Integration of Multimedia Interactive Web Tools with In-Class Active Learning

In this paper, we present our experience with an introduction to engineering course in which we used a combination of active and collaborative teaching methods, multimedia web-based material, and web-based interactive tools. The students were engaged in active learning in class with methods such as demonstrations, hands-on work, and group work. After class, the students used the web-based material that we developed, such as multiple choice quizzes, interactive applets, and animations. We have also developed a number of web-based course management tools that were used by the course instructors. We conclude that both the students and instructors had a very positive experience from using this combination of methods

The adiabatic evolution of orbital parameters in the Kerr spacetime

We investigate the adiabatic orbital evolution of a point particle in the Kerr spacetime due to the emission of gravitational waves. In the case that the timescale of the orbital evolution is enough smaller than the typical timescale of orbits, the evolution of orbits is characterized by the change rates of three constants of motion, the energy $E$, the azimuthal angular momentum $L$, and the Carter constant $Q$. For $E$ and $L$, we can evaluate their change rates from the fluxes of the energy and the angular momentum at infinity and on the event horizon according to the balance argument. On the other hand, for the Carter constant, we cannot use the balance argument because we do not know the conserved current associated with it. %and the corresponding conservation law. Recently, Mino proposed a new method of evaluating the averaged change rate of the Carter constant by using the radiative field. In our previous paper we developed a simplified scheme for practical evaluation of the evolution of the Carter constant based on the Mino's proposal. In this paper we describe our scheme in more detail, and derive explicit analytic formulae for the change rates of the energy, the angular momentum and the Carter constant.Comment: 34 pages, no figur

Studies on proper simulation during static testing of forward speed effects on fan noise

Significant differences exist in the noise generated by engines in flight and engines operating on the test stand. It was observed that these differences can be reduced by the use of an inflow control structure (ICS) in the static test configuration. The results of the third phase of a three phase program are described. The work performed in the first two phases which dealt with the development of a model for atmospheric turbulence, studies of fan noise generated by rotor turbulence interaction, and the development of an inflow control structure design system are summarized. The final phase of the program covers procedures for performing static testing with an ICS projecting the resulting static test data to actual flight test data. Included is a procedures report which covers the design system and techniques for static testing and projecting the static data to flight

Improving Assessment of Drug Safety Through Proteomics: Early Detection and Mechanistic Characterization of the Unforeseen Harmful Effects of Torcetrapib.

BackgroundEarly detection of adverse effects of novel therapies and understanding of their mechanisms could improve the safety and efficiency of drug development. We have retrospectively applied large-scale proteomics to blood samples from ILLUMINATE (Investigation of Lipid Level Management to Understand its Impact in Atherosclerotic Events), a trial of torcetrapib (a cholesterol ester transfer protein inhibitor), that involved 15 067 participants at high cardiovascular risk. ILLUMINATE was terminated at a median of 550 days because of significant absolute increases of 1.2% in cardiovascular events and 0.4% in mortality with torcetrapib. The aims of our analysis were to determine whether a proteomic analysis might reveal biological mechanisms responsible for these harmful effects and whether harmful effects of torcetrapib could have been detected early in the ILLUMINATE trial with proteomics.MethodsA nested case-control analysis of paired plasma samples at baseline and at 3 months was performed in 249 participants assigned to torcetrapib plus atorvastatin and 223 participants assigned to atorvastatin only. Within each treatment arm, cases with events were matched to controls 1:1. Main outcomes were a survey of 1129 proteins for discovery of biological pathways altered by torcetrapib and a 9-protein risk score validated to predict myocardial infarction, stroke, heart failure, or death.ResultsPlasma concentrations of 200 proteins changed significantly with torcetrapib. Their pathway analysis revealed unexpected and widespread changes in immune and inflammatory functions, as well as changes in endocrine systems, including in aldosterone function and glycemic control. At baseline, 9-protein risk scores were similar in the 2 treatment arms and higher in participants with subsequent events. At 3 months, the absolute 9-protein derived risk increased in the torcetrapib plus atorvastatin arm compared with the atorvastatin-only arm by 1.08% (P=0.0004). Thirty-seven proteins changed in the direction of increased risk of 49 proteins previously associated with cardiovascular and mortality risk.ConclusionsHeretofore unknown effects of torcetrapib were revealed in immune and inflammatory functions. A protein-based risk score predicted harm from torcetrapib within just 3 months. A protein-based risk assessment embedded within a large proteomic survey may prove to be useful in the evaluation of therapies to prevent harm to patients.Clinical trial registrationURL: https://www.clinicaltrials.gov. Unique identifier: NCT00134264

The Iliocapsularis Muscle: An Important Stabilizer in the Dysplastic Hip

Background: The iliocapsularis muscle is a little known muscle overlying the anterior hip capsule postulated to function as a stabilizer of dysplastic hips. Theoretically, this muscle would be hypertrophied in dysplastic hips and, conversely, atrophied in stable and well-constrained hips. However, these observations have not been confirmed and the true function of this muscle remains unknown. Questions/purposes: We quantified the anatomic dimensions and degree of fatty infiltration of the iliocapsularis muscle and compared the results for 45 hips with deficient acetabular coverage (Group I) with 40 hips with excessive acetabular coverage (Group II). Patients and Methods: We used MR arthrography to evaluate anatomic dimensions (thickness, width, circumference, cross-sectional area [CSA], and partial volume) and the amount of fatty infiltration. Results: We observed increased thickness, width, circumference, CSA, and partial volume of the iliocapsularis muscle in Group I when compared with Group II. Additionally, hips in Group I had a lower prevalence of fatty infiltration compared with those in Group II. The iliocapsularis muscle typically was hypertrophied, and there was less fatty infiltration in dysplastic hips compared with hips with excessive acetabular coverage. Conclusion: These observations suggest the iliocapsularis muscle is important for stabilizing the femoral head in a deficient acetabulum. This muscle serves as an anatomic landmark when performing a periacetabular osteotomy. Additionally, preoperative evaluation of morphologic features of the muscle can be used as an adjunct for decision making when treating patients with borderline hip dysplasia or femoroacetabular impingemen

Inferior ST segment changes during acute anterior myocardial infarction: A marker of the presence or absence of concomitant inferior wall ischemia

The significance of inferior ST segment changes during acute anterior myocardial infarction was studied in 60 patients with acute anterior infarction who had angiographic visualization of the entire distribution of the left anterior descending artery after thrombolytic therapy with streptokinase. In 34 patients (Group 1) this artery supplied the anterior wall of the left ventricle up to or including the apex but did not reach the inferior wall; in 16 patients (Group 2) it continued beyond the apex onto the inferior wall of the left ventricle; and in 10 patients with prior inferior infarction (Group 3) it partially supplied the inferior wall of the left ventricle through collateral channels to an occluded right or dominant circumflex coronary artery.Consistent with this anatomy, evidence of inferior wall ischemia was significantly more frequent in Groups 2 and 3 than in Group 1 by thallium-201 scintigraphy (91 versus 7%) and by contrast left ventriculography (91 versus 13%). There was no difference in the magnitude of precordial ST segment elevation among the three groups but the inferior ST segment depression was significantly smaller in Groups 2 and 3 with concomitant inferior wall ischemia than in Group 1 (aVF: −0.5 ± 0.7; −0.5 ± 1.0; −1.8 ± 0.8 mm, respectively; p < 0.001) with 10 of the 26 patients in Groups 2 and 3 having an elevated or isoelectric ST segment in aVF compared with none of the 34 patients in Group 1 (p < 0.001). In patients with inferior ST segment depression, a ratio of ST depression in lead aVF to ST elevation in lead V2 that was less negative than −0.2 was a reliable marker of concomitant inferior wall ischemia.The data suggest that the electrocardiogram can identify patients with anterior infarction who have concomitant inferior wall ischemia due to occlusion of a left anterior descending artery that either also supplies the inferior wall or is the source of collateral flow to a previously occluded posterior descending artery in patients with prior inferior infarction

Clinical failure of streptokinase due to an unsuspected high titer of antistreptokinase antibody

Neutralization of streptokinase by an unsuspected high titer of antiStreptokinase antibody prevented activation of the fibrinolytic system and induction of a lytic state in a 62 year old man with an acute inferior myocardial infarction. There was no decrease in serum fibrinogen, minimal decrease in serum plasminogen and only a small increase in serum fibrin degradation products after in- travenous administration of 1.5 million units of streptokinase. A high titer of antiStreptokinase antibody, sufficient to neutralize 1.5 million units of streptokinase, was demonstrated by semiquantitative counterelectro-phoresis. There was no clinical evidence of coronary artery reperfusion, and coronary angiography confirmed complete occlusion of the left circumflex artery