Health Services Curricula Study and Recommendations

The United States is facing a growing concern about increasing costs and decreasing quality and efficiency of the health care delivery within the country. Educational programs focusing on management, information technology and operations within health care industry can help reduce these costs by increasing the efficiency and quality of the services. This paper provides recommendations on what can be offered in terms of health care delivery management in the Department of Management at Worcester Polytechnic Institute

Excited Quarks Production at FCC and SppppC pppp Colliders

Potential discovery, observation and exclusion limits of excited $u$ and $d$ quarks with gamma+jet final state are researched at the multi-TeV scale colliders, FCC and S$pp$C in this work. Both colliders, FCC and S$pp$C, show that excited $u$ and $d$ quarks could be discovered up to 42.1 TeV and 55.2 TeV for $u^\star$, 30.3 TeV and 39.4 TeV for $d^\star$ and 42.3 TeV and 55.5 TeV mass values for degenerate case (m$_{u^\star}$ = m$_{d^\star}$), respectively. Determination of excited quarks compositeness scale is examined, which will be up to multi-PeV level. Beside these analysis, free parameters ($f_s,\;f\;\text{and}\; f^\prime$) are scanned from around 0.1 up to 1 that show excited quark could be discovered at dozens of TeV with even coupling constants under 0.1.Comment: 16 pages, 8 figures, 3 tables, 6 equation

Smart Recloser Breaker

This project explores a method for protecting electric power distribution systems against persistent faults. We designed and implemented a device that we called Smart Recloser Breaker to provide the necessary protection for a power distribution system. The Smart Recloser Breaker is to open when there is a fault on the main line and close only when the fault is removed or cleared. The device functionality was tested and demonstrated using theoretical and actual simulations

Wind-driven ventilation improvement with plan typology alteration: a CFD case study of traditional Turkish architecture

Aligned with achieving the goal of net-zero buildings, the implementation of energy-saving techniques in minimizing energy demands is proving more vital than at any time. As practical and economic options, passive strategies in ventilation developed over thousands of years have shown great potential for the reduction of residential energy demands, which are often underestimated in modern building’s construction. In particular, as a cost-effective passive strategy, wind-driven ventilation via windows has huge potential in the enhancement of the indoor air quality (IAQ) of buildings while simultaneously reducing their cooling load. This study aims to investigate the functionality and applicability of a common historical Turkish architectural element called “Cumba” to improve the wind-driven ventilation in modern buildings. A case study building with an archetypal plan and parameters was defined as a result of a survey over 111 existing traditional samples across Turkey. Buildings with and without Cumba were compared in different scenarios by the development of a validated CFD microclimate model. The results of simulations clearly demonstrate that Cumba can enhance the room’s ventilation rate by more than two times while harvesting wind from different directions. It was also found that a flexible window opening strategy can help to increase the mean ventilation rate by 276%. Moreover, the room’s mean air velocity and ventilation rate could be adjusted to a broad range of values with the existence of Cumba. Thus, this study presents important findings about the importance of plan typology in the effectiveness of wind-driven ventilation strategies in modern dwellings

A variable-fractional order admittance controller for pHRI

In today’s automation driven manufacturing environments, emerging technologies like cobots (collaborative robots) and augmented reality interfaces can help integrating humans into the production workflow to benefit from their adaptability and cognitive skills. In such settings, humans are expected to work with robots side by side and physically interact with them. However, the trade-off between stability and transparency is a core challenge in the presence of physical human robot interaction (pHRI). While stability is of utmost importance for safety, transparency is required for fully exploiting the precision and ability of robots in handling labor intensive tasks. In this work, we propose a new variable admittance controller based on fractional order control to handle this trade-off more effectively. We compared the performance of fractional order variable admittance controller with a classical admittance controller with fixed parameters as a baseline and an integer order variable admittance controller during a realistic drilling task. Our comparisons indicate that the proposed controller led to a more transparent interaction compared to the other controllers without sacrificing the stability. We also demonstrate a use case for an augmented reality (AR) headset which can augment human sensory capabilities for reaching a certain drilling depth otherwise not possible without changing the role of the robot as the decision maker

Clinical Study Comparison of Efficiencies of Michigan Neuropathy Screening Instrument, Neurothesiometer, and Electromyography for Diagnosis of Diabetic Neuropathy

Aim. This study compares the effectiveness of Michigan Neuropathy Screening Instrument (MNSI), neurothesiometer, and electromyography (EMG) in detecting diabetic peripheral neuropathy in patients with diabetes type 2. Materials and Methods. 106 patients with diabetes type 2 treated at the outpatient clinic of Ankara Numune Education and Research Hospital Department of Endocrinology between September 2008 and May 2009 were included in this study. Patients were evaluated by glycemic regulation tests, MNSI (questionnaire and physical examination), EMG (for detecting sensorial and motor defects in right median, ulnar, posterior tibial, and bilateral sural nerves), and neurothesiometer (for detecting alterations in cold and warm sensations as well as vibratory sensations). Results. According to the MNSI score, there was diabetic peripheral neuropathy in 34 (32.1%) patients (score ≥2.5). However, when the patients were evaluated by EMG and neurothesiometer, neurological impairments were detected in 49 (46.2%) and 79 (74.5%) patients, respectively. Conclusion. According to our findings, questionnaires and physical examination often present lower diabetic peripheral neuropathy prevalence. Hence, we recommend that in the evaluation of diabetic patients neurological tests should be used for more accurate results and thus early treatment options to prevent neuropathic complications

Acylated and Desacylated Ghrelin, Preptin, Leptin, and Nesfatin-1 Peptide Changes Related to the Body Mass Index

This study examines the levels of acylated and desacylated ghrelin, preptin, leptin, and nesfatin-1 peptide changes related to the body mass index (BMI). The subjects were allocated to 5 groups depending on their BMIs as follows: Group I (BMI 40 kg/m2). Serum acylated and desacylated ghrelin, preptin, and leptin levels were measured by the enzyme-linked immunosorbent assay (ELISA) and nesfatin-1 was measured by the enzyme immunoassay (EIA). Desacylated ghrelin levels showed a gradual and statistically significant drop from Group I to Group V, while preptin and leptin levels exhibited a gradual and significant increase from Group I to Group IV. Serum nesfatin-1 levels gradually, but not significantly, increased from Group I to Group III and showed a significant decrease in Groups IV and V. In conclusion, leptin, preptin, and acylated ghrelin (AG) levels increased with higher BMI, whereas desacylated ghrelin (DAG) decreased and nesfatin-1 showed no clear relationship to BMI

New hybrid nano additives for thermoplastic compounding: CVD grown carbon fiber on graphene

Nano additives have unique characteristics widely used in high technology applications due to their ultrahigh mechanical and thermal properties. They are not preferred in price sensitive sectors especially in automotive applications because of their high cost. On the other hand, there is a growing interest to use graphene as a reinforcing agent in composite production. At this point, graphene platelet (GNP) produced from the recycle source was used as a template for carbon nanofiber production by using chemical vapor deposition (CVD) technique to overcome commercialization harrier. This bicomponent and novel structure is a good candidate to be used as a reinforcing agent in compound formulations. This produced hybrid additive was dispersed in thennoplastic resin by thennokinetic mixer to get homogeneous dispersion and provide strong interfacial interactions. In the current work, the outstanding properties of graphene with carbon fibers were combined into one type structure. With the further research, the number of graphene layer were adjusted in this hybrid structure to bring a new insight in graphene and its composite applications. After the fabrication of graphene and carbon fiber-based reinforcements with different graphene sources, mechanically and thermally improved Polyamide 6.6 were developed at very low loadings by a thermokinetic high shear mixer. This developed technology will utilize an innovation to produce advanced thermoplastic prepregs including graphene and its hybrid additives with high mechanical properties and increased recycling degree by decreasing manufacturing costs