A projection and strategy for church growth using an analysis of recent growth at the Burgin, Kentucky, United Methodist Church

https://place.asburyseminary.edu/ecommonsatsdissertations/1036/thumbnail.jp

Prevention of syncope during IUD placement, a quality improvement project

Syncope is a common experience that patients within the medical community experience. The syncope and the sensation of syncope is secondary to a vagal response that causes excessive pooling in the peripheral vasculature leading to an overall decrease in blood flow to the cerebral tissue. This typically presents during medical procedures including cervical or uterine biopsies, pap smears, blood draws, injections, or seeing the site of blood. This presentation is usually diaphoresis, facial pallor, dilated pupils, and fatigue. The treatment should include having the patient recognizing these symptoms and to have them isometrically contract their extremities and other counter pressure maneuvers. The efficacy of these symptoms were studied which found that recurrent syncope was decreased (32 vs 51 percent), via patient education and early physician recognition

Phonon Density of States and Anharmonicity of UO2

Phonon density of states (PDOS) measurements have been performed on polycrystalline UO2 at 295 and 1200 K using time-of-flight inelastic neutron scattering to investigate the impact of anharmonicity on the vibrational spectra and to benchmark ab initio PDOS simulations performed on this strongly correlated Mott-insulator. Time-of-flight PDOS measurements include anharmonic linewidth broadening inherently and the factor of ~ 7 enhancement of the oxygen spectrum relative to the uranium component by the neutron weighting increases sensitivity to the oxygen-dominated optical phonon modes. The first-principles simulations of quasi-harmonic PDOS spectra were neutron-weighted and anharmonicity was introduced in an approximate way by convolution with wavevector-weighted averages over our previously measured phonon linewidths for UO2 that are provided in numerical form. Comparisons between the PDOS measurements and the simulations show reasonable agreement overall, but they also reveal important areas of disagreement for both high and low temperatures. The discrepancies stem largely from an ~ 10 meV compression in the overall bandwidth (energy range) of the oxygen-dominated optical phonons in the simulations. A similar linewidth-convoluted comparison performed with the PDOS spectrum of Dolling et al. obtained by shell-model fitting to their historical phonon dispersion measurements shows excellent agreement with the time-of-flight PDOS measurements reported here. In contrast, we show by comparisons of spectra in linewidth-convoluted form that recent first-principles simulations for UO2 fail to account for the PDOS spectrum determined from the measurements of Dolling et al. These results demonstrate PDOS measurements to be stringent tests for ab initio simulations of phonon physics in UO2 and they indicate further the need for advances in theory to address lattice dynamics of UO2.Comment: Text slightly modified, results unchange

Chronic appendicular abscess presenting as a complex adnexal mass: A case report

Background: The authors present an unusual presentation of a chronic appendicular abscess. A 57-year-old presented to the emergency department with acute on chronic abdominal pain, worsening abdominal distention and decreased appetite. Abdominal imaging revealed the presence of a multi-septated cystic right adnexal mass concerning for metastatic ovarian carcinoma. Intra-operatively the diagnosis of a likely chronic ruptured appendix at the base of the colon was confirmed. In postmenopausal women the majority of adnexal masses are benign neoplasms, however, the risk of malignancy is much greater than in premenopausal women. Postmenopausal women with clinical symptoms and findings on diagnostic imaging suggestive of malignancy warrant expedited management. While imaging and biomarkers help to give insight into origin of masses and can aid in determining treatment, diagnostic operations may be ultimately required to achieve final diagnosis and direct further management.Methods: All data collected was de identified and kept within a secure location.Results: Adnexal masses can present in a variety of ways and yield pathology from simple cysts to infectious process or even metastatic carcinoma. On the contrary, the diagnosis of acute appendicitis is typically straight forward, classically manifesting with acute periumbilical pain localizing to the right lower quadrant, abdominal guarding, and leukocytosis. The atypical presentation of chronic appendicitis can often lead to misdiagnosis, particularly in sexually active females, or as in our case, patients presenting with symptoms consistent with an ovarian malignancy.Conclusions: Chronic appendicitis (CA) is a rare clinical entity with an incidence of 1.5% in all cases of chronic abdominal pain of unknown etiology. CA poses as a diagnostic and therapeutic dilemma for clinicians since a majority of patients present with atypical symptoms. It is very rarely thought to be the primary diagnosis due to the low frequency of occurrence. A postmenopausal patient with chronic worsening abdominal pain, distention, and decreased appetite presenting with a complex adnexal mass and ascites is highly suspicious for ovarian malignancy. It is imperative to thoroughly review all images and consider subsequent imaging modalities to ensure infectious etiologies are excluded, but ultimately, diagnostic operations may be inevitable

Video Altimeter and Obstruction Detector for an Aircraft

Video-based altimetric and obstruction detection systems for aircraft have been partially developed. The hardware of a system of this type includes a downward-looking video camera, a video digitizer, a Global Positioning System receiver or other means of measuring the aircraft velocity relative to the ground, a gyroscope based or other attitude-determination subsystem, and a computer running altimetric and/or obstruction-detection software. From the digitized video data, the altimetric software computes the pixel velocity in an appropriate part of the video image and the corresponding angular relative motion of the ground within the field of view of the camera. Then by use of trigonometric relationships among the aircraft velocity, the attitude of the camera, the angular relative motion, and the altitude, the software computes the altitude. The obstruction-detection software performs somewhat similar calculations as part of a larger task in which it uses the pixel velocity data from the entire video image to compute a depth map, which can be correlated with a terrain map, showing locations of potential obstructions. The depth map can be used as real-time hazard display and/or to update an obstruction database

Right bundle branch block during transvenous ventricular pacing

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/21942/1/0000349.pd

Engineering and Informatics Student Multidisciplinary Learning using 3D Visualization and 3D Display of Radio Frequency (RF) Concepts

This full paper addresses the Innovative Practice Category. We discuss our multidisciplinary approach to create a truly 3D representation and 3D display of RF signals in space through the development of two different training tools to enhance student understanding of Radio Communications. Both tools show the data on 3D autostereoscopic displays rather than rendered back to 2D displays. The first new tool is a series of 3D stereoscopic animations created by a multidisciplinary team of students from the Media Arts and Sciences (School of Informatics) and Electrical Engineering (School of Engineering) programs for use with an autostereoscopic display, where each animation focuses on a single topic within RF communication learning, using real-world examples. The second innovative tool models the Navy use-case of Electronic Warfare (EW) using examples with 3D antenna radiation patterns of signal propagation using U.S. Navy's SIMDIS interactive 3D visualization environment. The developed scenarios are displayed on an autostereoscopic display, allowing students to manipulate RF signals in a 3D environment. Learning gains were assessed via a 2x2 crossover experimental design an engineering student group. Compared to the control group, students showed gains in understanding of the 3D shape of dipole antennas and understanding of the multiple RF antennas in a cell phone, and the connections between mobile phone antennas and cell towers. The results from these interventions collectively indicate that a truly 3D representation in space can be used to enhance students' understanding of antennas and RF signals