Engine restart and thermodynamic analysis of Apollo spacecraft engine tests, volume 1

Thermodynamic performance test analyses for Apollo spacecraft ascent, descent, and service propulsion system engines to define hypergol engine restart limit

The heavy quark's self energy from moving NRQCD on the lattice

We present a calculation of the heavy quark's self energy in moving NRQCD to one-loop in perturbation theory. Results for the energy shift and external momentum renormalisation are discussed and compared with non-perturbative results. We show that the momentum renormalisation is small, which is the result of a remnant of re-parameterisation invariance on the lattice.Comment: Talk given at Lattice2004(heavy), Fermilab, June 21-26, 200

Developing tools to promote culturally competent compassion, courage, and intercultural communication in healthcare

Background: Compassion is an important concept in healthcare, and in addition, care should be delivered in a culturally competent manner, taking into account the values, culture, and health beliefs of the individual. However, the training of nurses and other healthcare professionals may not adequately equip them to practice in a manner which is both compassionate and culturally competent. In this paper, we report on the development of three learning tools, designed to promote the skills and strengthen the capacity of nurses and healthcare professionals to provide culturally competent and compassionate care. Methods: The project involved the participation of six European countries in the development of three learning tools, covering culturally competent compassion, culturally competent courage, and intercultural communication. The principles which informed the methodology derive from the previous work on the Papadopoulos, Tilki and Taylor (PTT) model of transcultural nursing and cultural competence, and were also informed by the Intercultural Education of Nurses in Europe (IENE1 & IENE2) projects. Each partner country was required to produce one tool for each topic area, based on guidance provided by the project co-ordinator, leading to the development of eighteen tools in total. The tools were administered mainly to student nurses to test their feasibility. Results: The emerging tools contained important theoretical and practical components, whereby innovative learning methods and case studies were included. Student nurses enjoyed using the tools, and enjoyed their flexibility. The learning tools enabled students to become stimulated and to engage together leading to a positive learning experience. Discussion: The tools allow for a positive learning experience and reflection of good practice to take place. The flexibility and content of the tools allows for them to be of equal value to other healthcare professionals as well as nursing staff. Conclusion: The tools were initially utilised mainly with student nurses and were received with a positive response. Work is now in place to further implement the tools and evaluate the longer term effects among a range of healthcare professionals and service user health outcomes

On the Interpretation of Supernova Light Echo Profiles and Spectra

The light echo systems of historical supernovae in the Milky Way and local group galaxies provide an unprecedented opportunity to reveal the effects of asymmetry on observables, particularly optical spectra. Scattering dust at different locations on the light echo ellipsoid witnesses the supernova from different perspectives and the light consequently scattered towards Earth preserves the shape of line profile variations introduced by asymmetries in the supernova photosphere. However, the interpretation of supernova light echo spectra to date has not involved a detailed consideration of the effects of outburst duration and geometrical scattering modifications due to finite scattering dust filament dimension, inclination, and image point-spread function and spectrograph slit width. In this paper, we explore the implications of these factors and present a framework for future resolved supernova light echo spectra interpretation, and test it against Cas A and SN 1987A light echo spectra. We conclude that the full modeling of the dimensions and orientation of the scattering dust using the observed light echoes at two or more epochs is critical for the correct interpretation of light echo spectra. Indeed, without doing so one might falsely conclude that differences exist when none are actually present.Comment: 18 pages, 22 figures, accepted for publication in Ap

Additional value of EUS in oesophageal cancer patients staged N0 on PET/CT: validation of a prognostic model

Background Lymph node metastases are a major prognostic indicator in oesophageal cancer. Radiological staging largely influences treatment decisions and is becoming more reliant on PET and CT. However, the sensitivity of these modalities is suboptimal and is known to under-stage disease. The primary aim of this study was to validate a published prognostic model in oesophageal cancer patients staged N0 with PET/CT, which showed that EUS nodal status was an independent predictor of survival. The secondary aim was to assess the prognostic significance of pathological lymph node metastases in this cohort. Methods An independent validation cohort included 139 consecutive patients from a regional upper gastrointestinal cancer network staged N0 with PET/CT between 1st January 2013 and 31st June 2015. Replicating the original study, two Cox regression models were produced: one included EUS T-stage and EUS N-stage, and one included EUS T-stage and EUS N0 versus N+. The primary outcome of the prognostic model was overall survival (OS). Kaplan–Meier analysis assessed differences in OS between pathological node-negative (pN0) and node-positive (pN+) groups. A p value of < 0.05 was considered statistically significant. Results The mean OS of the validation cohort was 29.8 months (95% CI 27.1–35.2). EUS T-stage was significantly and independently associated with OS in both models (p = 0.011 and p = 0.012, respectively). EUS N-stage and EUS N0 versus N+ were not significantly associated with OS (p = 0.553 and p = 0.359, respectively). There was a significant difference in OS between pN0 and pN+ groups (χ2 13.315, df 1, p < 0.001). Conclusion Lymph node metastases have a significant detrimental effect on OS. This validation study did not replicate the results of the developed prognostic model but the continued benefit of EUS in patients staged N0 with PET/CT was demonstrated. EUS remains a valuable component of a multi-modality approach to oesophageal cancer staging