Increasing Hospice Nurses’ Knowledge and Improving Attitudes on Pain Assessment in Dementia Patients

Background: Patients with dementia have difficulty articulating pain due to cognitive deficits incommunication, sensation, and overall physical decline due to the aging and disease process. Patients who have dementia are considered at-risk for uncontrolled pain due to under-assessment, under-treatment, or untreated pain. Current research notes gaps exist in pain assessment among nurses’ due to knowledgedeficits and attitudes on pain assessment for dementia patients. Barriers regarding the utilization of evidence-based behavioral pain assessment tools are related to nurses’ knowledge deficit and skills competency. Purpose: The purpose of this evidence-based practice (EBP) project was to increase hospice nurses’ knowledge and improve attitudes on pain assessment in dementia patients by implementing an EBP training program on utilizing the Pain Assessment in Advanced Dementia Scale (PAINAD). Theoretical Framework: Knowledge to Action Model Methods: A before and after project design with pre-test/post-test measurements was used to determine whether providing an EBP training on utilizing the PAINAD Scale for pain assessment increased hospicenurses’ knowledge and improved attitudes on pain assessment in dementia patients. Results: Comparison of pre-test/post-training measures demonstrated a small increase in hospice nurses’ knowledge and a significant increase in attitudes on assessing pain in dementia patients. Conclusion: EBP training programs utilizing the PAINAD Scale improves hospice nurses’ attitudes onpain assessment in dementia patients. Positive changes in attitude should enhance hospice nurses’ ability and willingness to assess and manage pain in patients with dementia

Propellant Sloshing Parameter Extraction from CFD Analysis

Propellant slosh is a potential source of disturbance critical to the stability of space vehicle. The sloshing dynamics is typically represented by a mechanical model of spring mass damper. This mechanical model is then included in the equation of motion of the entire vehicle for Guidance, Navigation and Control analysis. The typical parameters required by the mechanical model include natural frequency of the sloshing, sloshing mass, sloshing mass center coordinates, and critical damping coefficient. During the 1960 s US space program, these parameters were either computed from analytical solution for simple geometry or by experimental testing for the sub-scaled configurations. The purpose of this work is to demonstrate the soundness of a CFD approach in modeling the detailed fluid dynamics of tank sloshing and the excellent accuracy in extracting mechanical properties for different tank configurations and at different fill levels. The validation studies included straight cylinder against analytical solution, and sub-scaled Centaur LOX and LH2 tanks with and without baffles against experimental results. This effort shows that CFD technology can provide accurate mechanical parameters for any tank configuration, and is especially valuable to the future design of propellant tanks, as there is no previous experimental data available for the same size and configuration

Antibunched photons emitted by a dc-biased Josephson junction

We show experimentally that a dc biased Josephson junction in series with a high-enough-impedance microwave resonator emits antibunched photons. Our resonator is made of a simple microfabricated spiral coil that resonates at 4.4 GHz and reaches a 1.97kΩ characteristic impedance. The second order correlation function of the power leaking out of the resonator drops down to 0.3 at zero delay, which demonstrates the antibunching of the photons emitted by the circuit at a rate of 6×10^7 photons per second. Results are found in quantitative agreement with our theoretical predictions. This simple scheme could offer an efficient and bright single-photon source in the microwave domain

A Computational Fluid Dynamics Study of Swirling Flow Reduction by using Anti-vortex Baffle

An anti-vortex baffle is a liquid propellant management device placed adjacent to an outlet of the propellant tank. Its purpose is to substantially reduce or eliminate the formation of free surface dip and vortex, as well as prevent vapor ingestion into the outlet, as the liquid drains out through the flight. To design an effective anti-vortex baffle, Computational Fluid Dynamic (CFD) simulations were undertaken for the NASA Ares I vehicle LOX tank subjected to the simulated flight loads with and without the anti-vortex baffle. The Six Degree-Of-Freedom (6- DOF) dynamics experienced by the Crew Launch Vehicle (CLV) during ascent were modeled by modifying the momentum equations in a CFD code to accommodate the extra body forces from the maneuvering in a non-inertial frame. The present analysis found that due to large moments, the CLV maneuvering has significant impact on the vortical flow generation inside the tank. Roll maneuvering and side loading due to pitch and yaw are shown to induce swirling flow. The vortical flow due to roll is symmetrical with respect to the tank centerline, while those induced by pitch and yaw maneuverings showed two vortices side by side. The study found that without the anti-vortex baffle, the swirling flow caused surface dip during the late stage of drainage and hence early vapor ingestion. The flow can also be non-uniform in the drainage pipe as the secondary swirling flow velocity component can be as high as 10% of the draining velocity. An analysis of the vortex dynamics shows that the swirling flow in the drainage pipe during the Upper Stage burn is mainly the result of residual vortices inside the tank due to conservation of angular momentum. The study demonstrated that the swirling flow in the drainage pipe can be effectively suppressed by employing the anti-vortex baffle

Analytical Solution and Physics of a Propellant Damping Device

NASA design teams have been investigating options for "detuning" Ares I to prevent oscillations originating in the vehicle solid-rocket main stage from synching up with the natural resonance of the rest of the vehicle. An experimental work started at NASA MSFC center in 2008 using a damping device showed great promise in damping the vibration level of an 8 resonant tank. However, the mechanisms of the vibration damping were not well understood and there were many unknowns such as the physics, scalability, technology readiness level (TRL), and applicability for the Ares I vehicle. The objectives of this study are to understand the physics of intriguing slosh damping observed in the experiments, to further validate a Computational Fluid Dynamics (CFD) software in propellant sloshing against experiments with water, and to study the applicability and efficiency of the slosh damper to a full scale propellant tank and to cryogenic fluids. First a 2D fluid-structure interaction model is built to model the system resonance of liquid sloshing and structure vibration. A damper is then added into the above model to simulate experimentally observed system damping phenomena. Qualitative agreement is found. An analytical solution is then derived from the Newtonian dynamics for the thrust oscillation damper frequency, and a slave mass concept is introduced in deriving the damper and tank interaction dynamics. The paper will elucidate the fundamental physics behind the LOX damper success from the derivation of the above analytical equation of the lumped Newtonian dynamics. Discussion of simulation results using high fidelity multi-phase, multi-physics, fully coupled CFD structure interaction model will show why the LOX damper is unique and superior compared to other proposed mitigation techniques

Study of Anti-Vortex Baffle Effect in Suppressing Swirling Flow in LOX Tank

Experimental results describing the hydraulic dynamic pump transfer matrix (Yp) for a cavitating J-2X oxidizer turbopump inducer+impeller tested in subscale waterflow are presented. The transfer function is required for integrated vehicle pogo stability analysis as well as optimization of local inducer pumping stability. Dynamic transfer functions across widely varying pump hydrodynamic inlet conditions are extracted from measured data in conjunction with 1D-model based corrections. Derived Dynamic transfer functions are initially interpreted relative to traditional Pogo pump equations. Water-to-liquid oxygen scaling of measured cavitation characteristics are discussed. Comparison of key dynamic transfer matrix terms derived from waterflow testing are made with those implemented in preliminary Ares Upper Stage Pogo stability modeling. Alternate cavitating pump hydraulic dynamic equations are suggested which better reflect frequency dependencies of measured transfer matrices

Automatic Mesh Generation of Hybrid Mesh on Valves in Multiple Positions in Feedline Systems

Fluid flow simulations through a valve often require evaluation of the valve in multiple opening positions. A mesh has to be generated for the valve for each position and compounding. The problem is the fact that the valve is typically part of a larger feedline system. In this paper, we propose to develop a system to create meshes for feedline systems with parametrically controlled valve openings. Herein we outline two approaches to generate the meshes for a valve in a feedline system at multiple positions. There are two issues that must be addressed. The first is the creation of the mesh on the valve for multiple positions. The second is the generation of the mesh for the total feedline system including the valve. For generation of the mesh on the valve, we will describe the use of topology matching and mesh generation parameter transfer. For generation of the total feedline system, we will describe two solutions that we have implemented. In both cases the valve is treated as a component in the feedline system. In the first method the geometry of the valve in the feedline system is replaced with a valve at a different opening position. Geometry is created to connect the valve to the feedline system. Then topology for the valve is created and the portion of the topology for the valve is topology matched to the standard valve in a different position. The mesh generation parameters are transferred and then the volume mesh for the whole feedline system is generated. The second method enables the user to generate the volume mesh on the valve in multiple open positions external to the feedline system, to insert it into the volume mesh of the feedline system, and to reduce the amount of computer time required for mesh generation because only two small volume meshes connecting the valve to the feedline mesh need to be updated