Bronchial thermoplasty: implementing best practice in the era of cost containment.

Increasing dependence on advanced technologies in the 21st century has created a dilemma between the practice and business of medicine. From information technology to robotic surgery, new technologies have expanded treatment possibilities and have potentially improved patient outcomes and safety. Simultaneously, their escalating costs limit access for certain patients and health care facilities. Nevertheless, medical decisions should not simply be based on cost. Input from physicians and other health care specialists as well as adherence to best practice position statements, are vital to implementing truly cost-effective strategies in medicine. Bronchial thermoplasty (BT), a US Food and Drug Administration approved bronchoscopy procedure in difficult-to-control persistent asthma, is a prime example of a new technology facing cost and implementation challenges. We discuss the specific indications and contraindications for BT and review recent real-world experiences that can provide the foundation for building a comprehensive asthma program that provides BT for difficult-to-control asthma patients who fail national guideline treatment recommendations after an adequate clinical trial of one. We also offer insight into the barriers to implementing a successful BT program and strategies for overcoming them

Cryogenic Propellant Scavenging

A detailed description of a computer model that has been developed for assessing the feasibility of low g cryogen propellant scavenging from the space shuttle External Tank (ET) is given. Either pump-assisted or pressure-induced propellant transfer may be selected. The program will accept a wide range of input variables, including the fuel to be transferred (LOX or LH2), heat leaks, tank temperatures, and piping and equipment specifications. The model has been parametrically analyzed to determine initial design specification for the system

Alien Registration- Brooker, Louie D. (Wade, Aroostook County)

https://digitalmaine.com/alien_docs/32722/thumbnail.jp

Alien Registration- Brooker, Louie D. (Wade, Aroostook County)

https://digitalmaine.com/alien_docs/32722/thumbnail.jp

Excitonic Effects and Optical Spectra of Single-Walled Carbon Nanotubes

Many-electron effects often dramatically modify the properties of reduced dimensional systems. We report calculations, based on an many-electron Green's function approach, of electron-hole interaction effects on the optical spectra of small-diameter single-walled carbon nanotubes. Excitonic effects qualitatively alter the optical spectra of both semiconducting and metallic tubes. Excitons are bound by ~ 1 eV in the semiconducting (8,0) tube and by ~ 100 meV in the metallic (3,3) tube. These large many-electron effects explain the discrepancies between previous theories and experiments.Comment: 6 pages, 3 figures, 2 table

Diameter and Chirality Dependence of Exciton Properties in Carbon Nanotubes

We calculate the diameter and chirality dependences of the binding energies, sizes, and bright-dark splittings of excitons in semiconducting single-wall carbon nanotubes (SWNTs). Using results and insights from {\it ab initio} calculations, we employ a symmetry-based, variational method based on the effective-mass and envelope-function approximations using tight-binding wavefunctions. Binding energies and spatial extents show a leading dependence with diameter as $1/d$ and $d$, respectively, with chirality corrections providing a spread of roughly 20% with a strong family behavior. Bright-dark exciton splittings show a $1/d^2$ leading dependence. We provide analytical expressions for the binding energies, sizes, and splittings that should be useful to guide future experiments

Excitons and Many-Electron Effects in the Optical Response of Single-Walled Boron Nitride Nanotubes

We report first-principles calculations of the effects of quasiparticle self-energy and electron-hole interaction on the optical properties of single-walled BN nanotubes. Excitonic effects are shown to be even more important in BN nanotubes than in carbon nanotubes. Electron-hole interactions give rise to complexes of bright (and dark) excitons, which qualitatively alter the optical response. Excitons with binding energy larger than 2 eV are found in the (8,0) BN nanotubes. Moreover, unlike the carbon nanotubes, theory predicts that these exciton states are comprised of coherent supposition of transitions from several different subband pairs, giving rise to novel behaviors.Comment: 4 pages, 4 figure

Theory and it ab initio calculation of radiative lifetime of excitons in semiconducting carbon nanotubes

We present theoretical analysis and first-principles calculation of the radiative lifetime of excitons in semiconducting carbon nanotubes. An intrinsic lifetime of the order of 10 ps is computed for the lowest optically active bright excitons. The intrinsic lifetime is however a rapid increasing function of the exciton momentum. Moreover, the electronic structure of the nanotubes dictates the existence of dark excitons nearby in energy to each bright exciton. Both effects strongly influence measured lifetime. Assuming a thermal occupation of bright and dark exciton bands, we find an effective lifetime of the order of 10 ns at room temperature, in good accord with recent experiments.Comment: 12 pages, 3 figure