Standardized Consent Forms for Surgical Procedures: An Intervention to Improve the Resident-led Informed Consent Process

Objectives and Goals: To provide high quality, consistent consent forms for common surgical procedures and improve resident workflow by creating and implementing standardized printed consents for common surgical procedures. These consents will be used by residents consenting patients in the ED or inpatient setting. Consents shall include standardized procedure descriptions, risks and benefits of the procedure, and alternative treatment option descriptions, risks and benefitshttps://jdc.jefferson.edu/patientsafetyposters/1057/thumbnail.jp

Rotational transition, domain formation, dislocations and defects in vortex systems with combined six- and 12-fold anisotropic interactions

We introduce a new model for a pairwise repulsive interaction potential of vortices in a type-II superconductor, consisting of superimposed six- and 12-fold anisotropies. Using numerical simulations we study how the vortex lattice configuration varies as the magnitudes of the two anisotropic interaction terms change. A triangular lattice appears for all values, and rotates through 30 degrees as the ratio of the six- and 12-fold anisotropy amplitudes is varied. The transition causes the VL to split into domains that have rotated clockwise or counter-clockwise, with domain boundaries that are "decorated" by dislocations consisting of five- and seven-fold coordinated vortices. We also find intra-domain dislocations and defects, and characterize them in terms of their energy cost. We discuss how this model could be generalized to other particle-based systems with anisotropic interactions, such as colloids, and consider the limit of very large anisotropy where it is possible to create cluster crystal states.Comment: 15 pages, 13 figures; minor revisions throughout tex

M\"ossbauer studies of powdered single crystals of FeTe0.5Se0.5

The M\"ossbauer measurements performed on powdered single crystals of FeTe0.5Se0.5 (Tc ~ 14.7 K) reveal minor content of two impurity phases, identified as Fe3O4 and Fe7Se8, among the major tetragonal phase. From the shape of impurity subspectra it follows that Fe7Se8 behaves in superparamagnetic manner, most likely because of randomly distributed Fe vacancies in the lattice structure of Fe Te Se. The magnetite content in the powdered absorber exposed to ambient air conditions remains unchanged during period of 16 months. Ageing effects were observed for the samples stored under argon atmosphere and small increase of the isomer shift of the doublet was detected. Presented temperature dependence of the hyperfine parameters can be explained as due to possible orthorhombic distortion or to temperature behaviour of impurity phases Fe3O4 and Fe7Se8. Strong tendency to formation of crystalline texture of powdered sample is observed.Comment: 13 pages, 8 figure

Exploring the Chemical Composition and Double Horizontal Branch of the Bulge Globular Cluster NGC 6569

Photometric and spectroscopic analyses have shown that the Galactic bulge cluster Terzan 5 hosts several populations with different metallicities and ages that manifest as a double red horizontal branch (HB). A recent investigation of the massive bulge cluster NGC 6569 revealed a similar, though less extended, HB luminosity split, but little is known about the cluster's detailed chemical composition. Therefore, we have used high-resolution spectra from the Magellan-M2FS and VLT-FLAMES spectrographs to investigate the chemical compositions and radial velocity distributions of red giant branch and HB stars in NGC 6569. We found the cluster to have a mean heliocentric radial velocity of -48.8 km/s (sigma = 5.3 km/s; 148 stars) and a mean [Fe/H] =-0.87 dex (19 stars), but the cluster's 0.05 dex [Fe/H] dispersion precludes a significant metallicity spread. NGC 6569 exhibits light- and heavy-element distributions that are common among old bulge/inner Galaxy globular clusters, including clear (anti)correlations between [O/Fe], [Na/Fe], and [Al/Fe]. The light-element data suggest that NGC 6569 may be composed of at least two distinct populations, and the cluster's low mean [La/Eu] = -0.11 dex indicates significant pollution with r-process material. We confirm that both HBs contain cluster members, but metallicity and light-element variations are largely ruled out as sources for the luminosity difference. However, He mass fraction differences as small as delta Y ~ 0.02 cannot be ruled out and may be sufficient to reproduce the double HB.Comment: 72 pages, 14 figures, 8 tables; published in The Astronomical Journal; electronic versions of all tables are available in the published versio

A Chemical Composition Survey of the Iron-Complex Globular Cluster NGC 6273 (M 19)

Recent observations have shown that a growing number of the most massive Galactic globular clusters contain multiple populations of stars with different [Fe/H] and neutron-capture element abundances. NGC 6273 has only recently been recognized as a member of this "iron-complex" cluster class, and we provide here a chemical and kinematic analysis of > 300 red giant branch (RGB) and asymptotic giant branch (AGB) member stars using high resolution spectra obtained with the Magellan-M2FS and VLT-FLAMES instruments. Multiple lines of evidence indicate that NGC 6273 possesses an intrinsic metallicity spread that ranges from about [Fe/H] = -2 to -1 dex, and may include at least three populations with different [Fe/H] values. The three populations identified here contain separate first (Na/Al-poor) and second (Na/Al-rich) generation stars, but a Mg-Al anti-correlation may only be present in stars with [Fe/H] > -1.65. The strong correlation between [La/Eu] and [Fe/H] suggests that the s-process must have dominated the heavy element enrichment at higher metallicities. A small group of stars with low [alpha/Fe] is identified and may have been accreted from a former surrounding field star population. The cluster's large abundance variations are coupled with a complex, extended, and multimodal blue horizontal branch (HB). The HB morphology and chemical abundances suggest that NGC 6273 may have an origin that is similar to omega Cen and M 54.Comment: Accepted for Publication in The Astrophysical Journal; 50 pages; 18 figures; 8 tables; higher resolution figures are available upon request or in the published journal articl

Photometry and spectroscopy of faint candidate spectrophotometric standard DA white dwarfs

We present precise photometry and spectroscopy for 23 candidate spectrophotometric standard white dwarfs. The selected stars are distributed in the Northern hemisphere and around the celestial equators and are all fainter than r ~ 16.5 mag. This network of stars, when established as standards, together with the three Hubble Space Telescope primary CALSPEC white dwarfs, will provide a set of spectrophotometric standards to directly calibrate data products to better than 1%. These new faint standard white dwarfs will have enough signal-to-noise ratio in future deep photometric surveys and facilities to be measured accurately while still avoiding saturation in such surveys. They will also fall within the dynamic range of large telescopes and their instruments for the foreseeable future. This paper discusses the provenance of the observational data for our candidate standard stars. The comparison with models, reconciliation with reddening, and the consequent derivation of the full spectral energy density distributions for each of them is reserved for a subsequent paper.Comment: 31 pages, 17 figures, 10 tables, ApJ in press (accepted on December 23rd, 2018

Stellar luminosity functions of rich star clusters in the Large Magellanic Cloud

We show the results of deep V and I HST photometry of 6 rich star clusters in the Large Magellanic Cloud with different ages and metallicities. The number of stars with measured magnitudes in each cluster varies from about 3000 to 10000. We build stellar density and surface brightness profiles for the clusters and extract half-light radii and other structural parameters for each. We also obtain luminosity functions, Phi (Mv), down to Mv ~ 6 (m/msun > 0.6), and investigate their dependence with distance from the cluster centre well beyond their half-light radius. In all clusters we find a systematic increase in the luminosity function slope with radial distance from the centre. Among the clusters displaying significant mass segregation are the two youngest in the sample: NGC 1805 and NGC 1818. For these two clusters we obtain present-day mass functions. The NGC 1818 mass function is in excellent agreement with that derived by other authors, also using HST data. They young cluster mass function slopes differ, that of NCG 1805 being systematically steeper than NGC 1818. Since these are very young stellar systems (age < 40 Myrs), these variations may reflect the initial conditions rather than evolution due to internal dynamics.Comment: 10 pages, 24 figure