12,091 research outputs found

    Computer program simulates design, test, and analysis phases of sensitivity experiments

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    Modular program with a small main program and several specialized subroutines provides a general purpose computer program to simulate the design, test and analysis phases of sensitivity experiments. This program allows a wide range of design-response function combinations and the addition, deletion, or modification of subroutines

    GPRD, A Database for the Spectral Properties of Diatomic Molecules of Atmospheric Interest

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    A short note describing the development of a database providing factual and numerical data on the spectral properties of diatomic molecules. This database is available online for the overall scientific community at the following adress: http://cfp.ist.utl.pt/radiation/Comment: 2 page

    Enhancing Motivation to Change in Clients with Alcohol Use Disorders: Video Feedback as a Brief Intervention

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    This research examined whether videotaped self-observation of drinking behavior combined with a one-session motivationally-based interview resulted in higher levels of motivation to change drinking behavior, lower levels of quantity and frequency of alcohol consumption, decreases in alcohol-related problem behaviors, and expectations of the positive effects of alcohol for individuals mandated to treatment for alcohol-use disorders. DUI offenders (n = 8) and heavy drinking college students (n = 13) mandated to treatment were randomly assigned to receive treatment as usual at their respective agencies or an experimental video intervention in addition to their regular treatment requirements. Participants were assessed at baseline and at one-month following treatment. Participants in both conditions self-reported significantly fewer alcohol-related problem behaviors at the one month follow-up. A non-significant trend was found between the groups over time for alcohol-related problem behaviors; participants assigned to treatment as usual reported fewer alcohol-related problem behaviors at follow-up relative to participants assigned to the experimental video intervention. An additional non-significant trend was found for movement along the stages of change. Two participants who received the video intervention regressed to previous stage levels and one participant who received treatment as usual moved forward one stage. Most participants assigned to the video intervention reported increased insight into their own drinking behavior following the video viewing. Results from this study suggest that aside from increasing awareness about drinking behavior, the data do not support the use of video self-monitoring of drinking behavior as a treatment intervention for individuals with alcohol-use disorders. Future research may want to incorporate some modified components of the video intervention into existing motivationally-based treatments as a way to increase awareness about drinking behavior

    Two-dimensional hydrodynamic lattice-gas simulations of binary immiscible and ternary amphiphilic fluid flow through porous media

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    The behaviour of two dimensional binary and ternary amphiphilic fluids under flow conditions is investigated using a hydrodynamic lattice gas model. After the validation of the model in simple cases (Poiseuille flow, Darcy's law for single component fluids), attention is focussed on the properties of binary immiscible fluids in porous media. An extension of Darcy's law which explicitly admits a viscous coupling between the fluids is verified, and evidence of capillary effects are described. The influence of a third component, namely surfactant, is studied in the same context. Invasion simulations have also been performed. The effect of the applied force on the invasion process is reported. As the forcing level increases, the invasion process becomes faster and the residual oil saturation decreases. The introduction of surfactant in the invading phase during imbibition produces new phenomena, including emulsification and micellisation. At very low fluid forcing levels, this leads to the production of a low-resistance gel, which then slows down the progress of the invading fluid. At long times (beyond the water percolation threshold), the concentration of remaining oil within the porous medium is lowered by the action of surfactant, thus enhancing oil recovery. On the other hand, the introduction of surfactant in the invading phase during drainage simulations slows down the invasion process -- the invading fluid takes a more tortuous path to invade the porous medium -- and reduces the oil recovery (the residual oil saturation increases).Comment: 48 pages, 26 figures. Phys. Rev. E (in press

    Medicare Reimbursement for Total Joint Arthroplasty: The Driving Forces.

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    BACKGROUND: Total joint arthroplasty is a large and growing part of the U.S. Medicare budget, drawing attention to how much providers are paid for their services. The purpose of this study was to examine the variables that affect total joint arthroplasty reimbursement. Along with standard economic variables, we include unique health-care variables. Given the focus on value in the Affordable Care Act, the model examines the relationship of the quality of care to total joint arthroplasty reimbursement. We hoped to find that reimbursement patterns reward quality and reflect standard economic principles. METHODS: Multivariable regression was performed to identify variables that correlate with Medicare reimbursement for total joint arthroplasty. Inpatient charge or reimbursement data on Medicare reimbursements were available for 2,750 hospitals with at least 10 discharges for uncomplicated total joint arthroplasty from the Centers for Medicare & Medicaid Services (CMS) for fiscal year 2011. Reimbursement variability was examined by using the Dartmouth Atlas to group institutions into hospital referral regions and hospital service areas. Independent variables were taken from the Dartmouth Atlas, CMS, the WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) Rural Health Research Center, and the United States Census. RESULTS: There were 427,207 total joint arthroplasties identified, with a weighted mean reimbursement of 14,324.84(range,14,324.84 (range, 9,103 to $38,686). Nationally, the coefficient of variation for reimbursements was 0.19. The regression model accounted for 52.5% of reimbursement variation among providers. The total joint arthroplasty provider volume (p \u3c 0.001) and patient satisfaction (p \u3c 0.001) were negatively correlated with reimbursement. Government ownership of a hospital (p \u3c 0.001) and higher Medicare costs (p \u3c 0.001) correlated positively with reimbursement. CONCLUSIONS: Medicare reimbursements for total joint arthroplasty are highly variable. Greater reimbursement was associated with lower patient volume, lower patient satisfaction, a healthier patient population, and government ownership of a hospital. As value-based reimbursement provisions of the Affordable Care Act are implemented, there will be dramatic changes in total joint arthroplasty reimbursements. To meet these changes, providers should expect qualities such as high patient volume, willingness to care for sicker patient populations, patient satisfaction, safe outcomes, and procedural demand to correlate with their reimbursement. CLINICAL RELEVANCE: Practicing orthopaedic surgeons and hospital administrators should be aware of discrepancies in inpatient reimbursement for total joint arthroplasty from Medicare. Furthermore, these discrepancies are not associated with typical economic factors. These findings warrant further investigation and collaboration between policymakers and providers to develop value-based reimbursement

    Simulating Three-Dimensional Hydrodynamics on a Cellular-Automata Machine

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    We demonstrate how three-dimensional fluid flow simulations can be carried out on the Cellular Automata Machine 8 (CAM-8), a special-purpose computer for cellular-automata computations. The principal algorithmic innovation is the use of a lattice-gas model with a 16-bit collision operator that is specially adapted to the machine architecture. It is shown how the collision rules can be optimized to obtain a low viscosity of the fluid. Predictions of the viscosity based on a Boltzmann approximation agree well with measurements of the viscosity made on CAM-8. Several test simulations of flows in simple geometries -- channels, pipes, and a cubic array of spheres -- are carried out. Measurements of average flux in these geometries compare well with theoretical predictions.Comment: 19 pages, REVTeX and epsf macros require

    Development of improved low-strain creep strength in Cabot alloy R-41 sheet

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    The feasibility of improving the low-strain creep properties of a thin gauge nickel base sheet alloy through modified heat treatment or through development of a preferred crystal-lographic texture was investigated. The basic approach taken to improve the creep strength of the material by heat treatment was to increase grain size by raising the solution treatment temperature for the alloy to the range of 1420 K to 1475 K (2100 F to 2200 F). The key technical issue involved was maintenance of adequate tensile ductility following the solutioning of M6C primary carbides during the higher temperature solution treatment. The approach to improve creep properties by developing a sheet texture involved varying both annealing temperatures and the amount of prior cold work. Results identified a heat treatment for alloy R-14 sheet which yields a substantial creep-life advantage at temperatures above 1090 K (1500 F) when compared with material given the standard heat treatment. At the same time, this treatment provides reasonable tensile ductility over the entire temperature range of interest. The mechanical properties of the material given the new heat treatment are compared with those for material given the standard heat treatment. Attempts to improve creep strength by developing a sheet texture were unsuccessful

    Instability of Extremal Relativistic Charged Spheres

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    With the question, ``Can relativistic charged spheres form extremal black holes?" in mind, we investigate the properties of such spheres from a classical point of view. The investigation is carried out numerically by integrating the Oppenheimer-Volkov equation for relativistic charged fluid spheres and finding interior Reissner-Nordstr\"om solutions for these objects. We consider both constant density and adiabatic equations of state, as well as several possible charge distributions, and examine stability by both a normal mode and an energy analysis. In all cases, the stability limit for these spheres lies between the extremal (Q=MQ = M) limit and the black hole limit (R=R+R = R_+). That is, we find that charged spheres undergo gravitational collapse before they reach Q=MQ = M, suggesting that extremal Reissner-Nordtr\"om black holes produced by collapse are ruled out. A general proof of this statement would support a strong form of the cosmic censorship hypothesis, excluding not only stable naked singularities, but stable extremal black holes. The numerical results also indicate that although the interior mass-energy m(R)m(R) obeys the usual m/R<4/9m/R < 4/9 stability limit for the Schwarzschild interior solution, the gravitational mass MM does not. Indeed, the stability limit approaches R+R_+ as Q→MQ \to M. In the Appendix we also argue that Hawking radiation will not lead to an extremal Reissner-Nordstr\"om black hole. All our results are consistent with the third law of black hole dynamics, as currently understood

    Interface Roughening in a Hydrodynamic Lattice-Gas Model with Surfactant

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    Using a hydrodynamic lattice-gas model, we study interface growth in a binary fluid with various concentrations of surfactant. We find that the interface is smoothed by small concentrations of surfactant, while microemulsion droplets form for large surfactant concentrations. To assist in determining the stability limits of the interface, we calculate the change in the roughness and growth exponents α\alpha and β\beta as a function of surfactant concentration along the interface.Comment: 4 pages with 4 embedded ps figures. Requires psfig.tex. Will appear in PRL 14 Oct 199
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