An Electric Thrust Meter Suitable for Flight Investigation of Propellers

A lightweight instrument that utilizes resistance-wire electric strain gases to measure propeller-shaft thrust has been developed. A wind-tunnel investigation on a propeller installed, on a single-engine pursuit airplane showed that the instrument gave a reliable indication of propeller-shaft thrust to an accuracy of +/-2 percent within its calibrated range. No attempt was made to determine the relation of indicated shaft thrust to net propeller thrust

NACA Research Memorandums

A lightweight instrument that utilizes resistance-wire electric strain gases to measure propeller-shaft thrust has been developed. A wind-tunnel investigation on a propeller installed, on a single-engine pursuit airplane showed that the instrument gave a reliable indication of propeller-shaft thrust to an accuracy of +/-2 percent within its calibrated range. No attempt was made to determine the relation of indicated shaft thrust to net propeller thrust

It is time to talk about people: a human-centered healthcare system

Examining vulnerabilities within our current healthcare system we propose borrowing two tools from the fields of engineering and design: a) Reason's system approach [1] and b) User-centered design [2,3]. Both approaches are human-centered in that they consider common patterns of human behavior when analyzing systems to identify problems and generate solutions. This paper examines these two human-centered approaches in the context of healthcare. We argue that maintaining a human-centered orientation in clinical care, research, training, and governance is critical to the evolution of an effective and sustainable healthcare system

Residency Work-Hours Reform: A Cost Analysis Including Preventable Adverse Events

BACKGROUND: In response to proposed federal legislation, the Accreditation Council for Graduate Medical Education limited resident work-hours in July 2003. The cost may be substantial but, if successful, the reform might lower preventable adverse event costs in hospital and after discharge. OBJECTIVES: This study sought to estimate the reform's net cost in 2001 dollars, and to determine the reduction in preventable adverse events needed to make reform cost neutral from teaching hospital and societal perspectives. DESIGN: Cost analysis using published literature and data. Net costs were determined for 4 reform strategies and over a range of potential effects on preventable adverse events. RESULTS: Nationwide, transferring excess work to task-tailored substitutes (the lowest-level providers appropriate for noneducational tasks) would cost $673 million; mid-level providers would cost$1.1 billion. Reform strategies promoting adverse events would increase net teaching hospital and societal costs as well as mortality. If task-tailored substitutes decrease events by 5.1% or mid-level providers decrease them by 8.5%, reform would be cost neutral for society. Events must fall by 18.5% and 30.9%, respectively, to be cost neutral for teaching hospitals. CONCLUSIONS: Because most preventable adverse event costs occur after discharge, a modest decline (5.1% to 8.5%) in them might make residency work-hours reform cost neutral for society but only a much larger drop (18.5% to 30.9%) would make it cost neutral for teaching hospitals, unless additional funds are allocated. Future research should evaluate which reform approaches prevent adverse events and at what cost