Accentuate the negative

A survey of mean inequalities with real weights is given.Comment: 16 pages 3 figure

Investigation of effect of propulsion system installation and operation on aerodynamics of an airbreathing hypersonic airplane at Mach 0.3 to 1.2

Results from an investigation of the effects of the operation of a combined turbojet/scramjet propulsion system on the longitudinal aerodynamic characteristics of a 1/60-scale hypersonic airbreathing launch vehicle configuration are presented. Decomposition products of hydrogen peroxide were used for simulation of the propulsion system exhaust

Atomic level micromagnetic model of recording media switching at elevated temperatures

An atomic level micromagnetic model of granular recording media is developed and applied to examine external field-induced grain switching at elevated temperatures which captures non-uniform reversal modes. The results are compared with traditional methods which employ the Landau-Lifshitz-Gilbert equations based on uniformly magnetized grains with assigned intrinsic temperature profiles for $M(T)$ and $K(T)$. Using nominal parameters corresponding to high-anisotropy FePt-type media envisioned for Energy Assisted Magnetic Recording, our results demonstrate that atomic-level reversal slightly reduces the field required to switch grains at elevated temperatures, but results in larger fluctuations, when compared to a uniformly magnetized grain model.Comment: 4 pages, 5 figure

Patient enablement requires physician empathy: a cross-sectional study of general practice consultations in areas of high and low socioeconomic deprivation in Scotland

<b>Background</b> Patient 'enablement' is a term closely aligned with 'empowerment' and its measurement in a general practice consultation has been operationalised in the widely used patient enablement instrument (PEI), a patient-rated measure of consultation outcome. However, there is limited knowledge regarding the factors that influence enablement, particularly the effect of socio-economic deprivation. The aim of the study is to assess the factors influencing patient enablement in GP consultations in areas of high and low deprivation.<p></p> <b>Methods</b> A questionnaire study was carried out on 3,044 patients attending 26 GPs (16 in areas of high socio-economic deprivation and 10 in low deprivation areas, in the west of Scotland). Patient expectation (confidence that the doctor would be able to help) was recorded prior to the consultation. PEI, GP empathy (measured by the CARE Measure), and a range of other measures and variables were recorded after the consultation. Data analysis employed multi-level modelling and multivariate analyses with the PEI as the dependant variable.<p></p> <b>Results</b> Although numerous variables showed a univariate association with patient enablement, only four factors were independently predictive after multilevel multivariate analysis; patients with multimorbidity of 3 or more long-term conditions (reflecting poor chronic general health), and those consulting about a long-standing problem had reduced enablement scores in both affluent and deprived areas. In deprived areas, emotional distress (GHQ-caseness) had an additional negative effect on enablement. Perceived GP empathy had a positive effect on enablement in both affluent and deprived areas. Maximal patient enablement was never found with low empathy.<p></p> <b>Conclusions</b> Although other factors influence patient enablement, the patients' perceptions of the doctors' empathy is of key importance in patient enablement in general practice consultations in both high and low deprivation settings

How to design and evaluate interventions to improve outcomes for patients with multimorbidity

Multimorbidity is a major challenge for patients and healthcare providers. The limited evidence of the effectiveness of interventions for people with multimorbidity means that there is a need for much more research and trials of potential interventions. Here we present a consensus view from a group of international researchers working to improve care for people with multimorbidity to guide future studies of interventions. We suggest that there is a need for careful consideration of whom to include, how to target interventions that address specific problems and that do not add to treatment burden, and selecting outcomes that matter both to patients and the healthcare system. Innovative design of these interventions will be necessary as many will be introduced in service settings and it will be important to ensure methodological rigour, relevance to service delivery, and generalizability across healthcare systems

Data reduction formulas for the 16-foot transonic tunnel: NASA Langley Research Center, revision 2

The equations used by the 16-Foot Transonic Wind Tunnel in the data reduction programs are presented in nine modules. Each module consists of equations necessary to achieve a specific purpose. These modules are categorized in the following groups: (1) tunnel parameters; (2) jet exhaust measurements; (3) skin friction drag; (4) balance loads and model attitudes calculations; (5) internal drag (or exit-flow distribution); (6) pressure coefficients and integrated forces; (7) thrust removal options; (8) turboprop options; and (9) inlet distortion

Collaborative Epistemic Discourse in Classroom Information Seeking Tasks

We discuss the relationship between information seeking, and epistemic beliefs – beliefs about the source, structure, complexity, and stability of knowledge – in the context of collaborative information seeking discourses. We further suggest that both information seeking, and epistemic cognition research agendas have suffered from a lack of attention to how information seeking as a collaborative activity is mediated by talk between partners – an area we seek to address in this paper. A small-scale observational study using sociocultural discourse analysis was conducted with eight eleven year old pupils who carried out search engine tasks in small groups. Qualitative and quantitative analysis were performed on their discussions using sociocultural discourse analytic techniques. Extracts of the dialogue are reported, informed by concordance analysis and quantitative coding of dialogue duration. We find that 1) discourse which could be characterised as ‘epistemic’ is identifiable in student talk, 2) that it is possible to identify talk which is more or less productive, and 3) that epistemic talk is associated with positive learning outcomes