Primer on adult patient satisfaction in perioperative settings.

The topic of patient satisfaction has gained increasing importance over the past decade. Due to the impact of patient satisfaction on health care quality, understanding factors that predict satisfaction is vital. The purpose of this review is to examine the literature and identify factors related to patient perioperative satisfaction as well as predictive variables that, if modified, can enhance satisfaction scores of patients undergoing surgery. Our review reports that patient satisfaction scores are affected by modifiable factors such as clinician-patient communication, information provision to patients, and operational function of a hospital. Non-modifiable factors affecting patient satisfaction scores include patient demographics such as gender, age, and education. In order to enhance patient perioperative satisfaction, we suggest that anesthesiologists and surgeons focus their efforts on enhancing their communication skills and providing information that is appropriately tailored to the understanding of their patients

Oligarchic planetesimal accretion and giant planet formation II

The equation of state calculated by Saumon and collaborators has been adopted in most core-accretion simulations of giant-planet formation performed to date. Since some minor errors have been found in their original paper, we present revised simulations of giant-planet formation that considers a corrected equation of state. We employ the same code as Fortier and collaborators in repeating our previous simulations of the formation of Jupiter. Although the general conclusions of Fortier and collaborators remain valid, we obtain significantly lower core masses and shorter formation times in all cases considered. The minor errors in the previously published equation of state have been shown to affect directly the adiabatic gradient and the specific heat, causing an overestimation of both the core masses and formation times.Comment: 4 pages, 2 figures, Accepted for publication in Astronomy and Astrophysic

Astronomical spectrograph calibration with broad-spectrum frequency combs

Broadband femtosecond-laser frequency combs are filtered to spectrographically resolvable frequency-mode spacing, and the limitations of using cavities for spectral filtering are considered. Data and theory are used to show implications to spectrographic calibration of high-resolution, astronomical spectrometers

Scriber for silicon wafers

A device for dividing silicon wafers into rectangular chips is characterized by a base including a horizontally oriented bed with a planar support surface, a vacuum chuck adapted to capture a silicon wafer seated on the support for translation in mutually perpendicular directions. A stylus support mounted on the bed includes a shaft disposed above and extended across the bed and a truck mounted on the shaft and supported thereby for linear translation along a path extended across the bed a vertically oriented scribe has a diamond tip supported by the truck also adapted as to engage a silicon wafer captured by the chuck and positioned beneath it in order to form score lines in the surface of the wafer as linear translation is imparted to the truck. A chuck positioning means is mounted on the base and is connected to the chuck for positioning the chuck relative to the stylus

Theoretical models of planetary system formation: mass vs semi-major axis

Planet formation models have been developed during the last years in order to try to reproduce the observations of both the solar system, and the extrasolar planets. Some of these models have partially succeeded, focussing however on massive planets, and for the sake of simplicity excluding planets belonging to planetary systems. However, more and more planets are now found in planetary systems. This tendency, which is a result of both radial velocity, transit and direct imaging surveys, seems to be even more pronounced for low mass planets. These new observations require the improvement of planet formation models, including new physics, and considering the formation of systems. In a recent series of papers, we have presented some improvements in the physics of our models, focussing in particular on the internal structure of forming planets, and on the computation of the excitation state of planetesimals, and their resulting accretion rate. In this paper, we focus on the concurrent effect of the formation of more than one planet in the same protoplanetary disc, and show the effect, in terms of global architecture and composition of this multiplicity. We use a N-body calculation including collision detection to compute the orbital evolution of a planetary system. Moreover, we describe the effect of competition for accretion of gas and solids, as well as the effect of gravitational interactions between planets. We show that the masses and semi-major axis of planets are modified by both the effect of competition and gravitational interactions. We also present the effect of the assumed number of forming planets in the same system (a free parameter of the model), as well as the effect of the inclination and eccentricity damping.Comment: accepted in Astronomy and Astrophysic

Photonic microwave generation with high-power photodiodes

We utilize and characterize high-power, high-linearity modified uni-traveling carrier (MUTC) photodiodes for low-phase-noise photonic microwave generation based on optical frequency division. When illuminated with picosecond pulses from a repetition-rate-multiplied gigahertz Ti:sapphire modelocked laser, the photodiodes can achieve 10 GHz signal power of +14 dBm. Using these diodes, a 10 GHz microwave tone is generated with less than 500 attoseconds absolute integrated timing jitter (1 Hz-10 MHz) and a phase noise floor of -177 dBc/Hz. We also characterize the electrical response, amplitude-to-phase conversion, saturation and residual noise of the MUTC photodiodes.Comment: 3 pages, 3 figure

CHEOPS performance for exomoons: The detectability of exomoons by using optimal decision algorithm

Many attempts have already been made for detecting exomoons around transiting exoplanets but the first confirmed discovery is still pending. The experience that have been gathered so far allow us to better optimize future space telescopes for this challenge, already during the development phase. In this paper we focus on the forthcoming CHaraterising ExOPlanet Satellite (CHEOPS),describing an optimized decision algorithm with step-by-step evaluation, and calculating the number of required transits for an exomoon detection for various planet-moon configurations that can be observable by CHEOPS. We explore the most efficient way for such an observation which minimizes the cost in observing time. Our study is based on PTV observations (photocentric transit timing variation, Szab\'o et al. 2006) in simulated CHEOPS data, but the recipe does not depend on the actual detection method, and it can be substituted with e.g. the photodynamical method for later applications. Using the current state-of-the-art level simulation of CHEOPS data we analyzed transit observation sets for different star-planet-moon configurations and performed a bootstrap analysis to determine their detection statistics. We have found that the detection limit is around an Earth-sized moon. In the case of favorable spatial configurations, systems with at least such a large moon and with at least Neptune-sized planet, 80\% detection chance requires at least 5-6 transit observations on average. There is also non-zero chance in the case of smaller moons, but the detection statistics deteriorates rapidly, while the necessary transit measurements increase fast. (abridged)Comment: 32 pages, 14 figures, accepted for publication in PAS

Planet formation models: the interplay with the planetesimal disc

According to the sequential accretion model, giant planet formation is based first on the formation of a solid core which, when massive enough, can gravitationally bind gas from the nebula to form the envelope. In order to trigger the accretion of gas, the core has to grow up to several Earth masses before the gas component of the protoplanetary disc dissipates. We compute the formation of planets, considering the oligarchic regime for the growth of the solid core. Embryos growing in the disc stir their neighbour planetesimals, exciting their relative velocities, which makes accretion more difficult. We compute the excitation state of planetesimals, as a result of stirring by forming planets, and gas-solid interactions. We find that the formation of giant planets is favoured by the accretion of small planetesimals, as their random velocities are more easily damped by the gas drag of the nebula. Moreover, the capture radius of a protoplanet with a (tiny) envelope is also larger for small planetesimals. However, planets migrate as a result of disc-planet angular momentum exchange, with important consequences for their survival: due to the slow growth of a protoplanet in the oligarchic regime, rapid inward type I migration has important implications on intermediate mass planets that have not started yet their runaway accretion phase of gas. Most of these planets are lost in the central star. Surviving planets have either masses below 10 ME or above several Jupiter masses. To form giant planets before the dissipation of the disc, small planetesimals (~ 0.1 km) have to be the major contributors of the solid accretion process. However, the combination of oligarchic growth and fast inward migration leads to the absence of intermediate mass planets. Other processes must therefore be at work in order to explain the population of extrasolar planets presently known.Comment: Accepted for publication in Astronomy and Astrophysic

Femtosecond frequency comb measurement of absolute frequencies and hyperfine coupling constants in cesium vapor

We report measurements of absolute transition frequencies and hyperfine coupling constants for the 8S_{1/2}, 9S_{1/2}, 7D_{3/2}, and 7D_{5/2} states in ^{133}Cs vapor. The stepwise excitation through either the 6P_{1/2} or 6P_{3/2} intermediate state is performed directly with broadband laser light from a stabilized femtosecond laser optical-frequency comb. The laser beam is split, counter-propagated and focused into a room-temperature Cs vapor cell. The repetition rate of the frequency comb is scanned and we detect the fluorescence on the 7P_{1/2,3/2} -> 6S_{1/2} branches of the decay of the excited states. The excitations to the different states are isolated by the introduction of narrow-bandwidth interference filters in the laser beam paths. Using a nonlinear least-squares method we find measurements of transition frequencies and hyperfine coupling constants that are in agreement with other recent measurements for the 8S state and provide improvement by two orders of magnitude over previously published results for the 9S and 7D states.Comment: 14 pages, 14 figure