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

Supernovae Rates: A Cosmic History

We discuss the cosmic history of supernovae on the basis of various assumptions and recent data on the star formation history. We show that supernova rates as a function of redshift can be used to place significant constraints on progenitor models, on the star formation history, and on the importance of dust obscuration. We demonstrate that it is unlikely that the current observational indications for the existence of a cosmological constant are merely an artifact of the dominance of different progenitor classes at different redshift intervals.Comment: Accepted for publication in The Astrophysical Journa

Long-Term Effects of Soldering By-Products on Nickel-Coated Copper Wire

An analysis of thirty-year-old, down graded flight cables was conducted to determine the makeup of a green material on the surface of the shielded wire near soldered areas and to ascertain if the green material had corroded the nickel-coated copper wire. Two likely candidates were possible due to the handling and environments to which these cables were exposed. The flux used to solder the cables is known to contain abietic acid, a carboxylic acid found in many pine rosins used for the soldering process. The resulting material copper abietate is green in color and is formed during the application of heat during soldering operations. Copper (II) chloride, which is also green in color is known to contaminate flight parts and is corrosive. Data is presented that shows the material is copper abietate, not copper (II) chloride, and more importantly that the abietate does not aggressively attack nickel-plated copper wire

The Glass Transition Temperature of Water: A Simulation Study

We report a computer simulation study of the glass transition for water. To mimic the difference between standard and hyperquenched glass, we generate glassy configurations with different cooling rates and calculate the $T$ dependence of the specific heat on heating. The absence of crystallization phenomena allows us, for properly annealed samples, to detect in the specific heat the simultaneous presence of a weak pre-peak (``shadow transition''), and an intense glass transition peak at higher temperature. We discuss the implications for the currently debated value of the glass transition temperature of water. We also compare our simulation results with the Tool-Narayanaswamy-Moynihan phenomenological model.Comment: submitted to Phys. Re

Inertial drag and lift forces for coarse grains on rough alluvial beds measured using in-grain accelerometers

Quantifying the force regime that controls the movement of a single grain during fluvial transport has historically proven to be difficult. Inertial micro-electromechanical system (MEMS) sensors (sensor assemblies that mainly comprise micro-accelerometers and gyroscopes) can used to address this problem using a “smart pebble”: a mobile inertial measurement unit (IMU) enclosed in a stone-like assembly that can measure directly the forces on a particle during sediment transport. Previous research has demonstrated that measurements using MEMS sensors can be used to calculate the dynamics of single grains over short time periods, despite limitations in the accuracy of the MEMS sensors that have been used to date. This paper develops a theoretical framework for calculating drag and lift forces on grains based on IMU measurements. IMUs were embedded a spherical and an ellipsoidal grain and used in flume experiments in which flow was increased until the grain moved. Acceleration measurements along three orthogonal directions were then processed to calculate the threshold force for entrainment, resulting in a statistical approximation of inertial impulse thresholds for both the lift and drag components of grain inertial dynamics. The ellipsoid IMU was also deployed in a series of experiments in a steep stream (Erlenbach, Switzerland). The inertial dynamics from both sets of experiments provide direct measurement of the resultant forces on sediment particles during transport, which quantifies (a) the effect of grain shape and (b) the effect of varied-intensity hydraulic forcing on the motion of coarse sediment grains during bedload transport. Lift impulses exert a significant control on the motion of the ellipsoid across hydraulic regimes, despite the occurrence of higher-magnitude and longer-duration drag impulses. The first-order statistical generalisation of the results suggests that the kinetics of the ellipsoid are characterised by low- or no-mobility states and that the majority of mobility states are controlled by lift impulses

The Effects of Foam Thermal Protection System on the Damage Tolerance Characteristics of Composite Sandwich Structures for Launch Vehicles

For any structure composed of laminated composite materials, impact damage is one of the greatest risks and therefore most widely tested responses. Typically, impact damage testing and analysis assumes that a solid object comes into contact with the bare surface of the laminate (the outer ply). However, most launch vehicle structures will have a thermal protection system (TPS) covering the structure for the majority of its life. Thus, the impact response of the material with the TPS covering is the impact scenario of interest. In this study, laminates representative of the composite interstage structure for the Ares I launch vehicle were impact tested with and without the planned TPS covering, which consists of polyurethane foam. Response variables examined include maximum load of impact, damage size as detected by nondestructive evaluation techniques, and damage morphology and compression after impact strength. Results show that there is little difference between TPS covered and bare specimens, except the residual strength data is higher for TPS covered specimens

Comparison of Open-Hole Compression Strength and Compression After Impact Strength on Carbon Fiber/Epoxy Laminates for the Ares I Composite Interstage

Notched (open hole) composite laminates were tested in compression. The effect on strength of various sizes of through holes was examined. Results were compared to the average stress criterion model. Additionally, laminated sandwich structures were damaged from low-velocity impact with various impact energy levels and different impactor geometries. The compression strength relative to damage size was compared to the notched compression result strength. Open-hole compression strength was found to provide a reasonable bound on compression after impact

Observations of Stellar Objects at a Shell Boundary in the Star-Forming Complex in the Galaxy IC1613

The single region of ongoing star formation in the galaxy IC 1613 has been observed in order to reveal the nature of compact emission-line objects at the edges of two shells in the complex, identified earlier in H-alpha line images. The continuum images show these compact objects to be stars. Detailed spectroscopic observations of these stars and the surrounding nebulae were carried out with an integral field spectrograph MPFS mounted on the 6m telescope of the Special Astrophysical Observatory. The resulting stellar spectra were used to determine the spectral types and luminosity classes of the objects. An Of star we identified is the only object of this spectral type in IC 1613. The results of optical observations of the multi-shell complex are compared to 21cm radio observations. The shells harboring the stars at their boundaries constitute the most active part of the star-forming region. There is evidence that shocks have played an important role in the formation of the shells.Comment: 10 pages, 5 PS and 1 color JPEG figur