758 research outputs found
Geologic maps of early Apollo landing sites of set C
Geological maps of potential Apollo landing sites on lunar surfac
Orders from on High: The Current Struggle over Medicaid Third Party Recovery Between North Carolina and the Supreme Court of the United States
This Comment will first present a brief legal background of the Medicaid program, and specifically its presence in North Carolina. It will then explore the federal statutes which broadly govern Medicaid recovery from third parties, as well the North Carolina Medicaid statutes which specifically govern this area of recovery. It will explore the two decisions, Ezell and Ahlborn, which have clouded this area in North Carolina. Following that explanation, the aforementioned hypothetical will be revisited and taken through both the North Carolina and United States Supreme Court\u27s analytical models. Finally, suggestions for both statutory and judicial resolutions of this issue will be presented. As the legal world of Medicaid is extensive, the scope of this Comment will necessarily be limited to Medicaid\u27s recovery from liable third parties
Smoothed particle hydrodynamics and its applications for multiphase flow and reactive transport in porous media
Smoothed particle hydrodynamics (SPH) is a Lagrangian method based on a meshless discretization of partial differential equations. In this review, we present SPH discretization of the Navier-Stokes and advection-diffusion-reaction equations, implementation of various boundary conditions, and time integration of the SPH equations, and we discuss applications of the SPH method for modeling pore-scale multiphase flows and reactive transport in porous and fractured media.United States. Dept. of Energy. Office of Advanced Scientific Computing Research (Early Career Award, “New Dimension Reduction Methods and Scalable Algorithms for Multiscale Nonlinear Phenomena,” and Collaboratory on Mathematics for Mesoscopic Modeling of Materials (CM4)
Tracking system analytic calibration activities for the Mariner Mars 1969 mission
Calibration activity of Deep Space Network in support of Mars encounter phase of Mariner Mars 1969 missio
The Formal Dynamism of Categories: Stops vs. Fricatives, Primitivity vs. Simplicity
Minimalist Phonology (MP; Pöchtrager 2006) constructs its theory based on the phonological epistemological principle (Kaye 2001) and exposes the arbitrary nature of standard Government Phonology (sGP) and strict-CV (sCV), particularly with reference to their confusion of melody and structure.
For Pöchtrager, these are crucially different, concluding that place of articulation is melodic (expressed with elements), while manner of articulation is structural. In this model, the heads (xN and xO) can license and incorporate the length of the other into their own interpretation, that is xN influences xO projections as well as its own and vice versa. This dynamism is an aspect of the whole framework and this paper in particular will show that stops and fricatives evidence a plasticity of category and that, although fricatives are simpler in structure, stops are the more primitive of the two.
This will be achieved phonologically through simply unifying the environment of application of the licensing forces within Pöchtrager's otherwise sound onset structure. In doing so, we automatically make several predictions about language acquisition and typology and show how lenition in Qiang (Sino-Tibetan) can be more elegantly explained
Consequences of Utilizing a Redox-Active Polymeric Binder in Li-ion Batteries
Development of new polymeric binders can help enable the use of silicon-rich
anodes in Li-ion batteries, by providing stronger adhesion to the active
material particles. The compositional features that improve interfacial
interactions and mechanical properties can often impart electronic conductivity
and redox activity to these polymers, which are generally seen as beneficial to
cell performance. Alternatively, it is also possible that the addition of
charge-transferring centers to the electrode can accelerate cell degradation.
Here, we use an aromatic polyimide (~320 mAh/g of reversible capacity) to
explore how a redox-active conductive polymer can affect cell performance. We
demonstrate that the lithiated polymer is less stable than the traditional
binders upon storage, leading to increased rates of calendar aging.
Furthermore, we show that the adhesion properties of the polymer deteriorate
upon repeated cycling, to an extent that is proportional to the degree of
delithiation of the binder. More critically, we show that progressive
degradation of the redox behavior of the polymer leads to the release of extra
Li+ into the cell, which can give the false perception of good performance even
under conditions of poor stability. Our work suggests that redox-active
conductive binders can sometimes be detrimental to cell performance, and that
works evaluating new polymers must include careful experimental validation
under realistic conditions
Elevated Rates of Sister Chromatid Exchange at Chromosome Ends
Chromosome ends are known hotspots of meiotic recombination and double-strand breaks. We monitored mitotic sister chromatid exchange (SCE) in telomeres and subtelomeres and found that 17% of all SCE occurs in the terminal 0.1% of the chromosome. Telomeres and subtelomeres are significantly enriched for SCEs, exhibiting rates of SCE per basepair that are at least 1,600 and 160 times greater, respectively, than elsewhere in the genome
Cell-format-dependent mechanical damage in silicon anodes
It is generally believed that silicon-based anodes for Li-ion batteries would
benefit from stronger binders, as cyclic volume changes would not disrupt the
cohesion of the composite electrode. Here, we put this belief to the proof by
testing electrodes containing SiOx particles and an aromatic polyimide binder.
We observe that the electrodes can stretch laterally by as much as 6% during
the first cycle, indicating that internal stresses are high enough to induce
plastic deformation on the copper current collector. Remarkably, no coating
delamination is observed. Additional consequences were size-dependent: while
pouch-cell-sized electrodes developed wrinkles, coin-cell-sized ones remained
mostly smooth. We demonstrate that wrinkling of the current collector damages
the electrode coating, inactivating SiOx domains and accelerating capacity
fade. This size-dependent performance decay indicates that, in extreme cases,
testing outcomes are highly dependent on scale. Novel battery materials may
require testing at larger cell formats for complete validation
Adherence Measurement and Incidence of Bleeding and Systemic Embolism with Dabigatran in a Medicaid Population
BACKGROUND: The use of warfarin for the treatment of atrial fibrillation (AF) is often complicated by the associated narrow therapeutic index and frequent monitoring. Dabigatran, an oral direct thrombin inhibitor, does not require routine monitoring, produces rapid therapeutic anticoagulation, and has the potential to improve thromboprophylaxis through increased adherence. As such, it is important to evaluate adherence and the incidence of bleeding and systemic embolism with dabigatran in a real-world population with AF.
OBJECTIVE: To measure adherence and incidence of bleeding and systemic embolism with dabigatran in a state Medicaid population with AF.
METHODS: Medicaid members \u3e18 years of age with AF were included if they had \u3e1 paid claim for dabigatran between February 1, 2011 and September 30, 2011. Members were excluded if they had breaks in Medicaid coverage, supplemental insurance or were a female of childbearing age. The index date was defined as the date of the first pharmacy claim for dabigatran. Adherence was measured using medication possession ratios (MPR) for members with \u3e2 paid claims for dabigatran and members with an MPR \u3e0.8 were considered adherent. The incidences of bleeding, stroke and all-cause hospitalization were determined using medical claims data for one year post-index date. Pharmacy claims data was used to report changes in anticoagulant therapy within one year post-index date.
RESULTS: The average MPR was 0.87 and 69% of members were considered adherent. Of the members that started dabigatran, 42.9% continued dabigatran while 21.4% switched to warfarin. Overall, 16.7% of members experienced a systemic embolism and only one bleeding event occurred during the study period. While chest pain and dyspepsia were the most common adverse events, 45.2% of members had no adverse events.
CONCLUSIONS: This evaluation found that while members were adherent to dabigatran therapy, the discontinuation rate suggests poor tolerance to therapy
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