39 research outputs found
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Design status of the US 100 tesla non-destructive magnet system
A collaborative effort is now underway in the US between the Department of Energy and the National Science Foundation to design, build, and use a 100 T non-destructive magnet for studying the properties of materials at high fields. The National High Magnetic Field Laboratory (NHMFL) at Tallahassee, Florida, and Los Alamos, New Mexico, where the magnet will be sited, is carrying out this task. This magnet will join other pulsed magnets at NHMFL, to provide magnetic fields at strengths, time durations, and volumes that are longer (in combination) than any now available. In particular, the goal for the 100 T magnet is a time duration above 80 T of about 15 ms in a cold bore of 24 mm. The present status of the design effort and various design issues are presented here
Development and evaluation of a cultural competency training curriculum
BACKGROUND: Increasing the cultural competence of physicians and other health care providers has been suggested as one mechanism for reducing health disparities by improving the quality of care across racial/ethnic groups. While cultural competency training for physicians is increasingly promoted, relatively few studies evaluating the impact of training have been published. METHODS: We recruited 53 primary care physicians at 4 diverse practice sites and enrolled 429 of their patients with diabetes and/or hypertension. Patients completed a baseline survey which included a measure of physician culturally competent behaviors. Cultural competency training was then provided to physicians at 2 of the sites. At all 4 sites, physicians received feedback in the form of their aggregated cultural competency scores compared to the aggregated scores from other physicians in the practice. The primary outcome at 6 months was change in the Patient-Reported Physician Cultural Competence (PRPCC) score; secondary outcomes were changes in patient trust, satisfaction, weight, systolic blood pressure, and glycosylated hemoglobin. Multiple analysis of variance was used to control for differences patient characteristics and baseline levels of the outcome measure between groups. RESULTS: Patients had a mean of 2.8 + 2.2 visits to the study physician during the study period. Changes in all outcomes were similar in the "Training + Feedback" group compared to the "Feedback Only" group (PRPCC: 3.7 vs.1.8; trust: -0.7 vs. -0.2 ; satisfaction: 1.9 vs. 2.5; weight: -2.5 lbs vs. -0.7 lbs; systolic blood pressure: 1.7 mm Hg vs. 0.1 mm Hg; glycosylated hemoglobin 0.02% vs. 0.07%; p = NS for all). CONCLUSION: The lack of measurable impact of physician training on patient-reported and disease-specific outcomes in the current has several possible explanations, including the relatively limited nature of the intervention. We hope that the current study will help provide a basis for future studies, using more intensive interventions with different provider groups
Guidance for the practical management of warfarin therapy in the treatment of venous thromboembolism
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Design and testing of a 320 MW pulsed power supply
For a 60 Tesla, 100 millisecond long pulse magnet five 64 MW (87.6 MVA) power converter modules have been installed. Each module provides a no-load voltage of 4.18 kV and a full load voltage of 3.20 kV at the rated current of 20 kA. The modules are connected to a 1,430 MVA/650 MJ inertial energy storage generator set, which is operated at 21 kV and frequencies between 60 and 42 Hz. They are designed to provide the rated power output for 2 seconds once every hour. Each module consists of two 21 kV/3.1 kV cast coil transformers and two 6-pulse rectifiers connected in parallel without an interphase reactor, forming a 12-pulse converter module. As far as possible standard high power industrial converter components were used, operated closer to their allowable limits. The converters are controlled by three programmable high speed controllers. In this paper the design of the pulsed converters, including control and special considerations for protection schemes with the converters supplying a mutually coupled magnet system, is detailed. Test results of the converters driving an ohmic-inductive load for 2 seconds at 20 kA and 3.2 kV are presented