147 research outputs found

    Correlation of gas-side heat transfer for axisymmetric rocket engine nozzles

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    Correlation equations for predicting gas-side heat transfer of axisymmetric rocket engine nozzle

    Effect of Ice Formations on Section Drag of Swept NACA 63A-009 Airfoil with Partical-span Leading-edge Slat for Various Modes of Thermal Ice Protection

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    Studies were made to determine the effect of ice formations on the section drag of a 6.9-foot-chord 36 degree swept NACA 63A-009 airfoil with partial-span leading-edge slat. In general, the icing of a thin swept airfoil will result in greater aerodynamic penalties than for a thick unswept airfoil. Glaze-ice formations at the leading edge of the airfoil caused large increases in section drag even at liquid-water content of 0.39 gram per cubic meter. The use of an ice-free parting strip in the stagnation region caused a negligible change in drag compared with a completely unheated airfoil. Cyclic de-icing when properly applied caused the drag to decrease almost to the bare-airfoil drag value

    Challenging National Narratives: On the Origins of Sweet Potato in China as Global Commodity During the Early Modern Period

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    The introduction of American cereal crops is probably one of the most important events in China¿s agricultural history, having a great effect on the agriculture production, national life, the transformation of consumer behaviour and, to some extent, the nationalization of consumption. The sweet potato (Ipomoea Batatas L.), in Chinese g¿nsh¿ ¿¿, is a staple food crop for ancient Chinese society. Today it still plays an important role in Chinese daily life, as well as guaranteeing national food security.GECEM Project, Global Encounters between China and Europe: Trade Networks, Consumption and Cultural Exchanges in Macau and Marseille (1680-1840), ERC (European Research Council)- Starting Grant, programa Horizon 2020, número de ref. 679371, www.gecem.eu.Versión del edito

    Rise and demise of the global silver standard

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    In the early modern period, the world economy gravitated around the expansion of long-distance commerce. Together with navigation improvements, silver was the prime commodity which moved the sails of such trade. The disparate availability and the particular demand for silver across the globe determined the participation of producers, consumers, and intermediaries in a growing global economy. American endowments of silver are a known feature of this process; however, the fact that the supply of silver was in the form of specie is a less known aspect of the integration of the global economy. This chapter surveys the production and export of silver specie out of Spanish America, its intermediation by Europeans, and the reexport to Asia. It describes how the sheer volume produced and the quality and consistency of the coin provided familiarity with, and reliability to, the Spanish American peso which made it current in most world markets. By the eighteenth century, it has become a currency standard for the international economy which grew together with the production and coinage of silver. Implications varied according to the institutional settings to deal with specie and foreign exchange in each intervening economy of that trade. Generalized warfare in late eighteenth-century Europe brought down governance in Spanish America and coinage fragmented along with the political fragmentation of the empire. The emergence of new sovereign republics and the end of minting as known meant the cessation of the silver standard that had contributed to the early modern globalization

    Can teaching agenda-setting skills to physicians improve clinical interaction quality? A controlled intervention

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    <p>Abstract</p> <p>Background</p> <p>Physicians and medical educators have repeatedly acknowledged the inadequacy of communication skills training in the medical school curriculum and opportunities to improve these skills in practice. This study of a controlled intervention evaluates the effect of teaching practicing physicians the skill of "agenda-setting" on patients' experiences with care. The agenda-setting intervention aimed to engage clinicians in the practice of initiating patient encounters by eliciting the full set of concerns from the patient's perspective and using that information to prioritize and negotiate which clinical issues should most appropriately be dealt with and which (if any) should be deferred to a subsequent visit.</p> <p>Methods</p> <p>Ten physicians from a large physician organization in California with baseline patient survey scores below the statewide 25th percentile participated in the agenda-setting intervention. Eleven physicians matched on baseline scores, geography, specialty, and practice size were selected as controls. Changes in survey summary scores from pre- and post-intervention surveys were compared between the two groups. Multilevel regression models that accounted for the clustering of patients within physicians and controlled for respondent characteristics were used to examine the effect of the intervention on survey scale scores.</p> <p>Results</p> <p>There was statistically significant improvement in intervention physicians' ability to "explain things in a way that was easy to understand" (p = 0.02) and marginally significant improvement in the overall quality of physician-patient interactions (p = 0.08) compared to control group physicians. Changes in patients' experiences with organizational access, care coordination, and office staff interactions did not differ by experimental group.</p> <p>Conclusion</p> <p>A simple and modest behavioral training for practicing physicians has potential to positively affect physician-patient relationship interaction quality. It will be important to evaluate the effect of more extensive trainings, including those that work with physicians on a broader set of communication techniques.</p
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