345 research outputs found
The incorporation of matter into characteristic numerical relativity
A code that implements Einstein equations in the characteristic formulation
in 3D has been developed and thoroughly tested for the vacuum case. Here, we
describe how to incorporate matter, in the form of a perfect fluid, into the
code. The extended code has been written and validated in a number of cases. It
is stable and capable of contributing towards an understanding of a number of
problems in black hole astrophysics.Comment: 15 pages + 4 (eps) figure
A Large Nonmetastatic Anaplastic Thyroid Cancer with Complete Thyroidal Confinement
Anaplastic thyroid cancer (ATC) is rare but extremely aggressive, which accounts for
about 2% of all thyroid cancers yet nearly 50% of thyroid-cancer-associated deaths
in the United States. The median survival time from diagnosis is 5 months, with a
1-year survival rate of only 20%. We report here a case of ATC in a 56-year-old man
who survived a large ATC. Preoperative fine-needle aspiration biopsy study to a
large right thyroid mass suggested ATC. Total thyroidectomy with radical lateral
neck and central neck dissection removed a well-circumscribed 9.5 cm tumor
without extrathyroidal extension or lymphovascular invasion. All 73 lymph nodes
removed were negative for metastasis. The tumor consisted of highly pleomorphic,
undifferentiated cells with large zones of necrosis and loss of thyroid
transcription factor-1 and thyroglobulin expression. A focal well-differentiated
component and PAX8 expression confirmed its thyroid follicular cell origin. Nine
months after postsurgical adjuvant concurrent radiation therapy and chemotherapy,
the patient remained well without clinical, biochemical, and radiographical evidence
for cancer recurrence. This is an unusual case of ATC in that it is one of the
largest ATC tumors reported to display mild pathologic behavior and relatively
long-term patient survival
Theoretical Evaluation of Anisotropic Reflectance Correction Approaches for Addressing Multi-Scale Topographic Effects on the Radiation-Transfer Cascade in Mountain Environments
Research involving anisotropic-reflectance correction (ARC) of multispectral imagery to account for topographic effects has been ongoing for approximately 40 years. A large body of research has focused on evaluating empirical ARC methods, resulting in inconsistent results. Consequently, our research objective was to evaluate commonly used ARC methods using first-order radiation-transfer modeling to simulate ASTER multispectral imagery over Nanga Parbat, Himalaya. Specifically, we accounted for orbital dynamics, atmospheric absorption and scattering, direct- and diffuse-skylight irradiance, land cover structure, and surface biophysical variations to evaluate their effectiveness in reducing multi-scale topographic effects. Our results clearly reveal that the empirical methods we evaluated could not reasonably account for multi-scale topographic effects at Nanga Parbat. The magnitude of reflectance and the correlation structure of biophysical properties were not preserved in the topographically-corrected multispectral imagery. The CCOR and SCS+C methods were able to remove topographic effects, given the Lambertian assumption, although atmospheric correction was required, and we did not account for other primary and secondary topographic effects that are thought to significantly influence spectral variation in imagery acquired over mountains. Evaluation of structural-similarity index images revealed spatially variable results that are wavelength dependent. Collectively, our simulation and evaluation procedures strongly suggest that empirical ARC methods have significant limitations for addressing anisotropic reflectance caused by multi-scale topographic effects. Results indicate that atmospheric correction is essential, and most methods failed to adequately produce the appropriate magnitude and spatial variation of surface reflectance in corrected imagery. Results were also wavelength dependent, as topographic effects influence radiation-transfer components differently in different regions of the electromagnetic spectrum. Our results explain inconsistencies described in the literature, and indicate that numerical modeling efforts are required to better account for multi-scale topographic effects in various radiation-transfer components.Open access journalThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]
A value proposition for early physical therapist management of neck pain: a retrospective cohort analysis
BACKGROUND: Neck pain is one of the most common reasons for entry into the healthcare system. Recent increases in healthcare utilization and medical costs have not correlated with improvements in health. Therefore there is a need to identify management strategies for neck pain that are effective for the patient, cost efficient for the payer and provided at the optimal time during an episode of neck pain. METHODS: One thousand five hundred thirty-one patients who underwent physical therapist management with a primary complaint of non-specific neck pain from January 1, 2008 to December 31, 2012 were identified from the Rehabilitation Outcomes Management System (ROMS) database at Intermountain Healthcare. Patients reporting duration of symptoms less than 4 weeks were designated as undergoing "early" management and patients with duration of symptoms greater than 4 weeks were designated as receiving "delayed" management. These groups were compared using binary logistic regression to examine odds of achieving Minimal Clinically Important Difference (MCID) on the Neck Disability Index (NDI) and Numerical Pain Rating Scale (NPRS). Separate generalized linear modeling examined the effect of timing of physical therapist management on the metrics of value and efficiency. RESULTS: Patients who received early physical therapist management had increased odds of achieving MCID on the NDI (aOR = 2.01, 95 % CI 1.57, 2.56) and MCID on the NPRS (aOR = 1.82, 95 % CI 1.42, 2.38), when compared to patients receiving delayed management. Patients who received early management demonstrated the greatest value in decreasing disability with a 2.27 percentage point change in NDI score per 100 dollars, best value in decreasing pain with a 0.38 point change on the NPRS per 100 dollars. Finally, patients receiving early management were managed more efficiently with a 3.44 percentage point change in NDI score per visit and 0.57 point change in NPRS score per visit. CONCLUSIONS: These findings suggest that healthcare systems that provide pathways for patients to receive early physical therapist management of neck pain may realize improved patient outcomes, greater value and higher efficiency in decreasing disability and pain compared to delayed management. Further research is needed to confirm this assertion
Cauchy boundaries in linearized gravitational theory
We investigate the numerical stability of Cauchy evolution of linearized
gravitational theory in a 3-dimensional bounded domain. Criteria of robust
stability are proposed, developed into a testbed and used to study various
evolution-boundary algorithms. We construct a standard explicit finite
difference code which solves the unconstrained linearized Einstein equations in
the 3+1 formulation and measure its stability properties under Dirichlet,
Neumann and Sommerfeld boundary conditions. We demonstrate the robust stability
of a specific evolution-boundary algorithm under random constraint violating
initial data and random boundary data.Comment: 23 pages including 3 figures and 2 tables, revte
GlacierNet2: A Hybrid Multi-Model Learning Architecture for Alpine Glacier Mapping
In recent decades, climate change has significantly affected glacier
dynamics, resulting in mass loss and an increased risk of glacier-related
hazards including supraglacial and proglacial lake development, as well as
catastrophic outburst flooding. Rapidly changing conditions dictate the need
for continuous and detailed observations and analysis of climate-glacier
dynamics. Thematic and quantitative information regarding glacier geometry is
fundamental for understanding climate forcing and the sensitivity of glaciers
to climate change, however, accurately mapping debris-cover glaciers (DCGs) is
notoriously difficult based upon the use of spectral information and
conventional machine-learning techniques. The objective of this research is to
improve upon an earlier proposed deep-learning-based approach, GlacierNet,
which was developed to exploit a convolutional neural-network segmentation
model to accurately outline regional DCG ablation zones. Specifically, we
developed an enhanced GlacierNet2 architecture thatincorporates multiple
models, automatic post-processing, and basin-level hydrological flow techniques
to improve the mapping of DCGs such that it includes both the ablation and
accumulation zones. Experimental evaluations demonstrate that GlacierNet2
improves the estimation of the ablation zone and allows a high level of
intersection over union (IOU: 0.8839) score. The proposed architecture provides
complete glacier (both accumulation and ablation zone) outlines at regional
scales, with an overall IOU score of 0.8619. This is a crucial first step in
automating complete glacier mapping that can be used for accurate glacier
modeling or mass-balance analysis
Exact Solutions for the Intrinsic Geometry of Black Hole Coalescence
We describe the null geometry of a multiple black hole event horizon in terms
of a conformal rescaling of a flat space null hypersurface. For the prolate
spheroidal case, we show that the method reproduces the pair-of-pants shaped
horizon found in the numerical simulation of the head-on-collision of black
holes. For the oblate case, it reproduces the initially toroidal event horizon
found in the numerical simulation of collapse of a rotating cluster. The
analytic nature of the approach makes further conclusions possible, such as a
bearing on the hoop conjecture. From a time reversed point of view, the
approach yields a description of the past event horizon of a fissioning white
hole, which can be used as null data for the characteristic evolution of the
exterior space-time.Comment: 21 pages, 6 figures, revtex, to appear in Phys. Rev.
Grazing Collisions of Black Holes via the Excision of Singularities
We present the first simulations of non-headon (grazing) collisions of binary
black holes in which the black hole singularities have been excised from the
computational domain. Initially two equal mass black holes are separated a
distance and with impact parameter . Initial data are
based on superposed, boosted (velocity ) solutions of single black
holes in Kerr-Schild coordinates. Both rotating and non-rotating black holes
are considered. The excised regions containing the singularities are specified
by following the dynamics of apparent horizons. Evolutions of up to are obtained in which two initially separate apparent horizons are present
for . At that time a single enveloping apparent horizon forms,
indicating that the holes have merged. Apparent horizon area estimates suggest
gravitational radiation of about 2.6% of the total mass. The evolutions end
after a moderate amount of time because of instabilities.Comment: 2 References corrected, reference to figure update
Mode coupling in the nonlinear response of black holes
We study the properties of the outgoing gravitational wave produced when a
non-spinning black hole is excited by an ingoing gravitational wave.
Simulations using a numerical code for solving Einstein's equations allow the
study to be extended from the linearized approximation, where the system is
treated as a perturbed Schwarzschild black hole, to the fully nonlinear regime.
Several nonlinear features are found which bear importance to the data analysis
of gravitational waves. When compared to the results obtained in the linearized
approximation, we observe large phase shifts, a stronger than linear generation
of gravitational wave output and considerable generation of radiation in
polarization states which are not found in the linearized approximation. In
terms of a spherical harmonic decomposition, the nonlinear properties of the
harmonic amplitudes have simple scaling properties which offer an economical
way to catalog the details of the waves produced in such black hole processes.Comment: 17 pages, 20 figures, abstract and introduction re-writte
The Asymmetric Merger of Black Holes
We study event horizons of non-axisymmetric black holes and show how features
found in axisymmetric studies of colliding black holes and of toroidal black
holes are non-generic and how new features emerge. Most of the details of black
hole formation and black hole merger are known only in the axisymmetric case,
in which numerical evolution has successfully produced dynamical space-times.
The work that is presented here uses a new approach to construct the geometry
of the event horizon, not by locating it in a given spacetime, but by direct
construction. In the axisymmetric case, our method produces the familiar
pair-of-pants structure found in previous numerical simulations of black hole
mergers, as well as event horizons that go through a toroidal epoch as
discovered in the collapse of rotating matter. The main purpose of this paper
is to show how new - substantially different - features emerge in the
non-axisymmetric case. In particular, we show how black holes generically go
through a toroidal phase before they become spherical, and how this fits
together with the merger of black holes.Comment: 28 pages, 10 figures, uses REVTEX. Improved quality figures and
additional color images are provided at http://www.phyast.pitt.edu/~shusa/EH
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