thermoacoustic engines.Comment: 55th AIAA Aerospace Sciences Meeting, AIAA SciTech, 201