Discrete event simulation model for planning Level 2 “step-down” bed needs using NEMS

In highly congested hospitals it may be common for patients to overstay at Intensive Care Units (ICU) due to blockages and imbalances in capacity. This is inadequate clinically, as patients occupy a service they no longer need; operationally, as it disrupts flow from upstream units; and financially as ICU beds are more expensive than ward beds. Step-down beds, also known as Level 2 beds, have become an increasingly popular and less expensive alternative to ICU beds to deal with this issue. We developed a discrete event simulation model that estimates Level 2 bed needs for a large university hospital. The model innovates by simulating the entirety of the hospital’s inpatient flow and most importantly, the ICU’s daily stochastic flows based on a nursing workload scoring metrics called “Nine Equivalents of Nursing Manpower Use Score” (NEMS). Using data from a large academic hospital, the model shows the benefits of Level 2 beds in improving both patient flow and costs

IDCS J1426.5+3508: The Most Massive Galaxy Cluster at z>1.5z > 1.5

We present a deep (100 ks) Chandra observation of IDCS J1426.5+3508, a spectroscopically confirmed, infrared-selected galaxy cluster at $z = 1.75$. This cluster is the most massive galaxy cluster currently known at $z > 1.5$, based on existing Sunyaev-Zel'dovich (SZ) and gravitational lensing detections. We confirm this high mass via a variety of X-ray scaling relations, including $T_X$-M, $f_g$-M, $Y_X$-M and $L_X$-M, finding a tight distribution of masses from these different methods, spanning M$_{500}$ = 2.3-3.3 $\times 10^{14}$ M$_{\odot}$, with the low-scatter $Y_X$-based mass $M_{500,Y_X} = 2.6^{+1.5}_{-0.5} \times 10^{14}$ M$_\odot$. IDCS J1426.5+3508 is currently the only cluster at $z > 1.5$ for which X-ray, SZ and gravitational lensing mass estimates exist, and these are in remarkably good agreement. We find a relatively tight distribution of the gas-to-total mass ratio, employing total masses from all of the aforementioned indicators, with values ranging from $f_{gas,500}$ = 0.087-0.12. We do not detect metals in the intracluster medium (ICM) of this system, placing a 2$\sigma$ upper limit of $Z(r < R_{500}) < 0.18 Z_{\odot}$. This upper limit on the metallicity suggests that this system may still be in the process of enriching its ICM. The cluster has a dense, low-entropy core, offset by $\sim$30 kpc from the X-ray centroid, which makes it one of the few "cool core" clusters discovered at $z > 1$, and the first known cool core cluster at $z > 1.2$. The offset of this core from the large-scale centroid suggests that this cluster has had a relatively recent ($\lesssim$500 Myr) merger/interaction with another massive system.Comment: Minor changes to match accepted version, results unchanged; ApJ in pres

Star Formation and AGN Activity in Galaxy Clusters from z=1−2z=1-2: a Multi-wavelength Analysis Featuring HerschelHerschel/PACS

We present a detailed, multi-wavelength study of star formation (SF) and AGN activity in 11 near-infrared (IR) selected, spectroscopically confirmed, massive ($\gtrsim10^{14}\,\rm{M_{\odot}}$) galaxy clusters at $1<z<1.75$. Using new, deep $Herschel$/PACS imaging, we characterize the optical to far-IR spectral energy distributions (SEDs) for IR-luminous cluster galaxies, finding that they can, on average, be well described by field galaxy templates. Identification and decomposition of AGN through SED fittings allows us to include the contribution to cluster SF from AGN host galaxies. We quantify the star-forming fraction, dust-obscured SF rates (SFRs), and specific-SFRs for cluster galaxies as a function of cluster-centric radius and redshift. In good agreement with previous studies, we find that SF in cluster galaxies at $z\gtrsim1.4$ is largely consistent with field galaxies at similar epochs, indicating an era before significant quenching in the cluster cores ($r<0.5\,$Mpc). This is followed by a transition to lower SF activity as environmental quenching dominates by $z\sim1$. Enhanced SFRs are found in lower mass ($10.1< \log \rm{M_{\star}}/\rm{M_{\odot}}<10.8$) cluster galaxies. We find significant variation in SF from cluster-to-cluster within our uniformly selected sample, indicating that caution should be taken when evaluating individual clusters. We examine AGN in clusters from $z=0.5-2$, finding an excess AGN fraction at $z\gtrsim1$, suggesting environmental triggering of AGN during this epoch. We argue that our results $-$ a transition from field-like to quenched SF, enhanced SF in lower mass galaxies in the cluster cores, and excess AGN $-$ are consistent with a co-evolution between SF and AGN in clusters and an increased merger rate in massive haloes at high redshift.Comment: 26 pages, 14 figures, 6 tables with appendix, accepted for publication in the Astrophysical Journa

E-Manufacturing for product improvement at Red Bull technology

In Formula 1 racing, there is a strong motive for reducing component weight and thereby improving efficiency. This paper demonstrates the advantages e-Manufacturing brings to the production of hydraulic components. The DMLS production technique would enable weight reductions to be attained by its geometric design freedom coupled with this material’s attributes. The use of EOS Titanium Ti64 material for hydraulic components has been assessed by a hydraulic soak test at 25 MPa and no significant losses or failure occurred. The benefits to the efficiency of hydraulic flow have been measured using Particle Image Velocimetry (PIV) and the use of DMLS designed geometry has improved flow characteristics by 250% over that of the currently used techniques of manufacturing channels and bores

Assembly of the Red Sequence in Infrared-Selected Galaxy Clusters from the IRAC Shallow Cluster Survey

We present results for the assembly and star formation histories of massive (~L*) red sequence galaxies in 11 spectroscopically confirmed, infrared-selected galaxy clusters at 1.0 < z < 1.5, the precursors to present-day massive clusters with M ~ 10^15 M_sun. Using rest-frame optical photometry, we investigate evolution in the color and scatter of the red sequence galaxy population, comparing with models of possible star formation histories. In contrast to studies of central cluster galaxies at lower redshift (z < 1), these data are clearly inconsistent with the continued evolution of stars formed and assembled primarily at a single, much-earlier time. Specifically, we find that the colors of massive cluster galaxies at z = 1.5 imply that the bulk of star formation occurred at z ~ 3, whereas by z = 1 their colors imply formation at z ~ 2; therefore these galaxies exhibit approximately the same luminosity-weighted stellar age at 1 < z < 1.5. This likely reflects star formation that occurs over an extended period, the effects of significant progenitor bias, or both. Our results generally indicate that massive cluster galaxy populations began forming a significant mass of stars at z >~ 4, contained some red spheroids by z ~ 1.5, and were actively assembling much of their final mass during 1 < z < 2 in the form of younger stars. Qualitatively, the slopes of the cluster color-magnitude relations are consistent with no significant evolution relative to local clusters.Comment: 24 pages, 9 figures, accepted to Ap