724 research outputs found
Quantum noise in laser-interferometer gravitational-wave detectors with a heterodyne readout scheme
We analyze and discuss the quantum noise in signal-recycled laser
interferometer gravitational-wave detectors, such as Advanced LIGO, using a
heterodyne readout scheme and taking into account the optomechanical dynamics.
Contrary to homodyne detection, a heterodyne readout scheme can simultaneously
measure more than one quadrature of the output field, providing an additional
way of optimizing the interferometer sensitivity, but at the price of
additional noise. Our analysis provides the framework needed to evaluate
whether a homodyne or heterodyne readout scheme is more optimal for second
generation interferometers from an astrophysical point of view. As a more
theoretical outcome of our analysis, we show that as a consequence of the
Heisenberg uncertainty principle the heterodyne scheme cannot convert
conventional interferometers into (broadband) quantum non-demolition
interferometers.Comment: 16 pages, 8 figure
Improving outcomes for older people in the emergency department : a review of reviews
Background: There has been a recognised trend of increasing use of emergency and urgent care and emergency departments (EDs) by older people, which is marked by a substantial evidence base reporting interventions for this population and guidance from key organisations. Despite this, outcomes for this population remain suboptimal. A plethora of reviews in this area provides challenges for clinicians and commissioners in determining which interventions and models of care best meet peopleâs needs. The aim of this review was to identify effective ED interventions which have been reported for older people, and to provide a clear summary of the myriad reviews and numerous intervention types in this area.
Methods: A review of reviews, reporting interventions for older people, either initiated or wholly delivered within the ED.
Results: A total of 15 review articles describing 83 primary studies met our content and reporting standards criteria. The majority (n=13) were systematic reviews (four using meta-analysis.) Across the reviews, 26 different outcomes were reported with inconsistency. Follow-up duration varied within and across the reviews. Based on how authors had reported results, evidence clusters were developed: (1) staff-focused reviews, (2) discharge intervention reviews, (3) population-focused reviews and (4) intervention component reviews.
Conclusions: The evidence base describing interventions is weak due to inconsistent reporting, differing emphasis placed on the key characteristics of primary studies (staff, location and outcome) by review authors and varying quality of reviews. No individual interventions have been found to be more promising, but interventions initiated in the ED and continued into other settings have tended to result in more favourable patient and health service outcomes. Despite many interventions reported within the reviews being holistic and patient focused, outcomes measured were largely service focused.
PROSPERO registration number: PROSPERO CRD42018111461
Revisiting the Local Scaling Hypothesis in Stably Stratified Atmospheric Boundary Layer Turbulence: an Integration of Field and Laboratory Measurements with Large-eddy Simulations
The `local scaling' hypothesis, first introduced by Nieuwstadt two decades
ago, describes the turbulence structure of stable boundary layers in a very
succinct way and is an integral part of numerous local closure-based numerical
weather prediction models. However, the validity of this hypothesis under very
stable conditions is a subject of on-going debate. In this work, we attempt to
address this controversial issue by performing extensive analyses of turbulence
data from several field campaigns, wind-tunnel experiments and large-eddy
simulations. Wide range of stabilities, diverse field conditions and a
comprehensive set of turbulence statistics make this study distinct
A controlled evaluation of comprehensive geriatric assessment in the emergency department: the 'Emergency Frailty Unit'
Background: the ageing demographic means that increasing numbers of older people will be attending emergency departments (EDs). Little previous research has focused on the needs of older people in ED and there have been no evaluations of comprehensive geriatric assessment (CGA) embedded within the ED setting.
Methods: a pre-post cohort study of the impact of embedding CGA within a large ED in the East Midlands, UK. The primary outcome was admission avoidance from the ED, with readmissions, length of stay and bed-day use as secondary outcomes.
Results: attendances to ED increased in older people over the study period, whereas the ED conversion rate fell from 69.6 to 61.2% in people aged 85+, and readmission rates in this group fell from 26.0% at 90 days to 19.9%. In-patient bed-day use increased slightly, as did the mean length of stay.
Discussion: it is possible to embed CGA within EDs, which is associated with improvements in operational outcomes
Urgent care axis for the older adult: where is best to target interventions?
Background We explored the urgent care axis across EDs in Yorkshire and Humber (Y&H) for patients aged â„75 years to identify where interventions could be targeted to prevent ED attendances and inpatient admissions.
Methods Hospital Episode Statistics (HES) data for attendances across 18 EDs in Y&H from April 2011 to March 2014 were retrospectively analysed. HES A&E and Admitted Patient Care patient records data were linked to describe the entire patient pathway. The population studied was adult patients attending type 1 EDs, comparing those â„75 years with those under 75. Data analysed included arrival mode, presentation time, time in ED, outcome (admitted/discharged), admission length of stay, International Classification of Diseases 10th Revision (ICD-10) and cause codes related to admission. Short-stay admissions and admissions with potentially avoidable conditions (identified by ICD-10 codes and cause codes) were identified. Comparative analysis was undertaken between sites.
Results There were 3 736 541 ED attendances, of which 625â772 (16.7%) were â„75 years. Older patients were significantly more likely to attend via ambulance than the younger cohort (OR 7.7, 95%âCI 7.6 to 7.7), and had significantly longer median stays within ED (195 vs 136 min, p<0.001) and increased likelihood of admission (OR 4.5, 95%âCI 4.5 to 4.6). Short-stay admissions accounted for 28.3% of older adult admissions. 37.3% of older adult admissions were with conditions that were potentially avoidable, accounting for 42.3% of short-stay admissions. There was regional variation in the proportions of older adults admitted (between 34.3% and 40.9%).
Discussion Large numbers of older adults present to EDs mainly by ambulance. Significant proportions are admitted for short periods with conditions that might potentially be managed outside of hospital. Variation across the region warrants further study
Aspects of the dynamics of colloidal suspensions: Further results of the mode-coupling theory of structural relaxation
Results of the idealized mode-coupling theory for the structural relaxation
in suspensions of hard-sphere colloidal particles are presented and discussed
with regard to recent light scattering experiments. The structural relaxation
becomes non-diffusive for long times, contrary to the expectation based on the
de Gennes narrowing concept. A semi-quantitative connection of the wave vector
dependences of the relaxation times and amplitudes of the final
-relaxation explains the approximate scaling observed by Segr{\`e} and
Pusey [Phys. Rev. Lett. {\bf 77}, 771 (1996)]. Asymptotic expansions lead to a
qualitative understanding of density dependences in generalized Stokes-Einstein
relations. This relation is also generalized to non-zero frequencies thereby
yielding support for a reasoning by Mason and Weitz [Phys. Rev. Lett {\bf 74},
1250 (1995)]. The dynamics transient to the structural relaxation is discussed
with models incorporating short-time diffusion and hydrodynamic interactions
for short times.Comment: 11 pages, 9 figures; to be published in Phys. Rev.
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Synthesis of accelerograms compatible with the Chinese GB 50011-2001 design spectrum via harmonic wavelets: artificial and historic records
A versatile approach is employed to generate artificial accelerograms which satisfy the compatibility criteria prescribed by the Chinese aseismic code provisions GB 50011-2001. In particular, a frequency dependent peak factor derived by means of appropriate Monte Carlo analyses is introduced to relate the GB 50011-2001 design spectrum to a parametrically defined evolutionary power spectrum (EPS). Special attention is given to the definition of the frequency content of the EPS in order to accommodate the mathematical form of the aforementioned design spectrum. Further, a one-to-one relationship is established between the parameter controlling the time-varying intensity of the EPS and the effective strong ground motion duration. Subsequently, an efficient auto-regressive moving-average (ARMA) filtering technique is utilized to generate ensembles of non-stationary artificial accelerograms whose average response spectrum is in a close agreement with the considered design spectrum. Furthermore, a harmonic wavelet based iterative scheme is adopted to modify these artificial signals so that a close matching of the signalsâ response spectra with the GB 50011-2001 design spectrum is achieved on an individual basis. This is also done for field recorded accelerograms pertaining to the May, 2008 Wenchuan seismic event. In the process, zero-phase high-pass filtering is performed to accomplish proper baseline correction of the acquired spectrum compatible artificial and field accelerograms. Numerical results are given in a tabulated format to expedite their use in practice
Effect of collision cascades on dislocations in tungsten: A molecular dynamics study
Tungsten (W) is the prime candidate material for the divertor and other plasma-facing components in DEMO. The point defects (i.e. vacancies and self-interstitials) produced in collision cascades caused by incident neutrons aggregate into dislocation loops (and voids), which strongly affect the mechanical properties. The point defects also interact with existing microstructural features, and understanding these processes is crucial for modelling the long term microstructural evolution of the material under fusion conditions. In this work, we performed molecular dynamics simulations of cascades interacting with initially straight edge dislocation dipoles. It was found that the residual vacancy number usually exceeds the residual interstitial number for cascades interacting with vacancy type dipoles, but for interstitial type dipoles these are close. We observed that a cascade near a dislocation promotes climb, i.e. it facilitates the movement of point defects along the climb direction. We also observed that the dislocations move easily along the glide direction, and that kinks are formed near the centre of the cascade, which then facilitate the movement of the dipoles. Some dipoles are sheared off by the cascade, and this is dependent on PKA energy, position, direction, and the width of dipole
Modeling the Subsurface Structure of Sunspots
While sunspots are easily observed at the solar surface, determining their
subsurface structure is not trivial. There are two main hypotheses for the
subsurface structure of sunspots: the monolithic model and the cluster model.
Local helioseismology is the only means by which we can investigate
subphotospheric structure. However, as current linear inversion techniques do
not yet allow helioseismology to probe the internal structure with sufficient
confidence to distinguish between the monolith and cluster models, the
development of physically realistic sunspot models are a priority for
helioseismologists. This is because they are not only important indicators of
the variety of physical effects that may influence helioseismic inferences in
active regions, but they also enable detailed assessments of the validity of
helioseismic interpretations through numerical forward modeling. In this paper,
we provide a critical review of the existing sunspot models and an overview of
numerical methods employed to model wave propagation through model sunspots. We
then carry out an helioseismic analysis of the sunspot in Active Region 9787
and address the serious inconsistencies uncovered by
\citeauthor{gizonetal2009}~(\citeyear{gizonetal2009,gizonetal2009a}). We find
that this sunspot is most probably associated with a shallow, positive
wave-speed perturbation (unlike the traditional two-layer model) and that
travel-time measurements are consistent with a horizontal outflow in the
surrounding moat.Comment: 73 pages, 19 figures, accepted by Solar Physic
Detector Description and Performance for the First Coincidence Observations between LIGO and GEO
For 17 days in August and September 2002, the LIGO and GEO interferometer
gravitational wave detectors were operated in coincidence to produce their
first data for scientific analysis. Although the detectors were still far from
their design sensitivity levels, the data can be used to place better upper
limits on the flux of gravitational waves incident on the earth than previous
direct measurements. This paper describes the instruments and the data in some
detail, as a companion to analysis papers based on the first data.Comment: 41 pages, 9 figures 17 Sept 03: author list amended, minor editorial
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