5,517 research outputs found

    Doctors at Risk: A Problem As Viewed by Decision Analysis

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    The authors closely analyze a case in which a Peer Review Organization cited a physician for treatment with potential for significant adverse effect. They also critique the regulatory scheme under which peer review occurs and conclude that such regulation interferes with physicians\u27 primary obligations, fails to encourage cost-effective behavior and may decrease the quality of medical care

    Poverty and Self-Sufficiency in the Nine-County Greater Rochester Area

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    Poverty and Self-Sufficiency in the Nine-County Greater Rochester Area updates data from a 2013 report. Overall, it shows that poverty is rising across the region, from 13.2 percent to 14.3 percent, based on the latest available Census figures. This report aims to update key elements from both previous studies, includingpoverty data for all the counties, towns and villages in the region, relying primarily on the latest U.S. Census data, highlight the financial stress that exists in our community by differentiating between poverty and self-sufficiency; and chronicle and summarize efforts of the greater Rochester community to understand and act upon crisis

    Integrated Laboratory Demonstrations of Multi-Object Adaptive Optics on a Simulated 10-Meter Telescope at Visible Wavelengths

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    One important frontier for astronomical adaptive optics (AO) involves methods such as Multi-Object AO and Multi-Conjugate AO that have the potential to give a significantly larger field of view than conventional AO techniques. A second key emphasis over the next decade will be to push astronomical AO to visible wavelengths. We have conducted the first laboratory simulations of wide-field, laser guide star adaptive optics at visible wavelengths on a 10-meter-class telescope. These experiments, utilizing the UCO/Lick Observatory's Multi-Object / Laser Tomography Adaptive Optics (MOAO/LTAO) testbed, demonstrate new techniques in wavefront sensing and control that are crucial to future on-sky MOAO systems. We (1) test and confirm the feasibility of highly accurate atmospheric tomography with laser guide stars, (2) demonstrate key innovations allowing open-loop operation of Shack-Hartmann wavefront sensors (with errors of ~30 nm) as will be needed for MOAO, and (3) build a complete error budget model describing system performance. The AO system maintains a performance of 32.4% Strehl on-axis, with 24.5% and 22.6% at 10" and 15", respectively, at a science wavelength of 710 nm (R-band) over the equivalent of 0.8 seconds of simulation. The MOAO-corrected field of view is ~25 times larger in area than that limited by anisoplanatism at R-band. Our error budget is composed of terms verified through independent, empirical experiments. Error terms arising from calibration inaccuracies and optical drift are comparable in magnitude to traditional terms like fitting error and tomographic error. This makes a strong case for implementing additional calibration facilities in future AO systems, including accelerometers on powered optics, 3D turbulators, telescope and LGS simulators, and external calibration ports for deformable mirrors.Comment: 29 pages, 11 figures, submitted to PAS

    Power flow control for power and voltage management in future smart energy communities

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    The Community Power Flow Control (CPFC) Algorithm has been proposed as a technique for managing electrical power and energy within small communities. The CPFC manages the resources in the community (DSM, energy storage, RES) in order to control the community’s instantaneous power flow according to a target set by a higher-level management system. This paper investigates the capability of the CPFC to manage local distribution voltage levels. The power flow data for a community has been used together with transformer and cable impedance models to demonstrate the variation of the distribution voltage in a community with significant penetration of PV and EV. The CPFC is shown to manage the voltage levels along a feeder within the statutory limits, even when there is significant export
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