185 research outputs found

    Biological remodelling: Stationary energy, configurational change, internal variables and dissipation

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    Remodelling is defined as an evolution of microstructure or variations in the configuration of the underlying manifold. The manner in which a biological tissue and its subsystems remodel their structure is treated in a continuum mechanical setting. While some examples of remodelling are conveniently modelled as evolution of the reference configuration (Case I), others are more suited to an internal variable description (Case II). In this paper we explore the applicability of stationary energy states to remodelled systems. A variational treatment is introduced by assuming that stationary energy states are attained by changes in microstructure via one of the two mechanisms--Cases I and II. An example is presented to illustrate each case. The example illustrating Case II is further studied in the context of the thermodynamic dissipation inequality.Comment: 24 pages, 4 figures. Replaced version has corrections to typos in equations, and the corresponding correct plot of the solution--all in Section

    Impact Evaluation of Training Natural Leaders during a Community-Led Total Sanitation Intervention: A Cluster-Randomized Field Trial in Ghana

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    We used a cluster-randomized field trial to evaluate training natural leaders (NLs) as an addition to a community-led total sanitation (CLTS) intervention in Ghana. NLs are motivated community members who influence their peers’ behaviors during CLTS. The outcomes were latrine use and quality, which were assessed from surveys and direct observation. From October 2012, Plan International Ghana (Plan) implemented CLTS in 60 villages in three regions in Ghana. After 5 months, Plan trained eight NLs from a randomly selected half of the villages, then continued implementing CLTS in all villages for 12 more months. The NL training led to increased time spent on CLTS by community members, increased latrine construction, and a 19.9 percentage point reduction in open defecation (p < 0.001). The training had the largest impact in small, remote villages with low exposure to prior water and sanitation projects, and may be most effective in socially cohesive villages. For both interventions, latrines built during CLTS were less likely to be constructed of durable materials than pre-existing latrines, but were equally clean, and more often had handwashing materials. CLTS with NL training contributes to three parts of Goal 6 of the Sustainable Development Goals: eliminating open defecation, expanding capacity-building, and strengthening community participation

    Applied & Computational MathematicsChallenges for the Design and Control of Dynamic Energy Systems

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    The Energy Independence and Security Act of 2007 (EISA) was passed with the goal 'to move the United States toward greater energy independence and security.' Energy security and independence cannot be achieved unless the United States addresses the issue of energy consumption in the building sector and significantly reduces energy consumption in buildings. Commercial and residential buildings account for approximately 40% of the U.S. energy consumption and emit 50% of CO{sub 2} emissions in the U.S. which is more than twice the total energy consumption of the entire U.S. automobile and light truck fleet. A 50%-80% improvement in building energy efficiency in both new construction and in retrofitting existing buildings could significantly reduce U.S. energy consumption and mitigate climate change. Reaching these aggressive building efficiency goals will not happen without significant Federal investments in areas of computational and mathematical sciences. Applied and computational mathematics are required to enable the development of algorithms and tools to design, control and optimize energy efficient buildings. The challenge has been issued by the U.S. Secretary of Energy, Dr. Steven Chu (emphasis added): 'We need to do more transformational research at DOE including computer design tools for commercial and residential buildings that enable reductions in energy consumption of up to 80 percent with investments that will pay for themselves in less than 10 years.' On July 8-9, 2010 a team of technical experts from industry, government and academia were assembled in Arlington, Virginia to identify the challenges associated with developing and deploying newcomputational methodologies and tools thatwill address building energy efficiency. These experts concluded that investments in fundamental applied and computational mathematics will be required to build enabling technology that can be used to realize the target of 80% reductions in energy consumption. In addition the finding was that there are tools and technologies that can be assembled and deployed in the short term - the next 3-5 years - that can be used to significantly reduce the cost and time effective delivery of moderate energy savings in the U.S. building stock. Simulation tools, which are a core strength of current DOE computational research programs, provide only a part of the answer by providing a basis for simulation enabled design. New investments will be required within a broad dynamics and control research agenda which must focus on dynamics, control, optimization and simulation of multi-scale energy systems during design and operation. U.S. investments in high performance and high productivity computing (HP2C) should be leveraged and coupled with advances in dynamics and control to impact both the existing building stock through retrofits and also new construction. The essential R&amp;D areas requiring investment are: (1) Characterizing the Dynamics of Multi-scale Energy Systems; (2) Control and Optimization Methodologies of Multi-scale Energy Systems Under Uncertainty; and (3) Multiscale Modeling and Simulation Enabled Design and Operation. The concept of using design and control specific computational tools is a new idea for the building industry. The potential payoffs in terms of accelerated design cycle times, performance optimization and optimal supervisory control to obtain and maintain energy savings are huge. Recent advances in computational power, computer science, and mathematical algorithms offer the foundations to address the control problems presented by the complex dynamics of whole building systems. The key areas for focus and associated metrics with targets for establishing competitiveness in energy efficient building design and operation are: (1) Scalability - Current methodology and tools can provide design guidance for very low energy buildings in weeks to months; what is needed is hours to days. A 50X improvement is needed. (2) Installation and commissioning - Current methodology and tools can target a three month window for commissioning of building subsystems; what is needed is one week. A 10X improvement is needed. (3) Quality - Current design tools can achieve 30% accuracy; what is needed to make design decisions is 5% with quantification of uncertainty. A 5X improvement is needed. These challenges cannot be overcome by raw computational power alone and require the development of new algorithms. Here algorithms mean much more than simulating the building physics but need to be inclusive of a much better understanding of the building and the control systems associated with the building and to capture the entire set of dynamics. The algorithmsmust represent computationally new mathematical approaches to modeling, simulation, optimization and control of large multi-scale dynamic systems and bringing these elements to bear on industry in simulation enabled design approaches

    The Ursinus Weekly, October 2, 1975

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    Meetings on Perkiomen Valley growth • In memoriam • Gene Shue presents: Year of the Sixers • City planner speaks • Ursinus College appoints Assoc. Prof. of Education • Kane earns Doctorate • Editorial: A different year? • Is there more to life? • New dorms renovated • Saturday Lunch • Forum series opens: Nina Deutsch • Musical notes • Chris Hillman rated • New events at Walnut • Nancy Drew revisited • Alumnus is named to Library post • British history specialist joins Ursinus faculty • Instructor returns to Ursinus • Pa. Dutch Program is success • Instructor appointed to Biology Dept. • Lindback Award presented • Soccer season opens • Ursinus allies with area • Balloons! • Ursinus named a \u2776er • Register now! • Grads elect officers • Yes we can gang didn\u27t • NFC forecast • MAC report • F & M stings Bears 35 - 21https://digitalcommons.ursinus.edu/weekly/1041/thumbnail.jp

    Clinical emergence of neurometastatic merkel cell carcinoma: a surgical case series and literature review

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    Merkel cell carcinoma (MCC) is a rare cutaneous neuroendocrine neoplasm of possible viral origin and is known for its aggressive behavior. The incidence of MCC has increased in the last 15 years. Merkel cell carcinoma has the potential to metastasize, but rarely involves the central nervous system. Herein, we report three consecutive surgical cases of MCC presenting at a single institution within 1 year. We used intracavitary BCNU wafers (Gliadel®) in two cases. Pathological features, including CK20 positivity, consistent with MCC, were present in all cases. We found 33 published cases of MCC with CNS involvement. We suggest that the incidence of neurometastatic MCC may be increasing, parallel to the increasing incidence of primary MCC. We propose a role for intracavitary BCNU wafers in the treatment of intra-axial neurometastatic MCC

    Hypertension in Sub-Saharan Africa: Cross-Sectional Surveys in Four Rural and Urban Communities

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    Background: Cardiovascular disease (CVD) is the leading cause of adult mortality in low-income countries but data on the prevalence of cardiovascular risk factors such as hypertension are scarce, especially in sub-Saharan Africa (SSA). This study aims to assess the prevalence of hypertension and determinants of blood pressure in four SSA populations in rural Nigeria and Kenya, and urban Namibia and Tanzania. Methods and Findings: We performed four cross-sectional household surveys in Kwara State, Nigeria; Nandi district, Kenya; Dar es Salaam, Tanzania and Greater Windhoek, Namibia, between 2009-2011. Representative population-based samples were drawn in Nigeria and Namibia. The Kenya and Tanzania study populations consisted of specific target groups. Within a final sample size of 5,500 households, 9,857 non-pregnant adults were eligible for analysis on hypertension. Of those, 7,568 respondents ≥18 years were included. The primary outcome measure was the prevalence of hypertension in each of the populations under study. The age-standardized prevalence of hypertension was 19.3% (95%CI:17.3-21.3) in rural Nigeria, 21.4% (19.8-23.0) in rural Kenya, 23.7% (21.3-26.2) in urban Tanzania, and 38.0% (35.9-40.1) in urban Namibia. In individuals with hypertension, the proportion of grade 2 (≥160/100 mmHg) or grade 3 hypertension (≥180/110 mmHg) ranged from 29.2% (Namibia) to 43.3% (Nigeria). Control of hypertension ranged from 2.6% in Kenya to 17.8% in Namibia. Obesity prevalence (BMI ≥30) ranged from 6.1% (Nigeria) to 17.4% (Tanzania) and together with age and gender, BMI independently predicted blood pressure level in all study populations. Diabetes prevalence ranged from 2.1% (Namibia) to 3.7% (Tanzania). Conclusion: Hypertension was the most frequently observed risk factor for CVD in both urban and rural communities in SSA and will contribute to the growing burden of CVD in SSA. Low levels of control of hypertension are alarming. Strengthening of health care systems in SSA to contain the emerging epidemic of CVD is urgently needed

    The Neutron star Interior Composition Explorer (NICER): design and development

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