The applicability of anti-trust statutes to the business of insurance

Thesis (M.B.A.)--Boston Universit

Preparation and Properties of In-Situ Devices Using the SALD and SALDVI Techniques

One of the many advantages of Selective Area Laser Deposition (SALD) and Selective Area Laser Deposition Vapor Infiltration (SALDVI) is that they can be used to embed in-situ micro-sensors within macro-components. A single-point SiC/C thermocouple sensor embedded within a SiC macro-component and electrically insulated with silicon nitride layers has been demonstrated. In many applications, multi-point sensors within a single component are needed, e.g., in monitoring the temperature gradient and distribution at different positions. In this paper, multi-point thermocouple devices are demonstrated. The macro-component is a SiC bulk shape made by infiltrating vapor deposited silicon carbide into a silicon carbide powder bed using the SALDVI technique. Multiple SiC/C thermocouples are embedded in-situ in the SiC bulk shape using the SALD technique. The transient and steady state responses ofthe embedded thermocouples are compared to reference thermocouples probing the surfaces of the bulk shape.Mechanical Engineerin

Probabilities for jumping fault segment stepovers

Seismic hazard analysis relies heavily on the segmentation of faults. The ability of ruptures to break multiple segments has a big impact on estimated hazard. Current practice for estimating multiple segment breakage relies on panels of experts voting on their opinions for each case. Here, we explore the probability of elastodynamic ruptures jumping segment stepovers in numerical simulations of segmented fault systems. We find a simple functional form for the probability of jumping a segment stepover as a function of stepover distance: an exponential falloff with distance. We suggest this simple parameterization of jumping probabilities, combined with sparse observational data to fix the length scale parameter, as a new approach to estimating multisegment earthquake hazard

He 2-104: A link between symbiotic stars and planetary nebulae

Ultraviolet, optical and infrared observations of He 2-104 are presented, and estimates for some of the physical properties of the nebular shell are made. It is argued that He 2-104 is in transition between the D-type symbiotic star and bipolar planetary nebula phases and, as such, represents a link between subclasses of these two types of objects. The model includes a binary system with a Mira variable and a hot, evolved star. Previous mass loss has resulted in the formation of a disk of gas and dust around the whole system, while the hot star has an accretion disk which produces the observed highly ionized emission line spectrum. Emission lines from cooler, lower density gas is also observed to come from the nebula. In addition, matter is flowing out of the system in a direction perpendicular to the disk with a high velocity and is impacting upon the previously-ejected red giant wind and/or the ambient interstellar medium

Indications for liver transplantation in the cyclosporine era

One hundred seventy orthotopic liver transplants were performed under conventional immunosuppression with azathioprine and steroids with 1- and 5-year survivals of 32.9% and 20.0%, respectively. Since the introduction of cyclosporine-prednisone therapy in March 1980, 313 primary orthotopic liver transplants have been performed. Actuarial survivals at 1 and 5 years have improved to 69.7% and 62.8%, respectively. Biliary atresia is now the most common indication for liver replacement. In adults, primary biliary cirrhosis and sclerosing cholangitis have become more common indications for transplantation, and alcoholic cirrhosis and primary liver malignancy as indications have declined. Early enthusiasm for liver transplantation in patients with hepatic cancer has been tempered by the finding that recurrence is both common and rapid. An increasing number of patients with inborn errors of metabolism originating in the liver are receiving transplants, including patients with Wilson's disease, tyrosinemia, alpha-1-antitrypsin deficiency, glycogen storage disease, familial hypercholesterolemia, and hemochromatosis. Survival in this group of patients has been excellent (74.4% at 1 and 5 years). A hemophiliac who received a transplant for postnecrotic cirrhosis has survived and may have been cured of his hemophilia. About 20% of patients require retransplantation for rejection, technical failure, or primary graft failure. Only 4 of the patients receiving retransplants under conventional immunosuppression survived beyond 6 months, and all died within 14 months of retransplantation. Sixty-eight patients have received retransplants under cyclosporine-prednisone. Thirty-one patients are surviving, all for at least 1 year. Six of the 12 patients requiring a third transplant are alive 2 to 3 years after the primary operation. An aggressive approach to retransplantation in the patient with a failed graft is justified

Navigating in large hospitals

Navigating around large hospitals can be a stressful and time-consuming experience for all users of the hospital infrastructure. Navigation difficulties encountered by patients and visitors can result in missed appointments or simply create a poor impression of the hospital organisation. When staff encounter navigation difficulties this can lead to cost and efficiency issues and potentially put patient safety at risk. Despite the provision of an array of in-hospital navigational aids, ‘getting lost’ continues to be an everyday problem in these large complex environments. This study aims to to identify factors which affect navigation in hospitals. We do not seek to evaluate the effectiveness of a single navigation aid, instead the objective of this study was to understand the environment in which a new system must operate and the gaps in provision left by existing navigation aids. This study is intended to be used to inform the development of new in hospital navigational aids, be they technological or otherwise. Eleven participants, all users of a large hospital site, were asked to describe specific first hand experiences of navigating in a hospital. The ‘Critical Incidence Technique’ was applied in a series of semi-structured interviews to elicit information about a participants navigation experience. This work presents the results of these interviews, with concepts identified and organised into five themes: The ‘Impact’ of poor navigation, ‘Barriers’ to effective navigation, ‘Enhancers’ for effective navigation, ‘Types of Navigation Aids’ and user groups with ‘Specific Navigational Needs’. The number of navigation aids available to participants was identified as an issue in itself, we found examples of thirty seven distinct sources of information available to a hospital user. We begin by introducing previous work on in-hospital navigation before describing the study design employed in this research. The themes and categories identified from the interview data are enumerated and described, with examples given from the interview transcripts. Finally we go on to give a discussion of some potential navigation solutions in light of the identified factors. This study highlights that a candidate navigation aid must be carefully designed and implemented if it is to compliment the thirty seven other sources of navigation information available to the hospital user

Slip complexity in a crustal plane model of an earthquake fault

We study numerically the behavior of a two-dimensional elastic plate (a crustal plane) that terminates along one of its edges at a fault boundary. Slip-weakening friction at the boundary, inertial dynamics in the bulk, and uniform slow loading via elastic coupling to a substrate combine to produce a complex, deterministically chaotic sequence of slipping events. We observe a power-law distribution of small events and an excess of large events. For the small events, the moments scale with rupture length in a manner that is consistent with seismological observations. For the large events, rupture occurs in the form of narrow propagating pulses

A systemic approach to the database marketing process

The role of database marketing (DBM) has become increasingly important for organisations that have large databases of information on customers with whom they deal directly. At the same time, DBM models used in practice have increased in sophistication. This paper examines a systemic view of DBM and the role of analytical techniques within DBM. It extends existing process models to develop a systemic model that encompasses the increased complexity of DBM in practice. The systemic model provides a framework to integrate data mining, experimental design and prioritisation decisions. This paper goes on to identify opportunities for research in DBM, including DBM process models used in practice, the use of evolutionary operations techniques in DBM, prioritisation decisions, and the factors that surround the uptake of DBM.<br /