3,729 research outputs found
Real-time flight test analysis and display techniques for the X-29A aircraft
The X-29A advanced technology demonstrator flight envelope expansion program and the subsequent flight research phase gave impetus to the development of several innovative real-time analysis and display techniques. These new techniques produced significant improvements in flight test productivity, flight research capabilities, and flight safety. These techniques include real-time measurement and display of in-flight structural loads, dynamic structural mode frequency and damping, flight control system dynamic stability and control response, aeroperformance drag polars, and aircraft specific excess power. Several of these analysis techniques also provided for direct comparisons of flight-measured results with analytical predictions. The aeroperformance technique was made possible by the concurrent development of a new simplified in-flight net thrust computation method. To achieve these levels of on-line flight test analysis, integration of ground and airborne systems was required. The capability of NASA Ames Research Center, Dryden Flight Research Facility's Western Aeronautical Test Range was a key factor in enabling implementation of these methods
Reproducibility of arterial stiffness and wave reflections in chronic obstructive pulmonary disease: The contribution of lung hyperinflation and a comparison of techniques
SummarySignificant cardiovascular morbidity and mortality exists in chronic obstructive pulmonary disease (COPD). Arterial stiffness is raised in COPD and may be a mechanistic link. Non-invasive assessment of arterial stiffness has the potential to be a surrogate outcome measure, although no reproducibility data exists in COPD patients.Two studies (23 and 33 COPD patients) were undertaken to 1) assess the Vicorder reproducibility of carotid-femoral pulse wave velocity and Augmentation index in COPD; 2) compare it to SphygmoCor; and 3) assess the contribution of lung hyperinflation to measurement variability.There were excellent correlations and good agreement between repeat Vicorder measurements for carotid-femoral pulse wave velocity (r = 0.96 (p < 0.001); mean difference ±SD = â0.03 ± 0.36 m/s (p = 0.65); co-efficient of reproducibility = 4.02%; limits of agreement = â0.68â0.75 m/s). Augmentation index significantly correlated (r = 0.736 (p < 0.001); mean difference ±SD = 0.72 ± 4.86% (p = 0.48), however limits of agreement were only 10.42â9.02%, with co-efficient of reproducibility of 27.93%. Comparing devices, Vicorder values were lower but there was satisfactory agreement. There were no correlation between lung hyperinflation (as measured by residual volume percent predicted, total lung capacity percent predicted or the ratio of inspiratory capacity to residual volume) and variability of measurements in either study.In COPD, measurement of carotid-femoral pulse wave velocity is highly reproducible, not affected by lung hyperinflation and suitable as a surrogate endpoint in research studies. Day-to-day variation in augmentation index highlights the importance of such studies prior to the planning and undertaking of clinical COPD research
Attitude Trajectory Optimization and Momentum Conservation with Control Moment Gyroscopes
In this work, we develop a numerically tractable trajectory optimization
problem for rest-to-rest attitude transfers with CMG-driven spacecraft. First,
we adapt a specialized dynamical model which avoids many of the numerical
challenges (singularities) introduced by common dynamical approximations. To
formulate and solve our specialized trajectory optimization problem, we design
a locally stabilizing Linear Quadratic (LQ) regulator on the system's
configuration manifold then lift it into the ambient state space to produce
suitable terminal and running LQ cost functionals. Finally, we examine the
performance benefits and drawbacks of solutions to this optimization problem
via the PRONTO solver and find significant improvements in maneuver time,
terminal state accuracy, and total control effort. This analysis also
highlights a critical shortcoming for objective functions which penalize only
the norm of the control input rather than electrical power usage.Comment: 8 pages, 6 figures, IFAC 2023 conference submissio
A Smartwatch Step-Counting App for Older Adults: Development and Evaluation Study
Background: Older adults who engage in physical activity can reduce their risk of mobility impairment and disability. Short amounts of walking can improve quality of life, physical function, and cardiovascular health. Various programs have been implemented to encourage older adults to engage in physical activity, but sustaining their motivation continues to be a challenge. Ubiquitous devices, such as mobile phones and smartwatches, coupled with machine-learning algorithms, can potentially encourage older adults to be more physically active. Current algorithms that are deployed in consumer devices (eg, Fitbit) are proprietary, often are not tailored to the movements of older adults, and have been shown to be inaccurate in clinical settings. Step-counting algorithms have been developed for smartwatches, but only using data from younger adults and, often, were only validated in controlled laboratory settings.
Objective: We sought to develop and validate a smartwatch step-counting app for older adults and evaluate the algorithm in free-living settings over a long period of time.
Methods: We developed and evaluated a step-counting app for older adults on an open-source wrist-worn device (Amulet). The app includes algorithms to infer the level of physical activity and to count steps. We validated the step-counting algorithm in the lab (counting steps from a video recording, n=20) and in free-living conditionsâone 2-day field study (n=6) and two 12-week field studies (using the Fitbit as ground truth, n=16). During app system development, we evaluated 4 walking patterns: normal, fast, up and down a staircase, and intermittent speed. For the field studies, we evaluated 5 different cut-off values for the algorithm, using correlation and error rate as the evaluation metrics.
Results: The step-counting algorithm performed well. In the lab study, for normal walking (R2=0.5), there was a stronger correlation between the Amulet steps and the video-validated steps; for all activities, the Amuletâs count was on average 3.2 (2.1%) steps lower (SD 25.9) than the video-validated count. For the 2-day field study, the best parameter settings led to an association between Amulet and Fitbit (R2=0.989) and 3.1% (SD 25.1) steps lower than Fitbit, respectively. For the 12-week field study, the best parameter setting led to an R2 value of 0.669.
Conclusions: Our findings demonstrate the importance of an iterative process in algorithm development before field-based deployment. This work highlights various challenges and insights involved in developing and validating monitoring systems in real-world settings. Nonetheless, our step-counting app for older adults had good performance relative to the ground truth (a commercial Fitbit step counter). Our app could potentially be used to help improve physical activity among older adults
Seismicity and fault interaction, Southern San Jacinto Fault Zone and adjacent faults, southern California: Implications for seismic hazard
The southern San Jacinto fault zone is characterized by high seismicity and a complex fault pattern that offers an excellent setting for investigating interactions between distinct faults. This fault zone is roughly outlined by two subparallel master fault strands, the Coyote Creek and Clark-San Felipe Hills faults, that are located 2 to 10 km apart and are intersected by a series of secondary cross faults. Seismicity is intense on both master faults and secondary cross faults in the southern San Jacinto fault zone. The seismicity on the two master strands occurs primarily below 10 km; the upper 10 km of the master faults are now mostly quiescent and appear to rupture mainly or solely in large earthquakes. Our results also indicate that a considerable portion of recent background activity near the April 9, 1968, Borrego Mountain rupture zone (M_L=6.4) is located on secondary faults outside the fault zone. We name and describe the Palm Wash fault, a very active secondary structure located about 25 km northeast of Borrego Mountain that is oriented subparallel to the San Jacinto fault system, dips approximately 70° to the northeast, and accommodates right-lateral shear motion. The Vallecito Mountain cluster is another secondary feature delineated by the recent seismicity and is characterized by swarming activity prior to nearby large events on the master strand. The 1968 Borrego Mountain and the April 28, 1969, Coyote Mountain (M_L=5.8) events are examples of earthquakes with aftershocks and subevents on these secondary and master faults. Mechanisms from those earthquakes and recent seismic data for the period 1981 to 1986 are not simply restricted to strike-slip motion; dipslip motion is also indicated. Teleseismic body waves (long-period P and SH) of the 1968 and 1969 earthquakes were inverted simultaneously for source mechanism, seismic moment, rupture history, and centroid depth. The complicated waveforms of the 1968 event (M_o=1.2 à 10^(19) Nm) are interpreted in terms of two subevents; the first caused by right-lateral strike-slip motion in the mainshock along the Coyote Creek fault and the second by a rupture located about 25 km away from the master fault. Our waveform inversion of the 1969 event indicates that strike-slip motion predominated, releasing a seismic moment of 2.5 à 10^(17) Nm. Nevertheless, the right-lateral nodal plane of the focal mechanism is significantly misoriented (20°) with respect to the master fault, and hence the event is not likely to be associated with a rupture on that fault. From this and other examples in southern California, we conclude that cross faults may contribute significantly to seismic hazard and that interaction between faults has important implications for earthquake prediction
Abstract 13987: Underutilization of Oral Anticoagulant Therapy in At-Risk Patients With Atrial FibrillationâInsights From a Multistate Healthcare System
Introduction: Oral anticoagulant (OAC) therapy significantly reduces the risk of thromboembolism among at-risk patients with atrial fibrillation (AF). Current guidelines provide strong support for an OAC in men and women with AF and CHA2DS2-VASc scores of \u3e2 and \u3e3, respectively. In spite of this, previous data has suggested that up to 40% of these patients are not treated in accordance with guideline recommendations.
Hypothesis: We hypothesized that OAC therapy continues to remain significantly underutilized among at-risk patients with AF in real-world settings.
Methods: We sought to evaluate the prevalence of OAC underuse and contributing factors in an ambulatory population of at-risk AF patients within a large multistate healthcare system. EHR and coding (ICD-10) data were used to identify patients with AF, calculate their CHA2DS2-VASc score, and define their current antithrombotic regimen. Demographics were assessed to allow for comparison between those receiving an OAC from those who were not. Chi square or Fisher exact tests were used to examine differences between groups.
Results: Data was pulled from our EHR on 8/1/18, identifying 147,455 unique patients with AF, of which 102,728 (76.3%) had a CHA2DS2-VASc score \u3e2 (excluding female gender) (Table). Compared to those on an OAC, patients on antiplatelet therapy were more likely to have coronary artery disease, peripheral vascular disease, and prior MI (p
Conclusions: In a contemporary, non-registry setting, OAC underuse remains substantial among at-risk patients with AF. Further investigation into tools that facilitate implementation of guideline-directed medical therapy is needed to limit preventable thromboembolic events in this population
Abstract 14012: Opportunities to Improve the Efficacy and Safety of Oral Anticoagulant Therapy in Atrial FibrillationâInsights From a Multistate Healthcare System
Introduction: Vitamin K antagonists (VKAs) effectively reduce thromboembolic risk in atrial fibrillation (AF), but are limited by a narrow therapeutic window. Patients with reduced time in the therapeutic range (TTR) also face an increased risk of bleeding and ischemic events. Based in part on this, current guidelines give preference to direct-acting oral anticoagulants (DOACs) over VKAs in AF.
Hypothesis: We hypothesized that DOACs are underutilized among those on oral anticoagulant therapy and that TTR remains suboptimal for large numbers of individuals on VKAs in real-world settings.
Methods: We sought to evaluate a) the breakdown of OAC type and b) TTR for those on VKAs in an ambulatory population of at-risk AF patients within a large multistate healthcare system. EHR and coding (ICD-10) data were used to identify patients with AF, calculate their CHA2DS2-VASc score, and define their current antithrombotic regimen. For those on a VKA, TTR was assessed with the Rosendaal method and reported as mean values. Demographics were assessed to allow for comparison between those receiving a DOAC and a VKA, as well as, those with high (\u3e70%) vs. low (
Results: Data was pulled from our EHR on 8/1/18, identifying 147,455 unique patients with AF, of which 102,728 (76.3%) had a CHA2DS2-VASc score \u3e2 (excluding female gender). Among these at-risk patients, 61,698 (60.1%) were receiving an OAC, of which 47.8% were on a VKA and 52.2% were on a DOAC. The mean TTR was 56.3%, with 37.1%, 49.9% and 60.8% with TTRs \u3e70%, \u3e60%, and \u3e50%, respectively. Patients on a DOAC were more likely to be female and less likely to have heart failure, coronary artery disease, peripheral vascular disease, diabetes and renal disease (p70% were more likely to be male and less likely to have heart failure, diabetes, and renal disease (p
Conclusions: In a contemporary, non-registry setting, VKAs continue to be used in nearly half of at-risk patients on an OAC for AF, with a suboptimal TTR in nearly two thirds. Further investigation is needed into tools that facilitate interchange from a VKA to a DOAC, particularly among those with a suboptimal TTR
Effects of alternation in some quasiâoneâdimensional magnetic materials
Exchange coupling in Cu(II) and Mn(III) compounds with unusual structures is discussed. {[Cu(bipyrimidine)(OH)(H2O)] (ClO4)}n has an alternatingly bridged structure with alternating ferromagnetic (+167.6 cmâ1 through the hydroxo bridge) and antiferromagnetic (â79.8 cmâ1 through the bipyrimidine bridge) interactions. Copper(II) phthalate monohydrate has alternating nextânearestâneighbor exchange with J=â12.3 cmâ1 and α=0.06. This is the first member of this class. The compound K2[Mn(III) (salicylate)2][Mn(III) (salicylate)2]{CH3OH]2 has manganese ions in two environments alternating along the chain. A modified model for the chain is presented, and exchange coupling is found to be small since magnetic orbitals are not linked by the bridging ligand.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/70701/2/JAPIAU-69-8-6013-1.pd
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