Magnetic field waves at Uranus

The proposed research efforts funded by the UDAP grant to the BRI involve the study of magnetic field waves associated with the Uranian bow shock. This is a collaborative venture bringing together investigators at the BRI, Southwest Research Institute (SwRI), and Goddard Space Flight Center (GSFC). In addition, other collaborations have been formed with investigators granted UDAP funds for similar studies and with investigators affiliated with other Voyager experiments. These investigations and the corresponding collaborations are included in the report. The proposed effort as originally conceived included an examination of waves downstream from the shock within the magnetosheath. However, the observations of unexpected complexity and diversity within the upstream region have necessitated that we confine our efforts to those observations recorded upstream of the bow shock on the inbound and outbound legs of the encounter by the Voyager 2 spacecraft

Failure After Laparoscopic Pyeloplasty: Prevention and Management

Background and Purpose: Because of the high success of laparoscopic pyeloplasty (LP) for ureteropelvic junction obstruction, strategies for managing failures are less well described. We report our experience with persistent or recurrent obstruction after LP. Patients and Methods: We reviewed 128 patients who were treated with LP at our institution from 1996 through 2008. Success was defined as objective resolution of obstruction by renal scintigraphy, Whitaker testing, or direct visualization. We extracted data by chart review regarding patient demographics, medical history, operative technique, and salvage treatments. We then assessed for association between patient characteristics and treatment failure. Results: Overall, 102 patients had sufficient follow-up, of which 84 (82%) were successes. Of 18 failures, median time to failure was 2.5 months (0.5-88-mos). Of 10 failures managed endoscopically, 7 were salvaged. One of two patients treated conservatively ultimately had resolution while six patients needed simple nephrectomy. Overall, 8 (44%) were salvageable with median follow-up of 19 months (4-58-mos). Patients with failure were more likely to have diabetes mellitus, longer length of stay, higher American Society of Anesthesiologists (ASA) score, a stent placed at the time of pyeloplasty, or ureteral stent malfunction (P30-kg/m2 (P2 were associated with failure (P<0.05) while periureteral fibrosis trended toward a significant association (P=0.061). Conclusion: Nearly half of failures after LP are salvageable, many with endoscopic management.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90445/1/end-2E2010-2E0647.pd

Magnetic field waves at Uranus

The research efforts funded by the Uranus Data Analysis Program (UDAP) grant to the Bartol Research Institute (BRI) involved the study of magnetic field waves associated with the Uranian bow shock. Upstream wave studies are motivated as a study of the physics of collisionless shocks. Collisionless shocks in plasmas are capable of 'reflecting' a fraction of the incoming thermal particle distribution and directing the resulting energetic particle motion back into the upstream region. Once within the upstream region, the backward streaming energetic particles convey information of the approaching shock to the supersonic flow. This particle population is responsible for the generation of upstream magnetic and electrostatic fluctuations known as 'upstream waves', for slowing the incoming wind prior to the formation of the shock ramp, and for heating of the upstream plasma. The waves produced at Uranus not only differed in several regards from the observations at other planetary bow shocks, but also gave new information regarding the nature of the reflected particle populations which were largely unmeasurable by the particle instruments. Four distinct magnetic field wave types were observed upstream of the Uranian bow shock: low-frequency Alfven or fast magnetosonic waves excited by energetic protons originating at or behind the bow shock; whistler wave bursts driven by gyrating ion distributions within the shock ramp; and two whistler wave types simultaneously observed upstream of the flanks of the shock and argued to arise from resonance with energetic electrons. In addition, observations of energetic particle distributions by the LECP experiment, thermal particle populations observed by the PLS experiment, and electron plasma oscillations recorded by the PWS experiment proved instrumental to this study and are included to some degree in the papers and presentations supported by this grant

Power system frequency response from the control of bitumen tanks

Bitumen tanks were tested to investigate the capability of industrial heating loads to provide frequency response to an electric power system. A decentralized control algorithm was developed enabling the tanks to alter their power consumption in proportion to the variations of grid frequency. The control maintains the normal operation of tanks and causes little impact on their primary function of storing hot bitumen. Field investigations were undertaken on 76 tanks with power ratings from 17 to 75 kW. A model of a population of controlled tanks was developed. The behavior of the tanks was compared between the simulations and the field tests. The model of controlled tanks was then integrated with a simplified Great Britain power system model. It was shown that the controlled tanks were able to contribute to the grid frequency control in a manner similar to and faster than that provided by frequency-sensitive generation

Solar Powered Multipurpose Remotely Powered Aircraft

Increase in energy demands coupled with rapid depletion of natural energy resources have deemed solar energy as an attractive alternative source of power. The focus was to design and construct a solar powered, remotely piloted vehicle to demonstrate the feasibility of solar energy as an effective, alternate source of power. The final design included minimizing the power requirements and maximizing the strength-to-weight and lift-to-drag ratios. Given the design constraints, Surya (the code-name given to the aircraft), is a lightweight aircraft primarily built using composite materials and capable of achieving level flight powered entirely by solar energy

Predictors and outcomes of unplanned readmission to a different hospital

Objectives: To examine patient, hospital and market factors and outcomes associated with readmission to a different hospital compared with the same hospital. Design: A population-based, secondary analysis using multilevel causal modeling. Setting: Acute care hospitals in California in the USA. Participants: In total, 509 775 patients aged 50 or older who were discharged alive from acute care hospitals (index hospitalizations), and 59 566 who had a rehospitalization within 30 days following their index discharge. Intervention: No intervention. Main Outcome Measures(s): Thirty-day unplanned readmissions to a different hospital compared with the same hospital and also the costs and health outcomes of the readmissions. Results: Twenty-one percent of patients with a rehospitalization had a different-hospital readmission. Compared with the same-hospital readmission group, the different-hospital readmission group was more likely to be younger, male and have a lower income. The index hospitals of the different-hospital readmission group were more likely to be smaller, for-profit hospitals, which were also more likely to be located in counties with higher competition. The different-hospital readmission group had higher odds for in-hospital death (8.1 vs. 6.7%; P &lt; 0.0001) and greater readmission hospital costs ($15 671.8 vs.$14 286.4; P &lt; 0.001) than the same-hospital readmission group. Conclusions: Patient, hospital and market characteristics predicted different-hospital readmissions compared with same-hospital readmissions. Mortality and cost outcomes were worse among patients with different-hospital readmissions. Strategies for better care coordination targeting people at risk for different-hospital readmissions are necessary

Maintenance treatment with quetiapine versus discontinuation after one year of treatment in patients with remitted first episode psychosis: randomised controlled trial

Objective To study rates of relapse in remitted patients with first episode psychosis who either continued or discontinued antipsychotic drugs after at least one year of maintenance treatment

Progression of mitral regurgitation in rheumatic valve disease : role of left atrial remodeling

Introduction: Mitral regurgitation (MR) is the most common valve abnormality in rheumatic heart disease (RHD) often associated with stenosis. Although the mechanism by which MR develops in RHD is primary, longstanding volume overload with left atrial (LA) remodeling may trigger the development of secondary MR, which can impact on the overall progression of MR. This study is aimed to assess the incidence and predictors of MR progression in patients with RHD. Methods: Consecutive RHD patients with non-severe MR associated with any degree of mitral stenosis were selected. The primary endpoint was a progression of MR, which was defined as an increase of one grade in MR severity from baseline to the last follow-up echocardiogram. The risk of MR progression was estimated accounting for competing risks. Results: The study included 539 patients, age of 46.2 ± 12 years and 83% were women. At a mean follow-up time of 4.2 years (interquartile range [IQR]: 1.2–6.9 years), 54 patients (10%) displayed MR progression with an overall incidence of 2.4 per 100 patient-years. Predictors of MR progression by the Cox model were age (adjusted hazard ratio [HR] 1.541, 95% CI 1.222–1.944), and LA volume (HR 1.137, 95% CI 1.054–1.226). By considering competing risk analysis, the direction of the association was similar for the rate (Cox model) and incidence (Fine-Gray model) of MR progression. In the model with LA volume, atrial fibrillation (AF) was no longer a predictor of MR progression. In the subgroup of patients in sinus rhythm, 59 had an onset of AF during follow-up, which was associated with progression of MR (HR 2.682; 95% CI 1.133–6.350). Conclusions: In RHD patients with a full spectrum of MR severity, progression of MR occurs over time is predicted by age and LA volume. LA enlargement may play a role in the link between primary MR and secondary MR in patients with RHD

Measurement of Jet Shapes in Photoproduction at HERA

The shape of jets produced in quasi-real photon-proton collisions at centre-of-mass energies in the range $134-277$ GeV has been measured using the hadronic energy flow. The measurement was done with the ZEUS detector at HERA. Jets are identified using a cone algorithm in the $\eta - \phi$ plane with a cone radius of one unit. Measured jet shapes both in inclusive jet and dijet production with transverse energies $E^{jet}_T>14$ GeV are presented. The jet shape broadens as the jet pseudorapidity ($\eta^{jet}$) increases and narrows as $E^{jet}_T$ increases. In dijet photoproduction, the jet shapes have been measured separately for samples dominated by resolved and by direct processes. Leading-logarithm parton-shower Monte Carlo calculations of resolved and direct processes describe well the measured jet shapes except for the inclusive production of jets with high $\eta^{jet}$ and low $E^{jet}_T$. The observed broadening of the jet shape as $\eta^{jet}$ increases is consistent with the predicted increase in the fraction of final state gluon jets.Comment: 29 pages including 9 figure