24 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
The Costs of Separation: Friction Between Company and Insolvency Law in the Single Market
Guidance for the practical management of warfarin therapy in the treatment of venous thromboembolism
Guidance for the practical management of the direct oral anticoagulants (DOACs) in VTE treatment
First 100 T Non-Destructive Magnet Outer Coil Set First 100 T Non-Destructive Magnet Outer Coil Set
Abstract-The controlled power outer coil set of the first 100 T non-destructive (100 T ND) magnet is described. This magnet will be installed as part of the user facility research equipment at the National High Magnetic Field laboratory (NHMFL) Pulsed Field Facility at Los Alamos National Laboratory. The 100 T ND controlled power outer coil set consists of seven nested, mechanically independent externally reinforced coils. These coils, in combination, will produce a 47 T platform field in a 225-mm diameter bore. Using inertial energy storage a synchronous motor/generator provides ac power to a set of seven ac-dc converters rated at 64 MW/80 MVA each. These converters energize three independent coil circuits to create 170 MJ of field energy in the outer coil set at the platform field of 47 T. Each coil consists of a multi-layer winding of high strength conductor supported by an external high strength stainless steel shell. Coils with the highest magnetic loads will utilize a reinforcing shell fabricated from highly cold worked 301 stainless steel strip. The autofrettage conditioning method will be used to pre-stress the coils and thereby limit conductor and reinforcement strains to the elastic range. The purpose of pre-stressing the coils is to attain a design life of 10,000 full field pulses. The operation and conditioning of the coil set will be described along with special features of its design, magnetic and structural analyses and construction. Index Terms-high field, pulsed magnet, 100 tesl
High Directivity Reference RF Source and its Radiated Emission Model for Site Correlation
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Megagauss Fields During Milliseconds
A non-destructive, one megagauss magnet is now being designed in cooperation between Los Alamos and the National High Magnetic Field Laboratory (NHMFL) through joint funding by the US Department of Energy and the US NSF. The design combines two types of pulsed magnet now in use at the NHMFL: a capacitor-driven 'insert' magnet with a total pulse width of order 10 ms and a much larger 'outsert' magnet with a total pulse width of order 2 seconds that is driven by a controlled power source. The insert and outsert produce approximately 1/2 megagauss each. Although the design uses CuAg as the principal conductor further design efforts and materials development are exploring CuNb and stainless steel-clad copper as possible future alternatives. A crucial innovation was to employ wound steel strip (sheet) as a reinforcement in both insert and outsert coils. This gives extra strength due to the higher degree of cold-work possible in strip materials. For this leading edge magnet a key role is played by materials development. A major component, the 7 module 560 MVA controlled dc power supply required for the outsert, has been installed and commissioned