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

Yarkovsky Drift Detections for 247 Near-Earth Asteroids

The Yarkovsky effect is a thermal process acting upon the orbits of small celestial bodies, which can cause these orbits to slowly expand or contract with time. The effect is subtle (da/dt ~ 10^-4 au/My for a 1 km diameter object) and is thus generally difficult to measure. We analyzed both optical and radar astrometry for 600 near-Earth asteroids (NEAs) for the purpose of detecting and quantifying the Yarkovsky effect. We present 247 NEAs with measured drift rates, which is the largest published set of Yarkovsky detections. This large sample size provides an opportunity to examine the Yarkovsky effect in a statistical manner. In particular, we describe two independent population-based tests that verify the measurement of Yarkovsky orbital drift. First, we provide observational confirmation for the Yarkovsky effect's theoretical size dependence of 1/D, where D is diameter. Second, we find that the observed ratio of negative to positive drift rates in our sample is 2.34, which, accounting for bias and sampling uncertainty, implies an actual ratio of $2.7^{+0.3}_{-0.7}$. This ratio has a vanishingly small probability of occurring due to chance or statistical noise. The observed ratio of retrograde to prograde rotators is two times lower than the ratio expected from numerical predictions from NEA population studies and traditional assumptions about the sense of rotation of NEAs originating from various main belt escape routes. We also examine the efficiency with which solar energy is converted into orbital energy and find a median efficiency in our sample of 12%. We interpret this efficiency in terms of NEA spin and thermal properties.Comment: 27 pages, 9 figures, published in the Astronomical Journal, 159, 92, 202

4U 1626-67 as seen by Suzaku before and after the 2008 torque reversal

Aims. The accretion-powered pulsar 4U 1626-67 experienced a new torque reversal at the beginning of 2008, after about 18 years of steadily spinning down. The main goal of the present work is to study this recent torque reversal that occurred in 2008 February. Methods. We present a spectral analysis of this source using two pointed observations performed by Suzaku in 2006 March and in 2010 September. Results. We confirm with Suzaku the presence of a strong emission-line complex centered on 1 keV, with the strongest line being the hydrogen-like Ne Ly-alpha at 1.025(3) keV. We were able to resolve this complex with up to seven emission lines. A dramatic increase of the intensity of the Ne Ly-alpha line after the 2008 torque reversal occurred, with the equivalent width of this line reaching almost the same value measured by ASCA in 1993. We also report on the detection of a cyclotron line feature centered at ~37 keV. In spite of the fact that an increase of the X-ray luminosity (0.5-100 keV) of a factor of ~2.8 occurred between these two observations, no significant change in the energy of the cyclotron line feature was observed. However, the intensity of the ~1 keV line complex increased by an overall factor of ~8. Conclusions. Our results favor a scenario in which the neutron star in 4U 1626-67 accretes material from a geometrically thin disk during both the spin-up and spin-down phases.Comment: 7 pages, 5 figures and 2 tables. Accepted in A&

Aeroacoustic Measurements of the Bell 699 Rotor on the Tiltrotor Test Rig in the National Full-Scale Aerodynamics Complex 40- by 80-Foot Wind Tunnel

The Tiltrotor Test Rig (TTR) with the Bell 699 Rotor was tested in the National Full-Scale Aerodynamics Complex (NFAC) 40- by 80-Foot Wind Tunnel from 2017 to 2018. The primary goal of the test was to understand the operational capabilities of the TTR while also acquiring research data, including acoustic data. A data quality study revealed that the NFAC 40- by 80-Foot Wind Tunnel is an adequate acoustic environment to test the Bell 699 Rotor for helicopter, conversion, and airplane configurations. Representative acoustic data are presented, and selected acoustic data and corresponding test conditions are included

Structure, Scaling and Phase Transition in the Optimal Transport Network

We minimize the dissipation rate of an electrical network under a global constraint on the sum of powers of the conductances. We construct the explicit scaling relation between currents and conductances, and show equivalence to a a previous model [J. R. Banavar {\it et al} Phys. Rev. Lett. {\bf 84}, 004745 (2000)] optimizing a power-law cost function in an abstract network. We show the currents derive from a potential, and the scaling of the conductances depends only locally on the currents. A numerical study reveals that the transition in the topology of the optimal network corresponds to a discontinuity in the slope of the power dissipation.Comment: 4 pages, 3 figure

A Theory for steady and self-sustained premixed combustion waves

Based on the compressible Navier – Stokes equations for reactive flow problems, an eigenvalue problem for the steady and self-sustained premixed combustion wave propagation is developed. The eigenvalue problem is analytically solved and a set of analytic formulae for description of the wave propagation is found out. The analytic formulae are actually the exact solution of the eigenvalue problem in the form of integration, based on which author develops an iterative and numerical algorithm for calculation of the steady and self-sustained premixed combustion wave propagation and its speed. In order to explore the mathematical model and test the computational method developed in this paper, three groups of combustion wave propagation modes are calculated. The computational results show that the non-trivial modes of the combustion wave propagation exist and their distribution is not continuous but discrete

Stellar Populations in the Phoenix Dwarf (dIrr/dSph) Galaxy as Observed by HST/WFPC2

We present HST/WFPC2 photometry of the central regions of the Phoenix dwarf. Accurate photometry allows us to: 1) confirm the existence of the horizontal branch previously detected by ground-based observations, and use it to determine a distance to Phoenix, 2) clearly detect the existence of multiple ages in the stellar population of Phoenix, 3) determine a mean metallicity of the old red giant branch stars in Phoenix, and suggest that Phoenix has evolved chemically over its lifetime, 4) extract a rough star formation history for the central regions which suggests that Phoenix has been forming stars roughly continuously over its entire lifetime.Comment: Accepted by AJ, 22 pages including 6 figures + 1 figure in JPEG forma