2,962 research outputs found

    Implementation of a Pulsed-Laser Measurement System in the National Transonic Facility

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    A remotely-adjustable laser transmission and imaging system has been developed for use in a high-pressure, cryogenic wind tunnel. Implementation in the National Transonic Facility has proven the system suitable for velocity and signal lifetime measurements over a range of operating conditions. The measurement system allows for the delivery of high-powered laser pulses through the outer pressure shell and into the test section interior from a mezzanine where the laser is free from environmental disturbances (such as vibrations and excessive condensation) associated with operation of the wind tunnel. Femtosecond laser electronic excitation tagging (FLEET) was utilized to provide freestream velocity measurements, and first results show typical data that may be obtained using the system herein described

    Development and Validation of eRADAR: A Tool Using EHR Data to Detect Unrecognized Dementia.

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    ObjectivesEarly recognition of dementia would allow patients and their families to receive care earlier in the disease process, potentially improving care management and patient outcomes, yet nearly half of patients with dementia are undiagnosed. Our aim was to develop and validate an electronic health record (EHR)-based tool to help detect patients with unrecognized dementia (EHR Risk of Alzheimer's and Dementia Assessment Rule [eRADAR]).DesignRetrospective cohort study.SettingKaiser Permanente Washington (KPWA), an integrated healthcare delivery system.ParticipantsA total of 16 665 visits among 4330 participants in the Adult Changes in Thought (ACT) study, who undergo a comprehensive process to detect and diagnose dementia every 2 years and have linked KPWA EHR data, divided into development (70%) and validation (30%) samples.MeasurementsEHR predictors included demographics, medical diagnoses, vital signs, healthcare utilization, and medications within the previous 2 years. Unrecognized dementia was defined as detection in ACT before documentation in the KPWA EHR (ie, lack of dementia or memory loss diagnosis codes or dementia medication fills).ResultsOverall, 1015 ACT visits resulted in a diagnosis of incident dementia, of which 498 (49%) were unrecognized in the KPWA EHR. The final 31-predictor model included markers of dementia-related symptoms (eg, psychosis diagnoses, antidepressant fills), healthcare utilization pattern (eg, emergency department visits), and dementia risk factors (eg, cerebrovascular disease, diabetes). Discrimination was good in the development (C statistic = .78; 95% confidence interval [CI] = .76-.81) and validation (C statistic = .81; 95% CI = .78-.84) samples, and calibration was good based on plots of predicted vs observed risk. If patients with scores in the top 5% were flagged for additional evaluation, we estimate that 1 in 6 would have dementia.ConclusionThe eRADAR tool uses existing EHR data to detect patients with good accuracy who may have unrecognized dementia. J Am Geriatr Soc 68:103-111, 2019

    Present-Day Descendants of z=3 Ly-{\alpha} Emitting Galaxies in the Millennium-II Halo Merger Trees

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    Using the Millennium-II Simulation dark matter sub-halo merger histories, we created mock catalogs of Lyman Alpha Emitting (LAE) galaxies at z=3.1 to study the properties of their descendants. Several models were created by selecting the sub-halos to match the number density and typical dark matter mass determined from observations of these galaxies. We used mass-based and age-based selection criteria to study their effects on descendant populations at z~2, 1 and 0. For the models that best represent LAEs at z=3.1, the z=0 descendants have a median dark matter halo mass of 10^12.7 M_Sun, with a wide scatter in masses (50% between 10^11.8 and 10^13.7 M_Sun). Our study differentiated between central and satellite sub-halos and found that ~55% of z=0 descendants are central sub-halos with M_Median~10^12 M_Sun. This confirms that central z=0 descendants of z=3.1 LAEs have halo masses typical of L* type galaxies. The satellite sub-halos reside in group/cluster environments with dark matter masses around 10^14 M_Sun. The median descendant mass is robust to various methods of age determination, but it could vary by a factor of 5 due to current observational uncertainties in the clustering of LAEs used to determine their typical z=3.1 dark matter mass.Comment: Accepted for publication in Ap

    Gauge Theoretic Invariants of, Dehn Surgeries on Knots

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    New methods for computing a variety of gauge theoretic invariants for homology 3-spheres are developed. These invariants include the Chern-Simons invariants, the spectral flow of the odd signature operator, and the rho invariants of irreducible SU(2) representations. These quantities are calculated for flat SU(2) connections on homology 3-spheres obtained by 1/k Dehn surgery on (2,q) torus knots. The methods are then applied to compute the SU(3) gauge theoretic Casson invariant (introduced in [H U Boden and C M Herald, The SU(3) Casson invariant for integral homology 3--spheres, J. Diff. Geom. 50 (1998) 147-206]) for Dehn surgeries on (2,q) torus knots for q=3,5,7 and 9.Comment: Version 3: minor corrections from version 2. Published by Geometry and Topology at http://www.maths.warwick.ac.uk/gt/GTVol5/paper6.abs.htm

    The Controversies and Difficulties of Diagnosing Primary Ciliary Dyskinesia

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    We welcome the correspondence from Lavie and Amirav (1), highlighting the difficulties diagnosing primary ciliary dyskinesia (PCD) and the role of high-speed video analysis (HSVA). As members of the European Respiratory Society (ERS) PCD Diagnostic Task Force (2) and/or large PCD Centres, we agree that HSVA has an important role that is not recognized by the American Thoracic Society (ATS) PCD Diagnostic Guideline (3). This risks a large proportion of false-negative “missed” diagnoses and a sizable number of false-positive cases; we make additional important observations.</div

    An improved genome of the model marine alga Ostreococcus tauri unfolds by assessing Illumina de novo assemblies

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    Background: Cost effective next generation sequencing technologies now enable the production of genomic datasets for many novel planktonic eukaryotes, representing an understudied reservoir of genetic diversity. O. tauri is the smallest free-living photosynthetic eukaryote known to date, a coccoid green alga that was first isolated in 1995 in a lagoon by the Mediterranean sea. Its simple features, ease of culture and the sequencing of its 13 Mb haploid nuclear genome have promoted this microalga as a new model organism for cell biology. Here, we investigated the quality of genome assemblies of Illumina GAIIx 75 bp paired-end reads from Ostreococcus tauri, thereby also improving the existing assembly and showing the genome to be stably maintained in culture. Results: The 3 assemblers used, ABySS, CLCBio and Velvet, produced 95% complete genomes in 1402 to 2080 scaffolds with a very low rate of misassembly. Reciprocally, these assemblies improved the original genome assembly by filling in 930 gaps. Combined with additional analysis of raw reads and PCR sequencing effort, 1194 gaps have been solved in total adding up to 460 kb of sequence. Mapping of RNAseq Illumina data on this updated genome led to a twofold reduction in the proportion of multi-exon protein coding genes, representing 19% of the total 7699 protein coding genes. The comparison of the DNA extracted in 2001 and 2009 revealed the fixation of 8 single nucleotide substitutions and 2 deletions during the approximately 6000 generations in the lab. The deletions either knocked out or truncated two predicted transmembrane proteins, including a glutamate-receptor like gene. Conclusion: High coverage (>80 fold) paired-end Illumina sequencing enables a high quality 95% complete genome assembly of a compact ~13 Mb haploid eukaryote. This genome sequence has remained stable for 6000 generations of lab culture

    Robotic-assisted burring in total hip replacement:A new surgical technique to optimise acetabular preparation

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    Background: In Total Hip replacement (THR) surgery, a critical step is to cut an accurate hemisphere into the acetabulum so that the component can be fitted accurately and obtain early stability. This study aims to determine whether burring rather than reaming the acetabulum can achieve greater accuracy in the creation of this hemisphere.Methods: A preliminary robotic system was developed to demonstrate the feasibility of burring the acetabulum using the Universal Robot (UR10). The study will describe mechanical design, robot trajectory optimisation, control algorithm development, and results from phantom experiments compared with both robotic reaming and conventional reaming. The system was also tested in a cadaver experiment.Results: The proposed robotic burring system can produce a surface in 2 min with an average error of 0.1 and 0.18 mm, when cutting polyurethane bone block #15 and #30, respectively. The performance was better than robotic reaming and conventional hand reaming.Conclusion: The proposed robotic burring system outperformed robotic and conventional reaming methods to produce an accurate acetabular cavity. The findings show the potential usage of a robotic-assisted burring in THR for acetabular preparation

    Uncertainty Quantification and Certification Prediction of Low-Boom Supersonic Aircraft Configurations

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    The primary objective of this work was to develop and demonstrate a process for accurate and efficient uncertainty quantification and certification prediction of low-boom, supersonic, transport aircraft. High-fidelity computational fluid dynamics models of multiple low-boom configurations were investigated including the Lockheed Martin SEEB-ALR body of revolution, the NASA 69 Delta Wing, and the Lockheed Martin 1021-01 configuration. A nonintrusive polynomial chaos surrogate modeling approach was used for reduced computational cost of propagating mixed, inherent (aleatory) and model-form (epistemic) uncertainty from both the computation fluid dynamics model and the near-field to ground level propagation model. A methodology has also been introduced to quantify the plausibility of a design to pass a certification under uncertainty. Results of this study include the analysis of each of the three configurations of interest under inviscid and fully turbulent flow assumptions. A comparison of the uncertainty outputs and sensitivity analyses between the configurations is also given. The results of this study illustrate the flexibility and robustness of the developed framework as a tool for uncertainty quantification and certification prediction of low-boom, supersonic aircraft

    Mixed methods evaluation of targeted selective anthelmintic treatment by resource-poor smallholder goat farmers in Botswana

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    AbstractDue to the threat of anthelmintic resistance, livestock farmers worldwide are encouraged to selectively apply treatments against gastrointestinal nematodes (GINs). Targeted selective treatment (TST) of individual animals would be especially useful for smallholder farmers in low-income economies, where cost-effective and sustainable intervention strategies will improve livestock productivity and food security. Supporting research has focused mainly on refining technical indicators for treatment, and much less on factors influencing uptake and effectiveness. We used a mixed method approach, whereby qualitative and quantitative approaches are combined, to develop, implement and validate a TST system for GINs in small ruminants, most commonly goats, among smallholder farmers in the Makgadikgadi Pans region of Botswana, and to seek better understanding of system performance within a cultural context. After the first six months of the study, 42 out of 47 enrolled farmers were followed up; 52% had monitored their animals using the taught inspection criteria and 26% applied TST during this phase. Uptake level showed little correlation with farmer characteristics, such as literacy and size of farm. Herd health significantly improved in those herds where anthelmintic treatment was applied: anaemia, as assessed using the five-point FAMACHA© scale, was 0.44–0.69 points better (95% confidence interval) and body condition score was 0.18–0.36 points better (95% C.I., five-point scale) in treated compared with untreated herds. Only targeting individuals in greatest need led to similar health improvements compared to treating the entire herd, leading to dose savings ranging from 36% to 97%. This study demonstrates that TST against nematodes can be implemented effectively by resource-poor farmers using a community-led approach. The use of mixed methods provides a promising system to integrate technical and social aspects of TST programmes for maximum uptake and effect
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