595 research outputs found
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Waveform-level time-domain simulation comparison study of three shipboard power system architectures
Detailed waveform-level modeling and simulation of three alternative shipboard power system architectures is presented herein. The three system architectures are based on conventional 60Hz medium-voltage ac (MVAC), higherfrequency 240Hz medium-voltage ac (HFAC) and mediumvoltage dc (MVDC) technologies. To support the quantitative assessment and comparison of these three different power system architectures, each technology was modeled using a common representative, notional baseline ship. The baseline ship represents a multi-mission destroyer fitted with an 80MW next generation integrated power system (NGIPS). Modeling of each power system architecture is set forth along with simulation studies for three fault scenarios. Each of the three power system architectures was implemented within the MATLAB/ Simulink environment. Continuity of service was evaluated for each architecture along with a fault scenario using an operability metric. After a brief description of the three power system architectures and the operability metric, quantitative results are presented.Center for Electromechanic
A remark on the trace-map for the Silver mean sequence
In this work we study the Silver mean sequence based on substitution rules by
means of a transfer-matrix approach. Using transfer-matrix method we find a
recurrence relation for the traces of general transfer-matrices which
characterizes electronic properties of the quasicrystal in question. We also
find an invariant of the trace-map.Comment: 5 pages, minor improvements in style and presentation of calculation
Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease
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Socioeconomic Mediators of Racial and Ethnic Disparities in Congenital Heart Disease Outcomes: A Population-Based Study in California.
Background Racial/ethnic and socioeconomic disparities exist in outcomes for children with congenital heart disease. We sought to determine the influence of race/ethnicity and mediating socioeconomic factors on 1-year outcomes for live-born infants with hypoplastic left heart syndrome and dextro-Transposition of the great arteries. Methods and Results The authors performed a population-based cohort study using the California Office of Statewide Health Planning and Development database. Live-born infants without chromosomal anomalies were included. The outcome was a composite measure of mortality or unexpected hospital readmissions within the first year of life defined as >3 (hypoplastic left heart syndrome) or >1 readmissions (dextro-Transposition of the great arteries). Hispanic ethnicity was compared with non-Hispanic white ethnicity. Mediation analyses determined the percent contribution to outcome for each mediator on the pathway between race/ethnicity and outcome. A total of 1796 patients comprised the cohort (n=964 [hypoplastic left heart syndrome], n=832 [dextro-Transposition of the great arteries]) and 1315 were included in the analysis (n=477 non-Hispanic white, n=838 Hispanic). Hispanic ethnicity was associated with a poor outcome (crude odds ratio, 1.72; 95% confidence interval [CI], 1.37-2.17). Higher maternal education (crude odds ratio 0.5; 95% CI , 0.38-0.65) and private insurance (crude odds ratio, 0.65; 95% CI , 0.45-0.71) were protective. In the mediation analysis, maternal education and insurance status explained 33.2% (95% CI , 7-66.4) and 27.6% (95% CI , 6.5-63.1) of the relationship between race/ethnicity and poor outcome, while infant characteristics played a minimal role. Conclusions Socioeconomic factors explain a significant portion of the association between Hispanic ethnicity and poor outcome in neonates with critical congenital heart disease. These findings identify vulnerable populations that would benefit from resources to lessen health disparities
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Initial Metabolic Profiles Are Associated with 7-Day Survival among Infants Born at 22-25 Weeks of Gestation.
OBJECTIVE:To evaluate the association between early metabolic profiles combined with infant characteristics and survival past 7 days of age in infants born at 22-25 weeks of gestation. STUDY DESIGN:This nested case-control consisted of 465 singleton live births in California from 2005 to 2011 at 22-25 weeks of gestation. All infants had newborn metabolic screening data available. Data included linked birth certificate and mother and infant hospital discharge records. Mortality was derived from linked death certificates and death discharge information. Each death within 7 days was matched to 4 surviving controls by gestational age and birth weight z score category, leaving 93 cases and 372 controls. The association between explanatory variables and 7-day survival was modeled via stepwise logistic regression. Infant characteristics, 42 metabolites, and 12 metabolite ratios were considered for model inclusion. Model performance was assessed via area under the curve. RESULTS:The final model included 1 characteristic and 11 metabolites. The model demonstrated a strong association between metabolic patterns and infant survival (area under the curve [AUC] 0.885, 95% CI 0.851-0.920). Furthermore, a model with just the selected metabolites performed better (AUC 0.879, 95% CI 0.841-0.916) than a model with multiple clinical characteristics (AUC 0.685, 95% CI 0.627-0.742). CONCLUSIONS:Use of metabolomics significantly strengthens the association with 7-day survival in infants born extremely premature. Physicians may be able to use metabolic profiles at birth to refine mortality risks and inform postnatal counseling for infants born at <26 weeks of gestation
Effect of suture technique on the occurrence of incisional hernia after elective midline abdominal wall closure: study protocol for a randomized controlled trial
Background: Based on a recent meta-analysis, a continuous suture technique with a suture to wound length ratio of at least 4: 1, using a slowly absorbable monofilament suture material, is recommended for primary median laparotomy closure. Incisional hernia, which develops in 9 to 20% of patients, remains the major complication of abdominal wall closure. Current clinical data indicate that the incidence of incisional hernias increases by 60% between the first and the third year after median laparotomy, implicating that a follow-up period of 1 year postoperatively is too short with regard to this common complication. Trauma to the abdominal wall can be reduced by improvements in suture technique as well as suture material. Several factors, such as stitch length, suture tension, elasticity, and tensile strength of the suture material are discussed and currently under investigation. A Swedish randomized controlled trial showed a significant reduction in the incisional hernia rate by shortening the stitch length. However, a non-elastic thread was used and follow-up ended after 12 months. Therefore, we designed a multicenter, international, double-blinded, randomized trial to analyze the influence of stitch length, using an elastic, extra-long term absorbable monofilament suture, on the long term clinical outcome of abdominal wall closure. Methods: In total, 468 patients undergoing an elective, median laparotomy will be randomly allocated to either the short stitch or the long stitch suture technique for abdominal wall closure in a 1: 1 ratio. Centers located in Germany and Austria will participate. The primary endpoint measure is the incisional hernia rate 1 year postoperatively, as verified by ultrasound. The frequency of short term and long term complications as well as costs, length of hospital stay and patients' quality of life (EQ-5D-5 L) will be considered as secondary parameters. Following hospital discharge, patients will be examined after 30 days and 1, 3, and 5 years after surgery. Discussion: This study will provide further evidence on whether a short stitch suture technique in combination with an elastic, extra-long term absorbable monofilament suture can prevent incisional hernias in the long term, compared with the long stitch suture technique
The local atomic quasicrystal structure of the icosahedral Mg25Y11Zn64 alloy
A local and medium range atomic structure model for the face centred
icosahedral (fci) Mg25Y11Zn64 alloy has been established in a sphere of r = 27
A. The model was refined by least squares techniques using the atomic pair
distribution (PDF) function obtained from synchrotron powder diffraction. Three
hierarchies of the atomic arrangement can be found: (i) five types of local
coordination polyhedra for the single atoms, four of which are of Frank-Kasper
type. In turn, they (ii) form a three-shell (Bergman) cluster containing 104
atoms, which is condensed sharing its outer shell with its neighbouring
clusters and (iii) a cluster connecting scheme corresponding to a
three-dimensional tiling leaving space for few glue atoms. Inside adjacent
clusters, Y8-cubes are tilted with respect to each other and thus allow for
overall icosahedral symmetry. It is shown that the title compound is
essentially isomorphic to its holmium analogue. Therefore fci-Mg-Y-Zn can be
seen as the representative structure type for the other rare earth analogues
fci-Mg-Zn-RE (RE = Dy, Er, Ho, Tb) reported in the literature.Comment: 12 pages, 8 figures, 2 table
Hybrid photonic-bandgap accelerating cavities
In a recent investigation, we studied two-dimensional point-defected photonic
bandgap cavities composed of dielectric rods arranged according to various
representative periodic and aperiodic lattices, with special emphasis on
possible applications to particle acceleration (along the longitudinal axis).
In this paper, we present a new study aimed at highlighting the possible
advantages of using hybrid structures based on the above dielectric
configurations, but featuring metallic rods in the outermost regions, for the
design of extremely-high quality factor, bandgap-based, accelerating
resonators. In this framework, we consider diverse configurations, with
different (periodic and aperiodic) lattice geometries, sizes, and
dielectric/metal fractions. Moreover, we also explore possible improvements
attainable via the use of superconducting plates to confine the electromagnetic
field in the longitudinal direction. Results from our comparative studies,
based on numerical full-wave simulations backed by experimental validations (at
room and cryogenic temperatures) in the microwave region, identify the
candidate parametric configurations capable of yielding the highest quality
factor.Comment: 13 pages, 5 figures, 3 tables. One figure and one reference added;
minor changes in the tex
Canine Visceral Leishmaniasis, United States and Canada, 2000–2003
Foxhounds infected with Leishmania spp. were found in 18 states and 2 Canadian provinces
Chagas disease in a domestic transmission cycle in southern Texas, USA
Centers for Disease control and Prevention
http://www.cdc.gov/ncidod/EID/vol9no1/02-0217.htmAfter three dogs died from acute Chagas cardiomyopathy
at one location, an investigation was conducted of the home,
garage, and grounds of the owner. A serologic study was conducted
on stray dogs, and an ecologic niche model was developed
to predict areas where the vector Triatoma gerstaeckeri
might be expected
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