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

Surface Instability of Liquid Propellant under Vertical Oscillatory Forcing

Fluid motion in a fuel tank produced during thrust oscillations can circulate sub-cooled hydrogen near the liquid-vapor interface resulting in increased condensation and ullage pressure collapse. The first objective of this study is to validate the capabilities of a Computational Fluid Dynamics (CFD) tool, CFD-ACE+, in modeling the fundamental interface transition physics occurring at the propellant surface. The second objective is to use the tool to assess the effects of thrust oscillations on surface dynamics. Our technical approach is to first verify the CFD code against known theoretical solutions, and then validate against existing experiments for small scale tanks and a range of transition regimes. A 2D axisymmetric, multi-phase model of gases, liquids, and solids is used to verify that CFD-ACE+ is capable of modeling fluid-structure interaction and system resonance in a typical thrust oscillation environment. Then, the 3D mode is studied with an assumed oscillatory body force to simulate the thrust oscillating effect. The study showed that CFD modeling can capture all of the transition physics from solid body motion to standing surface wave and to droplet ejection from liquid-gas interface. Unlike the analytical solutions established during the 1960 s, CFD modeling is not limited to the small amplitude regime. It can extend solutions to the nonlinear regime to determine the amplitude of surface waves after the onset of instability. The present simulation also demonstrated consistent trends from numerical experiments through variation of physical properties from low viscous fluid to high viscous fluids, and through variation of geometry and input forcing functions. A comparison of surface wave patterns under various forcing frequencies and amplitudes showed good agreement with experimental observations. It is concluded that thrust oscillations can cause droplet formation at the interface, which results in increased surface area and enhanced heat transfer between the liquid and gas phases as the ejected droplets travel well into the warmer gas region

Momentum Transfer in a Spinning Fuel Tank Filled with Xenon

Transient spin-up and spin-down flows inside of spacecraft fuel tanks need to be analyzed in order to properly design spacecraft control systems. Knowledge of the characteristics of angular momentum transfer to and from the fuel is used to size the de-spin mechanism that places the spacecraft in a controllable in-orbit state. In previous studies, several analytical models of the spin-up process were developed. However, none have accurately predicted all of the flow dynamics. Several studies have also been conducted using Navier-Stokes based methods. These approaches have been much more successful at simulating the dynamic processes in a cylindrical container, but have not addressed the issue of momentum transfer. In the current study, the spin-up and spin-down of a fuel tank filled with gaseous xenon has been investigated using a three-dimensional unsteady Navier-Stokes code. Primary interests have been concentrated on the spin-up/spin-down time constants and the initial torque imparted on the system. Additional focus was given to the relationship between the dominant flow dynamics and the trends in momentum transfer. Through the simulation of both a cylindrical and a spherical tank, it was revealed that the transfer of angular momentum is nonlinear at early times and tends toward a linear pattern at later times. Further investigation suggests that the nonlinear spin up is controlled by the turbulent transport of momentum, while the linear phase is controlled by a Coriolis driven (Ekman) flow along the outer wall. These results indicate that the spinup and spin-down processes occur more quickly in tanks with curved surfaces than those with defined top, bottom, and side walls. The results also provide insights for the design of spacecraft de-spin mechanisms

A Modular Aerospike Engine Design Using Additive Manufacturing

A modular aerospike engine concept has been developed with the objective of demonstrating the viability of the aerospike design using additive manufacturing techniques. The aerospike system is a self-compensating design that allows for optimal performance over the entire flight regime and allows for the lowest possible mass vehicle designs. At low altitudes, improvements in Isp can be traded against chamber pressure, staging, and payload. In upper stage applications, expansion ratio and engine envelope can be traded against nozzle efficiency. These features provide flexibility to the System Designer optimizing a complete vehicle stage. The aerospike concept is a good example of a component that has demonstrated improved performance capability, but traditionally has manufacturing requirements that are too expensive and complex to use in a production vehicle. In recent years, additive manufacturing has emerged as a potential method for improving the speed and cost of building geometrically complex components in rocket engines. It offers a reduction in tooling overhead and significant improvements in the integration of the designer and manufacturing method. In addition, the modularity of the engine design provides the ability to perform full scale testing on the combustion devices outside of the full engine configuration. The proposed design uses a hydrocarbon based gas-generator cycle, with plans to take advantage of existing powerhead hardware while focusing DDT&E resources on manufacturing and sub-system testing of the combustion devices. The major risks for the modular aerospike concept lie in the performance of the propellant feed system, the structural integrity of the additive manufactured components, and the aerodynamic efficiency of the exhaust flow

Prediction of Liquid Slosh Damping Using a High Resolution CFD Tool

Propellant slosh is a potential source of disturbance critical to the stability of space vehicles. The slosh dynamics are typically represented by a mechanical model of a spring mass damper. This mechanical model is then included in the equation of motion of the entire vehicle for Guidance, Navigation and Control analysis. Our previous effort has demonstrated the soundness of a CFD approach in modeling the detailed fluid dynamics of tank slosh and the excellent accuracy in extracting mechanical properties (slosh natural frequency, slosh mass, and slosh mass center coordinates). For a practical partially-filled smooth wall propellant tank with a diameter of 1 meter, the damping ratio is as low as 0.0005 (or 0.05%). To accurately predict this very low damping value is a challenge for any CFD tool, as one must resolve a thin boundary layer near the wall and must minimize numerical damping. This work extends our previous effort to extract this challenging parameter from first principles: slosh damping for smooth wall and for ring baffle. First the experimental data correlated into the industry standard for smooth wall were used as the baseline validation. It is demonstrated that with proper grid resolution, CFD can indeed accurately predict low damping values from smooth walls for different tank sizes. The damping due to ring baffles at different depths from the free surface and for different sizes of tank was then simulated, and fairly good agreement with experimental correlation was observed. The study demonstrates that CFD technology can be applied to the design of future propellant tanks with complex configurations and with smooth walls or multiple baffles, where previous experimental data is not available

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