WorldWideScience

Sample records for numerous medical conditions

  1. Numerical modeling of materials under extreme conditions

    CERN Document Server

    Brown, Eric

    2014-01-01

    The book presents twelve state of the art contributions in the field of numerical modeling of materials subjected to large strain, high strain rates, large pressure and high stress triaxialities, organized into two sections. The first part is focused on high strain rate-high pressures such as those occurring in impact dynamics and shock compression related phenomena, dealing with material response identification, advanced modeling incorporating microstructure and damage, stress waves propagation in solids and structures response under impact. The latter part is focused on large strain-low strain rates applications such as those occurring in technological material processing, dealing with microstructure and texture evolution, material response at elevated temperatures, structural behavior under large strain and multi axial state of stress.

  2. Mining FDA drug labels for medical conditions.

    Science.gov (United States)

    Li, Qi; Deleger, Louise; Lingren, Todd; Zhai, Haijun; Kaiser, Megan; Stoutenborough, Laura; Jegga, Anil G; Cohen, Kevin Bretonnel; Solti, Imre

    2013-04-24

    Cincinnati Children's Hospital Medical Center (CCHMC) has built the initial Natural Language Processing (NLP) component to extract medications with their corresponding medical conditions (Indications, Contraindications, Overdosage, and Adverse Reactions) as triples of medication-related information ([(1) drug name]-[(2) medical condition]-[(3) LOINC section header]) for an intelligent database system, in order to improve patient safety and the quality of health care. The Food and Drug Administration's (FDA) drug labels are used to demonstrate the feasibility of building the triples as an intelligent database system task. This paper discusses a hybrid NLP system, called AutoMCExtractor, to collect medical conditions (including disease/disorder and sign/symptom) from drug labels published by the FDA. Altogether, 6,611 medical conditions in a manually-annotated gold standard were used for the system evaluation. The pre-processing step extracted the plain text from XML file and detected eight related LOINC sections (e.g. Adverse Reactions, Warnings and Precautions) for medical condition extraction. Conditional Random Fields (CRF) classifiers, trained on token, linguistic, and semantic features, were then used for medical condition extraction. Lastly, dictionary-based post-processing corrected boundary-detection errors of the CRF step. We evaluated the AutoMCExtractor on manually-annotated FDA drug labels and report the results on both token and span levels. Precision, recall, and F-measure were 0.90, 0.81, and 0.85, respectively, for the span level exact match; for the token-level evaluation, precision, recall, and F-measure were 0.92, 0.73, and 0.82, respectively. The results demonstrate that (1) medical conditions can be extracted from FDA drug labels with high performance; and (2) it is feasible to develop a framework for an intelligent database system.

  3. The Space Medicine Exploration Medical Condition List

    Science.gov (United States)

    Watkins, Sharmi; Barr, Yael; Kerstman, Eric

    2011-01-01

    Exploration Medical Capability (ExMC) is an element of NASA s Human Research Program (HRP). ExMC's goal is to address the risk of the "Inability to Adequately Recognize or Treat an Ill or Injured Crewmember." This poster highlights the approach ExMC has taken to address this risk. The Space Medicine Exploration Medical Condition List (SMEMCL) was created to define the set of medical conditions that are most likely to occur during exploration space flight missions. The list was derived from the International Space Station Medical Checklist, the Shuttle Medical Checklist, in-flight occurrence data from the Lifetime Surveillance of Astronaut Health, and NASA subject matter experts. The list of conditions was further prioritized for eight specific design reference missions with the assistance of the ExMC Advisory Group. The purpose of the SMEMCL is to serve as an evidence-based foundation for the conditions that could affect a crewmember during flight. This information is used to ensure that the appropriate medical capabilities are available for exploration missions.

  4. Comparison of Unsafe Driving Across Medical Conditions.

    Science.gov (United States)

    Moon, Sanghee; Ranchet, Maud; Tant, Mark; Akinwuntan, Abiodun E; Devos, Hannes

    2017-09-01

    To compare risks of unsafe driving in patients with medical conditions. This large population-based study included all patients who were referred for a fitness-to-drive evaluation at an official driving evaluation center in 2013 and 2014. Risks of unsafe driving included physician's fitness-to-drive recommendation, comprehensive fitness-to-drive decision, motor vehicle crash history, and traffic violation history. A total of 6584 patients were included in the study. Risks of unsafe driving were significantly different across medical conditions (Pdriving. Patients with psychiatric conditions or substance abuse did worse on most driving safety outcomes, despite their low representation in the total sample (359 [6%] and 46 [1%], respectively). The risk of unsafe driving varied greatly across medical conditions. Sensitization campaigns, education, and medical guidelines for physicians and driver licensing authorities are warranted to identify patients at risk, especially for those with psychiatric conditions and substance abuse problems. Copyright © 2017 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  5. Wind conditions in urban layout - Numerical and experimental research

    Science.gov (United States)

    Poćwierz, Marta; Zielonko-Jung, Katarzyna

    2018-01-01

    This paper presents research which compares the numerical and the experimental results for different cases of airflow around a few urban layouts. The study is concerned mostly with the analysis of parameters, such as pressure and velocity fields, which are essential in the building industry. Numerical simulations have been performed by the commercial software Fluent, with the use of a few different turbulence models, including popular k-ɛ, k-ɛ realizable or k-ω. A particular attention has been paid to accurate description of the conditions on the inlet and the selection of suitable computing grid. The pressure measurement near buildings and oil visualization were undertaken and described accordingly.

  6. A Broyden numerical Kutta condition for an unsteady panel method

    International Nuclear Information System (INIS)

    Liu, P.; Bose, N.; Colbourne, B.

    2003-01-01

    In panel methods, numerical Kutta conditions are applied in order to ensure that pressure differences between the surfaces at the trailing edges of lifting surface elements are close to zero. Previous numerical Kutta conditions for 3-D panel methods have focused on use of the Newton-Raphson iterative procedure. For extreme unsteady motions, such as for oscillating hydrofoils or for a propeller behind a blockage, the Newton-Raphson procedure can have severe convergence difficulties. The Broyden iteration, a modified Newton-Raphson iteration procedure, is applied here to obtain improved convergence behavior. Using the Broyden iteration increases the reliability, robustness and in many cases computing efficiency for unsteady, multi-body interactive flows. This method was tested in a time domain code for an ice class propeller in both open water flow and during interaction with a nearby ice blockage. Predictions showed that the method was effective in these extreme flows. (author)

  7. Conditions of radiation protection in medical stations

    International Nuclear Information System (INIS)

    Sa, L.R.B.S.; Tomaz Neto, A.; Pires, A.; Azevedo, H.; Boasquevisque, E.M.

    1988-01-01

    The purpose of this study is to clear up what safety procedures are normally' observed for occupational and environmental radiology. 30 Public Medical station in Rio de Janeiro were investigated. A questionaire of 13 questions was prepared to be filled up by the professionals directly involved with the radiologic work, intending to evaluate, the personal and environmental aspect of radioprotection, the individual responsability of each worker and of the whole institution. It was also verified that knowledge of safety norms is doubtful and precarious in the despite of the fact that a great number of the people in question declare to have specific graduation for the activity. Only 45% from the total really make use of the dosimeters, the periodical medical examinations are not frequent (65%), and fewer employes make use of this lead apron (23%). We come to the conclusion that there is a remarkable bewilderment as for the personal observences about the work conditions in controlled areas. (author) [pt

  8. Numerical simulation of hydrodynamic performance of ship under oblique conditions

    Directory of Open Access Journals (Sweden)

    CHEN Zhiming

    2018-02-01

    Full Text Available [Objectives] This paper is intended to study the viscous flow field around a ship under oblique conditions and provide a research basis for ship maneuverability. [Methods] Using commercial software STRA-CCM+, the SST k-ω turbulence model is selected to predict the hydrodynamic performance of the KVLCC2 model at different drift angles, and predict the hull flow field. The pressure distribution of the ship model at different drift angles is observed and the vortex shedding of the ship's hull and constraint streamlines on the hull's surface are also observed. [Results] The results show that numerical simulation can satisfy the demands of engineering application in the prediction of the lateral force, yaw moment and hull surface pressure distribution of a ship. [Conclusions] The research results of this paper can provide valuable references for the study of the flow separation phenomenon under oblique conditions.

  9. The Effects of Medical Conditions on Driving Performance

    Science.gov (United States)

    2017-08-01

    This project investigated the effect of selected medical conditions on the exposure and performance of older drivers. A review of recent literature, followed by a panel meeting with driving safety experts, prioritized four medical conditions for furt...

  10. 42 CFR 482.22 - Condition of participation: Medical staff.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Medical staff. 482.22... Functions § 482.22 Condition of participation: Medical staff. The hospital must have an organized medical staff that operates under bylaws approved by the governing body and is responsible for the quality of...

  11. Psychiatric disorders and general medical conditions: implications ...

    African Journals Online (AJOL)

    African Journal of Psychiatry ... They are also at increased risk of contracting HIV. ... As medical practice becomes more specialized and arguably compartmentalized it may increasingly fail to integrate health care for patients with severe mental ...

  12. Prevalence of self-reported medical conditions among dental patients

    Directory of Open Access Journals (Sweden)

    Mukhatar A Javali

    2017-01-01

    Conclusion: The results of our study found a high prevalence of medical conditions among patients seeking periodontal treatment, thereby highlighting the need to record patients' medical and dental care history in detail.

  13. Processing and display of medical three dimensional arrays of numerical data using octree encoding

    International Nuclear Information System (INIS)

    Amans, J.L.; Darier, P.

    1985-01-01

    Imaging modalities such as X-ray computerized Tomography (CT), Nuclear Medicine and Nuclear Magnetic Resonance can produce three-dimensional (3-D) arrays of numerical data of medical object internal structures. The analysis of 3-D data by synthetic generation of realistic images is an important area of computer graphics and imaging. We are currently developing experimental software that allows the analysis, processing and display of 3-D arrays of numerical data that are organized in a related hierarchical data structure using OCTREE (octal-tree) encoding technique based on a recursive subdivision of the data volume. The OCTREE encoding structure is an extension of the two-dimensional tree structure: the quadtree, developed for image processing applications. Before any operations, the 3-D array of data is OCTREE encoded, thereafter all processings are concerned with the encoded object. The elementary process for the elaboration of a synthetic image includes: conditioning the volume: volume partition (numerical and spatial segmentation), choice of the view-point..., two dimensional display, either by spatial integration (radiography) or by shaded surface representation. This paper introduces these different concepts and specifies the advantages of OCTREE encoding techniques in realizing these operations. Furthermore the application of the OCTREE encoding scheme to the display of 3-D medical volumes generated from multiple CT scans is presented

  14. Analytical expressions for conditional averages: A numerical test

    DEFF Research Database (Denmark)

    Pécseli, H.L.; Trulsen, J.

    1991-01-01

    Conditionally averaged random potential fluctuations are an important quantity for analyzing turbulent electrostatic plasma fluctuations. Experimentally, this averaging can be readily performed by sampling the fluctuations only when a certain condition is fulfilled at a reference position...

  15. Numerical simulation of meteorological conditions for peak pollution in Paris

    Energy Technology Data Exchange (ETDEWEB)

    Carissimo, B. [Electricite de France (EDF), 78 - Chatou (France). Direction des Etudes et Recherches

    1997-06-01

    Results obtained on the simulation of meteorological conditions during two episodes of peak pollution in Paris are presented, one in the winter, the other in the summer. The A3UR air quality modelling system is first described followed by the MERCURE mesoscale meteorological model. The conditions of simulation are described. The results obtained on these two causes show satisfactory agreement, for example on the magnitude of the urban heat island which is correctly reproduced. In this study, several areas of progress have been identified: improvement of the altitude measurement network around cities, the simulation of light wind conditions and the simulation of formation and dissipation of fog. (author) 24 refs.

  16. Numerical modelling of structure and mechanical properties for medical tools

    OpenAIRE

    L. Jeziorski; J. Jasinski; M. Lubas; M. Szota; P. Lacki; B. Stodolnika

    2007-01-01

    Purpose: In order to design forceps and bowl cutter property, it is necessary to optimise many parameters and consider the functions, which these medical tools should fulfil. Of course, some simplifications are necessary in respect of calculation methodology. In the paper a solution procedure concerning this problem has been presented. The presented solution allows for precise determination of the geometrical dimensions according to the functional requirements that forceps should fulfil. The ...

  17. Numerical optimization of composite hip endoprostheses under different loading conditions

    Science.gov (United States)

    Blake, T. A.; Davy, D. T.; Saravanos, D. A.; Hopkins, D. A.

    1992-01-01

    The optimization of composite hip implants was investigated. Emphasis was placed on the effect of shape and material tailoring of the implant to improve the implant-bone interaction. A variety of loading conditions were investigated to better understand the relationship between loading and optimization outcome. Comparisons of the initial and optimal models with more complex 3D finite element models were performed. The results indicate that design improvements made using this method result in similar improvements in the 3D models. Although the optimization outcomes were significantly affected by the choice of loading conditions, certain trends were observed that were independent of the applied loading.

  18. Medication overuse reinstates conditioned pain modulation in women with migraine.

    Science.gov (United States)

    Guy, Nathalie; Voisin, Daniel; Mulliez, Aurélien; Clavelou, Pierre; Dallel, Radhouane

    2018-05-01

    Background This study investigated the effects of medication overuse and withdrawal on modulation of pain processing in women with migraine. Temporal summation of laser-evoked thermal pain was used to measure the effects of conditioned pain modulation. Methods 36 female participants (12 healthy volunteers, 12 with episodic migraine and 12 with medication overuse headache) were included in a two session protocol. Medication overuse headache subjects were also tested three weeks after medication overuse headache withdrawal. Mechanical and laser-evoked thermal pain thresholds were measured on the back of the non-dominant hand where, later, temporal summation of laser-evoked thermal pain to repetitive thermal stimuli was elicited for 30 min, at an intensity producing moderate pain. Between the 10 th and 20 th minutes, the contralateral foot was immersed into a water bath at a not painful (30℃) or painfully cold (8℃; conditioned pain modulation) temperature. Results Episodic migraine, medication overuse headache and medication overuse headache withdrawal were associated with an increase in extracephalic temporal summation of laser-evoked thermal pain as compared to healthy volunteer subjects, while there was no alteration of laser-evoked thermal and mechanical extracephalic pain thresholds in these subjects. Conditioned pain modulation was highly efficient in temporal summation of laser-evoked thermal pain in healthy volunteer subjects, with a solid post-effect (reduction of pain). Conditioned pain modulation was still present, but reduced, in episodic migraine. By contrast, conditioned pain modulation was normal in medication overuse headache and strongly reduced in medication overuse headache withdrawal. Furthermore, in medication overuse headache withdrawal, the post-effect was no longer a decrease, but a facilitation of pain. Conclusions These data show that a decrease in conditioned pain modulation does not underlie medication overuse headache in women. On

  19. Numerical

    Directory of Open Access Journals (Sweden)

    M. Boumaza

    2015-07-01

    Full Text Available Transient convection heat transfer is of fundamental interest in many industrial and environmental situations, as well as in electronic devices and security of energy systems. Transient fluid flow problems are among the more difficult to analyze and yet are very often encountered in modern day technology. The main objective of this research project is to carry out a theoretical and numerical analysis of transient convective heat transfer in vertical flows, when the thermal field is due to different kinds of variation, in time and space of some boundary conditions, such as wall temperature or wall heat flux. This is achieved by the development of a mathematical model and its resolution by suitable numerical methods, as well as performing various sensitivity analyses. These objectives are achieved through a theoretical investigation of the effects of wall and fluid axial conduction, physical properties and heat capacity of the pipe wall on the transient downward mixed convection in a circular duct experiencing a sudden change in the applied heat flux on the outside surface of a central zone.

  20. Numerical Study of Severe Accidents on Containment Venting Conditions

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Na Rae; Bang, Young Suk; Park, Tong Kyu; Lee, Doo Yong [FNC Technology Co., Yongin (Korea, Republic of); Choi, Yu Jung; Lee, Sang Won; Kim, Hyeong Taek [KHNP-CRI, Daejeon (Korea, Republic of)

    2014-10-15

    Under severe accident, the containment integrity can be challenged due to over-pressurization by steam and non-condensable gas generation. According to Seismic Probabilistic Safety Assessment (PSA) result, the late containment failure by over-pressurization has been identified as the most probable containment failure mode. In addition, the analyses of Fukushima nuclear power plant accident reveal the necessity of the proper containment depressurization to prevent the large release of the radionuclide to environment. Containment venting has been considered as an effective approach to maintain the containment integrity from over-pressurization. Basic idea of containment venting is to relieve the pressure inside of the containment by establishing a flow path to the external environment. To ensure the containment integrity under over-pressure conditions, it is crucial to conduct the containment vent in a timely manner with a sufficient discharge flow rate. It is also important to optimize the vent line size to prevent additional risk of leakage and to install at the site with limited space availability. The purpose of this study is to identify the effective venting conditions for preventing the containment over-pressurization and investigate the vent flow characteristics to minimize the consequence of the containment ventilation.. In order that, thermodynamic behavior of the containment and the discharged flow depending on different vent strategies are analyzed and compared. The representative accident scenarios are identified by reviewing the Level 2 PSA result and the sensitivity analyses with varying conditions (i.e. vent line size and vent initiation pressure) are conducted. MAAP5 model for the OPR1000 Korea nuclear power plant has been used for severe accident simulations. Containment venting can be an effective strategy to prevent the significant failure of the containment due to over-pressurization. However, it should be carefully conducted because the vented

  1. Numerical Study of Severe Accidents on Containment Venting Conditions

    International Nuclear Information System (INIS)

    Lee, Na Rae; Bang, Young Suk; Park, Tong Kyu; Lee, Doo Yong; Choi, Yu Jung; Lee, Sang Won; Kim, Hyeong Taek

    2014-01-01

    Under severe accident, the containment integrity can be challenged due to over-pressurization by steam and non-condensable gas generation. According to Seismic Probabilistic Safety Assessment (PSA) result, the late containment failure by over-pressurization has been identified as the most probable containment failure mode. In addition, the analyses of Fukushima nuclear power plant accident reveal the necessity of the proper containment depressurization to prevent the large release of the radionuclide to environment. Containment venting has been considered as an effective approach to maintain the containment integrity from over-pressurization. Basic idea of containment venting is to relieve the pressure inside of the containment by establishing a flow path to the external environment. To ensure the containment integrity under over-pressure conditions, it is crucial to conduct the containment vent in a timely manner with a sufficient discharge flow rate. It is also important to optimize the vent line size to prevent additional risk of leakage and to install at the site with limited space availability. The purpose of this study is to identify the effective venting conditions for preventing the containment over-pressurization and investigate the vent flow characteristics to minimize the consequence of the containment ventilation.. In order that, thermodynamic behavior of the containment and the discharged flow depending on different vent strategies are analyzed and compared. The representative accident scenarios are identified by reviewing the Level 2 PSA result and the sensitivity analyses with varying conditions (i.e. vent line size and vent initiation pressure) are conducted. MAAP5 model for the OPR1000 Korea nuclear power plant has been used for severe accident simulations. Containment venting can be an effective strategy to prevent the significant failure of the containment due to over-pressurization. However, it should be carefully conducted because the vented

  2. 28 CFR 79.16 - Proof of medical condition.

    Science.gov (United States)

    2010-07-01

    ... contain a verified diagnosis of leukemia, the Radiation Exposure Compensation Program will notify the... Cancer Institute can make a diagnosis of leukemia to a reasonable degree of medical certainty: (i) Bone... COMPENSATION ACT Eligibility Criteria for Claims Relating to Leukemia § 79.16 Proof of medical condition. (a...

  3. Numerical simulation of controlled directional solidification under microgravity conditions

    Science.gov (United States)

    Holl, S.; Roos, D.; Wein, J.

    The computer-assisted simulation of solidification processes influenced by gravity has gained increased importance during the previous years regarding ground-based as well as microgravity research. Depending on the specific needs of the investigator, the simulation model ideally covers a broad spectrum of applications. These primarily include the optimization of furnace design in interaction with selected process parameters to meet the desired crystallization conditions. Different approaches concerning the complexity of the simulation models as well as their dedicated applications will be discussed in this paper. Special emphasis will be put on the potential of software tools to increase the scientific quality and cost-efficiency of microgravity experimentation. The results gained so far in the context of TEXUS, FSLP, D-1 and D-2 (preparatory program) experiments, highlighting their simulation-supported preparation and evaluation will be discussed. An outlook will then be given on the possibilities to enhance the efficiency of pre-industrial research in the Columbus era through the incorporation of suitable simulation methods and tools.

  4. Lithuanian medical tourism cluster: conditions and background for functioning

    Directory of Open Access Journals (Sweden)

    Korol A. N.

    2017-10-01

    Full Text Available as the global economy develops, more and more attention is paid to the creation of tourist clusters, which are extremely important for the economy and national competitiveness. This article analyzes the cluster of medical tourism in Lithuania, and explores the conditions for its successful functioning. The creation of the medical tourism cluster is highly influenced by a number of factors: the regulation of tourist and medical services, the level of entrepreneurial activity, human resources, the experience of partnership. In addition, the article analyzes the structure of the medical tourism cluster, determines the prerequisites for the functioning of the Lithuanian medical tourism cluster, including a wide range of services, European standards for the provision of medical services, high qualification of specialists, etc. When writing the article, the methods of systematic and logical analysis of scientific literature were used.

  5. Medical physics personnel for medical imaging: requirements, conditions of involvement and staffing levels-French recommendations

    International Nuclear Information System (INIS)

    Isambert, Aurelie; Valero, Marc; Rousse, Carole; Blanchard, Vincent; Le Du, Dominique; Guilhem, Marie-Therese; Dieudonne, Arnaud; Pierrat, Noelle; Salvat, Cecile

    2015-01-01

    The French regulations concerning the involvement of medical physicists in medical imaging procedures are relatively vague. In May 2013, the ASN and the SFPM issued recommendations regarding Medical Physics Personnel for Medical Imaging: Requirements, Conditions of Involvement and Staffing Levels. In these recommendations, the various areas of activity of medical physicists in radiology and nuclear medicine have been identified and described, and the time required to perform each task has been evaluated. Criteria for defining medical physics staffing levels are thus proposed. These criteria are defined according to the technical platform, the procedures and techniques practised on it, the number of patients treated and the number of persons in the medical and paramedical teams requiring periodic training. The result of this work is an aid available to each medical establishment to determine their own needs in terms of medical physics. (authors)

  6. Medical physics personnel for medical imaging: requirements, conditions of involvement and staffing levels-French recommendations.

    Science.gov (United States)

    Isambert, Aurélie; Le Du, Dominique; Valéro, Marc; Guilhem, Marie-Thérèse; Rousse, Carole; Dieudonné, Arnaud; Blanchard, Vincent; Pierrat, Noëlle; Salvat, Cécile

    2015-04-01

    The French regulations concerning the involvement of medical physicists in medical imaging procedures are relatively vague. In May 2013, the ASN and the SFPM issued recommendations regarding Medical Physics Personnel for Medical Imaging: Requirements, Conditions of Involvement and Staffing Levels. In these recommendations, the various areas of activity of medical physicists in radiology and nuclear medicine have been identified and described, and the time required to perform each task has been evaluated. Criteria for defining medical physics staffing levels are thus proposed. These criteria are defined according to the technical platform, the procedures and techniques practised on it, the number of patients treated and the number of persons in the medical and paramedical teams requiring periodic training. The result of this work is an aid available to each medical establishment to determine their own needs in terms of medical physics. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. Sexual dysfunction among Ghanaian men presenting with various medical conditions

    Directory of Open Access Journals (Sweden)

    Quaye Lawrence

    2010-10-01

    Full Text Available Abstract Background Several medical conditions can affect and disrupt human sexuality. The alteration of sexuality in these medical conditions often hinder effective communication and empathy between the patients and their sexual partners because of cultural attitudes, social norms and negative feelings such as anxiety and guilt. Validated and standardized sexual inventories might therefore help resolve this problem. The objective of this cross-sectional study was to obtain data on the prevalence of male sexual dysfunction (SD among Ghanaians with various medical conditions residing in Kumasi. Methods The Golombok Rust Inventory of Sexual Satisfaction (GRISS was administered to 150 Ghanaian men with various medical conditions between 19 and 66 years old (mean ± standard deviation: 40.01 ± 12.32 years domiciled in the Kumasi metropolis. Results Out of the total 150 questionnaires administered, 105 (70.0% men returned the questionnaires. Questionnaires from 3 men were incomplete, leaving 102 complete and evaluable questionnaires, indicating a 68.0% response rate. Of the remaining 102 men, 88.2% were married, 70.6% had attained higher education, 88.2% were non-smokers. Whereas 54.9% were engaged in exercise, 61.8% indulged in alcoholic beverages. The prevalence of the various medical conditions include: diabetes (18%, hypertension (24.5%, migraine (11.8%, ulcer (7.8%, surgery (6.9%, STD (3.9 and others (26.5%. The prevalence of SD among the respondents in the study was 59.8%. The highest prevalence of SD was seen among ulcer patients (100%, followed by patients who have undergone surgery (75%, diabetes (70%, hypertension (50%, STD (50% and the lowest was seen among migraine patients (41.7%. Conclusions SD rate is high among Ghanaian men with medical conditions (about 60% and vary according to the condition and age.

  8. Artificial Boundary Conditions for the Numerical Simulation of Unsteady Acoustic Waves

    National Research Council Canada - National Science Library

    Tsynkov, S. V

    2003-01-01

    We construct non-local artificial boundary conditions (ABCs) for the numerical simulation of genuinely time-dependent acoustic waves that propagate from a compact source in an unbounded unobstructed space...

  9. Medical conditions and body pain in patients presenting orofacial pain.

    Science.gov (United States)

    Franco, Ana Lúcia; Runho, Gabriel Henrique Farto; Siqueira, José Tadeu Tesseroli de; Camparis, Cinara Maria

    2012-05-01

    To verify the frequency of self-reported medical conditions and pain areas in orofacial pain patients, comparing them with patients from the routine dental care. Data were collected from archives of the Orofacial Pain Clinic (Group A, n=319) and of the routine dental care clinics (Group B, n=84) at Faculdade de Odontologia de Araraquara, São Paulo, in Brazil. All individuals answered a standardized clinical questionnaire and completed a body map indicating their pain areas. The Mann-Whitney's test demonstrated that Group A presented a higher mean number of medical reports than Group B (p=0.004). In both groups, Pearson's correlation test showed that the highest frequencies of medical conditions were positively correlated to highest frequencies of painful areas (0.478, p=0.001 and 0.246, p=0.000, respectively). Group A tended to report more medical conditions and there was a positive correlation between the number of medical conditions and the one of pain areas for both groups.

  10. Dementia and serious coexisting medical conditions: a double whammy.

    Science.gov (United States)

    Maslow, Katie

    2004-09-01

    Research-based information about the prevalence of other serious medical conditions in people with dementia has become available only recently, and the true prevalence is not known, primarily because many people with dementia do not have a diagnosis. The existing information is sufficient, however, to show that these other conditions are common in people with dementia. It is also clear that coexisting medical conditions increase the use and cost of health care services for people with dementia, and conversely, dementia increases the use and cost of health care services for people with other serious medical conditions. Nurses and other healthcare professionals should expect to see these relationships in their elderly patients. They should know how to recognize possible dementia and assess, or obtain an assessment of, the patient's cognitive status. They should expect the worsening of cognitive and related symptoms in acutely ill people with dementia and try to eliminate factors that cause this worsening, to the extent possible, while assuring the family that the symptoms are likely to improve once the acute phase of illness or treatment is over. Families, nurses, and other health care professionals are challenged by the complex issues involved in caring for a person with both dementia and other serious medical conditions. Greater attention to these issues by informed and thoughtful clinicians will improve outcomes for the people and their family and professional caregivers.

  11. 28 CFR 79.26 - Proof of medical condition.

    Science.gov (United States)

    2010-07-01

    ... diagnosis, that authorizes the Program to contact the appropriate state cancer or tumor registry. The Program will accept as proof of medical condition verification from the state cancer or tumor registry... death. (5) Primary cancer of the esophagus. (i) Pathology report of tissue biopsy or surgical resection...

  12. Processing And Display Of Medical Three Dimensional Arrays Of Numerical Data Using Octree Encoding

    Science.gov (United States)

    Amans, Jean-Louis; Darier, Pierre

    1986-05-01

    imaging modalities such as X-Ray computerized Tomography (CT), Nuclear Medecine and Nuclear Magnetic Resonance can produce three-dimensional (3-D) arrays of numerical data of medical object internal structures. The analysis of 3-D data by synthetic generation of realistic images is an important area of computer graphics and imaging.

  13. The "prudent layperson" definition of an emergency medical condition.

    Science.gov (United States)

    Li, James; Galvin, Hannah K; Johnson, Sandra C

    2002-01-01

    The study objectives, based on federal and state legislative language, were to objectively define symptoms and signs commonly agreed on by "prudent laypersons" as "emergency medical conditions." After comprehensive tabulation of symptom classifications from the International Classification of Diseases (ICD-9), we performed a survey of nonmedical laypersons. Data analysis included descriptive statistics, proportional calculations, and 95% confidence intervals. A minority of symptoms and signs (25/87, 29%) were considered emergency medical conditions by more than half of nonmedical survey respondents who were self-defined as prudent laypersons. The leading conditions deemed emergencies were loss of consciousness, seizure, no recognition of one side of the body, paralysis, shock, gangrene, coughing blood, trouble breathing, chest pain, and choking. Pain, except for renal colic or chest pain, was not considered an emergency. No symptoms or signs specifically related to gynecologic disorders were considered emergencies. Most symptoms and signs tabulated in the diagnostic coding manual, ICD-9, are not considered emergency medical conditions by self-designated prudent laypersons. These include many conditions that are commonly investigated and treated in the emergency department setting. Use of the prudent layperson standard for reimbursable emergency health services may not reflect the actual scope of symptoms necessitating emergency care.

  14. Association between adherence to medications for COPD and medications for other chronic conditions in COPD patients

    Directory of Open Access Journals (Sweden)

    Dhamane AD

    2016-12-01

    .78, all P<0.01. Conclusion: Adherence to mCOPD medications is low. Non-adherence (or adherence to mCOPD medications is positively related to non-adherence (or adherence to non-COPD medications, implying that the need to take medications prescribed for comorbid conditions does not adversely impact adherence to mCOPD medications. Keywords: COPD, comorbidities, adherence, PDC, database, Medicare

  15. Sleep-related problems in common medical conditions.

    Science.gov (United States)

    Parish, James M

    2009-02-01

    Common medical problems are often associated with abnormalities of sleep. Patients with chronic medical disorders often have fewer hours of sleep and less restorative sleep compared to healthy individuals, and this poor sleep may worsen the subjective symptoms of the disorder. Individuals with lung disease often have disturbed sleep related to oxygen desaturations, coughing, or dyspnea. Both obstructive lung disease and restrictive lung diseases are associated with poor quality sleep. Awakenings from sleep are common in untreated or undertreated asthma, and cause sleep disruption. Gastroesophageal reflux is a major cause of disrupted sleep due to awakenings from heartburn, dyspepsia, acid brash, coughing, or choking. Patients with chronic renal disease commonly have sleep complaints often due to insomnia, insufficient sleep, sleep apnea, or restless legs syndrome. Complaints related to sleep are very common in patients with fibromyalgia and other causes of chronic pain. Sleep disruption increases the sensation of pain and decreases quality of life. Patients with infectious diseases, including acute viral illnesses, HIV-related disease, and Lyme disease, may have significant problems with insomnia and hypersomnolence. Women with menopause have from insomnia, sleep-disordered breathing, restless legs syndrome, or fibromyalgia. Patients with cancer or receiving cancer therapy are often bothered by insomnia or other sleep disturbances that affect quality of life and daytime energy. The objective of this article is to review frequently encountered medical conditions and examine their impact on sleep, and to review frequent sleep-related problems associated with these common medical conditions.

  16. Prevalence of chronic medical conditions among inmates in the Texas prison system.

    Science.gov (United States)

    Harzke, Amy J; Baillargeon, Jacques G; Pruitt, Sandi L; Pulvino, John S; Paar, David P; Kelley, Michael F

    2010-05-01

    Given the rapid growth and aging of the US prison population in recent years, the disease profile and health care needs of inmates portend to have far-reaching public health implications. Although numerous studies have examined infectious disease prevalence and treatment in incarcerated populations, little is known about the prevalence of non-infectious chronic medical conditions in US prison populations. The purpose of this study was to estimate the prevalence of selected non-infectious chronic medical conditions among inmates in the Texas prison system. The study population consisted of the total census of inmates who were incarcerated in the Texas Department of Criminal Justice for any duration from September 1, 2006 through August 31, 2007 (N=234,031). Information on medical diagnoses was obtained from a system-wide electronic medical record system. Overall crude prevalence estimates for the selected conditions were as follows: hypertension, 18.8%; asthma, 5.4%; diabetes, 4.2%; ischemic heart disease, 1.7%; chronic obstructive pulmonary disease, 0.96%; and cerebrovascular disease, 0.23%. Nearly one quarter (24.5%) of the study population had at least one of the selected conditions. Except for asthma, crude prevalence estimates of the selected conditions increased monotonically with age. Nearly two thirds (64.6%) of inmates who were >or=55 years of age had at least one of the selected conditions. Except for diabetes, crude prevalence estimates for the selected conditions were lower among Hispanic inmates than among non-Hispanic White inmates and African American inmates. Although age-standardized prevalence estimates for the selected conditions did not appear to exceed age-standardized estimates from the US general population, a large number of inmates were affected by one or more of these conditions. As the prison population continues to grow and to age, the burden of these conditions on correctional and community health care systems can be expected to increase.

  17. Effects of the bottom boundary condition in numerical investigations of dense water cascading on a slope

    Science.gov (United States)

    Berntsen, Jarle; Alendal, Guttorm; Avlesen, Helge; Thiem, Øyvind

    2018-05-01

    The flow of dense water along continental slopes is considered. There is a large literature on the topic based on observations and laboratory experiments. In addition, there are many analytical and numerical studies of dense water flows. In particular, there is a sequence of numerical investigations using the dynamics of overflow mixing and entrainment (DOME) setup. In these papers, the sensitivity of the solutions to numerical parameters such as grid size and numerical viscosity coefficients and to the choices of methods and models is investigated. In earlier DOME studies, three different bottom boundary conditions and a range of vertical grid sizes are applied. In other parts of the literature on numerical studies of oceanic gravity currents, there are statements that appear to contradict choices made on bottom boundary conditions in some of the DOME papers. In the present study, we therefore address the effects of the bottom boundary condition and vertical resolution in numerical investigations of dense water cascading on a slope. The main finding of the present paper is that it is feasible to capture the bottom Ekman layer dynamics adequately and cost efficiently by using a terrain-following model system using a quadratic drag law with a drag coefficient computed to give near-bottom velocity profiles in agreement with the logarithmic law of the wall. Many studies of dense water flows are performed with a quadratic bottom drag law and a constant drag coefficient. It is shown that when using this bottom boundary condition, Ekman drainage will not be adequately represented. In other studies of gravity flow, a no-slip bottom boundary condition is applied. With no-slip and a very fine resolution near the seabed, the solutions are essentially equal to the solutions obtained with a quadratic drag law and a drag coefficient computed to produce velocity profiles matching the logarithmic law of the wall. However, with coarser resolution near the seabed, there may be a

  18. Formulation and numerical implementation of micro-scale boundary conditions for particle aggregates

    NARCIS (Netherlands)

    Liu, J.; Bosco, E.; Suiker, A.S.J.

    2017-01-01

    Novel numerical algorithms are presented for the implementation of micro-scale boundary conditions of particle aggregates modelled with the discrete element method. The algorithms are based on a servo-control methodology, using a feedback principle comparable to that of algorithms commonly applied

  19. Gauge conditions for long-term numerical black hole evolutions without excision

    International Nuclear Information System (INIS)

    Alcubierre, Miguel; Bruegmann, Bernd; Diener, Peter; Koppitz, Michael; Pollney, Denis; Seidel, Edward; Takahashi, Ryoji

    2003-01-01

    Numerical relativity has faced the problem that standard 3+1 simulations of black hole spacetimes without singularity excision and with singularity avoiding lapse and vanishing shift fail early on due to the so-called slice stretching. We discuss lapse and shift conditions for the nonexcision case that effectively cure slice stretching and allow run times of 1000M and more

  20. Numerical modeling of the flow conditions in a closed-circuit low-speed wind tunnel

    NARCIS (Netherlands)

    Moonen, P.; Blocken, B.J.E.; Roels, S.; Carmeliet, J.E.

    2006-01-01

    A methodology for numerically simulating the flow conditions in closed-circuit wind tunnels is developed as a contribution to the general philosophy of incorporating Computational Fluid Dynamics (CFD) in wind tunnel design and testing and to CFD validation studies. The methodology is applied to the

  1. On a turbulent wall model to predict hemolysis numerically in medical devices

    Science.gov (United States)

    Lee, Seunghun; Chang, Minwook; Kang, Seongwon; Hur, Nahmkeon; Kim, Wonjung

    2017-11-01

    Analyzing degradation of red blood cells is very important for medical devices with blood flows. The blood shear stress has been recognized as the most dominant factor for hemolysis in medical devices. Compared to laminar flows, turbulent flows have higher shear stress values in the regions near the wall. In case of predicting hemolysis numerically, this phenomenon can require a very fine mesh and large computational resources. In order to resolve this issue, the purpose of this study is to develop a turbulent wall model to predict the hemolysis more efficiently. In order to decrease the numerical error of hemolysis prediction in a coarse grid resolution, we divided the computational domain into two regions and applied different approaches to each region. In the near-wall region with a steep velocity gradient, an analytic approach using modeled velocity profile is applied to reduce a numerical error to allow a coarse grid resolution. We adopt the Van Driest law as a model for the mean velocity profile. In a region far from the wall, a regular numerical discretization is applied. The proposed turbulent wall model is evaluated for a few turbulent flows inside a cannula and centrifugal pumps. The results present that the proposed turbulent wall model for hemolysis improves the computational efficiency significantly for engineering applications. Corresponding author.

  2. Evaluation of accelerated stability test conditions for medicated chewing gums.

    Science.gov (United States)

    Maggi, Lauretta; Conte, Ubaldo; Nhamias, Alain; Grenier, Pascal; Vergnault, Guy

    2013-10-01

    The overall stability of medicated chewing gums is investigated under different storage conditions. Active substances with different chemical stabilities in solid state are chosen as model drugs. The dosage form is a three layer tablet obtained by direct compression. The gum core contains the active ingredient while the external layers are formulated to prevent gum adhesion to the punches of the tableting machine. Two accelerated test conditions (40°C/75% RH and 30°C/65% RH) are performed for 6 months. Furthermore, a long-term stability test at room conditions is conducted to verify the predictability of the results obtained from the stress tests. Some drugs are stable in all the conditions tested, but other drugs, generally considered stable in solid dosage forms, have shown relevant stability problems particularly when stress test conditions are applied to this particular semi-solid dosage forms. For less stable drugs, the stress conditions of 40°C/75% RH are not always predictable of chewing gum stability at room temperature and may produce false negative; intermediate conditions, 30°C/65% RH, are more predictive for this purpose, the results of drug content found after 6 months at intermediate stress conditions and 12 months at room conditions are generally comparable. But the results obtained show that only long-term conditions stability tests gave consistent results. During aging, the semi solid nature of the gum base itself, may also influence the drug delivery rate during chewing and great attention should be given also to the dissolution stability.

  3. Prudent layperson definition of an emergent pediatric medical condition.

    Science.gov (United States)

    Huang, Craig J; Poirier, Michael P; Cantwell, John R; Ermis, Peter R; Isaacman, Daniel J

    2006-03-01

    This study was designed to assess how well parents rated pediatric medical conditions based on their perceived degree of urgency so as to determine if the "Prudent Layperson Standard'' is reasonable. A self-administered, supervised survey was given to a convenience sample of 340 caregivers in the emergency department of an urban children's hospital. Respondents were asked to rank the urgency of 15 scenarios. A caregiver response within 1 point of the physician score was considered concordant with medical opinion. A 2-week-old infant with a rectal temperature of 103.7 degrees F was the only emergent scenario underestimated by caregivers. A 1 1/2-yr-old child with an upper respiratory tract infection, a 7-year-old child with ringworm, an 8-month-old infant with a simple forehead contusion, and a 4-year-old child with conjunctivitis were the non-urgent scenarios overestimated by caregivers. Laypeople are able to identify cases constructed to represent obvious pediatric medical emergencies. Several patient subgroups frequently overestimate medical urgency.

  4. Numerical versus narrative: A comparison between methods to measure medical student performance during clinical clerkships.

    Science.gov (United States)

    Bartels, Josef; Mooney, Christopher John; Stone, Robert Thompson

    2017-11-01

    Medical school evaluations typically rely on both language-based narrative descriptions and psychometrically converted numeric scores to convey performance to the grading committee. We evaluated inter-rater reliability and correlation of numeric versus narrative evaluations for students on their Neurology Clerkship. 50 Neurology Clerkship in-training evaluation reports completed by their residents and faculty members at the University of Rochester School of Medicine were dissected into narrative and numeric components. 5 Clerkship grading committee members retrospectively gave new narrative scores (NNS) while blinded to original numeric scores (ONS). We calculated intra-class correlation coefficients (ICC) and their associated confidence intervals for the ONS and the NNS. In addition, we calculated the correlation between ONS and NNS. The ICC was greater for the NNS (ICC = .88 (95% CI = .70-.94)) than the ONS (ICC = .62 (95% CI = .40-.77)) Pearson correlation coefficient showed that the ONS and NNS were highly correlated (r = .81). Narrative evaluations converted by a small group of experienced graders are at least as reliable as numeric scoring by individual evaluators. We could allow evaluators to focus their efforts on creating richer narrative of greater value to trainees.

  5. Numerical Analysis of Exergy for Air-Conditioning Influenced by Ambient Temperature

    Directory of Open Access Journals (Sweden)

    Jing-Nang Lee

    2014-07-01

    Full Text Available The article presents numerical analysis of exergy for air-conditioning influenced by ambient temperature. The model of numerical simulation uses an integrated air conditioning system exposed in varied ambient temperature to observe change of the four main devices, the compressor, the condenser, the capillary, and the evaporator in correspondence to ambient temperature. The analysis devices of the four devices’s exergy influenced by the varied ambient temperature and found that the capillary has unusual increasing exergy loss vs. increasing ambient temperature in comparison to the other devices. The result shows that reducing exergy loss of the capillary influenced by the ambient temperature is the key for improving working efficiency of an air-conditioning system when influence of the ambient temperature is considered. The higher ambient temperature causes the larger pressure drop of capillary and more exergy loss.

  6. Numerical modelling of multi-vane expander operating conditions in ORC system

    Science.gov (United States)

    Rak, Józef; Błasiak, Przemysław; Kolasiński, Piotr

    2017-11-01

    Multi-vane expanders are positive displacement volumetric machines which are nowadays considered for application in micro-power domestic ORC systems as promising alternative to micro turbines and other volumetric expanders. The multi-vane expander features very simple design, low gas flow capacity, low expansion ratios, an advantageous ratio of the power output to the external dimensions and are insensitive to the negative influence of the gas-liquid mixture expansion. Moreover, the multi-vane expander can be easily hermetically sealed, which is one of the key issues in the ORC system design. A literature review indicates that issues concerning the application of multi-vane expanders in such systems, especially related to operating of multi-vane expander with different low-boiling working fluids, are innovative, not fully scientifically described and have the potential for practical implementation. In this paper the results of numerical investigations on multi-vane expander operating conditions are presented. The analyses were performed on three-dimensional numerical model of the expander in ANSYS CFX software. The numerical model of the expander was validated using the data obtained from the experiment carried out on a lab test-stand. Then a series of computational analysis were performed using expanders' numerical model in order to determine its operating conditions under various flow conditions of different working fluids.

  7. Numerical modelling of multi-vane expander operating conditions in ORC system

    Directory of Open Access Journals (Sweden)

    Rak Józef

    2017-01-01

    Full Text Available Multi-vane expanders are positive displacement volumetric machines which are nowadays considered for application in micro-power domestic ORC systems as promising alternative to micro turbines and other volumetric expanders. The multi-vane expander features very simple design, low gas flow capacity, low expansion ratios, an advantageous ratio of the power output to the external dimensions and are insensitive to the negative influence of the gas-liquid mixture expansion. Moreover, the multi-vane expander can be easily hermetically sealed, which is one of the key issues in the ORC system design. A literature review indicates that issues concerning the application of multi-vane expanders in such systems, especially related to operating of multi-vane expander with different low-boiling working fluids, are innovative, not fully scientifically described and have the potential for practical implementation. In this paper the results of numerical investigations on multi-vane expander operating conditions are presented. The analyses were performed on three-dimensional numerical model of the expander in ANSYS CFX software. The numerical model of the expander was validated using the data obtained from the experiment carried out on a lab test-stand. Then a series of computational analysis were performed using expanders' numerical model in order to determine its operating conditions under various flow conditions of different working fluids.

  8. Tolerance of centrifuge-simulated suborbital spaceflight by medical condition.

    Science.gov (United States)

    Blue, Rebecca S; Pattarini, James M; Reyes, David P; Mulcahy, Robert A; Garbino, Alejandro; Mathers, Charles H; Vardiman, Johnené L; Castleberry, Tarah L; Vanderploeg, James M

    2014-07-01

    We examined responses of volunteers with known medical disease to G forces in a centrifuge to evaluate how potential commercial spaceflight participants (SFPs) might tolerate the forces of spaceflight despite significant medical history. Volunteers were recruited based upon suitability for each of five disease categories (hypertension, cardiovascular disease, diabetes, lung disease, back or neck problems) or a control group. Subjects underwent seven centrifuge runs over 2 d. Day 1 consisted of two +G(z) runs (peak = +3.5 G(z), Run 2) and two +G(x), runs (peak = +6.0 G(x), Run 4). Day 2 consisted of three runs approximating suborbital spaceflight profiles (combined +G(x) and +G(z), peak = +6.0 G(x)/+4.0 G(z)). Data collected included blood pressure, electrocardiogram, pulse oximetry, neurovestibular exams, and post-run questionnaires regarding motion sickness, disorientation, grayout, and other symptoms. A total of 335 subjects registered for participation, of which 86 (63 men, 23 women, age 20-78 yr) participated in centrifuge trials. The most common causes for disqualification were weight and severe and uncontrolled medical or psychiatric disease. Five subjects voluntarily withdrew from the second day of testing: three for anxiety reasons, one for back strain, and one for time constraints. Maximum hemodynamic values recorded included HR of 192 bpm, systolic BP of 217 mmHg, and diastolic BP of 144 mmHg. Common subjective complaints included grayout (69%), nausea (20%), and chest discomfort (6%). Despite their medical history, no subject experienced significant adverse physiological responses to centrifuge profiles. These results suggest that most individuals with well-controlled medical conditions can withstand acceleration forces of launch and re-entry profiles of current commercial spaceflight vehicles.

  9. Numerical tools to predict the environmental loads for offshore structures under extreme weather conditions

    Science.gov (United States)

    Wu, Yanling

    2018-05-01

    In this paper, the extreme waves were generated using the open source computational fluid dynamic (CFD) tools — OpenFOAM and Waves2FOAM — using linear and nonlinear NewWave input. They were used to conduct the numerical simulation of the wave impact process. Numerical tools based on first-order (with and without stretching) and second-order NewWave are investigated. The simulation to predict force loading for the offshore platform under the extreme weather condition is implemented and compared.

  10. Geometrically motivated hyperbolic coordinate conditions for numerical relativity: Analysis, issues and implementations

    International Nuclear Information System (INIS)

    Bona, Carles; Lehner, Luis; Palenzuela-Luque, Carlos

    2005-01-01

    We study the implications of adopting hyperbolic-driver coordinate conditions motivated by geometrical considerations. In particular, conditions that minimize the rate of change of the metric variables. We analyze the properties of the resulting system of equations and their effect when implementing excision techniques. We find that commonly used coordinate conditions lead to a characteristic structure at the excision surface where some modes are not of outflow type with respect to any excision boundary chosen inside the horizon. Thus, boundary conditions are required for these modes. Unfortunately, the specification of these conditions is a delicate issue as the outflow modes involve both gauge and main variables. As an alternative to these driver equations, we examine conditions derived from extremizing a scalar constructed from Killing's equation and present specific numerical examples

  11. Numerical tests of evolution systems, gauge conditions, and boundary conditions for 1D colliding gravitational plane waves

    International Nuclear Information System (INIS)

    Bardeen, J.M.; Buchman, L.T.

    2002-01-01

    We investigate how the accuracy and stability of numerical relativity simulations of 1D colliding plane waves depends on choices of equation formulations, gauge conditions, boundary conditions, and numerical methods, all in the context of a first-order 3+1 approach to the Einstein equations, with basic variables some combination of first derivatives of the spatial metric and components of the extrinsic curvature tensor. Hyperbolic schemes, specifically variations on schemes proposed by Bona and Masso and Anderson and York, are compared with variations of the Arnowitt-Deser-Misner formulation. Modifications of the three basic schemes include raising one index in the metric derivative and extrinsic curvature variables and adding a multiple of the energy constraint to the extrinsic curvature evolution equations. Redundant variables in the Bona-Masso formulation may be reset frequently or allowed to evolve freely. Gauge conditions which simplify the dynamical structure of the system are imposed during each time step, but the lapse and shift are reset periodically to control the evolution of the spacetime slicing and the longitudinal part of the metric. We show that physically correct boundary conditions, satisfying the energy and momentum constraint equations, generically require the presence of some ingoing eigenmodes of the characteristic matrix. Numerical methods are developed for the hyperbolic systems based on decomposing flux differences into linear combinations of eigenvectors of the characteristic matrix. These methods are shown to be second-order accurate, and in practice second-order convergent, for smooth solutions, even when the eigenvectors and eigenvalues of the characteristic matrix are spatially varying

  12. Investigations of actual conditions of medical radiation technologists

    International Nuclear Information System (INIS)

    2002-01-01

    At 50 year after enactment of the law of medical radiation technologists, their actual conditions were investigated. The investigation was done in December 2001 by questionnaire to directors of 10,514 facilities and answers were obtained from 4,241 facilities (40.37%). Following 11 questions (major answers and their analysis in parenthesis) were made: Nature of the facility (Private hospitals 45.8%, public ones 20.8%); State of radiation department (Independent department of the technologists from medical one about 30%); Actual job of the technologists (X-ray about 81% of the facilities, angiography 34%, CT 78%, MRI 38% where 94% of technologists conduct, nuclear medicine 17%, ultrasound 51% where, 10%); Personnel of the radiation department (21,897 persons in total/male 85%); Fulfillment of the personnel number; Treatment of the personnel; Acknowledgement system of the Technologist Society; Management of radiation instruments like daily examination; Radiation control (Leak dose measurement by technologists by themselves about 50% facilities for X-ray and radio-therapy); Medical exposure (Measurement experience about 50%); and Possession of dose rate-meter/survey-meter (Possession in about 40% facilities). (N.I.)

  13. Investigations of actual conditions of medical radiation technologists

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-12-01

    At 50 year after enactment of the law of medical radiation technologists, their actual conditions were investigated. The investigation was done in December 2001 by questionnaire to directors of 10,514 facilities and answers were obtained from 4,241 facilities (40.37%). Following 11 questions (major answers and their analysis in parenthesis) were made: Nature of the facility (Private hospitals 45.8%, public ones 20.8%); State of radiation department (Independent department of the technologists from medical one about 30%); Actual job of the technologists (X-ray about 81% of the facilities, angiography 34%, CT 78%, MRI 38% where 94% of technologists conduct, nuclear medicine 17%, ultrasound 51% where, 10%); Personnel of the radiation department (21,897 persons in total/male 85%); Fulfillment of the personnel number; Treatment of the personnel; Acknowledgement system of the Technologist Society; Management of radiation instruments like daily examination; Radiation control (Leak dose measurement by technologists by themselves about 50% facilities for X-ray and radio-therapy); Medical exposure (Measurement experience about 50%); and Possession of dose rate-meter/survey-meter (Possession in about 40% facilities). (N.I.)

  14. Numerical Analysis of Flood modeling of upper Citarum River under Extreme Flood Condition

    Science.gov (United States)

    Siregar, R. I.

    2018-02-01

    This paper focuses on how to approach the numerical method and computation to analyse flood parameters. Water level and flood discharge are the flood parameters solved by numerical methods approach. Numerical method performed on this paper for unsteady flow conditions have strengths and weaknesses, among others easily applied to the following cases in which the boundary irregular flow. The study area is in upper Citarum Watershed, Bandung, West Java. This paper uses computation approach with Force2 programming and HEC-RAS to solve the flow problem in upper Citarum River, to investigate and forecast extreme flood condition. Numerical analysis based on extreme flood events that have occurred in the upper Citarum watershed. The result of water level parameter modeling and extreme flood discharge compared with measurement data to analyse validation. The inundation area about flood that happened in 2010 is about 75.26 square kilometres. Comparing two-method show that the FEM analysis with Force2 programs has the best approach to validation data with Nash Index is 0.84 and HEC-RAS that is 0.76 for water level. For discharge data Nash Index obtained the result analysis use Force2 is 0.80 and with use HEC-RAS is 0.79.

  15. Numerical simulation of diurnally varying thermal environment in a street canyon under haze-fog conditions

    Science.gov (United States)

    Tan, Zijing; Dong, Jingliang; Xiao, Yimin; Tu, Jiyuan

    2015-10-01

    The impact of haze-fog on surface temperature, flow pattern, pollutant dispersion and pedestrian thermal comfort are investigated using computational fluid dynamics (CFD) approach based on a three-dimensional street canyon model under different haze-fog conditions. In this study, light extinction coefficient (Kex) is adopted to represent haze-fog pollution level. Numerical simulations are performed for different Kex values at four representative time events (1000 LST, 1300 LST, 1600 LST and 2000 LST). The numerical results suggest that the surface temperature is strongly affected by the haze-fog condition. Surface heating induced by the solar radiation is enhanced by haze-fog, as higher surface temperature is observed under thicker haze-fog condition. Moreover, the temperature difference between sunlit and shadow surfaces is reduced, while that for the two shadow surfaces is slightly increased. Therefore, the surface temperature among street canyon facets becomes more evenly distributed under heavy haze-fog conditions. In addition, flow patterns are considerably altered by different haze-fog conditions, especially for the afternoon (1600 LST) case, in which thermal-driven flow has opposite direction as that of the wind-driven flow direction. Consequently, pollutants such as vehicular emissions will accumulate at pedestrian level, and pedestrian thermal comfort may lower under thicker haze-fog condition.

  16. Experimental and numerical investigation of centrifugal pumps with asymmetric inflow conditions

    Science.gov (United States)

    Mittag, Sten; Gabi, Martin

    2015-11-01

    Most of the times pumps operate off best point states. Reasons are changes of operating conditions, modifications, pollution and wearout or erosion. As consequences non-rotational symmetric flows, transient operational conditions, increased risk of cavitation, decrease of efficiency and unpredictable wearout can appear. Especially construction components of centrifugal pumps, in particular intake elbows, contribute to this matter. Intake elbows causes additional losses and secondary flows, hence non-rotational velocity distributions as intake profile to the centrifugal pump. As a result the impeller vanes experience permanent changes of the intake flow angle and with it transient flow conditions in the blade channels. This paper presents the first results of a project, experimentally and numerically investigating the consequences of non-rotational inflow to leading edge flow conditions of a centrifugal pump. Therefore two pumpintake- elbow systems are compared, by only altering the intake elbow geometry: a common single bended 90° elbow and a numerically optimized elbow (improved regarding rotational symmetric inflow conditions and friction coefficient). The experiments are carried out, using time resolved stereoscopic PIV on a full acrylic pump with refractions index matched (RIM) working fluid. This allows transient investigations of the flow field simultaneously for all blade leading edges. Additional CFD results are validated and used to further support the investigation i.e. for comparing an analog pump system with ideal inflow conditions.

  17. An Efficient Numerical Approach for Solving Nonlinear Coupled Hyperbolic Partial Differential Equations with Nonlocal Conditions

    Directory of Open Access Journals (Sweden)

    A. H. Bhrawy

    2014-01-01

    Full Text Available One of the most important advantages of collocation method is the possibility of dealing with nonlinear partial differential equations (PDEs as well as PDEs with variable coefficients. A numerical solution based on a Jacobi collocation method is extended to solve nonlinear coupled hyperbolic PDEs with variable coefficients subject to initial-boundary nonlocal conservation conditions. This approach, based on Jacobi polynomials and Gauss-Lobatto quadrature integration, reduces solving the nonlinear coupled hyperbolic PDEs with variable coefficients to a system of nonlinear ordinary differential equation which is far easier to solve. In fact, we deal with initial-boundary coupled hyperbolic PDEs with variable coefficients as well as initial-nonlocal conditions. Using triangular, soliton, and exponential-triangular solutions as exact solutions, the obtained results show that the proposed numerical algorithm is efficient and very accurate.

  18. Optimality conditions for the numerical solution of optimization problems with PDE constraints :

    Energy Technology Data Exchange (ETDEWEB)

    Aguilo Valentin, Miguel Alejandro; Ridzal, Denis

    2014-03-01

    A theoretical framework for the numerical solution of partial di erential equation (PDE) constrained optimization problems is presented in this report. This theoretical framework embodies the fundamental infrastructure required to e ciently implement and solve this class of problems. Detail derivations of the optimality conditions required to accurately solve several parameter identi cation and optimal control problems are also provided in this report. This will allow the reader to further understand how the theoretical abstraction presented in this report translates to the application.

  19. Coupled numerical modeling of gas hydrates bearing sediments from laboratory to field-scale conditions

    Science.gov (United States)

    Sanchez, M. J.; Santamarina, C.; Gai, X., Sr.; Teymouri, M., Sr.

    2017-12-01

    Stability and behavior of Hydrate Bearing Sediments (HBS) are characterized by the metastable character of the gas hydrate structure which strongly depends on thermo-hydro-chemo-mechanical (THCM) actions. Hydrate formation, dissociation and methane production from hydrate bearing sediments are coupled THCM processes that involve, amongst other, exothermic formation and endothermic dissociation of hydrate and ice phases, mixed fluid flow and large changes in fluid pressure. The analysis of available data from past field and laboratory experiments, and the optimization of future field production studies require a formal and robust numerical framework able to capture the very complex behavior of this type of soil. A comprehensive fully coupled THCM formulation has been developed and implemented into a finite element code to tackle problems involving gas hydrates sediments. Special attention is paid to the geomechanical behavior of HBS, and particularly to their response upon hydrate dissociation under loading. The numerical framework has been validated against recent experiments conducted under controlled conditions in the laboratory that challenge the proposed approach and highlight the complex interaction among THCM processes in HBS. The performance of the models in these case studies is highly satisfactory. Finally, the numerical code is applied to analyze the behavior of gas hydrate soils under field-scale conditions exploring different features of material behavior under possible reservoir conditions.

  20. On the analytic and numeric optimisation of airplane trajectories under real atmospheric conditions

    Science.gov (United States)

    Gonzalo, J.; Domínguez, D.; López, D.

    2014-12-01

    From the beginning of aviation era, economic constraints have forced operators to continuously improve the planning of the flights. The revenue is proportional to the cost per flight and the airspace occupancy. Many methods, the first started in the middle of last century, have explore analytical, numerical and artificial intelligence resources to reach the optimal flight planning. In parallel, advances in meteorology and communications allow an almost real-time knowledge of the atmospheric conditions and a reliable, error-bounded forecast for the near future. Thus, apart from weather risks to be avoided, airplanes can dynamically adapt their trajectories to minimise their costs. International regulators are aware about these capabilities, so it is reasonable to envisage some changes to allow this dynamic planning negotiation to soon become operational. Moreover, current unmanned airplanes, very popular and often small, suffer the impact of winds and other weather conditions in form of dramatic changes in their performance. The present paper reviews analytic and numeric solutions for typical trajectory planning problems. Analytic methods are those trying to solve the problem using the Pontryagin principle, where influence parameters are added to state variables to form a split condition differential equation problem. The system can be solved numerically -indirect optimisation- or using parameterised functions -direct optimisation-. On the other hand, numerical methods are based on Bellman's dynamic programming (or Dijkstra algorithms), where the fact that two optimal trajectories can be concatenated to form a new optimal one if the joint point is demonstrated to belong to the final optimal solution. There is no a-priori conditions for the best method. Traditionally, analytic has been more employed for continuous problems whereas numeric for discrete ones. In the current problem, airplane behaviour is defined by continuous equations, while wind fields are given in a

  1. Medical Signal-Conditioning and Data-Interface System

    Science.gov (United States)

    Braun, Jeffrey; Jacobus, charles; Booth, Scott; Suarez, Michael; Smith, Derek; Hartnagle, Jeffrey; LePrell, Glenn

    2006-01-01

    A general-purpose portable, wearable electronic signal-conditioning and data-interface system is being developed for medical applications. The system can acquire multiple physiological signals (e.g., electrocardiographic, electroencephalographic, and electromyographic signals) from sensors on the wearer s body, digitize those signals that are received in analog form, preprocess the resulting data, and transmit the data to one or more remote location(s) via a radiocommunication link and/or the Internet. The system includes a computer running data-object-oriented software that can be programmed to configure the system to accept almost any analog or digital input signals from medical devices. The computing hardware and software implement a general-purpose data-routing-and-encapsulation architecture that supports tagging of input data and routing the data in a standardized way through the Internet and other modern packet-switching networks to one or more computer(s) for review by physicians. The architecture supports multiple-site buffering of data for redundancy and reliability, and supports both real-time and slower-than-real-time collection, routing, and viewing of signal data. Routing and viewing stations support insertion of automated analysis routines to aid in encoding, analysis, viewing, and diagnosis.

  2. Investigation of film boiling thermal hydraulics under FCI conditions. Results of a numerical study

    Energy Technology Data Exchange (ETDEWEB)

    Dinh, T.N.; Dinh, A.T.; Nourgaliev, R.R.; Sehgal, B.R. [Div. of Nuclear Power Safety Royal Inst. of Tech. (RIT), Brinellvaegen 60, 10044 Stockholm (Sweden)

    1998-01-01

    Film boiling on the surface of a high-temperature melt jet or of a melt particle is one of key phenomena governing the physics of fuel-coolant interactions (FCIs) which may occur during the course of a severe accident in a light water reactor (LWR). A number of experimental and analytical studies have been performed, in the past, to address film boiling heat transfer and the accompanying hydrodynamic aspects. Most of the experiments have, however, been performed for temperature and heat flux conditions, which are significantly lower than the prototypic conditions. For ex-vessel FCIs, high liquid subcooling can significantly affect the FCI thermal hydraulics. Presently, there are large uncertainties in predicting natural-convection film boiling of subcooled liquids on high-temperature surfaces. In this paper, research conducted at the Division of Nuclear Power Safety, Royal Institute of Technology (RIT/NPS), Stockholm, concerning film-boiling thermal hydraulics under FCI condition is presented. Notably, the focus is placed on the effects of (1) water subcooling, (2) high-temperature steam properties, (3) the radiation heat transfer and (4) mixing zone boiling dynamics, on the vapor film characteristics. Numerical investigations are performed using a novel CFD modeling concept named as the local-homogeneous-slip model (LHSM). Results of the analytical and numerical studies are discussed with respect to boiling dynamics under FCI conditions. (author)

  3. Numerical Approach for Goaf-Side Entry Layout and Yield Pillar Design in Fractured Ground Conditions

    Science.gov (United States)

    Jiang, Lishuai; Zhang, Peipeng; Chen, Lianjun; Hao, Zhen; Sainoki, Atsushi; Mitri, Hani S.; Wang, Qingbiao

    2017-11-01

    Entry driven along goaf-side (EDG), which is the development of an entry of the next longwall panel along the goaf-side and the isolation of the entry from the goaf with a small-width yield pillar, has been widely employed in China over the past several decades . The width of such a yield pillar has a crucial effect on EDG layout in terms of the ground control, isolation effect and resource recovery rate. Based on a case study, this paper presents an approach for evaluating, designing and optimizing EDG and yield pillar by considering the results from numerical simulations and field practice. To rigorously analyze the ground stability, the numerical study begins with the simulation of goaf-side stress and ground conditions. Four global models with identical conditions, except for the width of the yield pillar, are built, and the effect of pillar width on ground stability is investigated by comparing aspects of stress distribution, failure propagation, and displacement evolution during the entire service life of the entry. Based on simulation results, the isolation effect of the pillar acquired from field practice is also considered. The suggested optimal yield pillar design is validated using a field test in the same mine. Thus, the presented numerical approach provides references and can be utilized for the evaluation, design and optimization of EDG and yield pillars under similar geological and geotechnical circumstances.

  4. Numerical simulation of time-dependent deformations under hygral and thermal transient conditions

    International Nuclear Information System (INIS)

    Roelfstra, P.E.

    1987-01-01

    Some basic concepts of numerical simulation of the formation of the microstructure of HCP are outlined. The aim is to replace arbitrary terms like aging by more realistic terms like bond density in the xerogel and bonds between hydrating particles of HCP. Actual state parameters such as temperature, humidity and degree of hydration can be determined under transient hygral and thermal conditions by solving numerically a series of appropriate coupled differential equations with given boundary conditions. Shrinkage of a composite structure without crack formation, based on calculated moisture distributions, has been determined with numerical concrete codes. The influence of crack formation, tensile strain-hardening and softening on the total deformation of a quasi-homogeneous drying material has been studied by means of model based on FEM. The difference between shrinkage without crack formation and shrinkage with crack formation can be quantified. Drying shrinkage and creep of concrete cannot be separated. The total deformation depends on the superimposed stress fields. Transient hygral deformation can be realistically predicted if the concept of point properties is applied rigorously. Transient thermal deformation has to be dealt with in the same way. (orig./HP)

  5. Numerical model for mapping of complex hydrogeological conditions: the Chmielnik area (South Poland) case study

    Science.gov (United States)

    Buszta, Kamila; Szklarczyk, Tadeusz; Malina, Grzegorz

    2017-04-01

    Detailed analysis of hydrogeological conditions at a study area is the basis for characterising adjacent groundwater circulation systems. It is also an essential element during executing hydrogeological documentations. The goal of this work was to reconstruct on a numerical model natural groundwater circulation systems of the studied area located within the municipality of Chmielnik in the region of Kielce (South Poland). The area is characterized by a complex geological structure, which along with the existing hydrographic network, makes the scheme of groundwater circulation complicated and difficult to map on a numerical model. The studied area is situated at the border of three geological units: on the North - the extended portion of the Palaeozoic Swietokrzyskie Mountains (mainly Devonian and Permian), in the center - the S-W part of the Mesozoic Margin of the Swietokrzyskie Mountains, and on the South - a marginal zone of the Carpathian Foredeep. The whole area belongs to the Vistula river basin, and it includes catchments of its left tributaries: the Nida and Czarna Staszowska rivers. Based on the collected field and archival hydrogeological, hydrological and sozological data a conceptual model was built, under which a numerical model of groundwater flow was developed using the specialized software - Visual MODFLOW. The numerical model maps the five-layer groundwater circulation system in conjunction with surface watercourses. Such division reflects appropriately the variability of hydrogeological parameters within the geological structures. Two principal and exploited aquifers comprise: a fractured-porous Neogene and fractured Upper Jurassic formations. The external model borders are based primarily on surface watercourses and locally on watersheds. The modelled area of 130 km2 was divided into square grids of 50 m. The model consists of 275 rows and 277 columns. Each of five layers was simulated with the same number of active blocks. In the construction of

  6. Medication Adherence in People Dually Treated for HIV Infection and Mental Health Conditions: Test of the Medications Beliefs Framework

    OpenAIRE

    Kalichman, Seth C.; Pellowski, Jennifer; Kegler, Christopher; Cherry, Chauncey; Kalichman, Moira O.

    2015-01-01

    Beliefs about medication necessity and concerns predict treatment adherence in people with a wide-array of medical conditions, including HIV infection. However, medication beliefs have not been examined in people dually treated with psychotropic medications and antiretroviral therapy. In the current study, we used a prospective design to investigate the factors associated with adherence to psychotropic medications and antiretrovirals among 123 dually treated persons living with HIV. We used u...

  7. Effect of inlet conditions for numerical modelling of the urban boundary layer

    Science.gov (United States)

    Gnatowska, Renata

    2018-01-01

    The paper presents the numerical results obtained with the use of the ANSYS FLUENT commercial code for analysing the flow structure around two rectangular inline surface-mounted bluff bodies immersed in a boundary layer. The effects of the inflow boundary layer for the accuracy of the numerical modelling of the flow field around a simple system of objects are described. The analysis was performed for two concepts. In the former case, the inlet velocity profile was defined using the power law, whereas the kinetic and dissipation energy was defined from the equations according to Richards and Hoxey [1]. In the latter case, the inlet conditions were calculated for the flow over the rough area composed of the rectangular components.

  8. Numerical Simulation of single-stage axial fan operation under dusty flow conditions

    Science.gov (United States)

    Minkov, L. L.; Pikushchak, E. V.

    2017-11-01

    Assessment of the aerodynamic efficiency of the single-stage axial flow fan under dusty flow conditions based on a numerical simulation using the computational package Ansys-Fluent is proposed. The influence of dust volume fraction on the dependences of the air volume flow rate and the pressure drop on the rotational speed of rotor is demonstrated. Matching functions for formulas describing a pressure drop and volume flow rate in dependence on the rotor speed and dust content are obtained by numerical simulation for the single-stage axial fan. It is shown that the aerodynamic efficiency of the single-stage axial flow fan decreases exponentially with increasing volume content of dust in the air.

  9. SEAFLOOR MORPHOLOGY INFLUENCES ON CURRENT CONDITION IN A SUNDA STRAIT BRIDGE PROJECT USING NUMERICAL MODEL

    Directory of Open Access Journals (Sweden)

    Franto Novico

    2017-07-01

    Full Text Available It has been more than 50 years since the idea to construct the bridge of Sunda Strait was inspirited by Prof. Sedyatmo. This issued is very important due to accelerate the economic growth between Sumatera Island and Java Island which is known as the densest population in the Indonesia. However, until today the bridge is still not construct yet because the high budget and the lack of technical data are still being problems. One of the most important data is current condition along the Sunda Strait. Unfortunately, no one has been clearly studied about current condition along Sunda Strait. Therefore, the information about current condition would be completed to fulfil the lack of data and information. The RV Geomarine I, as a research vessel conducted the survey in October 2012 that one of the objectives is to get the impression about the current condition around the bridge plan. Attaching echo sounder of bathy 1500 to get the depth profile and applied the RD Instrument ADCP Mobile Workhorse Monitor 300 kHz to collect the real current data and analyze the current using numerical model by Mike 21 were carried out to describe the condition of the current around the bridge proposed. In addition, the detail flexible mesh of hydrodynamic model is applied along bridge plan to analyse the current condition that caused by seafloor morphology. Based on the ADCP data it would be seen that the highest velocity record of the current occurs at October 18th 2012 at line 19 with the value 2.63 m/sec. Nevertheless, the numerical model shown the highest current velocity occurs around the northwest of Sangiang Island where the speed attains more than 4.59 m/sec.

  10. 42 CFR 416.45 - Condition for coverage-Medical staff.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Condition for coverage-Medical staff. 416.45....45 Condition for coverage—Medical staff. The medical staff of the ASC must be accountable to the governing body. (a) Standard: Membership and clinical privileges. Members of the medical staff must be...

  11. Selected medical conditions and risk of pancreatic cancer.

    Science.gov (United States)

    Olson, Sara H

    2012-01-01

    We review the current evidence for associations of several medical conditions with risk of pancreatic cancer, including allergies, pancreatitis, gall bladder disease, cholecystectomy, ulcers, gastrectomy, appendectomy, and tonsillectomy. There are consistent findings of reduced risk associated with presence of self-reported allergies, particularly hay fever but not asthma; data on other allergies are limited and inconclusive. Several studies provide evidence that patients with pancreatic cancer are more likely than comparison groups to report pancreatitis. Those studies that investigated the time between onset of pancreatitis and diagnosis of pancreatic cancer found that risk estimates declined with longer periods of time; however, increased risks were noted for long-term pancreatitis, indicating that this condition is both a risk factor and a sign of early disease. Increased risk was reported in association with cholelithiasis, but the few studies that considered time before diagnosis of cancer did not find increased risk for cholelithiasis diagnosed in the more distant past. There is weak evidence that cholecystectomy 2 or more years before cancer diagnosis is related to risk, but this is based on only a few studies. There is no consistent association between ulcers and risk, while gastrectomy may increase risk. Overall, study of these conditions, particularly those that are rare, presents methodologic challenges. Time between diagnoses is likely to be important but is not considered in most studies. Lack of adequate control in several studies for risk factors such as smoking and heavy alcohol use also makes it difficult to draw firm conclusions about these results. Copyright © 2011 Wiley Periodicals, Inc.

  12. Dioxins from medical waste incineration: Normal operation and transient conditions.

    Science.gov (United States)

    Chen, Tong; Zhan, Ming-xiu; Yan, Mi; Fu, Jian-ying; Lu, Sheng-yong; Li, Xiao-dong; Yan, Jian-hua; Buekens, Alfons

    2015-07-01

    Polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) are key pollutants in waste incineration. At present, incinerator managers and official supervisors focus only on emissions evolving during steady-state operation. Yet, these emissions may considerably be raised during periods of poor combustion, plant shutdown, and especially when starting-up from cold. Until now there were no data on transient emissions from medical (or hospital) waste incineration (MWI). However, MWI is reputed to engender higher emissions than those from municipal solid waste incineration (MSWI). The emission levels in this study recorded for shutdown and start-up, however, were significantly higher: 483 ± 184 ng Nm(-3) (1.47 ± 0.17 ng I-TEQ Nm(-3)) for shutdown and 735 ng Nm(-3) (7.73 ng I-TEQ Nm(-3)) for start-up conditions, respectively. Thus, the average (I-TEQ) concentration during shutdown is 2.6 (3.8) times higher than the average concentration during normal operation, and the average (I-TEQ) concentration during start-up is 4.0 (almost 20) times higher. So monitoring should cover the entire incineration cycle, including start-up, operation and shutdown, rather than optimised operation only. This suggestion is important for medical waste incinerators, as these facilities frequently start up and shut down, because of their small size, or of lacking waste supply. Forthcoming operation should shift towards much longer operating cycles, i.e., a single weekly start-up and shutdown. © The Author(s) 2015.

  13. A Numerical Model for the Thermomechanical Conditions During Hydration of Early-age Concrete

    DEFF Research Database (Denmark)

    Hattel, Jesper; Thorborg, Jesper

    2003-01-01

    In the present study, a macroscopic numerical model for the thermomechanical conditions during hydration of early-age concrete is presented. The formulation is based on a semi-coupled, incremental thermomechanical model where the heat production from the hydration process is expressed in terms...... of the maturity and the thermal activation is expressed by the Arrhenius principle. The material properties are assumed to depend on the hydration process via the maturity. The discretization of the governing equations is accomplished by a control volume formulation involving a time-splitting scheme for the heat...

  14. Numerical prediction of a draft tube flow taking into account uncertain inlet conditions

    International Nuclear Information System (INIS)

    Brugiere, O; Balarac, G; Corre, C; Metais, O; Flores, E; Pleroy

    2012-01-01

    The swirling turbulent flow in a hydroturbine draft tube is computed with a non-intrusive uncertainty quantification (UQ) method coupled to Reynolds-Averaged Navier-Stokes (RANS) modelling in order to take into account in the numerical prediction the physical uncertainties existing on the inlet flow conditions. The proposed approach yields not only mean velocity fields to be compared with measured profiles, as is customary in Computational Fluid Dynamics (CFD) practice, but also variance of these quantities from which error bars can be deduced on the computed profiles, thus making more significant the comparison between experiment and computation.

  15. Numerical prediction of a draft tube flow taking into account uncertain inlet conditions

    Science.gov (United States)

    Brugiere, O.; Balarac, G.; Corre, C.; Metais, O.; Flores, E.; Pleroy

    2012-11-01

    The swirling turbulent flow in a hydroturbine draft tube is computed with a non-intrusive uncertainty quantification (UQ) method coupled to Reynolds-Averaged Navier-Stokes (RANS) modelling in order to take into account in the numerical prediction the physical uncertainties existing on the inlet flow conditions. The proposed approach yields not only mean velocity fields to be compared with measured profiles, as is customary in Computational Fluid Dynamics (CFD) practice, but also variance of these quantities from which error bars can be deduced on the computed profiles, thus making more significant the comparison between experiment and computation.

  16. Numerical ductile tearing simulation of circumferential cracked pipe tests under dynamic loading conditions

    Energy Technology Data Exchange (ETDEWEB)

    Nam, Hyun Suk; Kim, Ji Soo; Ryu, Ho Wan; Kim, Yun Jae [Dept. of Mechanical Engineering, Korea University, Seoul (Korea, Republic of); Kim, Jin Weon [Dept. of Nuclear Engineering, Chosun University, Gwangju (Korea, Republic of)

    2016-10-15

    This paper presents a numerical method to simulate ductile tearing in cracked components under high strain rates using finite element damage analysis. The strain rate dependence on tensile properties and multiaxial fracture strain is characterized by the model developed by Johnson and Cook. The damage model is then defined based on the ductility exhaustion concept using the strain rate dependent multiaxial fracture strain concept. The proposed model is applied to simulate previously published three cracked pipe bending test results under two different test speed conditions. Simulated results show overall good agreement with experimental results.

  17. Experimental and numerical study of an evaporatively-cooled condenser of air-conditioning systems

    International Nuclear Information System (INIS)

    Islam, M.R.; Jahangeer, K.A.; Chua, K.J.

    2015-01-01

    The performance of an air-conditioning unit with evaporately-cooled condenser coil is studied experimentally and numerically. An experimental setup is fabricated by retrofitting a commercially available air-conditioning unit and installing comprehensive measuring sensors and controllers. Experimental result shows that the COP (Coefficient of Performance) of the evaporately-cooled air-conditioning unit increases by about 28% compared to the conventional air cooled air-conditioning unit. To analyze the heat and mass transfer processes involved in the evaporately-cooled condenser, a detailed theoretical model has been developed based on the fluid flow characteristics of the falling film and the thermodynamic aspect of the evaporation process. Simulated results agree well with experimental data. The numerical model provides new insights into the intrinsic links between operating variables and heat transfer characteristics of water film in evaluating the performance of evaporatively-cooled condenser system. Two heat transfer coefficients, namely, wall to bulk and bulk to interface are introduced and computed from the simulation results under different operating conditions. Finally, the overall heat transfer coefficient for the water film is computed and presented as a function of dimensionless variables which can conveniently be employed by engineers to design and analyze high performance evaporatively-cooled heat exchangers. - Highlights: • Performance of evaporatively-cooled condenser is investigated. • Local convective heat transfer coefficients of water film are determined. • Thermal resistance of water film is negligible. • Heat transfer with evaporated vapor plays significant role on performance. • Better condenser performance translates to an improvement in COP

  18. Numerical Study of Pollutant Emissions in a Jet Stirred Reactor under Elevated Pressure Lean Premixed Conditions

    Directory of Open Access Journals (Sweden)

    Karim Mazaheri

    2016-01-01

    Full Text Available Numerical study of pollutant emissions (NO and CO in a Jet Stirred Reactor (JSR combustor for methane oxidation under Elevated Pressure Lean Premixed (EPLP conditions is presented. A Detailed Flow-field Simplified Chemistry (DFSC method, a low computational cost method, is employed for predicting NO and CO concentrations. Reynolds Averaged Navier Stokes (RANS equations with species transport equations are solved. Improved-coefficient five-step global mechanisms derived from a new evolutionary-based approach were taken as combustion kinetics. For modeling turbulent flow field, Reynolds Stress Model (RSM, and for turbulence chemistry interactions, finite rate-Eddy dissipation model are employed. Effects of pressure (3, 6.5 bars and inlet temperature (408–573 K over a range of residence time (1.49–3.97 ms are numerically examined. A good agreement between the numerical and experimental distribution of NO and CO was found. The effect of decreasing the operating pressure on NO generation is much more than the effect of increase in the inlet temperature.

  19. 14 CFR 67.213 - General medical condition.

    Science.gov (United States)

    2010-01-01

    ... established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other... unable to perform those duties or exercise those privileges. (c) No medication or other treatment that... relating to the medication or other treatment involved, finds— (1) Makes the person unable to safely...

  20. 14 CFR 67.113 - General medical condition.

    Science.gov (United States)

    2010-01-01

    ... established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other... unable to perform those duties or exercise those privileges. (c) No medication or other treatment that... relating to the medication or other treatment involved, finds— (1) Makes the person unable to safely...

  1. 14 CFR 67.313 - General medical condition.

    Science.gov (United States)

    2010-01-01

    ... established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other... unable to perform those duties or exercise those privileges. (c) No medication or other treatment that... relating to the medication or other treatment involved, finds— (1) Makes the person unable to safely...

  2. Constraining the thermal conditions of impact environments through integrated low-temperature thermochronometry and numerical modeling

    Science.gov (United States)

    Kelly, N. M.; Marchi, S.; Mojzsis, S. J.; Flowers, R. M.; Metcalf, J. R.; Bottke, W. F., Jr.

    2017-12-01

    Impacts have a significant physical and chemical influence on the surface conditions of a planet. The cratering record is used to understand a wide array of impact processes, such as the evolution of the impact flux through time. However, the relationship between impactor size and a resulting impact crater remains controversial (e.g., Bottke et al., 2016). Likewise, small variations in the impact velocity are known to significantly affect the thermal-mechanical disturbances in the aftermath of a collision. Development of more robust numerical models for impact cratering has implications for how we evaluate the disruptive capabilities of impact events, including the extent and duration of thermal anomalies, the volume of ejected material, and the resulting landscape of impacted environments. To address uncertainties in crater scaling relationships, we present an approach and methodology that integrates numerical modeling of the thermal evolution of terrestrial impact craters with low-temperature, (U-Th)/He thermochronometry. The approach uses time-temperature (t-T) paths of crust within an impact crater, generated from numerical simulations of an impact. These t-T paths are then used in forward models to predict the resetting behavior of (U-Th)/He ages in the mineral chronometers apatite and zircon. Differences between the predicted and measured (U-Th)/He ages from a modeled terrestrial impact crater can then be used to evaluate parameters in the original numerical simulations, and refine the crater scaling relationships. We expect our methodology to additionally inform our interpretation of impact products, such as lunar impact breccias and meteorites, providing robust constraints on their thermal histories. In addition, the method is ideal for sample return mission planning - robust "prediction" of ages we expect from a given impact environment enhances our ability to target sampling sites on the Moon, Mars or other solar system bodies where impacts have strongly

  3. Numerical simulations of unsteady flows past two-bladed rotors in forward-flight conditions

    International Nuclear Information System (INIS)

    Xu, H.; Mamou, M.; Khalid, M.

    2004-01-01

    The current paper presents time-accurate numerical simulations of compressible flows past two-bladed rotor configurations using a Chimera moving grid approach. The simulations are performed for a variety of flow conditions and various blade aspect ratios. The rotor blades are rectangular, untapered and untwisted planforms. Their cross-sections are built using the NACA 0012 airfoil profile. The aerodynamic performance of the rotor is investigated using the Euler equations. The CFD-FASTRAN code was used for the computations. The pressure distributions are benchmarked against the experimental data from Caradonna and Tung and a number of previous Euler calculations by Agarwal and Deese and Chen et al. The comparisons indicate that the current simulations for the forward flight conditions can reproduce the pressure distributions on the blade surfaces and the prediction of shockwave locations with reasonably good accuracy. (author)

  4. Numerical simulations of unsteady flows past two-bladed rotors in forward-flight conditions

    Energy Technology Data Exchange (ETDEWEB)

    Xu, H.; Mamou, M.; Khalid, M. [National Research Council, Inst. for Aerospace Research, Ottawa, Ontario (Canada)]. E-mail: Hongyi.Xu@nrc.ca

    2004-07-01

    The current paper presents time-accurate numerical simulations of compressible flows past two-bladed rotor configurations using a Chimera moving grid approach. The simulations are performed for a variety of flow conditions and various blade aspect ratios. The rotor blades are rectangular, untapered and untwisted planforms. Their cross-sections are built using the NACA 0012 airfoil profile. The aerodynamic performance of the rotor is investigated using the Euler equations. The CFD-FASTRAN code was used for the computations. The pressure distributions are benchmarked against the experimental data from Caradonna and Tung and a number of previous Euler calculations by Agarwal and Deese and Chen et al. The comparisons indicate that the current simulations for the forward flight conditions can reproduce the pressure distributions on the blade surfaces and the prediction of shockwave locations with reasonably good accuracy. (author)

  5. Numerical study for peristalsis of Carreau-Yasuda nanomaterial with convective and zero mass flux condition

    Science.gov (United States)

    Hayat, T.; Ahmed, Bilal; Alsaedi, A.; Abbasi, F. M.

    2018-03-01

    The present communication investigates flow of Carreau-Yasuda nanofluid in presence of mixed convection and Hall current. Effects of viscous dissipation, Ohmic heating and convective conditions are addressed. In addition zero nanoparticle mass flux condition is imposed. Wave frame analysis is carried out. Coupled differential systems after long wavelength and low Reynolds number are numerically solved. Effects of different parameters on velocity, temperature and concentration are studied. Heat and mass transfer rates are analyzed through tabular values. It is observed that concentration for thermophoresis and Brownian motion parameters has opposite effect. Further heat and mass transfer rates at the upper wall enhances significantly when Hartman number increases and reverse situation is noticed for Hall parameter.

  6. Co-morbid medical conditions and medical complications of prostate cancer in Southern Nigeria.

    Science.gov (United States)

    Sapira, Monday Komene; Onwuchekwa, Arthur Chukwubike; Onwuchekwa, Chinwe Regina

    2012-08-01

    Prostate cancer often co-exists with other diseases. It accounts for 11% of all cancers in Nigerian men, and it is the commonest cause of mortality due to cancer in elderly males in Nigeria. To present co-morbid medical conditions and medical complications of prostate cancer in patients with the disease in Southern Nigeria. The study was carried out prospectively (2002 to 2003) at University of Port Harcourt Teaching Hospital (UPTH), and Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi- both in Southern Nigeria. Using common proforma, patients who presented to the urology units of the two teaching hospitals were evaluated clinically and with relevant investigations for prostate cancer and other diseases. Those with histologically confirmed prostate cancer were included in this study. Data was also collected retrospectively by using the same proforma to obtain information from case files of 37 patients diagnosed with prostate cancer at UPTH. Data from the two institutions were collated and analysed. Of 189 cases analysed, 73.4% had significant medical co-morbid diseases/complications. These included anaemia (69.8%), urinary tract infection (56.1%), chronic renal failure (33.9%), hypertension (41.8%), diabetes mellitus (9.5%), paraplegia (9.5%), congestive cardiac failure (9.0%) and cerebrovascular disease (5.3%). These patients had high disease burden. Improved health education and well coordinated interdisciplinary team work are suggested in managing this malignancy.

  7. Experimental verification of boundary conditions for numerical simulation of airflow in a benchmark ventilation channel

    Directory of Open Access Journals (Sweden)

    Lizal Frantisek

    2016-01-01

    Full Text Available Correct definition of boundary conditions is crucial for the appropriate simulation of a flow. It is a common practice that simulation of sufficiently long upstream entrance section is performed instead of experimental investigation of the actual conditions at the boundary of the examined area, in the case that the measurement is either impossible or extremely demanding. We focused on the case of a benchmark channel with ventilation outlet, which models a regular automotive ventilation system. At first, measurements of air velocity and turbulence intensity were performed at the boundary of the examined area, i.e. in the rectangular channel 272.5 mm upstream the ventilation outlet. Then, the experimentally acquired results were compared with results obtained by numerical simulation of further upstream entrance section defined according to generally approved theoretical suggestions. The comparison showed that despite the simple geometry and general agreement of average axial velocity, certain difference was found in the shape of the velocity profile. The difference was attributed to the simplifications of the numerical model and the isotropic turbulence assumption of the used turbulence model. The appropriate recommendations were stated for the future work.

  8. Numerical analysis of an entire ceramic kiln under actual operating conditions for the energy efficiency improvement.

    Science.gov (United States)

    Milani, Massimo; Montorsi, Luca; Stefani, Matteo; Saponelli, Roberto; Lizzano, Maurizio

    2017-12-01

    The paper focuses on the analysis of an industrial ceramic kiln in order to improve the energy efficiency and thus the fuel consumption and the corresponding carbon dioxide emissions. A lumped and distributed parameter model of the entire system is constructed to simulate the performance of the kiln under actual operating conditions. The model is able to predict accurately the temperature distribution along the different modules of the kiln and the operation of the many natural gas burners employed to provide the required thermal power. Furthermore, the temperature of the tiles is also simulated so that the quality of the final product can be addressed by the modelling. Numerical results are validated against experimental measurements carried out on a real ceramic kiln during regular production operations. The developed numerical model demonstrates to be an efficient tool for the investigation of different design solutions for the kiln's components. In addition, a number of control strategies for the system working conditions can be simulated and compared in order to define the best trade off in terms of fuel consumption and product quality. In particular, the paper analyzes the effect of a new burner type characterized by internal heat recovery capability aimed at improving the energy efficiency of the ceramic kiln. The fuel saving and the relating reduction of carbon dioxide emissions resulted in the order of 10% when compared to the standard burner. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Numerical study on lithium titanate battery thermal response under adiabatic condition

    International Nuclear Information System (INIS)

    Sun, Qiujuan; Wang, Qingsong; Zhao, Xuejuan; Sun, Jinhua; Lin, Zijing

    2015-01-01

    Highlights: • The thermal behavior of lithium titanate battery during cycling was investigated. • The temperature rate in charging was less than that of discharging in the cycling. • The temperature difference was less than 0.02 °C at 0.5 C in adiabatic condition. • The temperature distribution and thermal runaway of the battery were predicted. - Abstract: To analyze the thermal behavior of 945 mA h lithium titanate battery during charging and discharging processes, the experimental and numerical studies are performed in this work. The cathode and anode of the 945 mA h lithium titanate soft package battery are the lithium nickel–cobalt–manganese-oxide and lithium titanate, respectively. In the experiment, an Accelerating Rate Calorimeter combined with battery cycler is employed to investigate the electrochemical–thermal behavior during charge–discharge cycling under the adiabatic condition. In numerical simulation, one electrochemical-thermal model is adopted to predict the thermal response and validated with the experimental results. From both experimental and simulated results, the profile of potential and current, the heat generation, the temperature, the temperature changing rate and the temperature distribution in the cell are obtained and thermal runaway is predicted. The analysis of the electrochemical and thermal behavior is beneficial for the commercial application of lithium titanate battery in the fields of electric vehicles and hybrid electric vehicles

  10. Constipation--prevalence and incidence among medical patients acutely admitted to hospital with a medical condition.

    Science.gov (United States)

    Noiesen, Eline; Trosborg, Ingelise; Bager, Louise; Herning, Margrethe; Lyngby, Christel; Konradsen, Hanne

    2014-08-01

    To examine the prevalence and incidence of patient-reported symptoms of constipation in acutely hospitalised medical patients. Constipation is a common medical problem with severe consequences, and most people suffer from constipation at some point in their lives. In the general population, constipation is one of the most common complaints and is a significant personal and public health burden. Alteration in patients' patterns of elimination while in hospital has long been identified as either a potential or an actual problem that requires attention. Knowledge of the prevalence and incidence of constipation during hospitalisation is only sporadic. The study was descriptive and a prospective cohort design was chosen. The Constipation Assessment Scale was translated into Danish and was used for the assessment of patient-reported bowel function. Five nurses made the assessments at admission to the acute medical ward and three days after admission. Three hundred and seventy-three patients participated in this study. Thirty-nine percent of the patients showed symptoms of constipation at admission. Of the patients who did not have the symptoms at admission, 43% developed the symptoms during the first three days of their stay in hospital. Significantly more of the older patients developed symptoms of moderate constipation. The incidence rate was 143 new cases per 1000 patient days. In this study, symptoms of constipation were common among patients acutely admitted to hospital due to different medical conditions. Symptoms of constipation were also developed during the first three days of the stay in hospital. The study highlights the need to develop both clinical guidelines towards treating constipation, and preventive measures to ensure that patients do not become constipated while staying in hospital. © 2013 John Wiley & Sons Ltd.

  11. Medical Image Segmentation for Mobile Electronic Patient Charts Using Numerical Modeling of IoT

    Directory of Open Access Journals (Sweden)

    Seung-Hoon Chae

    2014-01-01

    Full Text Available Internet of Things (IoT brings telemedicine a new chance. This enables the specialist to consult the patient’s condition despite the fact that they are in different places. Medical image segmentation is needed for analysis, storage, and protection of medical image in telemedicine. Therefore, a variety of methods have been researched for fast and accurate medical image segmentation. Performing segmentation in various organs, the accurate judgment of the region is needed in medical image. However, the removal of region occurs by the lack of information to determine the region in a small region. In this paper, we researched how to reconstruct segmentation region in a small region in order to improve the segmentation results. We generated predicted segmentation of slices using volume data with linear equation and proposed improvement method for small regions using the predicted segmentation. In order to verify the performance of the proposed method, lung region by chest CT images was segmented. As a result of experiments, volume data segmentation accuracy rose from 0.978 to 0.981 and from 0.281 to 0.187 with a standard deviation improvement confirmed.

  12. Influence of the initial conditions for the numerical simulation of two-phase slug flow

    Energy Technology Data Exchange (ETDEWEB)

    Pachas Napa, Alex A.; Morales, Rigoberto E.M.; Medina, Cesar D. Perea

    2010-07-01

    Multiphase flows in pipelines commonly show several patterns depending on the flow rate, geometry and physical properties of the phases. In oil production, the slug flow pattern is the most common among the others. This flow pattern is characterized by an intermittent succession in space and time of an aerated liquid slug and an elongated gas bubble with a liquid film. Slug flow is studied through the slug tracking model described as one-dimensional and Lagrangian frame referenced. In the model, the mass and the momentum balance equations are applied in control volumes constituted by the gas bubble and the liquid slug. Initial conditions must be determined, which need to reproduce the intermittence of the flow pattern. These initial conditions are given by a sequence of flow properties for each unit cell. Properties of the unit cell in initial conditions should reflect the intermittence, for which they can be analyzed in statistical terms. Therefore, statistical distributions should be obtained for the slug flow variables. Distributions are complemented with the mass balance and the bubble design model. The objective of the present work is to obtain initial conditions for the slug tracking model that reproduce a better adjustment of the fluctuating properties for different pipe inclinations (horizontal, vertical or inclined). The numerical results are compared with experimental data obtained by PFG/FEM/UNICAMP for air-water flow at 0 deg, 45 deg and 90 deg and good agreement is observed. (author)

  13. Numerical simulation of wave-current interaction under strong wind conditions

    Science.gov (United States)

    Larrañaga, Marco; Osuna, Pedro; Ocampo-Torres, Francisco Javier

    2017-04-01

    Although ocean surface waves are known to play an important role in the momentum and other scalar transfer between the atmosphere and the ocean, most operational numerical models do not explicitly include the terms of wave-current interaction. In this work, a numerical analysis about the relative importance of the processes associated with the wave-current interaction under strong off-shore wind conditions in Gulf of Tehuantepec (the southern Mexican Pacific) was carried out. The numerical system includes the spectral wave model WAM and the 3D hydrodynamic model POLCOMS, with the vertical turbulent mixing parametrized by the kappa-epsilon closure model. The coupling methodology is based on the vortex-force formalism. The hydrodynamic model was forced at the open boundaries using the HYCOM database and the wave model was forced at the open boundaries by remote waves from the southern Pacific. The atmospheric forcing for both models was provided by a local implementation of the WRF model, forced at the open boundaries using the CFSR database. The preliminary analysis of the model results indicates an effect of currents on the propagation of the swell throughout the study area. The Stokes-Coriolis term have an impact on the transient Ekman transport by modifying the Ekman spiral, while the Stokes drift has an effect on the momentum advection and the production of TKE, where the later induces a deepening of the mixing layer. This study is carried out in the framework of the project CONACYT CB-2015-01 255377 and RugDiSMar Project (CONACYT 155793).

  14. Numerical simulation of the shot peening process under previous loading conditions

    International Nuclear Information System (INIS)

    Romero-Ángeles, B; Urriolagoitia-Sosa, G; Torres-San Miguel, C R; Molina-Ballinas, A; Benítez-García, H A; Vargas-Bustos, J A; Urriolagoitia-Calderón, G

    2015-01-01

    This research presents a numerical simulation of the shot peening process and determines the residual stress field induced into a component with a previous loading history. The importance of this analysis is based on the fact that mechanical elements under shot peening are also subjected to manufacturing processes, which convert raw material into finished product. However, material is not provided in a virgin state, it has a previous loading history caused by the manner it is fabricated. This condition could alter some beneficial aspects of the residual stress induced by shot peening and could accelerate the crack nucleation and propagation progression. Studies were performed in beams subjected to strain hardening in tension (5ε y ) before shot peening was applied. Latter results were then compared in a numerical assessment of an induced residual stress field by shot peening carried out in a component (beam) without any previous loading history. In this paper, it is clearly shown the detrimental or beneficial effect that previous loading history can bring to the mechanical component and how it can be controlled to improve the mechanical behavior of the material

  15. Hybrid heating systems optimization of residential environment to have thermal comfort conditions by numerical simulation.

    Science.gov (United States)

    Jahantigh, Nabi; Keshavarz, Ali; Mirzaei, Masoud

    2015-01-01

    The aim of this study is to determine optimum hybrid heating systems parameters, such as temperature, surface area of a radiant heater and vent area to have thermal comfort conditions. DOE, Factorial design method is used to determine the optimum values for input parameters. A 3D model of a virtual standing thermal manikin with real dimensions is considered in this study. Continuity, momentum, energy, species equations for turbulent flow and physiological equation for thermal comfort are numerically solved to study heat, moisture and flow field. K - ɛRNG Model is used for turbulence modeling and DO method is used for radiation effects. Numerical results have a good agreement with the experimental data reported in the literature. The effect of various combinations of inlet parameters on thermal comfort is considered. According to Pareto graph, some of these combinations that have significant effect on the thermal comfort require no more energy can be used as useful tools. A better symmetrical velocity distribution around the manikin is also presented in the hybrid system.

  16. 42 CFR 418.102 - Condition of participation: Medical director.

    Science.gov (United States)

    2010-10-01

    ... HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Conditions of participation: Organizational... determination: (1) The primary terminal condition; (2) Related diagnosis(es), if any; (3) Current subjective and...

  17. Direct numerical simulation of turbulent flows over superhydrophobic surfaces with gas pockets using linearized boundary conditions

    Science.gov (United States)

    Seo, Jongmin; Bose, Sanjeeb; Garcia-Mayoral, Ricardo; Mani, Ali

    2012-11-01

    Superhydrophobic surfaces are shown to be effective for surface drag reduction under laminar regime by both experiments and simulations (see for example, Ou and Rothstein, Phys. Fluids 17:103606, 2005). However, such drag reduction for fully developed turbulent flow maintaining the Cassie-Baxter state remains an open problem due to high shear rates and flow unsteadiness of turbulent boundary layer. Our work aims to develop an understanding of mechanisms leading to interface breaking and loss of gas pockets due to interactions with turbulent boundary layers. We take advantage of direct numerical simulation of turbulence with slip and no-slip patterned boundary conditions mimicking the superhydrophobic surface. In addition, we capture the dynamics of gas-water interface, by deriving a proper linearized boundary condition taking into account the surface tension of the interface and kinematic matching of interface deformation and normal velocity conditions on the wall. We will show results from our simulations predicting the dynamical behavior of gas pocket interfaces over a wide range of dimensionless surface tensions. Supported by the Office of Naval Research and the Kwanjeong Educational Scholarship Foundation.

  18. A numerical investigation of electrohydrodynamic (EHD) effects on bubble deformation under pseudo-nucleate boiling conditions

    International Nuclear Information System (INIS)

    Zu, Y.Q.; Yan, Y.Y.

    2009-01-01

    In this article, the electrohydrodynamic (EHD) effects on nucleate boiling are studied by developing a numerical modelling of EHD effect on bubble deformation in pseudo-nucleate boiling conditions. The volume of fluid (VOF) method is employed to track the interface between the gas-liquid two phases; the user-defined code is written and added to the commercial software FLUENT to solve the electric field and the corresponding electric body force. On this basis, the model is applied to study the EHD effects on heat transfer and fluid flows. An initial air bubble surrounded by liquid CCl 4 and attached to a horizontal superheated wall under the action of electric field is studied. The results of the EHD effect on bubble shape evolution are compared with those of available experiments showing good agreement. The mechanism of EHD enhancement of heat transfer and the EHD induced phenomena including bubble elongation and detachment are analyzed in detail.

  19. Experimental and numerical study of plastic shear instability under high-speed loading conditions

    International Nuclear Information System (INIS)

    Sokovikov, Mikhail; Chudinov, Vasiliy; Bilalov, Dmitry; Oborin, Vladimir; Uvarov, Sergey; Plekhov, Oleg; Terekhina, Alena; Naimark, Oleg

    2014-01-01

    The behavior of specimens dynamically loaded during the split Hopkinson (Kolsky) bar tests in a regime close to simple shear conditions was studied. The lateral surface of the specimens was investigated in a real-time mode with the aid of a high-speed infra-red camera CEDIP Silver 450M. The temperature field distribution obtained at different time made it possible to trace the evolution of plastic strain localization. The process of target perforation involving plug formation and ejection was examined using a high-speed infra-red camera and a VISAR velocity measurement system. The microstructure of tested specimens was analyzed using an optical interferometer-profilometer and a scanning electron microscope. The development of plastic shear instability regions has been simulated numerically

  20. Numerical prediction of the natural frequency of an Oscillating Water Column operating under resonant conditions

    Directory of Open Access Journals (Sweden)

    Marco Torresi

    2016-12-01

    Full Text Available Among the different technologies developed in order to harness wave energy, the Oscillating Water Column devices are the most accredited for an actual diffusion. Recently, Boccotti has patented the REWEC1 (REsonant sea Wave Energy Converter solution 1, a submerged breakwater that performs an active coast protection, embedding an Oscillating Water Column device, which is capable of operating under resonant conditions with that sea state, which gives the highest yearly energy contribution. The REWEC1 dynamic behavior can be approximated by means of a mass-spring-damper system. According to this approximation, a criterion for evaluating the oscillating natural frequency of the REWEC1 has been derived. This criterion has been validated against both experimental results and computational fluid dynamics simulations, performed on a REWEC1 laboratory-scale model. The numerical simulations have shown a good agreement between measurements and predictions.

  1. Sparse grid spectral methods for the numerical solution of partial differential equations with periodic boundary conditions

    International Nuclear Information System (INIS)

    Kupka, F.

    1997-11-01

    This thesis deals with the extension of sparse grid techniques to spectral methods for the solution of partial differential equations with periodic boundary conditions. A review on boundary and initial-boundary value problems and a discussion on numerical resolution is used to motivate this research. Spectral methods are introduced by projection techniques, and by three model problems: the stationary and the transient Helmholtz equations, and the linear advection equation. The approximation theory on the hyperbolic cross is reviewed and its close relation to sparse grids is demonstrated. This approach extends to non-periodic problems. Various Sobolev spaces with dominant mixed derivative are introduced to provide error estimates for Fourier approximation and interpolation on the hyperbolic cross and on sparse grids by means of Sobolev norms. The theorems are immediately applicable to the stability and convergence analysis of sparse grid spectral methods. This is explicitly demonstrated for the three model problems. A variant of the von Neumann condition is introduced to simplify the stability analysis of the time-dependent model problems. The discrete Fourier transformation on sparse grids is discussed together with its software implementation. Results on numerical experiments are used to illustrate the performance of the new method with respect to the smoothness properties of each example. The potential of the method in mathematical modelling is estimated and generalizations to other sparse grid methods are suggested. The appendix includes a complete Fortran90 program to solve the linear advection equation by the sparse grid Fourier collocation method and a third-order Runge-Kutta routine for integration in time. (author)

  2. Experimental and numerical study on frost heave of saturated rock under uniform freezing conditions

    Science.gov (United States)

    Lv, Zhitao; Xia, Caichu; Li, Qiang

    2018-04-01

    A series of freezing experiments are conducted on saturated sandstone and mortar specimens to investigate the frost heave of saturated rock under uniform freezing conditions. The experimental results show that the frost heave of saturated rock is isotropic under uniform freezing conditions. During the freezing process, three stages are observed in the curves of variation of total frost heaving strain versus time: the thermal contraction stage, the frost heaving stage and the steady stage. Moreover, the amount of final stable frost heave first increases and then decreases with decrease in freezing temperature, and the maximum final stable frost heave occurs at different freezing temperature in saturated sandstone and mortar. Furthermore, a coupled thermal-mechanical (TM) model of frost heave of saturated rock is proposed in which a constraint coefficient \\zeta is used to consider the susceptibility of the internal rock grain structure to the expansion of pore ice. Then, numerical simulations are implemented with COMSOL to solve the governing equations of the TM model. Comparisons of the numerical results with the experimental results are performed to demonstrate the reliability of the model. The influences of elastic modulus and porosity on frost heave are also investigated, and the results show that the total frost heaving strain decreases non-linearly with increasing elastic modulus, and the decrease is significant when the elastic modulus is less than 3000 MPa, or approximately five times the elastic modulus of ice. In addition, the total frost heaving strain increases linearly with increasing porosity. Finally, an empirical equation between total frost heaving strain and freezing temperature is proposed and the equation well describes the variation of total frost heaving strain with freezing temperature.

  3. Theoretical and numerical investigations of TAP experiments. New approaches for variable pressure conditions

    Energy Technology Data Exchange (ETDEWEB)

    Senechal, U.; Breitkopf, C. [Technische Univ. Dresden (Germany). Inst. fuer Energietechnik

    2011-07-01

    Temporal analysis of products (TAP) is a valuable tool for characterization of porous catalytic structures. Established TAP-modeling requires a spatially constant diffusion coefficient and neglect convective flows, which is only valid in Knudsen diffusion regime. Therefore in experiments, the number of molecules per pulse must be chosen accordingly. New approaches for variable process conditions are highly required. Thus, a new theoretical model is developed for estimating the number of molecules per pulse to meet these requirements under any conditions and at any time. The void volume is calculated as the biggest sphere fitting between three pellets. The total number of pulsed molecules is assumed to fill the first void volume at the inlet immediately. Molecule numbers from these calculations can be understood as maximum possible molecules at any time in the reactor to be in Knudsen diffusion regime, i.e., above the Knudsen number of 2. Moreover, a new methodology for generating a full three-dimensional geometrical representation of beds is presented and used for numerical simulations to investigate spatial effects. Based on a freely available open-source game physics engine library (BULLET), beds of arbitrary-sized pellets can be generated and transformed to CFD-usable geometry. In CFD-software (ANSYS CFX registered) a transient diffusive transport equation with time-dependent inlet boundary conditions is solved. Three different pellet diameters were investigated with 1e18 molecules per pulse, which is higher than the limit from the theoretical calculation. Spatial and temporal distributions of transported species show regions inside the reactor, where non-Knudsen conditions exist. From this results, the distance from inlet can be calculated where the theoretical pressure limit (Knudsen number equals 2) is obtained, i.e., from this point to the end of the reactor Knudsen regime can be assumed. Due to linear dependency of pressure and concentration (assuming ideal

  4. Numerical study of the inlet conditions on a turbulent plane two dimensional wall jet

    Energy Technology Data Exchange (ETDEWEB)

    Kechiche, Jamel; Mhiri, Hatem [Ecole Nationale d' Ingenieurs de Monastir, Lab. de Mecanique des Fluides et de Transferts Thermiques, Monastir (Tunisia); Le Palec, Georges; Bournot, Philippe [Institut de Mecanique de Marseille, Marseille, 13 (France)

    2004-11-01

    The low Reynolds number turbulence model of Herrero et al. [Int J Heat Mass Trans 34 (1991) 711] is used in this work to study turbulent isothermal or non-isothermal plane two dimensional wall jets in stagnant surroundings. In this model, the empirical constant C{sub {mu}} = 0.09 appearing in the Kolmogorov-Prandtl relation was replaced by the function proposed by Ljuboja and Rodi [J Fluids Eng 102 (1980) 350] to take account of the damping effect of the wall on the lateral fluctuations. The system of equations governing the studied configuration is solved with a finite difference scheme using a staggered grid for numerical stability, not uniform in the two directions of the flow. In the present work, we are interested particularly in the influence of the inlet conditions at the nozzle exit on the jet characteristic parameters. The obtained results show that the inlet conditions affect the flow in the vicinity of the region of the nozzle. Starting from a certain distance, the established region is reached (auto-similar region), and the results become independent of the flow characteristics at the nozzle exit. The results are also compared to those suggested in the literature. The agreement with the experimental data is satisfactory for all studied flow configurations, which provides validation of our results. (Author)

  5. Numerical simulation of flow in centrifugal pump under cavitation and sediment condition

    International Nuclear Information System (INIS)

    Lu, J L; Guo, P C; Zheng, X B; Zhao, Q; Luo, X Q

    2012-01-01

    The sediment concentration is very high in many rivers in the world, especially in China. The pumps that designed for the clear water are usually seriously abraded. The probability of pump cavitation is greatly enhanced due to the existence of sand. Under the joint action and mutual promotion of sand erosion and cavitation, serious abrasion could occurred, and the hydraulic performance of the pump may be greatly descended, meanwhile the safety and stability of the whole pump are greatly threatened. Therefore, it is significant to investigate the cavitation characteristic of pump under sediment flow condition. In this paper, the flow in a single stage centrifugal pump under cleat water and sediment flow conditions was numerically simulated. The cavitation performance under clear water was firstly analyzed. Then, The pressure, velocity and solid particle distribution in centrifugal pump under different particle diameter and different particle concentration was investigated by using the two-fluid model; The area and extent of erosion was illustrated by using the particle track model. Finally, the influence of mixed sand on centrifugal pump performance was investigated.

  6. Influence of surface conditions on fatigue strength through the numerical simulation of microstructure

    International Nuclear Information System (INIS)

    Le Pecheur, A.; Clavel, M.; Rey, C.; Bompard, P.; Le Pecheur, A.; Curtit, F.; Stephan, J.M.

    2010-01-01

    A thermal fatigue test (INTHERPOL) was developed by EDF in order to study the initiation of cracks. These tests are carried out on tubular specimens under various thermal loadings and surface finish qualities in order to give an account of these parameters on crack initiation. The main topic of this study is to test the sensitivity of different fatigue criteria to surface conditions using a micro/macro modelling approach. Therefore a 304L polycrystalline aggregate, used for cyclic plasticity based FE modelling, have been considered as a Representative Volume Element located at the surface and subsurface of the test tube. This aggregate has been cyclically strained according to the results issued from FE simulation of INTHERPOL thermal fatigue experiment. Different surface parameters have been numerically simulated: effects of local microstructure and of grains orientation, effects of machining: metallurgical prehardening, residual stress gradient, and surface roughness. Three different fatigue criteria (Manson Coffin, Fatemi Socie and dissipated energy types), previously fitted at a macro-scale for thermal fatigue of 304L, have been computed at a meso scale, in order to show the surface 'hot spots' features and test the sensitivity of these three criteria to different surface conditions. Results show that grain orientation and neighbouring play an important role on the location of hot spots, and also that the positive effect of pre-straining and the negative effect of roughness on fatigue life are not all similarly predicted by these different fatigue criteria. (authors)

  7. Experimental and Numerical Studies on Wave Breaking Characteristics over a Fringing Reef under Monochromatic Wave Conditions

    Directory of Open Access Journals (Sweden)

    Jong-In Lee

    2014-01-01

    Full Text Available Fringing reefs play an important role in protecting the coastal area by inducing wave breaking and wave energy dissipation. However, modeling of wave transformation and energy dissipation on this topography is still difficult due to the unique structure. In the present study, two-dimensional laboratory experiments were conducted to investigate the cross-shore variations of wave transformation, setup, and breaking phenomena over an idealized fringing reef with the 1/40 reef slope and to verify the Boussinesq model under monochromatic wave conditions. One-layer and two-layer model configurations of the Boussinesq model were used to figure out the model capability. Both models predicted well (r2>0.8 the cross-shore variation of the wave heights, crests, troughs, and setups when the nonlinearity is not too high (A0/h0<0.07 in this study. However, as the wave nonlinearity and steepness increase, the one-layer model showed problems in prediction and stability due to the error on the vertical profile of fluid velocity. The results in this study revealed that one-layer model is not suitable in the highly nonlinear wave condition over a fringing reef bathymetry. This data set can contribute to the numerical model verification.

  8. Resolving embarrassing medical conditions with online health information.

    Science.gov (United States)

    Redston, Sarah; de Botte, Sharon; Smith, Carl

    2018-06-01

    Reliance on online health information is proliferating and the Internet has the potential to revolutionize the provision of public health information. The anonymity of online health information may be particularly appealing to people seeking advice on 'embarrassing' health problems. The purpose of this study was to investigate (1) whether data generated by the embarrassingproblems.com health information site showed any temporal patterns in problem resolution, and (2) whether successful resolution of a medical problem using online information varied with the type of medical problem. We analyzed the responses of visitors to the embarrassingproblems.com website on the resolution of their problems. The dataset comprised 100,561 responses to information provided on 77 different embarrassing problems grouped into 9 classes of medical problem over an 82-month period. Data were analyzed with a Bernoulli Generalized Linear Model using Bayesian inference. We detected a statistically important interaction between embarrassing problem type and the time period in which data were collected, with an improvement in problem resolution over time for all of the classes of medical problem on the website but with a lower rate of increase in resolution for urinary health problems and medical problems associated with the mouth and face. As far as we are aware, this is the first analysis of data of this nature. Findings support the growing recognition that online health information can contribute to the resolution of embarrassing medical problems, but demonstrate that outcomes may vary with medical problem type. The results indicate that building data collection into online information provision can help to refine and focus health information for online users. Copyright © 2018 Elsevier B.V. All rights reserved.

  9. Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children

    Science.gov (United States)

    Alexeeff, Stacey E.; Yau, Vincent; Qian, Yinge; Davignon, Meghan; Lynch, Frances; Crawford, Phillip; Davis, Robert; Croen, Lisa A.

    2017-01-01

    This study examines medical conditions diagnosed prior to the diagnosis of autism spectrum disorder (ASD). Using a matched case control design with 3911 ASD cases and 38,609 controls, we found that 38 out of 79 medical conditions were associated with increased ASD risk. Developmental delay, mental health, and neurology conditions had the strongest…

  10. Direct Numerical Simulation of Turbulent Multi-Stage Autoignition Relevant to Engine Conditions

    Science.gov (United States)

    Chen, Jacqueline

    2017-11-01

    Due to the unrivaled energy density of liquid hydrocarbon fuels combustion will continue to provide over 80% of the world's energy for at least the next fifty years. Hence, combustion needs to be understood and controlled to optimize combustion systems for efficiency to prevent further climate change, to reduce emissions and to ensure U.S. energy security. In this talk I will discuss recent progress in direct numerical simulations of turbulent combustion focused on providing fundamental insights into key `turbulence-chemistry' interactions that underpin the development of next generation fuel efficient, fuel flexible engines for transportation and power generation. Petascale direct numerical simulation (DNS) of multi-stage mixed-mode turbulent combustion in canonical configurations have elucidated key physics that govern autoignition and flame stabilization in engines and provide benchmark data for combustion model development under the conditions of advanced engines which operate near combustion limits to maximize efficiency and minimize emissions. Mixed-mode combustion refers to premixed or partially-premixed flames propagating into stratified autoignitive mixtures. Multi-stage ignition refers to hydrocarbon fuels with negative temperature coefficient behavior that undergo sequential low- and high-temperature autoignition. Key issues that will be discussed include: 1) the role of mixing in shear driven turbulence on the dynamics of multi-stage autoignition and cool flame propagation in diesel environments, 2) the role of thermal and composition stratification on the evolution of the balance of mixed combustion modes - flame propagation versus spontaneous ignition - which determines the overall combustion rate in autoignition processes, and 3) the role of cool flames on lifted flame stabilization. Finally prospects for DNS of turbulent combustion at the exascale will be discussed in the context of anticipated heterogeneous machine architectures. sponsored by DOE

  11. Constipation - prevalence and incidence among medical patients acutely admitted to hospital with a medical condition

    DEFF Research Database (Denmark)

    Noiesen, Eline; Trosborg, Ingelise; Bager, Louise

    2014-01-01

    To examine the prevalence and incidence of patient-reported symptoms of constipation in acutely hospitalised medical patients.......To examine the prevalence and incidence of patient-reported symptoms of constipation in acutely hospitalised medical patients....

  12. Review of U.S. Army Aviation Accident Reports: Prevalence of Environmental Stressors and Medical Conditions

    Science.gov (United States)

    2017-10-18

    terminology related to an aforementioned stressor or medical condition. Table 1 presents the identified operational stressor with the keywords extracted...USAARL Report No. 2018-02 Review of U.S. Army Aviation Accident Reports: Prevalence of Environmental Stressors and Medical Conditions By Kathryn...Environmental Stressors and Medical Conditions N/A N/A N/A N/A N/A N/A Feltman, Kathryn A. Kelley, Amanda M. Curry, Ian P. Boudreaux, David A. Milam

  13. Numerical investigations of solute transport in bimodal porous media under dynamic boundary conditions

    Science.gov (United States)

    Cremer, Clemens; Neuweiler, Insa; Bechtold, Michel; Vanderborght, Jan

    2016-04-01

    Quantification of flow and solute transport in the shallow subsurface adjacent to the atmosphere is decisive to prevent groundwater pollution and conserve groundwater quality, to develop successful remediation strategies and to understand nutrient cycling. In nature, due to erratic precipitation-evaporation patterns, soil moisture content and related hydraulic conductivity in the vadose zone are not only variable in space but also in time. Flow directions and flow paths locally change between precipitation and evaporation periods. This makes the identification and description of solute transport processes in the vadose zone a complex problem. Recent studies (Lehmann and Or, 2009; Bechtold et al., 2011a) focused on the investigation of upward transport of solutes during evaporation in heterogeneous soil columns, where heterogeneity was introduced by a sharp vertical material interface between two types of sand. Lateral solute transport through the interface in both (lateral) directions was observed at different depths of the investigated soil columns. Following recent approaches, we conduct two-dimensional numerical simulations in a similar setup which is composed of two sands with a sharp vertical material interface. The investigation is broadened from the sole evaporation to combined precipitation-evaporation cycles in order to quantify transport processes resulting from the combined effects of heterogeneous soil structure and dynamic flow conditions. Simulations are performed with a coupled finite volume and random walk particle tracking algorithm (Ippisch et al., 2006; Bechtold et al., 2011b). By comparing scenarios with cyclic boundary conditions and stationary counterparts with the same net flow rate, we found that duration and intensity of precipitation and evaporation periods potentially have an influence on lateral redistribution of solutes and thus leaching rates. Whether or not dynamic boundary conditions lead to significant deviations in the transport

  14. Medical errors in hospitalized pediatric trauma patients with chronic health conditions

    Directory of Open Access Journals (Sweden)

    Xiaotong Liu

    2014-01-01

    Full Text Available Objective: This study compares medical errors in pediatric trauma patients with and without chronic conditions. Methods: The 2009 Kids’ Inpatient Database, which included 123,303 trauma discharges, was analyzed. Medical errors were identified by International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes. The medical error rates per 100 discharges and per 1000 hospital days were calculated and compared between inpatients with and without chronic conditions. Results: Pediatric trauma patients with chronic conditions experienced a higher medical error rate compared with patients without chronic conditions: 4.04 (95% confidence interval: 3.75–4.33 versus 1.07 (95% confidence interval: 0.98–1.16 per 100 discharges. The rate of medical error differed by type of chronic condition. After controlling for confounding factors, the presence of a chronic condition increased the adjusted odds ratio of medical error by 37% if one chronic condition existed (adjusted odds ratio: 1.37, 95% confidence interval: 1.21–1.5, and 69% if more than one chronic condition existed (adjusted odds ratio: 1.69, 95% confidence interval: 1.48–1.53. In the adjusted model, length of stay had the strongest association with medical error, but the adjusted odds ratio for chronic conditions and medical error remained significantly elevated even when accounting for the length of stay, suggesting that medical complexity has a role in medical error. Higher adjusted odds ratios were seen in other subgroups. Conclusion: Chronic conditions are associated with significantly higher rate of medical errors in pediatric trauma patients. Future research should evaluate interventions or guidelines for reducing the risk of medical errors in pediatric trauma patients with chronic conditions.

  15. Assessment of the use of xerogenic medications for chronic medical and dental conditions among adult day health participants.

    Science.gov (United States)

    Lam, Annie; Kiyak, Asuman; Gossett, Allison M; McCormick, Lawrence

    2009-10-01

    To describe the health conditions, dental problems, and use of xerogenic medications among dental patients in adult day health (ADH) centers. Cross-sectional descriptive study. ADH centers in King County, Washington. ADH clients who were patients of a mobile dental service. Pharmacist-conducted chart reviews and in-person medication reviews with patients. Demographic description, mean numbers of medical and dental problems, medications, xerogenic medications used per subject, and identification of xerogenic medications by therapeutic class. At five sites, 97 patients were interviewed (average age 73.8 +/- 11.8 years, 61% female); ethnicities included: Asian-American (37.1%), Caucasian (30.9%), Russian (29%), and African-American (3%). Mean numbers of chronic health problems, medications, and xerogenic medications per patient were 5.2 +/- 2.7, 10.9 +/- 4.4, and 3.3 +/- 1.8, respectively. Antidepressants were the most commonly used xerogenic medication, followed by antipsychotics, antiemetics, analgesics, and antihistamines. Among 74 patients who received dental treatment, 33 (44.6%) wore dentures. Among 58 patients with teeth, a mean number of 2.8 dental problems per patient was identified. Dental caries (51.7%) was the most prevalent problem, followed by periodontitis (29.3%), soft tissue lesions (10.3%), gingivitis (5.2%), and candidiasis (3.4%). Multiple systemic diseases, use of multiple xerogenic medications, and poor oral health were prevalent among the ADH clients in this study. However, self-reports of dry mouth were unrelated to number of xerogenic medications or oral conditions. Further research is needed to determine the association between self-reported dry mouth, chronic health conditions, use of xerogenic medications, tooth loss, and/or denture use.

  16. A direct numerical simulation of cool-flame affected autoignition in diesel engine-relevant conditions

    Energy Technology Data Exchange (ETDEWEB)

    Krisman, Alexander; Hawkes, Evatt Robert.; Talei, Mohsen; Bhagatwala, Ankit; Chen, Jacqueline H.

    2016-11-11

    In diesel engines, combustion is initiated by a two-staged autoignition that includes both low- and high-temperature chemistry. The location and timing of both stages of autoignition are important parameters that influence the development and stabilisation of the flame. In this study, a two-dimensional direct numerical simulation (DNS) is conducted to provide a fully resolved description of ignition at diesel engine-relevant conditions. The DNS is performed at a pressure of 40 atmospheres and at an ambient temperature of 900 K using dimethyl ether (DME) as the fuel, with a 30 species reduced chemical mechanism. At these conditions, similar to diesel fuel, DME exhibits two-stage ignition. The focus of this study is on the behaviour of the low-temperature chemistry (LTC) and the way in which it influences the high-temperature ignition. The results show that the LTC develops as a “spotty” first-stage autoignition in lean regions which transitions to a diffusively supported cool-flame and then propagates up the local mixture fraction gradient towards richer regions. The cool-flame speed is much faster than can be attributed to spatial gradients in first-stage ignition delay time in homogeneous reactors. The cool-flame causes a shortening of the second-stage ignition delay times compared to a homogeneous reactor and the shortening becomes more pronounced at richer mixtures. Multiple high-temperature ignition kernels are observed over a range of rich mixtures that are much richer than the homogeneous most reactive mixture and most kernels form much earlier than suggested by the homogeneous ignition delay time of the corresponding local mixture. Altogether, the results suggest that LTC can strongly influence both the timing and location in composition space of the high-temperature ignition.

  17. Initial condition effects on large scale structure in numerical simulations of plane mixing layers

    Science.gov (United States)

    McMullan, W. A.; Garrett, S. J.

    2016-01-01

    In this paper, Large Eddy Simulations are performed on the spatially developing plane turbulent mixing layer. The simulated mixing layers originate from initially laminar conditions. The focus of this research is on the effect of the nature of the imposed fluctuations on the large-scale spanwise and streamwise structures in the flow. Two simulations are performed; one with low-level three-dimensional inflow fluctuations obtained from pseudo-random numbers, the other with physically correlated fluctuations of the same magnitude obtained from an inflow generation technique. Where white-noise fluctuations provide the inflow disturbances, no spatially stationary streamwise vortex structure is observed, and the large-scale spanwise turbulent vortical structures grow continuously and linearly. These structures are observed to have a three-dimensional internal geometry with branches and dislocations. Where physically correlated provide the inflow disturbances a "streaky" streamwise structure that is spatially stationary is observed, with the large-scale turbulent vortical structures growing with the square-root of time. These large-scale structures are quasi-two-dimensional, on top of which the secondary structure rides. The simulation results are discussed in the context of the varying interpretations of mixing layer growth that have been postulated. Recommendations are made concerning the data required from experiments in order to produce accurate numerical simulation recreations of real flows.

  18. A numerical investigation into the effect of windvent dampers on operating conditions

    Energy Technology Data Exchange (ETDEWEB)

    Hughes, Ben Richard; Abdul Ghani, S.A.A. [Faculty of Arts, Computing, Engineering and Sciences, Materials and Engineering Institute, Sheffield Hallam University, Sheffield, South Yorkshire S1 1WB (United Kingdom)

    2009-02-15

    The United Kingdom has made a commitment to reduce buildings carbon emissions, placing a greater onus on sustainable energy sources. Therefore, an anticipated increase of usage of zero carbon technologies in new and existing building has led to the emergence of passive ventilation devices as an alternative to mechanical ventilation and air conditioning. The windvent is a commercially available passive ventilation device. The device is constructed from sheet metal and works on the principle of pressure differential. Whereby air rises, creating a low pressure in the receiving room, which then draws in the fresh air. The ensuing air delivery velocity is controlled by the dampers, installed at the room entry interface. The dampers are actuator operated, and form the basis of the control system for the device. The purpose of this paper is to investigate the control mechanism for the device and ascertain an optimum operating range. Numerical analysis is carried out using a commercial computational fluid dynamics (CFD) code, to investigate the effect of various damper angles (range 0-90 ). The results show that optimum operating occurs at a damper angle range of 45-55 , at the UK average 4.5 m/s external wind speed. The operating range when considered in tandem with macro climatic influences is central to determining the overall control strategy for the fresh air supply. The results provide useful information for both engineers and architects when examining ways to reduce new and existing buildings running costs, and conform to new legislation. (author)

  19. Numerical Simulation and Validation of a High Head Model Francis Turbine at Part Load Operating Condition

    Science.gov (United States)

    Goyal, Rahul; Trivedi, Chirag; Kumar Gandhi, Bhupendra; Cervantes, Michel J.

    2017-07-01

    Hydraulic turbines are operated over an extended operating range to meet the real time electricity demand. Turbines operated at part load have flow parameters not matching the designed ones. This results in unstable flow conditions in the runner and draft tube developing low frequency and high amplitude pressure pulsations. The unsteady pressure pulsations affect the dynamic stability of the turbine and cause additional fatigue. The work presented in this paper discusses the flow field investigation of a high head model Francis turbine at part load: 50% of the rated load. Numerical simulation of the complete turbine has been performed. Unsteady pressure pulsations in the vaneless space, runner, and draft tube are investigated and validated with available experimental data. Detailed analysis of the rotor stator interaction and draft tube flow field are performed and discussed. The analysis shows the presence of a rotating vortex rope in the draft tube at the frequency of 0.3 times of the runner rotational frequency. The frequency of the vortex rope precession, which causes severe fluctuations and vibrations in the draft tube, is predicted within 3.9% of the experimental measured value. The vortex rope results pressure pulsations propagating in the system whose frequency is also perceive in the runner and upstream the runner.

  20. Numerical experiments on the atmospheric response to cold Equatorial Pacific conditions ('La Nina') during northern summer

    International Nuclear Information System (INIS)

    Storch, H. von; Schriever, D.; Arpe, K.; Branstator, G.W.; Legnani, R.; Ulbrich, U.

    1993-01-01

    The effect of cold conditions in the central and eastern Equatorial Pacific during Northern Summer is examined in a series of numerical experiments with the low resolution (T21) atmospheric general circulation model ECHAM2. Anomalous sea surface temperatures (SST) as observed in June 1988 were prescribed and the effect on the global circulation is examined. In the model atmosphere, the anomalous cold water in the Equatorial Pacific excites a strong and stable response over the tropical Central and East Pacific. From here stationary Rossby waves radiate into both hemispheres. The Northern Hemisphere wave train is weak and affects only the Northeast Pacific area; the Southern Hemisphere wave train arches from the Central Pacific over the southern tip of South America to the South Atlantic. This response is not only present in the basic anomaly experiment with the T21 GCM but also in experiments with SST anomalies confined to the tropics and with an envelope-formulation of the SST anomalies, in experiments with a linear model, and in high resolution (T42) model experiments. The model output is also compared to the actually observed atmospheric state in June 1988. (orig./KW)

  1. Kinetics of UO2(s) dissolution under reducing conditions: Numerical modelling

    International Nuclear Information System (INIS)

    Puigdomenech, I.; Casas, I.; Bruno, J.

    1990-05-01

    A numerical model is presented that describes the dissolution and precipitation of UO 2 (s) under reducing conditions. For aqueous solutions with pH>4, main reaction is: UO 2 (s)+2H 2 O↔U(OH) 4 (aq). The rate constant for the precipitation reaction is found to be log(k p )=-1.2±0.2 h -1 m -2 , while the value for the rate constant of the dissolution reaction is log(k d )=-9.0±0.2 mol/(1 h m 2 ). Most of the experiments reported in the literature show a fast initial dissolution of a surface film of hexavalent uranium oxide. Making the assumption that the chemical composition of the surface coating is U 3 O 7 (s), we have derived a mechanism for this process, and its rate constants have been obtained. The influence of HCO 3 - and CO 3 2- on the mechanism of dissolution and precipitation of UO 2 (s) is still unclear. From the solubility measurements reported, one may conclude that the identity of the aqueous complexes in solution is not well known. Therefore it is not possible to make a mechanistic interpretation of the kinetic data in carbonate medium. (orig.)

  2. Numerical investigation on cryogenic liquid jet under transcritical and supercritical conditions

    Science.gov (United States)

    Li, Liang; Xie, Maozhao; Wei, Wu; Jia, Ming; Liu, Hongsheng

    2018-01-01

    Cryogenic fluid injection and mixing under transcritical and supercritical conditions is numerically investigated with emphasis on the difference of the mechanism and characteristics between the two injections. A new solver is developed which is capable of handling the nonideality of the equation of state and the anomalies in fluid transport properties and is incorporated into the CFD software OpenFOAM. The new solver has been validated against available experimental data and exhibits a good performance. Computational results indicates that the differences between transcritical and supercritical injections are mainly induced by the pseudo-boiling phenomenon, resulting in that the transcritical jet has a longer cold liquid core and an isothermal expansion occurs at the surface of the cold core. The thickness of the supercritical mixing layer and its increase value along the jet direction are greater than its transcritical counterpart. The high-temperature jet whose initial temperature is above the pseudo-boiling temperature has the ability of enhancing the mixing of the jet with the surrounding gas.

  3. Acute Medical conditions in under five year old children at a Public ...

    African Journals Online (AJOL)

    Objective: To determine the prevalence of childhood preventable and treatable medical conditions and the parent's/guardian's knowledge about the conditions and their management. Design: A descriptive cross-sectional study. Setting: Paediatric medical wards at Kenyatta National hospital Subjects: All children aged 0-60 ...

  4. Artificial boundary conditions for the numerical simulation of unsteady acoustic waves

    International Nuclear Information System (INIS)

    Tsynkov, S.V.

    2003-01-01

    We construct non-local artificial boundary conditions (ABCs) for the numerical simulation of genuinely time-dependent acoustic waves that propagate from a compact source in an unbounded unobstructed space. The key property used for obtaining the ABCs is the presence of lacunae, i.e., sharp aft fronts of the waves, in wave-type solutions in odd-dimension spaces. This property can be considered a manifestation of the Huygens' principle. The ABCs are obtained directly for the discrete formulation of the problem. They truncate the original unbounded domain and guarantee the complete transparency of the new outer boundary for all the outgoing waves. A central feature of the proposed ABCs is that the extent of their temporal non-locality is fixed and limited, and it does not come at the expense of simplifying the original model. It is rather a natural consequence of the existence of lacunae, which is a fundamental property of the corresponding solutions. The proposed ABCs can be built for any consistent and stable finite-difference scheme. Their accuracy can always be made as high as that of the interior approximation, and it will not deteriorate even when integrating over long time intervals. Besides, the ABCs are most flexible from the standpoint of geometry and can handle irregular boundaries on regular grids with no fitting/adaptation needed and no accuracy loss induced. Finally, they allow for a wide range of model settings. In particular, not only one can analyze the simplest advective acoustics case with the uniform background flow, but also the case when the waves' source (or scatterer) is engaged in an accelerated motion

  5. A numerical study of thermal conditions in the THM growth of HgTe

    Science.gov (United States)

    Martínez-Tomás, M. C.; Muñoz-Sanjosé, V.; Reig, C.

    2002-09-01

    A numerical simulation of the travelling heater method (THM) process in the growth of HgTe is carried out. The whole system (furnace, ampoule and charge) is taken into account in the frame of a quasi-steady-state model. The mass conservation condition for the solute in the liquid zone permits the determination of the rate of advance of the crystallisation isotherm as a function of the heater position. We claim to study the evolution of different magnitudes along the growth process, searching for the physical reasons which could be at the origin of defects in the form of thin layers observed in some growing experiences. To solve the governing equations of fluid flow, heat transfer and mass transport we have made use of a commercial code which can run in a PC. The simulation is made by using a three-level strategy, which allows the reduction of the computational effort. In the first level, heat transport is assumed to be by conduction, convection and radiation between the furnace and the ampoule, and by conduction through the ampoule wall, coating, solid and liquid zones. The temperature calculated at this level in the air/ampoule boundary is used as boundary condition for the second and third level. In these two levels the ampoule and its content are studied in detail. Convection in the liquid zone is considered at the second level and thermosolutal convection is finally included at the third level. The analysis of the incoming/outcoming heat flux per second through the ampoule for the whole system shows that the lower part of the ampoule exhibits some ineffectiveness for the heat evacuation at certain positions of the growth run, depending on thermal properties of the whole system and the particular material to be grown. As a consequence, the growth rate suffers a significant variation just for these positions of the heater. From these considerations a plausible interpretation has been proposed to understand the apparition of solvent inclusions in the form of thin

  6. Numerical investigation of a high head Francis turbine under steady operating conditions using foam-extend

    International Nuclear Information System (INIS)

    Lenarcic, M; Eichhorn, M; Schoder, S J; Bauer, Ch

    2015-01-01

    In this work the incompressible turbulent flow in a high head Francis turbine under steady operating conditions is investigated using the open source CFD software package FOAM-extend- 3.1. By varying computational domains (cyclic model, full model), coupling methods between stationary and rotating frames (mixing-plane, frozen-rotor) and turbulence models (kω-SST, κε), numerical flow simulations are performed at the best efficiency point as well as at operating points in part load and high load. The discretization is adjusted according the y + -criterion with y + mean > 30. A grid independence study quantifies the discretization error and the corresponding computational costs for the appropriate simulations, reaching a GCI < 1% for the chosen grid. Specific quantities such as efficiency, head, runner shaft torque as well as static pressure and velocity components are computed and compared with experimental data and commercial code. Focusing on the computed results of integral quantities and static pressures, the highest level of accuracy is obtained using FOAM in combination with the full model discretization, the mixing-plane coupling method and the κω-SST turbulence model. The corresponding relative deviations regarding the efficiency reach values of Δη rel ∼ 7% at part load, Δη rel ∼ 0.5% at best efficiency point and Δη rel ∼ 5.6% at high load. The computed static pressures deviate from the measurements by a maximum of Δp rel = 9.3% at part load, Δp rel = 4.3% at best efficiency point and Δp rel = 6.7% at high load. Commercial code in turn yields slightly better predictions for the velocity components in the draft tube cone, reaching a good accordance with the measurements at part load. Although FOAM also shows an adequate correspondence to the experimental data at part load, local effects near the runner hub are captured less accurate at best efficiency point and high load. Nevertheless, FOAM is a reasonable alternative to commercial code

  7. Needs, conditions of intervention and staff in medical physics for medical imagery

    International Nuclear Information System (INIS)

    Salvat, Cecile; Dieudonne, Arnaud; Guilhem, Marie-Therese; Le Du, Dominique; Pierrat, Noelle; Isambert, Aurelie; Valero, Marc; Blanchard, Vincent

    2013-04-01

    This guide proposes information on the types and quantification of medical physics tasks to be performed when performing medical imagery using ionizing radiations. It gives recommendations about the commitment of medical physicists (with or without support staff) and the required staff in nuclear medicine and, more generally in imagery (interventional radiology, scanography, conventional radiology). It first gives an overview of the situation in France in 2012 in terms of observations made by the ASN during inspections, and of results of a survey conducted among medical physicists involved in medical imagery. It indicates the current regulatory requirements, and international and national recommendations, and describes the commitment in imagery of medical physicists in three countries (Spain, Belgium and Germany). It analyses and describes the fields of intervention of medical physicists in imagery and identifies associated tasks in France (in equipment purchasing, equipment installation, equipment routine usage, patient care, nuclear medicine or internal vectorized radiotherapy, or staff training). Recommendations of a work-group about sizing criteria are proposed

  8. Concurrent Medical Conditions and Health Care Use and Needs among Children with Learning and Behavioral Developmental Disabilities, National Health Interview Survey, 2006-2010

    Science.gov (United States)

    Schieve, Laura A.; Gonzalez, Vanessa; Boulet, Sheree L.; Visser, Susanna N.; Rice, Catherine E.; Braun, Kim Van Naarden; Boyle, Coleen A.

    2012-01-01

    Studies document various associated health risks for children with developmental disabilities (DDs). Further study is needed by disability type. Using the 2006-2010 National Health Interview Surveys, we assessed the prevalence of numerous medical conditions (e.g. asthma, frequent diarrhea/colitis, seizures), health care use measures (e.g. seeing a…

  9. Robust Machine Learning Variable Importance Analyses of Medical Conditions for Health Care Spending.

    Science.gov (United States)

    Rose, Sherri

    2018-03-11

    To propose nonparametric double robust machine learning in variable importance analyses of medical conditions for health spending. 2011-2012 Truven MarketScan database. I evaluate how much more, on average, commercially insured enrollees with each of 26 of the most prevalent medical conditions cost per year after controlling for demographics and other medical conditions. This is accomplished within the nonparametric targeted learning framework, which incorporates ensemble machine learning. Previous literature studying the impact of medical conditions on health care spending has almost exclusively focused on parametric risk adjustment; thus, I compare my approach to parametric regression. My results demonstrate that multiple sclerosis, congestive heart failure, severe cancers, major depression and bipolar disorders, and chronic hepatitis are the most costly medical conditions on average per individual. These findings differed from those obtained using parametric regression. The literature may be underestimating the spending contributions of several medical conditions, which is a potentially critical oversight. If current methods are not capturing the true incremental effect of medical conditions, undesirable incentives related to care may remain. Further work is needed to directly study these issues in the context of federal formulas. © Health Research and Educational Trust.

  10. Concurrent medical conditions among pregnant women - ignore at their peril: report from an antenatal anesthesia clinic.

    Science.gov (United States)

    Weiniger, Carolyn F; Einav, Sharon; Elchalal, Uriel; Ozerski, Vladislav; Shatalin, Daniel; Ioscovich, Alexander; Ginosar, Yehuda

    2018-03-19

    Care of pregnant women with concurrent medical conditions can be optimized by multidisciplinary antenatal management. In the current study we describe women with concurrent medical conditions who attended our antenatal anesthesia clinic over a 14-year period, 2002-2015 and, based on the findings, we suggest new policies, strategies and practices to improve antenatal care. In 2002, an antenatal anesthesia clinic was established in Hadassah Medical Center. Each consultation focused on the concurrent medical condition. A written anesthesia strategy according to the medical condition and its anesthesia considerations was discussed and given to the patient. Data regarding clinic visits were recorded. A total of 451 clinic women attended the antenatal anesthesia clinic. Maternal age was 31.7 ± 6.0 years (mean ± SD), with gestational age of pregnancy 33.0 ± 5.4 weeks at the clinic visit. Musculoskeletal conditions (23% of all the women seen) were the most frequent concurrent conditions, followed by anesthesia related concerns 20%, neurologic conditions 19%, and cardiac conditions 15%. Women were provided plans that were deliberated carefully rather than being concocted during labor. A wide range of concurrent medical conditions was seen in the antenatal anesthesia clinic, however fewer women attended the clinic than expected according to known population frequencies of concurrent medical conditions. Women with concurrent medical conditions should have labor and anesthesia plans considered during the nine months of pregnancy, prior to delivery, and hospitals should have a means of obtaining this information in a timely manner. Finally, there is a need to develop additional antenatal anesthesia clinics.

  11. Development status of the experimental and numerical load analysis of package units CASTOR registered under drop test conditions

    International Nuclear Information System (INIS)

    Voelzer, Walter; Schaefer, Marc; Rumanus, Erkan; Liedtke, Ralph; Brehmer, Frank

    2012-01-01

    The mechanical integrity of package units CASTOR registered for a 9-m drop test under accident conditions has to be demonstrated according the requirements of IAEA among others. For reduction of the loads the containers have to be equipped with shock absorbers on the bottom and top sides. The determination of loads under drop test conditions can be performed with experimental or numerical methods. Due to the complexity of the load state and the verification of results both methods are usually used for integrity demonstration. The numerical codes have to model the short-term dynamic behavior of the whole container for different drop orientations and temperatures, local stress states have to be quantifiable for assessment. One of the problems is the modeling of the material behavior of wood that is used in the shock absorbers. The so far used energetic calculation approach will be replaced by a dynamic approach, the numerical models will have to be verified by experimental drop tests.

  12. Numerical investigation towards a HiTAC condition in a 9MW heavy fuel-oil boiler

    NARCIS (Netherlands)

    Zhu, Shanglong; Venneker, Bart; Roekaerts, Dirk; Pozarlik, Artur; van der Meer, Theo

    2013-01-01

    In this study, several conditions in a 9 MW heavy fuel-oil boiler were numerically studied in order to get a better understanding of the application of HiTAC in such a boiler. Simulations were done with an Euler- Lagrange approach. The Eddy Dissipation model was used for combustion. Simulation

  13. Effects of common chronic medical conditions on psychometric tests used to diagnose minimal hepatic encephalopathy

    DEFF Research Database (Denmark)

    Lauridsen, M M; Poulsen, L; Rasmussen, C K

    2016-01-01

    Many chronic medical conditions are accompanied by cognitive disturbances but these have only to a very limited extent been psychometrically quantified. An exception is liver cirrhosis where hepatic encephalopathy is an inherent risk and mild forms are diagnosed by psychometric tests. The preferred...... diagnostic test battery in cirrhosis is often the Continuous Reaction Time (CRT) and the Portosystemic Encephalopathy (PSE) tests but the effect on these of other medical conditions is not known. We aimed to examine the effects of common chronic (non-cirrhosis) medical conditions on the CRT and PSE tests. We...

  14. Numerical investigation of diffuse ceiling ventilation in an office under different operating conditions

    DEFF Research Database (Denmark)

    Hviid, Christian Anker; Petersen, Steffen

    2014-01-01

    is a numerical study of the performance of a six person office equipped with diffuse ventilation ceiling. In total six extreme, yet realistic, operation scenarios were simulated to study the performance including different occupancy, ventilation rates and supply air temperatures. The performance was studied...

  15. Numerical model simulations of boundary-layer dynamics during winter conditions

    DEFF Research Database (Denmark)

    Melas, D.; Persson, T.; Bruin, H. de

    2001-01-01

    A mesoscale numerical model, incorporating a land-surface scheme based on Deardorffs' approach, is used to study the diurnal variation of the boundary layer structure and surface fluxes during four consecutive days with air temperatures well below zero, snow covered ground and changing synoptic f...

  16. Experimental-numerical study of heat flow in deep low-enthalpy geothermal conditions

    NARCIS (Netherlands)

    Saeid, S.; Al-Khoury, R.; Nick, H.M.; Barends, F.

    2014-01-01

    This paper presents an intensive experimental-numerical study of heat flow in a saturated porous domain. A temperature and a flow rate range compared to that existing in a typical deep low-enthalpy hydrothermal system is studied. Two main issues are examined: the effect of fluid density and

  17. Root water extraction and limiting soil hydraulic conditions estimated by numerical simulation

    NARCIS (Netherlands)

    Jong van Lier, de Q.; Metselaar, K.; Dam, van J.C.

    2006-01-01

    Root density, soil hydraulic functions, and hydraulic head gradients play an important role in the determination of transpiration-rate-limiting soil water contents. We developed an implicit numerical root water extraction model to solve the Richards equation for the modeling of radial root water

  18. Psychiatric and Medical Conditions in Transition-Aged Individuals With ASD.

    Science.gov (United States)

    Davignon, Meghan N; Qian, Yinge; Massolo, Maria; Croen, Lisa A

    2018-04-01

    Children with autism spectrum disorder (ASD) have a variety of medical and psychiatric conditions and an increased use of health care services. There is limited information about the prevalence of psychiatric and medical conditions in adolescents and young adults with ASD. Our objective was to describe the frequency of medical and psychiatric conditions in a large population of diverse, insured transition-aged individuals with ASD. Participants included Kaiser Permanente Northern California members who were enrolled from 2013 to 2015 and who were 14 to 25 years old. Individuals with ASD ( n = 4123) were compared with peers with attention-deficit/hyperactivity disorder ( n = 20 615), diabetes mellitus ( n = 2156), and typical controls with neither condition ( n = 20 615). Over one-third (34%) of individuals with ASD had a co-occurring psychiatric condition; the most commonly reported medical conditions included infections (42%), obesity (25%), neurologic conditions (18%), allergy and/or immunologic conditions (16%), musculoskeletal conditions (15%), and gastrointestinal (11%) conditions. After controlling for sex, age, race, and duration of Kaiser Permanente Northern California membership, most psychiatric conditions were significantly more common in the ASD group than in each comparison group, and most medical conditions were significantly more common in the ASD group than in the attention-deficit/hyperactivity disorder and typical control groups but were similar to or significantly less common than the diabetes mellitus group. Although more research is needed to identify factors contributing to this excess burden of disease, there is a pressing need for all clinicians to approach ASD as a chronic health condition requiring regular follow-up and routine screening and treatment of medical and psychiatric issues. Copyright © 2018 by the American Academy of Pediatrics.

  19. Advancing medical-surgical nursing practice: improving management of the changing patient condition.

    Science.gov (United States)

    Monroe, Heidi; Plylar, Peggy; Krugman, Mary

    2014-01-01

    Higher patient acuities and more novice nurses on medical-surgical units have Educators focused on achieving positive outcomes with changes in patient condition. An educational program was developed to enhance nurses' knowledge, skill, and confidence in assessing hemodynamics, recognizing early signs of instability, and administering vasoactive medications. The program was successful with significant knowledge improvement as well as an increased use of the Medical Emergency Team while maintaining a low number of code calls.

  20. A Numerical Study of Nonlinear Nonhydrostatic Conditional Symmetric Instability in a Convectively Unstable Atmosphere.

    Science.gov (United States)

    Seman, Charles J.

    1994-06-01

    Nonlinear nonhydrostatic conditional symmetric instability (CSI) is studied as an initial value problem using a two-dimensional (y, z)nonlinear, nonhydrostatic numerical mesoscale/cloud model. The initial atmosphere for the rotating, baroclinic (BCF) simulation contains large convective available potential energy (CAPE). Analytical theory, various model output diagnostics, and a companion nonrotating barotropic (BTNF) simulation are used to interpret the results from the BCF simulation. A single warm moist thermal initiates convection for the two 8-h simulations.The BCF simulation exhibited a very intricate life cycle. Following the initial convection, a series of discrete convective cells developed within a growing mesoscale circulation. Between hours 4 and 8, the circulation grew upscale into a structure resembling that of a squall-line mesoscale convective system (MCS). The mesoscale updrafts were nearly vertical and the circulation was strongest on the baroclinically cool side of the initial convection, as predicted by a two-dimensional Lagrangian parcel model of CSI with CAPE. The cool-side mesoscale circulation grew nearly exponentially over the last 5 h as it slowly propagated toward the warm air. Significant vertical transport of zonal momentum occurred in the (multicellular) convection that developed, resulting in local subgeostrophic zonal wind anomalies aloft. Over time, geostrophic adjustment acted to balance these anomalies. The system became warm core, with mesohigh pressure aloft and mesolow pressure at the surface. A positive zonal wind anomaly also formed downstream from the mesohigh.Analysis of the BCF simulation showed that convective momentum transport played a key role in the evolution of the simulated MCS, in that it fostered the development of the nonlinear CSI on mesoscale time scales. The vertical momentum transport in the initial deep convection generated a subgeostrophic zonal momentum anomaly aloft; the resulting imbalance in pressure

  1. Numerical and Experimental Investigation on the Spray Coating Process Using a Pneumatic Atomizer: Influences of Operating Conditions and Target Geometries

    Directory of Open Access Journals (Sweden)

    Qiaoyan Ye

    2017-01-01

    Full Text Available This paper presents a numerical simulation of the spray painting process using a pneumatic atomizer with the help of a computational fluid dynamics code. The droplet characteristics that are necessary for the droplet trajectory calculation were experimentally investigated using different shaping air flow rates. It was found that the droplet size distribution depends on both the atomizing and the shaping air flow rate. An injection model for creating the initial droplet conditions is necessary for the spray painting simulation. An approach for creating these initial conditions has been proposed, which takes different operating conditions into account and is suitable for practical applications of spray coating simulation using spray guns. Further, tests on complicated targets and complex alignments of the atomizer have been carried out to verify this numerical approach. The results confirm the applicability and reliability of the chosen method for the painting process.

  2. Guide to Geriatric Syndromes: Common and Often Related Medical Conditions in Older Adults

    Science.gov (United States)

    ... and Often Related Medical Conditions in Older Adults Font size A A A Print Share Glossary previous ... provider so he or she can identify the type of sleep problem you have. Delirium : Many older ...

  3. Experimental and numerical study on inlet and outlet conditions of a bulb turbine with considering free surface

    International Nuclear Information System (INIS)

    Zhao, Y P; Liao, W L; Feng, H D; Ruan, H; Luo, X Q

    2012-01-01

    For a bulb turbine, it has a low head and a big runner diameter, and the free surface influences the flow at the inlet and outlet of the turbine, which bring many problems such as vibration, cracks and cavitation to the turbine. Therefore, it is difficult to get the precise internal flow characteristics through a numerical simulation with conventional ideal flow conditions. In this paper, both numerical and experimental methods are adopted to investigate the flow characteristics at the inlet and outlet of the bulb turbine with considering free surface. Firstly, experimental and numerical studies in a low head pressure pipeline are conducted, and the corresponding boundary condition according with reality is obtained through the comparison between the model test result and the CFD simulation result. Then, through an analysis of the velocity and pressure fields at the inlet of the bulb turbine at different heads, the flow characteristics and rules at the entrance of the bulb turbine have been revealed with considering free surface; Finally, the performance predictions for a bulb turbine have been conducted by using the obtained flow rules at the inlet as the boundary condition of a turbine, and the causes that lead to non-uniform forces on blades, cavitation and vibration have been illustrated in this paper, which also provide a theory basis for an accurate numerical simulation and optimization design of a bulb turbine.

  4. Systematic screening for unsafe driving due to medical conditions: Still debatable

    Directory of Open Access Journals (Sweden)

    Lagarde Emmanuel

    2008-01-01

    Full Text Available Abstract Background Assessing people's ability to drive has become a public health concern in most industrialized countries. Although age itself is not a predictive factor of an increased risk for dangerous driving, the prevalence of medical conditions that may impair driving increases with age. Because the implementation of a screening for unsafe driving due to medical conditions is a public health issue, its usefulness should be judged using standardised criteria already proposed for screening for chronic disease. The aim of this paper is to propose standardised criteria suitable to assess the scientific validity of screening for unsafe driving due to medical conditions, and identify potential issues to be clarified before screening can be implemented and effective. Discussion Using criteria developed for screening for chronic diseases and published studies on driving with medical conditions, we specify six criteria to judge the opportunity of screening for unsafe driving due to medical conditions. This adaptation was needed because of the complexity of the natural history of medical conditions and their potential consequences on driving and road safety. We then illustrate that published studies pleading for or against screening for unsafe driving due to medical conditions fail to provide the needed documentation. Individual criteria were mentioned in 3 to 72% of 36 papers pleading for or against screening. Quantitative estimates of relevant indicators were provided in at most 42% of papers, and some data, such as the definition of an appropriate unsafe driving period were never provided. Summary The standardised framework described in this paper provides a template for assessing the effectiveness (or lack of effectiveness of proposed measures for screening for unsafe driving due to medical conditions. Even if most criteria were mentioned in the published literature pleading for or against such a screening, the failure to find quantitative and

  5. [Modern approaches to the planning of the medical material support in conditions of daily activities].

    Science.gov (United States)

    Miroshnichenko, Iu V; Goriachev, A B; Krasavin, K D; Tikhonov, A V

    2012-07-01

    There are requirements producing to the planning in modem social and economic conditions: solidarity, participation, continuity, flexibility, accuracy. The authors made a conclusion that the main target of the planning of the medical material support is creating of conditions for highly effective function of the system of medical material support on the basis of long-time forecast of status and development of inner and outer factors.

  6. Numerical analysis for the conjugate heat transfer of skin under various temperature conditions of contrast therapy

    Energy Technology Data Exchange (ETDEWEB)

    Park, Da Ae; Oh, Han Nah; Choi, Hyoung Gwon [Dept. of Mechanical and Automotive Engineering, Seoul National University of Science and Technology, Seoul (Korea, Republic of); Jeon, Byoung Jin; Kim, Eun Jeoung; Lee, Seung Deok [Yonsei University, Seoul (Korea, Republic of)

    2015-11-15

    In this paper, the contrast therapy of skin was numerically investigated by solving the conjugate heat transfer problem. A finite volume method based on the SIMPLE algorithm was adopted to solve the axisymmetric incompressible Navier-Stokes equations, coupled with an energy equation. These equations are strongly coupled with the Pennes bio-heat equation in order to consider the effect of blood perfusion rate. We investigated the thermal response of skin at some selected depths for various input temperature profiles of a stimulator for contrast therapy. From the numerical simulations, the regions with cold/hot threshold temperatures were found for five input temperature profiles. It was shown that the temperature varies mildly for different input profiles as the depth increases, owing to the Pennes effect. The input temperatures for effective hot/cold stimulation of dermis layer were found to be 47 degrees C and 7 degrees C, respectively. The present numerical results will be used for finding an optimal temperature profile of a stimulator for contrast therapy.

  7. Structural performance of an IP2 package in free drop test conditions: Numerical and experimental evaluations

    International Nuclear Information System (INIS)

    Lo Frano, Rosa; Pugliese, Giovanni; Nasta, Marco

    2014-01-01

    Highlights: • Vertical free drop test. • Qualification of an IP2 type Italian packaging. • Numerical and experimental investigation of the package integrity. • Demonstration the Italian packaging meets safety requirements. - Abstract: The casks or packaging systems used for the transportation of nuclear materials, especially spent fuel elements, have to be designed according to rigorous acceptance requirements, like the IAEA ones, in order to provide protection to human beings and environment against radiation exposure and contamination. This study deals with the free drop test of an Italian design packaging system to be used for the transportation of low and intermediate level radioactive wastes. Impact drop experiments were performed in the Lab. Scalbatraio of the DICI – University of Pisa. Dynamic analyses too have been carried out, by refined models of both the cask and target surface to predict the effects of the impact shock (vertical drop) on the package. The experimental tests and numerical analyses are thoroughly compared, presented and discussed. The numerical approach shows to be suitable to reproduce with good reliability the test situations and results

  8. Boundary conditions for the numerical solution of elliptic equations in exterior regions

    International Nuclear Information System (INIS)

    Bayliss, A.; Gunzburger, M.; Turkel, E.

    1982-01-01

    Elliptic equations in exterior regions frequently require a boundary condition at infinity to ensure the well-posedness of the problem. Examples of practical applications include the Helmholtz equation and Laplace's equation. Computational procedures based on a direct discretization of the elliptic problem require the replacement of the condition at infinity by a boundary condition on a finite artificial surface. Direct imposition of the condition at infinity along the finite boundary results in large errors. A sequence of boundary conditions is developed which provides increasingly accurate approximations to the problem in the infinite domain. Estimates of the error due to the finite boundary are obtained for several cases. Computations are presented which demonstrate the increased accuracy that can be obtained by the use of the higher order boundary conditions. The examples are based on a finite element formulation but finite difference methods can also be used

  9. Utilization of emergency medical transports and hospital admissions among persons with behavioral health conditions.

    Science.gov (United States)

    Cuddeback, Gary; Patterson, P Daniel; Moore, Charity Galena; Brice, Jane H

    2010-04-01

    Emergency medical services transport and emergency department misuse among persons with behavioral health conditions is a concern. Administrative data were used to examine medical transports and hospital admissions among persons with behavioral health conditions. Data on 70,126 medical transports to emergency departments in three southeastern counties were analyzed. Compared with general medical transports, fewer behavioral health transports resulted in a hospital admission. Among behavioral health transports, persons with schizophrenia were 2.62 times more likely than those with substance use disorders to be admitted, and persons with mood disorders were 4.36 times more likely than those with substance use disorders to be admitted. Also, among behavioral health transports, rural transports were less likely than more urban transports to result in a hospital admission. More training of emergency medical services personnel and more behavioral health crisis resources, especially targeting rural areas and substance use disorders, are needed.

  10. A numerical investigation of the effect of ambient conditions on natural convection cooling of electronics

    DEFF Research Database (Denmark)

    Shojaee Nasirabadi, Parizad; Hattel, Jesper Henri

    2017-01-01

    Thermal management is a serious concern in electronic industry. It is important to understand the effects of ambient conditions on cooling of electronics. In this work, the effect of ambient conditions on the thermophysical properties of humid air is estimated in five cities (Copenhagen, Mashhad...

  11. Dynamic NMR under nonstationary conditions: Theoretical model, numerical calculation, and potential of application

    Energy Technology Data Exchange (ETDEWEB)

    Babailov, S. P., E-mail: babajlov@niic.nsc.ru [A. V. Nikolaevs Institute of Inorganic Chemistry, Siberian Branch, Russian Academy of Sciences, Novosibirsk (Russian Federation); National Research Tomsk Polytechnic University, Lenin Avenue 30, Tomsk 634050 (Russian Federation); Purtov, P. A. [Voevodsky Institute of Chemical Kinetics and Combustion, Siberian Branch of the Russian Academy of Sciences, Insitutskaya 3, 630090 Novosibirsk (Russian Federation); Fomin, E. S. [Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences, Av. Lavrentyev 10, 630090 Novosibirsk (Russian Federation)

    2016-08-07

    An expression has been derived for the time dependence of the NMR line shape for systems with multi-site chemical exchange in the absence of spin-spin coupling, in a zero saturation limit. The dynamics of variation of the NMR line shape with time is considered in detail for the case of two-site chemical exchange. Mathematical programs have been designed for numerical simulation of the NMR spectra of chemical exchange systems. The analytical expressions obtained are useful for NMR line shape simulations for systems with photoinduced chemical exchange.

  12. Organizing of medical ensurance of human population under extreme conditions. Summaries of reports of scientific-practical conference

    International Nuclear Information System (INIS)

    1994-01-01

    Summary of reports are presented of Scientific-Practical conference on the organizing of medical ensurance of human population under extreme conditions including radiation accidents. The conference held in Moscow in October, 1994. It covered problems of organizing medical ensurance of population, medical surveillance problems, sanitary-hygienic and epidemiological problems (including radiation protection), and medical provision problems under extreme conditions

  13. Numerical analysis of thermal-hydrological conditions in the single heater test at Yucca Mountain

    International Nuclear Information System (INIS)

    Birkholzer, Jens T.; Tsang, Yvonne W.

    1998-01-01

    The Single Heater Test (SHT) is one of two in-situ thermal tests included in the site characterization program for the potential underground nuclear waste repository at Yucca Mountain. The heating phase of the SHT started in August 1996, and was completed in May 1997 after 9 months of heating. The coupled processes in the unsaturated fractured rock mass around the heater were monitored by numerous sensors for thermal, hydrological, mechanical and chemical data. In addition to passive monitoring, active testing of the rock mass moisture content was performed using geophysical methods and air injection testing. The extensive data set available from this test gives a unique opportunity to improve the understanding of the thermal-hydrological situation in the natural setting of the repository rocks. The present paper focuses on the 3-D numerical simulation of the thermal-hydrological processes in the SHT using TOUGH2. In the comparative analysis, they are particularly interested in the accuracy of different fracture-matrix-interaction concepts such as the Effective Continuum (ECM), the Dual Continuum (DKM), and the Multiple Interacting Continua (MINC) method

  14. Numerical simulation of pore pressure changes in levee under flood conditions

    Science.gov (United States)

    Stanisz, Jacek; Borecka, Aleksandra; Pilecki, Zenon; Kaczmarczyk, Robert

    2017-11-01

    The article discusses the potential for using numerical simulation to assess the development of deformation and pore pressure changes in a levee as a result of the increase and decrease of the flood wave. The simulation made in FLAC 2D did not take into account the filter-erosion deformation associated with seepage in the levee. The simulations were carried out for a field experimental storage consisting of two combined levees, which was constructed with the help of homogeneous cohesive materials with different filtration coefficients. Calculated and measured pore pressure changes were analysed at 4 monitoring points. The water level was increased to 4 m in 96 hours and decreased in 120 hours. The characteristics of the calculated and measured pore pressure changes over time were similar. The maximum values of the calculated and measured pore pressure were almost identical. The only differences were the greater delay of the experimental levee response to changes in water level increase compared to the response of the numerical model. These differences were probably related to filtering-erosion effects during seepage in the levee.

  15. Use of exact albedo conditions in numerical methods for one-dimensional one-speed discrete ordinates eigenvalue problems

    International Nuclear Information System (INIS)

    Abreu, M.P. de

    1994-01-01

    The use of exact albedo boundary conditions in numerical methods applied to one-dimensional one-speed discrete ordinates (S n ) eigenvalue problems for nuclear reactor global calculations is described. An albedo operator that treats the reflector region around a nuclear reactor core implicitly is described and exactly was derived. To illustrate the method's efficiency and accuracy, it was used conventional linear diamond method with the albedo option to solve typical model problems. (author)

  16. Numerical simulation and experimental research on wake field of ships under off-design conditions

    Science.gov (United States)

    Guo, Chun-yu; Wu, Tie-cheng; Zhang, Qi; Gong, Jie

    2016-10-01

    Different operating conditions (e.g. design and off-design) may lead to a significant difference in the hydrodynamics performance of a ship, especially in the total resistance and wake field of ships. This work investigated the hydrodynamic performance of the well-known KRISO 3600 TEU Container Ship (KCS) under three different operating conditions by means of Particle Image Velocimetry (PIV) and Computational Fluid Dynamics (CFD). The comparison results show that the use of PIV to measure a ship's nominal wake field is an important method which has the advantages of being contactless and highly accurate. Acceptable agreements between the results obtained by the two different methods are achieved. Results indicate that the total resistances of the KCS model under two off-design conditions are 23.88% and 13.92% larger than that under the designed condition, respectively.

  17. Evaluation of conditions of radiation protection of medical personnel in intracavitary neutron therapy of cervical cancer

    International Nuclear Information System (INIS)

    Kostromina, K.N.; Korenkov, I.P.; Bocharov, A.L.; Gladkikh, N.N.

    1991-01-01

    Combined radiation therapy was provided to cervical cancer patients. Working conditions of personnel were examined, the rate of exposure doses and flows of neutrons at working places were measured, dose exposures of the personnel were evaluated. It has been concluded that occupational conditions for the medical personnel are considered to be relatively safe

  18. Price elasticity and medication use: cost sharing across multiple clinical conditions.

    Science.gov (United States)

    Gatwood, Justin; Gibson, Teresa B; Chernew, Michael E; Farr, Amanda M; Vogtmann, Emily; Fendrick, A Mark

    2014-11-01

    To address the impact that out-of-pocket prices may have on medication use, it is vital to understand how the demand for medications may be affected when patients are faced with changes in the price to acquire treatment and how price responsiveness differs across medication classes.  To examine the impact of cost-sharing changes on the demand for 8 classes of prescription medications. This was a retrospective database analysis of 11,550,363 commercially insured enrollees within the 2005-2009 MarketScan Database. Patient cost sharing, expressed as a price index for each medication class, was the main explanatory variable to examine the price elasticity of demand. Negative binomial fixed effect models were estimated to examine medication fills. The elasticity estimates reflect how use changes over time as a function of changes in copayments. Model estimates revealed that price elasticity of demand ranged from -0.015 to -0.157 within the 8 categories of medications (P  less than  0.01 for 7 of 8 categories). The price elasticity of demand for smoking deterrents was largest (-0.157, P  less than  0.0001), while demand for antiplatelet agents was not responsive to price (P  greater than 0.05). The price elasticity of demand varied considerably by medication class, suggesting that the influence of cost sharing on medication use may be related to characteristics inherent to each medication class or underlying condition.

  19. Sociodemographic disparities in the occurrence of medical conditions among adolescent and young adult Hodgkin lymphoma survivors.

    Science.gov (United States)

    Keegan, Theresa H M; Li, Qian; Steele, Amy; Alvarez, Elysia M; Brunson, Ann; Flowers, Christopher R; Glaser, Sally L; Wun, Ted

    2018-06-01

    Hodgkin lymphoma (HL) survivors experience high risks of second cancers and cardiovascular disease, but no studies have considered whether the occurrence of these and other medical conditions differ by sociodemographic factors in adolescent and young adult (AYA) survivors. Data for 5,085 patients aged 15-39 when diagnosed with HL during 1996-2012 and surviving ≥ 2 years were obtained from the California Cancer Registry and linked to hospitalization data. We examined the impact of race/ethnicity, neighborhood socioeconomic status (SES), and health insurance on the occurrence of medical conditions (≥ 2 years after diagnosis) and the impact of medical conditions on survival using multivariable Cox proportional hazards regression. Twenty-six percent of AYAs experienced at least one medical condition and 15% had ≥ 2 medical conditions after treatment for HL. In multivariable analyses, Black HL survivors had a higher likelihood (vs. non-Hispanic Whites) of endocrine [hazard ratio (HR) = 1.37, 95% confidence interval (CI) 1.05-1.78] and circulatory system diseases (HR = 1.58, CI 1.17-2.14); Hispanics had a higher likelihood of endocrine diseases [HR = 1.24 (1.04-1.48)]. AYAs with public or no insurance (vs. private/military) had higher likelihood of circulatory system diseases, respiratory system diseases, chronic kidney disease/renal failure, liver disease, and endocrine diseases. AYAs residing in low SES neighborhoods (vs. high) had higher likelihood of respiratory system and endocrine diseases. AYAs with these medical conditions or second cancers had an over twofold increased risk of death. Strategies to improve health care utilization for surveillance and secondary prevention among AYA HL survivors at increased risk of medical conditions may improve outcomes.

  20. Numerical analysis of pressure and porosity evolution in lava domes during periodic degassing conditions

    Science.gov (United States)

    Hyman, D.; Bursik, M. I.; Pitman, E. B.

    2017-12-01

    The collapse or explosive breakup of growing and degassing lava domes presents a significant hazard due to the generation of dense, mobile pyroclastic flows as well as the wide dispersal of dense ballistic blocks. Lava dome stability is in large part governed by the balance of transport and storage of gas within the pore space. Because pore pressurization reduces the effective stress within a dome, the transient distribution of elevated gas pressure is critically important to understanding dome break up. We combine mathematical and numerical analyses to gain a better understanding of the temporal variation in gas flow and storage within the dome system. In doing so, we develop and analyze new governing equations describing nonlinear gas pressure diffusion in a deforming dome with an evolving porosity field. By relating porosity, permeability, and pressure, we show that the flux of gas through a dome is highly sensitive to the porosity distribution and viscosity of the lava, as well as the timescale and magnitude of the gas supply. The numerical results suggest that the diffusion of pressure and porosity variations play an integral role in the cyclic growth and destruction of small domes.The nearly continuous cycles of lava dome growth, pressurization, and failure that have characterized the last two decades of eruptive history at Volcán Popocatépetl, Mexico provide excellent natural data with which to compare new models of transient dome pressurization. At Popocatépetl, periodic pressure increases brought on by changes in gas supply into the base of the dome may play a role in its cyclic growth and destruction behavior. We compare our model of cyclic pressurization with lava dome survival data from Popocatépetl. We show that transient changes in pore pressure explain how small lava domes evolve to a state of criticality before explosion or collapse. Additionally, numerical analyses presented here suggest that short-term oscillations cannot arise within the dome

  1. An 8-year Retrospective Review of Gastrointestinal Medical Emergency Conditions at a Tertiary Health Facility in Nigeria

    Directory of Open Access Journals (Sweden)

    Oguntoye Oluwatosin Oluwagbenga

    2018-03-01

    Conclusion: Gastrointestinal medical conditions are common indications for emergency admission. Measures should be taken to avoid these preventable conditions in a bid to reduce their morbidity and mortality.

  2. Numerical simulation of a full-loop circulating fluidized bed under different operating conditions

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Yupeng [National Energy Technology Lab. (NETL), Morgantown, WV (United States); Musser, Jordan M. [National Energy Technology Lab. (NETL), Morgantown, WV (United States); Li, Tingwen [National Energy Technology Lab. (NETL), Morgantown, WV (United States); AECOM, Morgantown, WV (United States); Rogers, William A. [National Energy Technology Lab. (NETL), Morgantown, WV (United States)

    2017-10-17

    Both experimental and computational studies of the fluidization of high-density polyethylene (HDPE) particles in a small-scale full-loop circulating fluidized bed are conducted. Experimental measurements of pressure drop are taken at different locations along the bed. The solids circulation rate is measured with an advanced Particle Image Velocimetry (PIV) technique. The bed height of the quasi-static region in the standpipe is also measured. Comparative numerical simulations are performed with a Computational Fluid Dynamics solver utilizing a Discrete Element Method (CFD-DEM). This paper reports a detailed and direct comparison between CFD-DEM results and experimental data for realistic gas-solid fluidization in a full-loop circulating fluidized bed system. The comparison reveals good agreement with respect to system component pressure drop and inventory height in the standpipe. In addition, the effect of different drag laws applied within the CFD simulation is examined and compared with experimental results.

  3. Palliative Care Medical Education in European Universities: A Descriptive Study and Numerical Scoring System Proposal for Assessing Educational Development.

    Science.gov (United States)

    Carrasco, José Miguel; Lynch, Thomas J; Garralda, Eduardo; Woitha, Kathrin; Elsner, Frank; Filbet, Marilène; Ellershaw, John E; Clark, David; Centeno, Carlos

    2015-10-01

    The lack of palliative medicine (PM) education has been identified as a barrier to the development of the discipline. A number of international institutions have called for its implementation within undergraduate medical curricula. The objectives are to describe the situation of undergraduate PM education in Europe and to propose a scoring system to evaluate its status. This descriptive study was conducted with data provided by key experts from countries of the World Health Organization European Region (n = 53). A numerical scoring system was developed through consensus techniques. Forty-three countries (81%) provided the requested information. In 13 countries (30%), a PM course is taught in all medical schools, being compulsory in six of them (14%). In 15 countries (35%), PM is taught in at least one university. In 14 countries (33%), PM is not taught within medical curricula. A full professor of PM was identified in 40% of countries. Three indicators were developed to construct a scale (rank 0-100) of educational development: 1) proportion of medical schools that teach PM (weight = 32%); 2) proportion of medical schools that offer PM as a compulsory subject (weight = 40%); 3) total number of PM professors (weight = 28%). The highest level of PM educational development was found in Israel, Norway, the U.K., Belgium, France, Austria, Germany, and Ireland. PM is taught in a substantial number of undergraduate medical programs at European universities, and a qualified teaching structure is emerging; however, there is a wide variation in the level of PM educational development between individual countries. Copyright © 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  4. Numerical Simulation of Bulging Deformation for Wide-Thick Slab Under Uneven Cooling Conditions

    Science.gov (United States)

    Wu, Chenhui; Ji, Cheng; Zhu, Miaoyong

    2018-02-01

    In the present work, the bulging deformation of a wide-thick slab under uneven cooling conditions was studied using finite element method. The non-uniform solidification was first calculated using a 2D heat transfer model. The thermal material properties were derived based on a microsegregation model, and the water flux distribution was measured and applied to calculate the cooling boundary conditions. Based on the solidification results, a 3D bulging model was established. The 2D heat transfer model was verified by the measured shell thickness and the slab surface temperature, and the 3D bulging model was verified by the calculated maximum bulging deflections using formulas. The bulging deformation behavior of the wide-thick slab under uneven cooling condition was then determined, and the effect of uneven solidification, casting speed, and roll misalignment were investigated.

  5. Numerical Simulation of Bulging Deformation for Wide-Thick Slab Under Uneven Cooling Conditions

    Science.gov (United States)

    Wu, Chenhui; Ji, Cheng; Zhu, Miaoyong

    2018-06-01

    In the present work, the bulging deformation of a wide-thick slab under uneven cooling conditions was studied using finite element method. The non-uniform solidification was first calculated using a 2D heat transfer model. The thermal material properties were derived based on a microsegregation model, and the water flux distribution was measured and applied to calculate the cooling boundary conditions. Based on the solidification results, a 3D bulging model was established. The 2D heat transfer model was verified by the measured shell thickness and the slab surface temperature, and the 3D bulging model was verified by the calculated maximum bulging deflections using formulas. The bulging deformation behavior of the wide-thick slab under uneven cooling condition was then determined, and the effect of uneven solidification, casting speed, and roll misalignment were investigated.

  6. High-resolution numerical modeling of meteorological and hydrological conditions during May 2014 floods in Serbia

    Science.gov (United States)

    Vujadinovic, Mirjam; Vukovic, Ana; Cvetkovic, Bojan; Pejanovic, Goran; Nickovic, Slobodan; Djurdjevic, Vladimir; Rajkovic, Borivoj; Djordjevic, Marija

    2015-04-01

    In May 2014 west Balkan region was affected by catastrophic floods in Serbia, Bosnia and Herzegovina and eastern parts of Croatia. Observed precipitation amount were extremely high, on many stations largest ever recorded. In the period from 12th to 18th of May, most of Serbia received between 50 to 100 mm of rainfall, while western parts of the country, which were influenced the most, had over 200 mm of rainfall, locally even more than 300 mm. This very intense precipitation came when the soil was already saturated after a very wet period during the second half of April and beginning of May, when most of Serbia received between 120 i 170 mm of rainfall. New abundant precipitation on already saturated soil increased surface and underground water flow, caused floods, soil erosion and landslides. High water levels, most of them record breaking, were measured on the Sava, Drina, Dunav, Kolubara, Ljig, Ub, Toplica, Tamnava, Jadar, Zapadna Morava, Velika Morava, Mlava and Pek river. Overall, two cities and 17 municipals were severely affected by the floods, 32000 people were evacuated from their homes, while 51 died. Material damage to the infrastructure, energy power system, crops, livestock funds and houses is estimated to more than 2 billion euro. Although the operational numerical weather forecast gave in generally good precipitation prediction, flood forecasting in this case was mainly done through the expert judgment rather than relying on dynamic hydrological modeling. We applied an integrated atmospheric-hydrologic modelling system to some of the most impacted catchments in order to timely simulate hydrological response, and examine its potentials as a flood warning system. The system is based on the Non-hydrostatic Multiscale Model NMMB, which is a numerical weather prediction model that can be used on a broad range of spatial and temporal scales. Its non-hydrostatic module allows high horizontal resolution and resolving cloud systems as well as large

  7. Clinical studies on health conditions of medical diagnostic X-ray workers

    International Nuclear Information System (INIS)

    Liu Liqun

    1984-01-01

    The results of investigations on general health conditions of 2484 medical X-ray workers and 1718 controls were reported. It was shown that the incidences of neurasthenic syndrome, loss of appetite, baldness etc. in X-ray workers were statistically higher than those in controls. Chronic rhinitis, pharyngitis, and paranasal sinusitis also occurred more frequently in the former group. The blood pressure, pulse rate, capillary resistance and past medical history showed no significant difference between these two groups. (Author)

  8. Clinical studies on health conditions of medical diagnostic X-ray workers

    Energy Technology Data Exchange (ETDEWEB)

    Liqun, Liu

    1984-10-01

    The results of investigations on general health conditions of 2484 medical X-ray workers and 1718 controls were reported. It was shown that the incidences of neurasthenic syndrome, loss of appetite, baldness etc. in X-ray workers were statistically higher than those in controls. Chronic rhinitis, pharyngitis, and paranasal sinusitis also occurred more frequently in the former group. The blood pressure, pulse rate, capillary resistance and past medical history showed no significant difference between these two groups. (Author).

  9. Examining the effect of adverse geological conditions on jamming of a single shielded TBM in Uluabat tunnel using numerical modeling

    Directory of Open Access Journals (Sweden)

    Rohola Hasanpour

    2017-12-01

    Full Text Available Severe shield jamming events have been reported during excavation of Uluabat tunnel through adverse geological conditions, which resulted in several stoppages at advancing a single shielded tunnel boring machine (TBM. To study the jamming mechanism, three-dimensional (3D simulation of the machine and surrounding ground was implemented using the finite difference code FLAC3D. Numerical analyses were performed for three sections along the tunnel with a higher risk for entrapment due to the combination of overburden and geological conditions. The computational results including longitudinal displacement contours and ground pressure profiles around the shield allow a better understanding of ground behavior within the excavation. Furthermore, they allow realistically assessing the impact of adverse geological conditions on shield jamming. The calculated thrust forces, which are required to move the machine forward, are in good agreement with field observations and measurements. It also proves that the numerical analysis can effectively be used for evaluating the effect of adverse geological environment on TBM entrapments and can be applied to prediction of loads on the shield and pre-estimating of the required thrust force during excavation through adverse ground conditions.

  10. Adhesion of leukocytes under oscillating stagnation point conditions: a numerical study.

    Science.gov (United States)

    Walker, P G; Alshorman, A A; Westwood, S; David, T

    2002-01-01

    Leukocyte recruitment from blood to the endothelium plays an important role in atherosclerotic plaque formation. Cells show a primary and secondary adhesive process with primary bonds responsible for capture and rolling and secondary bonds for arrest. Our objective was to investigate the role played by this process on the adhesion of leukocytes in complex flow. Cells were modelled as rigid spheres with spring like adhesion molecules which formed bonds with endothelial receptors. Models of bond kinetics and Newton's laws of motion were solved numerically to determine cell motion. Fluid force was obtained from the local shear rate obtained from a CFD simulation of the flow over a backward facing step.In stagnation point flow the shear rate near the stagnation point has a large gradient such that adherent cells in this region roll to a high shear region preventing permanent adhesion. This is enhanced if a small time dependent perturbation is imposed upon the stagnation point. For lower shear rates the cell rolling velocity may be such that secondary bonds have time to form. These bonds resist the lower fluid forces and consequently there is a relatively large permanent adhesion region.

  11. Numerical Modeling of MILD Combustion at High Pressure to Predict the Optimal Operating Conditions

    KAUST Repository

    Vanteru, Mahendra Reddy; Roberts, William L.

    2017-01-01

    This Chapter presents numerical simulation on MILD combustion operating at high pressure. Influence of preheat and dilution of oxidizer and operating pressure on stabilization of MILD combustion are presented. Three different preheat temperatures (1100, 1300 and 1500 K) and three different dilution levels (3, 6 and 9% O2) are simulated over an operating pressure variation from 1 atm to 16 atm. A classical jet in hot coflow burner is considered for this study. Total of 45 cases are simulated and analyzed. Essential characteristics of MILD combustion, i.e., maximum temperature (Tmax), temperature rise (ΔT) and temperature distributions, are analyzed. The distribution of emissions OH and CO are also studied and presented. Well-stabilized MILD combustion is observed for all cases except for two cases with high preheated (1500 K). Peak temperature is observed to decrease with increasing operating pressure for a given level of preheat and dilution. OH mass faction is reduced with increasing pressure. The CO emissions show little sensitivity to operating pressure. However, CO mass fraction is slightly higher at 1 atm operating pressure as compared to 4 to 16 atm. Since the residence time of reactants increases as the operating pressure increases, well-stabilized MILD combustion is observed for all highly diluted and low temperature preheat cases (3% O2 and 1100 K).

  12. Numerical Modeling of MILD Combustion at High Pressure to Predict the Optimal Operating Conditions

    KAUST Repository

    Vanteru, Mahendra Reddy

    2017-02-01

    This Chapter presents numerical simulation on MILD combustion operating at high pressure. Influence of preheat and dilution of oxidizer and operating pressure on stabilization of MILD combustion are presented. Three different preheat temperatures (1100, 1300 and 1500 K) and three different dilution levels (3, 6 and 9% O2) are simulated over an operating pressure variation from 1 atm to 16 atm. A classical jet in hot coflow burner is considered for this study. Total of 45 cases are simulated and analyzed. Essential characteristics of MILD combustion, i.e., maximum temperature (Tmax), temperature rise (ΔT) and temperature distributions, are analyzed. The distribution of emissions OH and CO are also studied and presented. Well-stabilized MILD combustion is observed for all cases except for two cases with high preheated (1500 K). Peak temperature is observed to decrease with increasing operating pressure for a given level of preheat and dilution. OH mass faction is reduced with increasing pressure. The CO emissions show little sensitivity to operating pressure. However, CO mass fraction is slightly higher at 1 atm operating pressure as compared to 4 to 16 atm. Since the residence time of reactants increases as the operating pressure increases, well-stabilized MILD combustion is observed for all highly diluted and low temperature preheat cases (3% O2 and 1100 K).

  13. Numerical Simulation of Interactions between Corrosion Pits on Stainless Steel under Loading Conditions

    International Nuclear Information System (INIS)

    Wang, Haitao; Han, En-Hou

    2017-01-01

    The interactions between corrosion pits on stainless steel under loading conditions are studied by using a cellular automata model coupled with finite element method at a mesoscopic scale. The cellular automata model focuses on a metal/film/electrolyte system, including anodic dissolution, passivation, diffusion of hydrogen ions and salt film hydrolysis. The Chopard block algorithm is used to improve the diffusion simulation efficiency. The finite element method is used to calculate the stress concentration on the pit surface during pit growth, and the effect of local stress and strain on anodic current is obtained by using the Gutman model, which is used as the boundary conditions of the cellular automata model. The transient current characteristics of the interactions between corrosion pits under different simulation factors including the breakdown of the passive film at the pit mouth and the diffusion of hydrogen ions are analyzed. The analysis of the pit stability product shows that the simulation results are close to the experimental conclusions.

  14. Numerical Simulation of Interactions between Corrosion Pits on Stainless Steel under Loading Conditions

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Haitao; Han, En-Hou [Chinese Academy of Sciences, Shenyang (China)

    2017-04-15

    The interactions between corrosion pits on stainless steel under loading conditions are studied by using a cellular automata model coupled with finite element method at a mesoscopic scale. The cellular automata model focuses on a metal/film/electrolyte system, including anodic dissolution, passivation, diffusion of hydrogen ions and salt film hydrolysis. The Chopard block algorithm is used to improve the diffusion simulation efficiency. The finite element method is used to calculate the stress concentration on the pit surface during pit growth, and the effect of local stress and strain on anodic current is obtained by using the Gutman model, which is used as the boundary conditions of the cellular automata model. The transient current characteristics of the interactions between corrosion pits under different simulation factors including the breakdown of the passive film at the pit mouth and the diffusion of hydrogen ions are analyzed. The analysis of the pit stability product shows that the simulation results are close to the experimental conclusions.

  15. Numerical Simulations of Evaporating Sprays in High Pressure and Temperature Operating Conditions (Engine Combustion Network [ECN])

    Science.gov (United States)

    2014-05-01

    temperature effect in nonreacting and reacting diesel sprays using a novel injector , and imaging diagnostics for liquid phase penetration, light-off...ambient conditions. A single hole, modern common rail injector with an injector diameter of 90 µ (Bosch CRIN 2.4) is used at typical diesel injection...Temperature (K) 363 Ambient temperature (K) 900 Nozzle Diameter (mm) 0.09 Ambient density (kg/m3) 22.8 Injection Duration (ms) 1.5 Number of injector holes

  16. Numerical estimate of fracture parameters under elastic and elastic-plastic conditions

    International Nuclear Information System (INIS)

    Soba, Alejandro; Denis, Alicia C.

    2003-01-01

    The importance of the stress intensity factor K in the elastic fracture analysis is well known. In this work three methods are developed to estimate the parameter K I , corresponding to the normal loading mode, employing the finite elements method. The elastic-plastic condition is also analyzed, where the line integral J is the relevant parameter. Two cases of interest are studied: sample with a crack in its center and tubes with internal pressure. (author)

  17. Numerical investigations of rib fracture failure models in different dynamic loading conditions.

    Science.gov (United States)

    Wang, Fang; Yang, Jikuang; Miller, Karol; Li, Guibing; Joldes, Grand R; Doyle, Barry; Wittek, Adam

    2016-01-01

    Rib fracture is one of the most common thoracic injuries in vehicle traffic accidents that can result in fatalities associated with seriously injured internal organs. A failure model is critical when modelling rib fracture to predict such injuries. Different rib failure models have been proposed in prediction of thorax injuries. However, the biofidelity of the fracture failure models when varying the loading conditions and the effects of a rib fracture failure model on prediction of thoracic injuries have been studied only to a limited extent. Therefore, this study aimed to investigate the effects of three rib failure models on prediction of thoracic injuries using a previously validated finite element model of the human thorax. The performance and biofidelity of each rib failure model were first evaluated by modelling rib responses to different loading conditions in two experimental configurations: (1) the three-point bending on the specimen taken from rib and (2) the anterior-posterior dynamic loading to an entire bony part of the rib. Furthermore, the simulation of the rib failure behaviour in the frontal impact to an entire thorax was conducted at varying velocities and the effects of the failure models were analysed with respect to the severity of rib cage damages. Simulation results demonstrated that the responses of the thorax model are similar to the general trends of the rib fracture responses reported in the experimental literature. However, they also indicated that the accuracy of the rib fracture prediction using a given failure model varies for different loading conditions.

  18. Numerical investigation of the effect of friction conditions to increase die life

    Science.gov (United States)

    Mutlu, M. O.; Guleryuz, C. G.; Parlar, Z.

    2017-02-01

    The standard die materials in aluminium extrusion offer good mechanical properties like high tempering resistance, high strength and ductility. On the other hand, they struggle with the problem of sliding wear. As a result, there is a growing interest in using surface treatment techniques to increase the wear resistance of extrusion dies. In this study, it is aimed to observe the effects of the different friction conditions on material flow and contact pressure in extrusion process. These friction conditions can be obtained with the application of a variety of surface treatment. In this way, it is expected to decrease the friction force on the die bearing area and to increase the homogeneity of the material flow which will result in the increase of the quality of the extrudate as well as the improvement of the process economically by extending die life. For this purpose, an extrusion process is simulated with a finite element software. A die made of 1.2344 hot work tool steel-commonly used die material for aluminium extrusion process- has been modelled and Al 1100 alloy used as billet material. Various friction factor values defined on the die surface under the same process parameters and effects of changing frictional conditions on the die and the extrusion process have been discussed.

  19. Co-occurrence of medical conditions: Exposing patterns through probabilistic topic modeling of snomed codes.

    Science.gov (United States)

    Bhattacharya, Moumita; Jurkovitz, Claudine; Shatkay, Hagit

    2018-04-12

    Patients associated with multiple co-occurring health conditions often face aggravated complications and less favorable outcomes. Co-occurring conditions are especially prevalent among individuals suffering from kidney disease, an increasingly widespread condition affecting 13% of the general population in the US. This study aims to identify and characterize patterns of co-occurring medical conditions in patients employing a probabilistic framework. Specifically, we apply topic modeling in a non-traditional way to find associations across SNOMED-CT codes assigned and recorded in the EHRs of >13,000 patients diagnosed with kidney disease. Unlike most prior work on topic modeling, we apply the method to codes rather than to natural language. Moreover, we quantitatively evaluate the topics, assessing their tightness and distinctiveness, and also assess the medical validity of our results. Our experiments show that each topic is succinctly characterized by a few highly probable and unique disease codes, indicating that the topics are tight. Furthermore, inter-topic distance between each pair of topics is typically high, illustrating distinctiveness. Last, most coded conditions grouped together within a topic, are indeed reported to co-occur in the medical literature. Notably, our results uncover a few indirect associations among conditions that have hitherto not been reported as correlated in the medical literature. Copyright © 2018. Published by Elsevier Inc.

  20. Numerically Analysed Thermal Condition of Hearth Rollers with the Water-Cooled Shaft

    Directory of Open Access Journals (Sweden)

    A. V. Ivanov

    2016-01-01

    Full Text Available Continuous furnaces with roller hearth have wide application in the steel industry. Typically, furnaces with roller hearth belong to the class of medium-temperature heat treatment furnaces, but can be used to heat the billets for rolling. In this case, the furnaces belong to the class of high temperature heating furnaces, and their efficiency depends significantly on the reliability of the roller hearth furnace. In the high temperature heating furnaces are used three types of watercooled shaft rollers, namely rollers without insulation, rollers with insulating screens placed between the barrel and the shaft, and rollers with bulk insulation. The definition of the operating conditions of rollers with water-cooled shaft greatly facilitates the choice of their design parameters when designing. In this regard, at the design stage of the furnace with roller hearth, it is important to have information about the temperature distribution in the body of the rollers at various operating conditions. The article presents the research results of the temperature field of the hearth rollers of metallurgical heating furnaces. Modeling of stationary heat exchange between the oven atmosphere and a surface of rollers, and between the cooling water and shaft was executed by finite elements method. Temperature fields in the water-cooled shaft rollers of various designs are explored. The water-cooled shaft rollers without isolation, rollers with screen and rollers with bulk insulation, placed between the barrel and the water-cooled shaft were investigated. Determined the change of the thermo-physic parameters of the coolant, the temperature change of water when flowing in a pipe and shaft, as well as the desired pressure to supply water with a specified flow rate. Heat transfer coefficients between the cooling water and the shaft were determined directly during the solution based on the specified boundary conditions. Found that the greatest heat losses occur in the

  1. A numerical study of magnetohydrodynamics flow in Casson nanofluid combined with Joule heating and slip boundary conditions

    Directory of Open Access Journals (Sweden)

    A. Kamran

    Full Text Available A numerical study of Casson nanofluid past horizontal stretching surface with magnetic effect and Joule heating are presented. Slip and thermal convective boundary conditions are considered in the study. A numerical technique of Keller box is applied to the nonlinear ODEs which are obtained by applying the similarity transformation to the nonlinear partial differential equations. The magnetic field and Joule heating effects are observed graphically. Also the strength of convective heat exchange (Nusselt number and the strength of mass exchange (Sherwood number are analyzed. It is noted that Nusselt number declines whereas Sherwood number rises by increasing Eckert number. The impact of increasing Hartman number resulted in the decrease of both Sherwood and Nusselt number. Keywords: Casson nanofluid, Magnetohydrodynamic, Joule heating, Keller box method

  2. Numerical analysis of high-speed Lithium jet flow under vacuum conditions

    International Nuclear Information System (INIS)

    Gordeev, Sergej; Groeschel, Friedrich; Stieglitz, Robert

    2016-01-01

    The EVEDA Li test loop (ELTL) [1] is aimed at validating the hydraulic stability of the Lithium (Li) target at a velocity up to 20 m/s at vacuum (≈10 −3 Pa). The ELTL has been designed to demonstrate the feasibility of the major components providing a neutron production liquid Li target for IFMIF. The rectangular shaped Li jet (cross-section 25 mm × 100 mm) necessitates for heat removal flow velocities of 15–20 m/s along a concave shaped back wall (curvature radius 250 mm) towards the outlet pipe, where the Li jet is subjected to vacuum before it finally enters the collecting quench tank. During the validation experiments within the ELTL acoustic waves within the target outlet pipe have been recorded, indicating potential cavitation processes in the jet impinging region, which may cause premature failures. In order to identify potential cavitation phenomena in correlation with the free jet flow in the outlet pipe a numerical study has been performed. The comparison measured and simulated acoustic emissions exhibits that experimentally deduced cavitation area coincides with the location of the jet wall impingement. The simulations further reveal that a part of the fluid after striking the wall even flows opposite to the gravity vector. This reversed flow is inherently unstable and characterized by waves at first growing and then bursting into droplets. The intense generation of small droplets increases significantly the Li free surface area and lead to a production of Li vapour, which is captured by the jet flow and reintroduced in the main flow. As the static pressure is recovered downstream due to jet impact, the vapour bubbles collapse and hence cavitation likely occurs.

  3. Numerical analysis of high-speed Lithium jet flow under vacuum conditions

    Energy Technology Data Exchange (ETDEWEB)

    Gordeev, Sergej, E-mail: sergej.gordeev@kit.edu; Groeschel, Friedrich; Stieglitz, Robert

    2016-11-01

    The EVEDA Li test loop (ELTL) [1] is aimed at validating the hydraulic stability of the Lithium (Li) target at a velocity up to 20 m/s at vacuum (≈10{sup −3} Pa). The ELTL has been designed to demonstrate the feasibility of the major components providing a neutron production liquid Li target for IFMIF. The rectangular shaped Li jet (cross-section 25 mm × 100 mm) necessitates for heat removal flow velocities of 15–20 m/s along a concave shaped back wall (curvature radius 250 mm) towards the outlet pipe, where the Li jet is subjected to vacuum before it finally enters the collecting quench tank. During the validation experiments within the ELTL acoustic waves within the target outlet pipe have been recorded, indicating potential cavitation processes in the jet impinging region, which may cause premature failures. In order to identify potential cavitation phenomena in correlation with the free jet flow in the outlet pipe a numerical study has been performed. The comparison measured and simulated acoustic emissions exhibits that experimentally deduced cavitation area coincides with the location of the jet wall impingement. The simulations further reveal that a part of the fluid after striking the wall even flows opposite to the gravity vector. This reversed flow is inherently unstable and characterized by waves at first growing and then bursting into droplets. The intense generation of small droplets increases significantly the Li free surface area and lead to a production of Li vapour, which is captured by the jet flow and reintroduced in the main flow. As the static pressure is recovered downstream due to jet impact, the vapour bubbles collapse and hence cavitation likely occurs.

  4. Numerical simulations of the first operational conditions of the negative ion test facility SPIDER

    International Nuclear Information System (INIS)

    Serianni, G.; Agostinetti, P.; Antoni, V.; Baltador, C.; Chitarin, G.; Marconato, N.; Pasqualotto, R.; Sartori, E.; Toigo, V.; Veltri, P.; Cavenago, M.

    2016-01-01

    In view of the realization of the negative ion beam injectors for ITER, a test facility, named SPIDER, is under construction in Padova (Italy) to study and optimize production and extraction of negative ions. The present paper is devoted to the analysis of the expected first operations of SPIDER in terms of single-beamlet and multiple-beamlet simulations of the hydrogen beam optics in various operational conditions. The effectiveness of the methods adopted to compensate for the magnetic deflection of the particles is also assessed. Indications for a sequence of the experimental activities are obtained

  5. [Medical and social condition of families of patients with multiple sclerosis].

    Science.gov (United States)

    Lugovtsova, Y A; Karnaukh, V N

    2015-01-01

    To analyze the medical and social condition of 70 families having a member with multiple sclerosis of working age. We used the classification of types and kinds of families of chronically ill patients of working-age that included two sections - grouping families by health and social status. By medical condition, most families are assessed as dysfunctional II degree, by welfare as at risk families. Both health and social status of the family depends on a number of social factors as well as the clinical characteristics of the disease, in particular, type of disease course and severity of neurological deficit.

  6. Psychological factors affecting medical condition: a new proposal for DSM-V.

    Science.gov (United States)

    Fava, Giovanni A; Fabbri, Stefania; Sirri, Laura; Wise, Thomas N

    2007-01-01

    The DSM category of "psychological factors affecting medical condition" had virtually no impact on clinical practice. However, several clinically relevant psychosomatic syndromes have been described in the literature: disease phobia, persistent somatization, conversion symptoms, illness denial, demoralization, and irritable mood. These syndromes, in addition to the DSM definition of hypochondriasis, can yield clinical specification in the category of "psychological factors affecting medical condition" and eliminate the need for the highly criticized DSM classification of somatoform disorders. This new classification is supported by a growing body of research evidence and is in line with psychosomatic medicine as a recognized subspecialty.

  7. Evaluation of operational numerical weather predictions in relation to the prevailing synoptic conditions

    Science.gov (United States)

    Pytharoulis, Ioannis; Tegoulias, Ioannis; Karacostas, Theodore; Kotsopoulos, Stylianos; Kartsios, Stergios; Bampzelis, Dimitrios

    2015-04-01

    The Thessaly plain, which is located in central Greece, has a vital role in the financial life of the country, because of its significant agricultural production. The aim of DAPHNE project (http://www.daphne-meteo.gr) is to tackle the problem of drought in this area by means of Weather Modification in convective clouds. This problem is reinforced by the increase of population and the water demand for irrigation, especially during the warm period of the year. The nonhydrostatic Weather Research and Forecasting model (WRF), is utilized for research and operational purposes of DAPHNE project. The WRF output fields are employed by the partners in order to provide high-resolution meteorological guidance and plan the project's operations. The model domains cover: i) Europe, the Mediterranean sea and northern Africa, ii) Greece and iii) the wider region of Thessaly (at selected periods), at horizontal grid-spacings of 15km, 5km and 1km, respectively, using 2-way telescoping nesting. The aim of this research work is to investigate the model performance in relation to the prevailing upper-air synoptic circulation. The statistical evaluation of the high-resolution operational forecasts of near-surface and upper air fields is performed at a selected period of the operational phase of the project using surface observations, gridded fields and weather radar data. The verification is based on gridded, point and object oriented techniques. The 10 upper-air circulation types, which describe the prevailing conditions over Greece, are employed in the synoptic classification. This methodology allows the identification of model errors that occur and/or are maximized at specific synoptic conditions and may otherwise be obscured in aggregate statistics. Preliminary analysis indicates that the largest errors are associated with cyclonic conditions. Acknowledgments This research work of Daphne project (11SYN_8_1088) is co-funded by the European Union (European Regional Development Fund

  8. EXPERIMENTAL AND NUMERICAL INVESTIGATION OF FLEXIBLE BURIED PIPE DEFORMATION BEHAVIOR UNDER VARIOUS BACKFILL CONDITIONS

    Directory of Open Access Journals (Sweden)

    Niyazi Uğur TERZİ

    2009-01-01

    Full Text Available Deformation characteristics of polyethylene based flexible pipes are different than rigid pipes such as concrete and iron pipes. Deflection patterns and stress-strain behaviors of flexible pipes have strict relation between the engineering properties of backfill and its settlement method. In this study, deformation behavior of a 100 mm HDPE flexible pipe under vertical loads is investigated in laboratory conditions. Steel test box, pressurized membrane, raining system, linear position transducers and strain gauge rosettes are used in the laboratory tests. In order to analyze the buried pipe performance; Masada Derivation Formula which is mostly used by designers is employed. According to the test and mathematical studies, it is understood that relative density of backfill and its settlement method is a considerable effect on buried pipe performance and Masada Derivation method is very efficient for predicting the pipe performance.

  9. Numerical simulation of air distribution in a room with a sidewall jet under benchmark test conditions

    Science.gov (United States)

    Zasimova, Marina; Ivanov, Nikolay

    2018-05-01

    The goal of the study is to validate Large Eddy Simulation (LES) data on mixing ventilation in an isothermal room at conditions of benchmark experiments by Hurnik et al. (2015). The focus is on the accuracy of the mean and rms velocity fields prediction in the quasi-free jet zone of the room with 3D jet supplied from a sidewall rectangular diffuser. Calculations were carried out using the ANSYS Fluent 16.2 software with an algebraic wall-modeled LES subgrid-scale model. CFD results on the mean velocity vector are compared with the Laser Doppler Anemometry data. The difference between the mean velocity vector and the mean air speed in the jet zone, both LES-computed, is presented and discussed.

  10. Lake Restoration in Terms of Ecological Resilience: a Numerical Study of Biomanipulations under Bistable Conditions

    Directory of Open Access Journals (Sweden)

    Takashi Amemiya

    2005-12-01

    Full Text Available An abstract version of the comprehensive aquatic simulation model (CASM is found to exhibit bistability under intermediate loading of nutrient input, supporting the alternative-stable-states theory and field observations for shallow lakes. Our simulations of biomanipulations under the bistable conditions reveal that a reduction in the abundance of zooplanktivorous fish cannot switch the system from a turbid to a clear state. Rather, a direct reduction of phytoplankton and detritus was found to be most effective to make this switch in the present model. These results imply that multiple manipulations may be effective for practical restorations of lakes. We discuss the present results of biomanipulations in terms of ecological resilience in multivariable systems or natural systems.

  11. Numerical Simulations and Diagnostic Studies of Meteorological Conditions During PEM-Tropics B

    Science.gov (United States)

    Fuelberg, Henry E.

    2001-01-01

    Provides a final report on the work accomplished by several meteorological scientists under a NASA grant in conjunction with the DC-8 component of Pacific Exploratory Mission (PEM)-Tropics B. The responsibilities of the principal investigator included collaboration with the Science Team on flight planning, presentation of forecasts, and the preparation of map discussions for each flight. In a published manuscript, the principal investigator summarized the meteorological conditions during PEM-TB which included mean flow patterns, subtropical anticyclones, the South Pacific Convergence Zone (SPCZ), and the Intertropical Convergence Zone (ITCZ). Methodologies used included streamlines, ten day backward trajectories, thermodynamic soundings, and satellite imagery. Other interests included air sampling for the purpose of determining pollution levels.

  12. Factors Affecting the Readiness of Medical Doctors and Patients with Chronic Conditions toward the Usage of Smartphones in the Saudi Arabian Healthcare Sector

    OpenAIRE

    Bassam M Al-Mahadeen

    2015-01-01

    Numerous studies have reported the rapid increase in the number of individuals who use smartphones. However, smartphones appear to be increasingly used by healthcare workers, particularly physicians and nurses. Therefore, this study aims to investigate the readiness of medical doctors and patients with chronic conditions in using and adopting smartphones for communication. This study employs the Technology Acceptance Model to examine the behavior of people in using smartphones from the perspe...

  13. A numerical study of plasma detachment conditions in JET divertor plasmas

    Energy Technology Data Exchange (ETDEWEB)

    Simonini, R; Corrigan, G; Radford, G; Spence, J; Taroni, A; Weber, S [Commission of the European Communities, Abingdon (United Kingdom). JET Joint Undertaking

    1994-07-01

    Simulation results obtained with the EDGE2D/U code confirm that for a given particle inventory in the SOL (including the divertor), the main parameter determining whether or not particle, momentum and energy detachment occurs, is the residual power P - P{sub lost}, where P is the total power entering the SOL and P{sub lost} is the power lost by transport to walls and by volume losses in the SOL outside the region where detachment takes place. For particle contents leading to reasonable values of the separatrix mid-plane density, detachment is found if the residual power is low enough. Typically the residual power must be inferior to 3 MW for good detachment, with the exact value depending on the geometry of the divertor, the transport assumptions and the neutral recirculation scheme. The results show that divertor plasma conditions relevant for the study of power exhaust and impurity control problems are possible in JET. 9 refs., 2 figs., 1 tab.

  14. Narrative descriptions should replace grades and numerical ratings for clinical performance in medical education in the United States

    Directory of Open Access Journals (Sweden)

    Janice Lynn Hanson

    2013-11-01

    Full Text Available Background: In medical education, evaluation of clinical performance is based almost universally on rating scales for defined aspects of performance and scores on examinations and checklists. Unfortunately, scores and grades do not capture progress and competence among learners in the complex tasks and roles required to practice medicine. While the literature suggests serious problems with the validity and reliability of ratings of clinical performance based on numerical scores, the critical issue is not that judgments about what is observed vary from rater to rater but that these judgments are lost when translated into numbers on a scale. As the Next Accreditation System of the Accreditation Council on Graduate Medical Education (ACGME takes effect, medical educators have an opportunity to create new processes of evaluation to document and facilitate progress of medical learners in the required areas of competence.Proposal and initial experience: Narrative descriptions of learner performance in the clinical environment, gathered using a framework for observation that builds a shared understanding of competence among the faculty, promise to provide meaningful qualitative data closely linked to the work of physicians. With descriptions grouped in categories and matched to milestones, core faculty can place each learner along the milestones’ continua of progress. This provides the foundation for meaningful feedback to facilitate the progress of each learner as well as documentation of progress toward competence.Implications: This narrative evaluation system addresses educational needs as well as the goals of the Next Accreditation System for explicitly documented progress. Educators at other levels of education and in other professions experience similar needs for authentic assessment and, with meaningful frameworks that describe roles and tasks, may also find useful a system built on descriptions of learner performance in actual work settings

  15. Prenatal and Postnatal Medical Conditions and the Risk of Brain Tumors in Children and Adolescents

    DEFF Research Database (Denmark)

    Tettamanti, Giorgio; Shu, Xiaochen; Adel Fahmideh, Maral

    2017-01-01

    BACKGROUND: Previous studies have evaluated the effect of medical diagnostic radiation on brain tumors. Recent cohort studies have reported an increased risk associated with exposure to head CT scans. METHODS: Information regarding medical conditions, including prenatal and postnatal exposure...... to medical diagnostic radiation, was obtained from CEFALO, a multicenter case-control study performed in Denmark, Norway, Sweden, and Switzerland through face-to-face interview. Eligible cases of childhood and adolescent brain tumors (CABT) were ages 7 to 19 years, diagnosed between January 1, 2004...... and August 31, 2008, and living in the participating countries (n = 352). The cases were matched by age, sex, and region to 646 population-based controls. RESULTS: Prenatal exposure to medical diagnostic radiation and postnatal exposure to X-rays were not associated with CABTs. A higher risk estimate...

  16. Coping and Depressive Symptoms in Adolescents with a Chronic Medical Condition: A Search for Intervention Targets

    Science.gov (United States)

    Kraaij, Vivian; Garnefski, Nadia

    2012-01-01

    The aim of the present study was to find relevant coping factors for the development of psychological intervention programs for adolescents with a chronic medical condition. A wide range of coping techniques were studied, including cognitive coping, behavioral coping and goal adjustment coping. A total of 176 adolescents participated. They were…

  17. Mediators for internalizing problems in adolescents of parents with chronic medical condition

    NARCIS (Netherlands)

    Sieh, D.S.; Oort, F.J.; Visser-Meily, J.M.A.; Meijer, A.M.

    2014-01-01

    Parents’ chronic medical condition (CMC) is related to internalizing problem behavior in adolescents. Following the transactional stress and coping (TSC) model of Hocking and Lochman, our study examines whether the effect of illness and demographic parameters on the child’s internalizing problems is

  18. Academic and Family Conditions Associated with Intrinsic Academic Motivation in Japanese Medical Students: A Pilot Study

    Science.gov (United States)

    Tanaka, Masaaki; Watanabea, Yasuyoshi

    2012-01-01

    Objective: Intrinsic academic motivation is one of the most important psychological concepts in education, and it is related to academic outcomes in medical students. This study examined the relationships between academic and family conditions and intrinsic academic motivation. Design: Cross-sectional design. Setting: The study group consisted of…

  19. Evaluation of treatment effects in obese children with co-morbid medical or psychiatric conditions

    Science.gov (United States)

    The need for effective treatments for pediatric overweight is well known. We evaluated the applicability of an evidence-based treatment in an applied clinic setting that includes children with severe obesity and comorbid medical or psychiatric conditions. Forty-eight overweight children and their fa...

  20. Numerical simulation of pressure fluctuation of a pump-turbine with MGV at no-load condition

    International Nuclear Information System (INIS)

    Liu, J T; Wang, L Q; Liu, S H; Sun, Y K; Wu, Y L

    2012-01-01

    In order to analyse the pressure fluctuation caused by misaligned guide vanes (MGV) during starting period at no-load condition, 3-D (three dimensional), unsteady flows in a pump-turbine were numerically studied. Pressure fluctuations of different points at no-load condition are obtained. Fast Fourier Transform(FFT) was used to analyse the frequency spectrum of pressure fluctuations. The amplitude and dominant frequency of pressure fluctuation at vaneless space between the runner and guide vane, as well as the inlet of draft tube, was investigated. The amplitude of pressure fluctuation of the pump-turbine with MGV device is twice that of synchronous vanes. This might be caused by the non-uniform flow in the pump-turbine due to the pre-opened guide vanes. The pump-turbine with synchronous vanes has a low frequency which is 0.33f n , while the low frequency changes into 0.63f n when the MGV device is used. The vortex rope in the draft tube is large than that of synchronize vanes. Resultsof pressure fluctuations with synchronous vanes agree with each other between computational and testing results. The numerical study of pressure fluctuations with MGV can provide a basic understanding for the improvement of the instability of a pump-turbine.

  1. Experimental observation and numerical simulation of permeability changes in dolomite at CO2 sequestration conditions

    Science.gov (United States)

    Tutolo, B. M.; Luhmann, A. J.; Kong, X.; Saar, M. O.; Seyfried, W. E.

    2013-12-01

    mineral, fluid, and aqueous species equations of state into its structure. Phase equilibria calculations indicate that fluids traveling away from the depressed temperature zone near the injection well may exsolve and precipitate up to 200 cc CO2, 1.45 cc dolomite, and 2.3 cc calcite, per kg, but we use the reactive transport simulator to place more realistic limits on these calculations. The simulations show that thermally-induced CO2 exsolution creates velocity gradients within the modeled domain, leading to increased velocities at lower pressure due to the increasingly gas-like density of CO2. Because dolomite precipitation kinetics strongly depend on temperature, modeled dolomite precipitation effectively concentrates within high temperature regions, while calcite precipitation is predicted to occur over a broader range. Additionally, because the molar volume of dolomite is almost double that of calcite, transporting a low temperature, dolomite-saturated fluid across a thermal gradient can lead to more substantial pore space clogging. We conclude that injecting cool CO2 into geothermally warm reservoirs may substantially alter formation porosity, permeability, and injectivity, and can result in favorable conditions for permanent storage of CO2 as a solid carbonate phase.

  2. Factors Associated with Parental Adaptation to Children with an Undiagnosed Medical Condition

    Science.gov (United States)

    Yanes, Tatiane; Humphreys, Linda; McInerney-Leo, Aideen; Biesecker, Barbara

    2017-01-01

    Little is known about the adaptive process and experiences of parents raising a child with an undiagnosed medical condition. The present study aims to assess how uncertainty, hope, social support, and coping efficacy contributes to adaptation among parents of children with an undiagnosed medical condition. Sixty-two parents of child affected by an undiagnosed medical condition for at least two years completed an electronically self-administered survey. Descriptive analysis suggested parents in this population had significantly lower adaptation scores when compared to other parents of children with undiagnosed medical conditions, and parents of children with a diagnosed intellectual and/or physical disability. Similarly, parents in this population had significantly lower hope, perceived social support and coping efficacy when compared to parents of children with a diagnosed medical condition. Multiple linear regression was used to identify relationships between independent variables and domains of adaptation. Positive stress response was negatively associated with emotional support (B = −0.045, p ≤ 0.05), and positively associated with coping efficacy (B = 0.009, p ≤ 0.05). Adaptive self-esteem was negatively associated with uncertainty towards one's social support (B = −0.248, p ≤ 0.05), and positively associated with coping efficacy (B = 0.007, p ≤ 0.05). Adaptive social integration was negatively associated with uncertainty towards one's social support (B-0.273, p ≤ 0.05), and positively associated with uncertainty towards child's health (B = 0.323, p ≤ 0.001), and affectionate support (B = 0.110, p ≤ 0.001). Finally, adaptive spiritual wellbeing was negatively associated with uncertainty towards one's family (B = −0.221, p ≤ 0.05). Findings from this study have highlighted the areas where parents believed additional support was required, and provided insight into factors that contribute to parental adaptation. PMID:28039658

  3. Medication therapy management and condition care services in a community-based employer setting.

    Science.gov (United States)

    Johannigman, Mark J; Leifheit, Michael; Bellman, Nick; Pierce, Tracey; Marriott, Angela; Bishop, Cheryl

    2010-08-15

    A program in which health-system pharmacists and pharmacy technicians provide medication therapy management (MTM), wellness, and condition care (disease management) services under contract with local businesses is described. The health-system pharmacy department's Center for Medication Management contracts directly with company benefits departments for defined services to participating employees. The services include an initial wellness and MTM session and, for certain patients identified during the initial session, ongoing condition care. The initial appointment includes a medication history, point-of-care testing for serum lipids and glucose, body composition analysis, and completion of a health risk assessment. The pharmacist conducts a structured MTM session, reviews the patient's test results and risk factors, provides health education, discusses opportunities for cost savings, and documents all activities on the patient's medication action plan. Eligibility for the condition care program is based on a diagnosis of diabetes, hypertension, asthma, heart failure, or hyperlipidemia or elevation of lipid or glucose levels. Findings are summarized for employers after the initial wellness screening and at six-month intervals. Patients receiving condition care sign a customized contract, establish goals, attend up to four MTM sessions per year, and track their information on a website; employers may offer incentives for participation. When pharmacists recommend adjustments to therapy or cost-saving changes, it is up to patients to discuss these with their physician. A survey completed by each patient after the initial wellness session has indicated high satisfaction. Direct cost savings related to medication changes have averaged $253 per patient per year. Total cost savings to companies in the first year of the program averaged $1011 per patient. For the health system, the program has been financially sustainable. Key laboratory values indicate positive clinical

  4. CHRONIC MEDICAL CONDITIONS AND REPRODUCIBILITY OF SELF-REPORTED AGE AT MENOPAUSE AMONG COMMUNITY DWELLING WOMEN

    Science.gov (United States)

    de Vries, Heather F.; Northington, Gina M.; Kaye, Elise M.; Bogner, Hillary R.

    2011-01-01

    OBJECTIVE To examine the association between chronic medical conditions and reproducibility of self-reported age at menopause among community-dwelling women. METHOD Age at menopause was assessed in a population-based longitudinal survey of 240 women twice, in 1993 and 2004. Women who recalled age at menopause in 2004 within one year or less of the age at menopause recalled in 1993 (concordant) were compared with women who did not recall of age at menopause in 2004 within 1 year of age at menopause recalled in 1993 (discordant). Type of menopause (surgical or natural) and chronic medical conditions were assessed by self-report. RESULTS One hundred and forty three women (59.6%) reported surgical menopause and 97 (40.4%) reported natural menopause. In all, 130 (54.2%) of women recalled age at menopause in 2004 within one year or less of recalled age at menopause in 1994 while 110 (45.8%) women did not recall age at menopause in 2004 within one year or less of recalled age at menopause in 1994. Among women with surgical menopause, women with three or more medical conditions were less likely to have concordant recall of age at menopause than women with less than three chronic medical conditions (adjusted odds ratio (OR) = 0.36, 95% confidence interval (CI) [0.15, 0.91]) in multivariate models controlling for potentially influential characteristics including cognition and years from menopause. CONCLUSIONS Among women who underwent surgical menopause, the presence of three or more medical conditions is associated with decreased reproducibility of self-reported age at menopause. PMID:21971208

  5. When is it safe to fly? Addressing medical conditions in pilots.

    Science.gov (United States)

    Steinkraus, Lawrence

    2011-06-01

    Since World War I, the role of physicians who care for pilots has been to minimize the risks posed by the unique environment in airplanes and the demands of flying. Originally, that meant screening out those with any physical limitations that might affect their ability to fly such as vision or cardiac problems. Today, however, with the ability to better manage patients with multiple conditions, the physician's task is more nuanced and requires an estimation of risk based on the how well a pilot's condition can be managed and the type of flying he or she does. This article looks at how pilots are medically evaluated and how the standards for medical certification are evolving, allowing some pilots who have certain conditions to continue flying.

  6. Rare medical conditions and suggestive past-life memories: a case report and literature review.

    Science.gov (United States)

    Lucchetti, Giancarlo; dos Santos Camargo, Luizete; Lucchetti, Alessandra L G; Schwartz, Gary E; Nasri, Fabio

    2013-01-01

    We aim to report the case of a 38-year-old male with suggestive past-life memories during a regression session and to show how these memories were related to unusual medical conditions: (1) isolated obstruction of the right coronary artery in a young patient, (2) omental infarction, and (3) right aortic arch with isolation of the left subclavian artery. These conditions were related to the following suggestive past-life memories: (1) a priest who committed suicide with a crucifix nailed to his chest and (2) a medieval weapon (skull flail) hitting his cervical and left back region. There was an intriguing relation between the patient's suggestive past-life memories and rare medical conditions. In this article, the authors highlight possible explanations, rarity of findings, and similarities/differences from previous cases and potential pitfalls in this area. © 2013 Elsevier Inc. All rights reserved.

  7. The Impact of Advanced Age on Driving Safety in Adults with Medical Conditions.

    Science.gov (United States)

    Moon, Sanghee; Ranchet, Maud; Akinwuntan, Abiodun Emmanuel; Tant, Mark; Carr, David Brian; Raji, Mukaila Ajiboye; Devos, Hannes

    2018-01-01

    Adults aged 85 and older, often referred to as the oldest-old, are the fastest-growing segment of the population. The rapidly increasing number of older adults with chronic and multiple medical conditions poses challenges regarding their driving safety. To investigate the effect of advanced age on driving safety in drivers with medical conditions. We categorized 3,425 drivers with preexisting medical conditions into four age groups: middle-aged (55-64 years, n = 1,386), young-old (65-74 years, n = 1,013), old-old (75-84 years, n = 803), or oldest-old (85 years and older, n = 223). All underwent a formal driving evaluation. The outcome measures included fitness to drive recommendation by the referring physician, comprehensive fitness to drive decision from an official driving evaluation center, history of motor vehicle crashes (MVCs), and history of traffic violations. The oldest-old reported more cardiopulmonary and visual conditions, but less neurological conditions than the old-old. Compared to the middle-aged, the oldest-old were more likely to be considered unfit to drive by the referring physicians (odds ratio [OR] = 4.47, 95% confidence interval [CI] 2.20-9.10) and by the official driving evaluation center (OR = 2.74, 95% CI 1.87-4.03). The oldest-old reported more MVCs (OR = 2.79, 95% CI 1.88-4.12) compared to the middle-aged. Advanced age adversely affected driving safety outcomes. The oldest-old are a unique age group with medical conditions known to interfere with safe driving. Driving safety strategies should particularly target the oldest-old since they are the fastest-growing group and their increased frailty is associated with severe or fatal injuries due to MVCs. © 2018 S. Karger AG, Basel.

  8. Disclosure of personal medical information: differences among parents and affected adults for genetic and nongenetic conditions.

    Science.gov (United States)

    Johnson, Summer; Kass, Nancy E; Natowicz, Marvin

    2005-01-01

    Protecting the confidentiality of medical information has been an issue of great interest in the fields of bioethics, public policy, and law. Few empirical studies have addressed patient experiences and attitudes toward disclosure of private medical information in multiple contexts such as health insurance, employment, and the family. Furthermore, it is unclear whether differences exist in experiences and attitudes about privacy between those living with a serious medical condition versus those who have a child with a medical condition. The study sought to determine whether attitudes and experiences related to medical privacy and confidentiality differ between affected adults and parents of affected children. Interviews were conducted with 296 adults and parents of children with sickle cell disease (SCD), cystic fibrosis (CF), or diabetes mellitus (DM). This cross-sectional study collected data regarding their experiences, attitudes, and beliefs concerning medical privacy and confidentiality. Multinomial logistic regression analysis was conducted on quantitative data. Qualitative analysis was conducted on data from open-ended response items. Parents disclose their child's diagnosis to others more often than affected adults disclose their own disease status. Parents are less likely than affected adults to regret their disclosure, to hope others do not find out, to have been pressured to share information, and to be asked about their disease by employers. Affected adults express greater concern about disclosure, a greater prevalence and greater fear of discrimination, and experience greater pressure from family members to disclose. Clinicians and researchers working with these populations should consider these differences in privacy and disclosure. Further study is necessary to examine the implications of these differences in attitudes and experiences concerning insurance, employment, and social interactions among persons with these conditions.

  9. An experimental and numerical study of diffusion flames in cross-flow and quiescent environment at smoke point condition

    Science.gov (United States)

    Goh, Sien Fong

    An experimental and numerical study of a turbulent smoke point diffusion flame in a quiescent and cross-flow condition was performed. The fuel mass flow rate of a turbulent smoke point flame was determined at a quiescent condition and in cross-flow with velocity ranging from 2 to 4 m/s. This fuel mass flow rate is defined as the Critical Fuel Mass Flow Rate (CFMFR). At a fuel mass flow rate below the CFMFR the flame produces smoke. In the dilution study, an amount of inert gas (nitrogen) was added to the fuel stream to achieve the smoke point condition for ten different fractions of CFMFR. From this dilution study, three regions were defined, the chemically-dominated region, transition region, and momentum-dominated region. The first objective of this study was to determine the factors behind the distinction of these three regions. The second objective was to understand the effect of cross-flow velocity on the smoke point flame structure. The flame temperature, radiation, geometrical dimension of flame, velocity, and global emissions and in-flame species concentration were measured. The third objective was to study a numerical model that can simulate the turbulent smoke point flame structure. The dilution study showed that the flames in quiescent condition and in the 3.5 and 4 m/s cross-flow condition had the chemically-dominated region at 5% to 20% CFMFR, the transition region at 20% to 40% CFMFR, and the momentum-dominated region at 40% to 100% CFMFR. On the other hand, the flame in cross-flow of 2 to 3 m/s showed the chemically-dominated region at 5% to 10% CFMFR, the transition region at 10% to 30% CFMFR, and the momentum-dominated region at 30% to 100% CFMFR. The chemically-dominated flame had a sharp dual-peak structure for the flame temperature, CO2 and NO concentration profiles at 25% and 50% flame length. However, the momentum-dominated region flame exhibited a dual peak structure only at 25% flame length. The decrease of flow rate from 30% to 10% CFMFR

  10. Determination of the ejector dimensions of a bus air-conditioning system using analytical and numerical methods

    International Nuclear Information System (INIS)

    Ünal, Şaban

    2015-01-01

    Comfortable journey with commercial buses is an essential goal of transportation companies. An air-conditioning system can play an important role for this comfortable journey but it can put extra load on the engine and extra cost in the fuel consumption. The purpose of this work is to increase the performance of air-conditioning system of the buses by reducing the load on the engine and fuel consumption. Using a two-phase ejector as an expansion valve can increase the coefficient of performance (COP) of the air-conditioning system. An improvement in the COP can reduce the empty vehicle weight and fuel consumption of buses. Two-phase ejector dimensions can be determined using the empirical methods available in the literature. In this paper, the two-phase ejector dimensions of air conditioning system for a bus are calculated using the analytical and numerical methods. First of all, the thermodynamic analysis of the vapor-compression refrigeration cycle with a two-phase ejector is performed, and then the ejector dimensions are subsequently determined. The cooling loads of the midibus and bus with R134a as a refrigerant are assumed to be 14 kW and 32 kW, respectively. The total length of the two-phase ejector for the midibuses and buses due to these cooling loads, are computed to be 480.8 mm and 793.1 mm, respectively. Also, an experimental setup is installed on a midibus air conditioner to turn it into the ejector air conditioning system to validate theoretical results with the experimental study. - Highlights: • Determination of two-phase ejector dimensions of a bus air-conditioning system. • Thermodynamic analysis of the two-phase ejector cooling system. • Experimental study on a midibus air conditioner using two-phase ejector.

  11. Experiments and numerical modeling of fast flowing liquid metal thin films under spatially varying magnetic field conditions

    Science.gov (United States)

    Narula, Manmeet Singh

    Innovative concepts using fast flowing thin films of liquid metals (like lithium) have been proposed for the protection of the divertor surface in magnetic fusion devices. However, concerns exist about the possibility of establishing the required flow of liquid metal thin films because of the presence of strong magnetic fields which can cause flow disrupting MHD effects. A plan is underway to design liquid lithium based divertor protection concepts for NSTX, a small spherical torus experiment at Princeton. Of these, a promising concept is the use of modularized fast flowing liquid lithium film zones, as the divertor (called the NSTX liquid surface module concept or NSTX LSM). The dynamic response of the liquid metal film flow in a spatially varying magnetic field configuration is still unknown and it is suspected that some unpredicted effects might be lurking. The primary goal of the research work being reported in this dissertation is to provide qualitative and quantitative information on the liquid metal film flow dynamics under spatially varying magnetic field conditions, typical of the divertor region of a magnetic fusion device. The liquid metal film flow dynamics have been studied through a synergic experimental and numerical modeling effort. The Magneto Thermofluid Omnibus Research (MTOR) facility at UCLA has been used to design several experiments to study the MHD interaction of liquid gallium films under a scaled NSTX outboard divertor magnetic field environment. A 3D multi-material, free surface MHD modeling capability is under development in collaboration with HyPerComp Inc., an SBIR vendor. This numerical code called HIMAG provides a unique capability to model the equations of incompressible MHD with a free surface. Some parts of this modeling capability have been developed in this research work, in the form of subroutines for HIMAG. Extensive code debugging and benchmarking exercise has also been carried out. Finally, HIMAG has been used to study the

  12. Numerical analysis of fractional MHD Maxwell fluid with the effects of convection heat transfer condition and viscous dissipation

    Directory of Open Access Journals (Sweden)

    Yu Bai

    2017-12-01

    Full Text Available This paper investigates the incompressible fractional MHD Maxwell fluid due to a power function accelerating plate with the first order slip, and the numerical analysis on the flow and heat transfer of fractional Maxwell fluid has been done. Moreover the deformation motion of fluid micelle is simply analyzed. Nonlinear velocity equation are formulated with multi-term time fractional derivatives in the boundary layer governing equations, and convective heat transfer boundary condition and viscous dissipation are both taken into consideration. A newly finite difference scheme with L1-algorithm of governing equations are constructed, whose convergence is confirmed by the comparison with analytical solution. Numerical solutions for velocity and temperature show the effects of pertinent parameters on flow and heat transfer of fractional Maxwell fluid. It reveals that the fractional derivative weakens the effects of motion and heat conduction. The larger the Nusselt number is, the greater the heat transfer capacity of fluid becomes, and the temperature gradient at the wall becomes more significantly. The lower Reynolds number enhances the viscosity of the fluid because it is the ratio of the viscous force and the inertia force, which resists the flow and heat transfer.

  13. Numerical analysis of fractional MHD Maxwell fluid with the effects of convection heat transfer condition and viscous dissipation

    Science.gov (United States)

    Bai, Yu; Jiang, Yuehua; Liu, Fawang; Zhang, Yan

    2017-12-01

    This paper investigates the incompressible fractional MHD Maxwell fluid due to a power function accelerating plate with the first order slip, and the numerical analysis on the flow and heat transfer of fractional Maxwell fluid has been done. Moreover the deformation motion of fluid micelle is simply analyzed. Nonlinear velocity equation are formulated with multi-term time fractional derivatives in the boundary layer governing equations, and convective heat transfer boundary condition and viscous dissipation are both taken into consideration. A newly finite difference scheme with L1-algorithm of governing equations are constructed, whose convergence is confirmed by the comparison with analytical solution. Numerical solutions for velocity and temperature show the effects of pertinent parameters on flow and heat transfer of fractional Maxwell fluid. It reveals that the fractional derivative weakens the effects of motion and heat conduction. The larger the Nusselt number is, the greater the heat transfer capacity of fluid becomes, and the temperature gradient at the wall becomes more significantly. The lower Reynolds number enhances the viscosity of the fluid because it is the ratio of the viscous force and the inertia force, which resists the flow and heat transfer.

  14. The boundary condition at the valve for numerical modelling of transient pipe flow with fluid structure interaction

    Science.gov (United States)

    Henclik, S.

    2014-08-01

    Transient flows in pipes (water hammer = WH) do appear in various situations and the accompanying pressure waves may involve serious perturbations in system functioning. To model these effects properly in the case of elastic pipe the dynamic fluid-structure interaction (FSI) should be taken into account. Fluid-structure couplings appear in various manners and the junction coupling is considered to be the strongest. This effect can be especially significant if the pipe can move as a whole body, which is possible when all its supports are not rigid. In the current paper a similar effect is numerically modelled. The pipe is fixed rigidly, but the valve at the end has a spring-dashpot mounting system, thus its motion is possible when WH is excited by the valve closuring. The boundary condition at the moving valve is modelled as a differential equation of motion. The valve hydraulic characteristics during closuring period are assumed by a time dependence of its loss factor. Preliminary numerical tests of that algorithm were done with an own computer program and it was found that the proper valve fixing system may produce significant lowering of WH pressures.

  15. Numerical simulation of hydrodynamics in a pump-turbine at off-design operating conditions in turbine mode

    International Nuclear Information System (INIS)

    Yan, J P; Seidel, U; Koutnik, J

    2012-01-01

    The hydrodynamics of a reduced-scaled model of a radial pump-turbine is investigated under off-design operating conditions, involving runaway and 'S-shape' turbine brake curve at low positive discharge. It is a low specific speed pump-turbine machine of Francis type with 9 impeller blades and 20 stay vanes as well as 20 guide vanes. The computational domain includes the entire water passage from the spiral casing inlet to the draft tube outlet. Completely structured hexahedral meshes generated by the commercial software ANSYS-ICEM are employed. The unsteady incompressible simulations are performed using the commercial code ANSYS-CFX13. For turbulence modeling the standard k-ε model is applied. The numerical results at different operating points are compared to the experimental results. The predicted pressure amplitude is in good agreement with the experimental data and the amplitude of normal force on impeller is in reasonable range. The detailed analysis reveals the onset of the flow instabilities when the machine is brought from a regular operating condition to runaway and turbine break mode. Furthermore, the rotating stall phenomena are well captured at runaway condition as well as low discharge operating condition with one stall cell rotating inside and around the impeller with about 70% of its frequency. Moreover, the rotating stall is found to be the effect of rotating flow separations developed in several consecutive impeller channels which lead to their blockage. The reliable simulation of S-curve characteristics in pump-turbines is a basic requirement for design and optimization at off-design operating conditions.

  16. Direct Time Domain Numerical Analysis of Transient Behavior of a VLFS during Unsteady External Loads in Wave Condition

    Directory of Open Access Journals (Sweden)

    Yong Cheng

    2014-01-01

    Full Text Available The transient response of the VLFS subjected to arbitrary external load is systematically investigated by a direct time domain modal expansion method, in which the BEM solutions based on time domain Kelvin sources are used for hydrodynamic forces. In the analysis, the time domain free-surface Green functions with sufficient accuracy are rapidly evaluated in finite water depth by the interpolation-tabulation method, and the boundary integral equation with a quarter VLFS model is established taking advantage of symmetry of flow field and structure. The validity of the present method is verified by comparing with the time histories of vertical displacements of the VLFS during a mass drop and airplane landing and takeoff in still water conditions, respectively. Then the developed numerical scheme is used in wave conditions to study the combined action taking into account the mass drop/airplane landing/takeoff loads as well as incident wave action. It is found that the elevation of structural waves due to mass drop load can be significantly changed near the impact region, while the vertical motion of runway in wave conditions is dominant as compared with that only generated by airplane.

  17. Psychiatric consultations and the management of associated comorbid medical conditions in a regional referral hospital

    Directory of Open Access Journals (Sweden)

    Nkokone S Z Tema

    2015-05-01

    Full Text Available Background. Psychiatrists are often called upon to evaluate patients with a medical condition and psychiatric symptoms, either as a complication thereof or initial presenting symptoms. There are often grey areas with regard to neuropsychiatric disorders in which psychiatrists and specialists from other clinical disciplines would need to co-manage or share ideas on the comprehensive treatment of a presenting patient. Objectives. This study was undertaken to provide a demographic and clinical profile of all patients consulted by the consultation-liaison psychiatry (CLP service at the Helen Joseph Hospital (HJH in Johannesburg, and to describe the clinical management of patients admitted with a diagnosis of a mental disorder associated with a comorbid medical condition, including delirium, dementia and a mood or psychotic disorder due to a general medical condition. Methods. A retrospective record review of all patients referred to the HJH CLP team over a 6-month period. Results. A total of 884 routine and emergency consultations were done for 662 patients (males n=305; females n=357 between the ages of 13 and 90 years who were referred from various other clinical departments. The most common documented reason for referral was a request for assessment (n=182; 27.5%, which consisted of mental state assessment, reconsultation and assessing capacity. A total of 63 patients (10.0% of cases consulted were admitted to either the medical or psychiatric wards with a confirmed diagnosis of delirium, dementia and/or a mood or psychotic disorder due to a general medical condition (although admission wards were identified in 55 files only. The medical wards admitted the majority (n=37; 67.3% mostly for delirium (n=28; 50.9%. HIV was identified as the most common systemic aetiological factor (n=23; 67.7%. Conclusion. In this study, a female patient between 31 and 45 years of age was slightly more likely to be referred to the HJH CLP service for assessment, and

  18. Numerical simulation of nanosecond pulsed DBD in lean methane–air mixture for typical conditions in internal engines

    International Nuclear Information System (INIS)

    Takana, Hidemasa; Nishiyama, Hideya

    2014-01-01

    Detailed two-dimensional numerical simulations of a high energy loading nanosecond dc pulse DBD in a lean methane–air mixture were conducted for plasma-assisted combustion by integrating individual models of plasma chemistry, photoionization and energy loading. The DBD streamer propagation process with radical productions was clarified at 10 atm and 600 K as under the condition of actual internal engines at ignition. Energy is loaded to the streamer first by the formation of plasma channel and then ceased due to the self-shielding effect. Because of the inversed electric field in a discharge space during decrease in applied voltage, energy is loaded to the discharge again. It was found that higher energy is loaded to the DBD streamer for larger dielectric constant even at lower applied voltage, and higher number density of oxygen radical is produced at almost the same radical production efficiency. (paper)

  19. Temporal direct numerical simulation of transitional natural-convection boundary layer under conditions of considerable external turbulence effects

    International Nuclear Information System (INIS)

    Abramov, Alexey G; Smirnov, Evgueni M; Goryachev, Valery D

    2014-01-01

    Results of direct numerical simulations for time-developing air natural-convection boundary layer are presented. Computations have been performed assuming periodicity conditions in both the directions parallel to the vertical isothermal hot plate. The contribution is mainly focused on understanding of laminar–turbulent transition peculiarities in the case of perturbation action of external turbulence that is modeled by isotropic disturbances initially introduced into the computational domain. Special attention is paid to identification and analysis of evolving three-dimensional vortices that clearly manifest themselves through the whole stages of laminar–turbulent transition in the boundary layer. A comparison of computed profiles of mean velocity, mean temperature and fluctuation characteristics for turbulent regimes of convection with experimental data is performed as well. (paper)

  20. Numerical simulation of spatter formation during fiber laser welding of 5083 aluminum alloy at full penetration condition

    Science.gov (United States)

    Wu, Dongsheng; Hua, Xueming; Huang, Lijin; Zhao, Jiang

    2018-03-01

    The droplet escape condition in laser welding is established in this paper. A three-dimensional numerical model is developed to study the weld pool convection and spatter formation at full penetration during the fiber laser welding of 5083 aluminum alloy. It is found that when laser power is 9 kW, the bottom of the keyhole is dynamically opened and closed. When the bottom of the keyhole is closed, the molten metal at the bottom of the back keyhole wall flows upwards along the fusion line. When the bottom of the keyhole is opened, few spatters can be seen around the keyhole at the top surface, two flow patterns exists in the rear part of the keyhole: a portion of molten metal flows upwards along the fusion line, other portion of molten metal flows to the bottom of the keyhole, which promote the spatter formation at the bottom of the keyhole rear wall.

  1. Numerical simulation of the effect of wind removing the corona space charge over grounded structures under thunderstorm conditions

    DEFF Research Database (Denmark)

    Vogel, Stephan; Lopez, Javier; Holbøll, Joachim

    2015-01-01

    agrounded object under thunderstorm conditions. The electric fieldcreated by the charge distribution in the thundercloud above theobject, which is in first place enhanced by its geometry, leadsto the generation and secondly upward propagation of chargefrom the object. Recent investigations underline......Different types of tall structures are severely exposed to lightning discharges, including power lines, communicationtowers, buildings and wind turbines all over the world. Thepresent paper focuses on the numerical modelling and simulationof the effect of wind on the electric field developed over...... quantifies thedifference between static towers and rotating wind turbines whichare influenced by different resultant wind velocities. The voltagedistribution and ion drift velocities in the vicinity of the groundedstructures are illustrated. The results show a higher voltagegradient at the side of the object...

  2. New strategies in the assessment of psychological factors affecting medical conditions.

    Science.gov (United States)

    Sirri, Laura; Fabbri, Stefania; Fava, Giovanni A; Sonino, Nicoletta

    2007-12-01

    In this article, we examine research that may lead to a better assessment of psychological factors affecting medical conditions. We performed a review of the psychosomatic literature using both Medline and manual searches. We selected papers that were judged to be relevant to new strategies of assessment, with particular reference to the use of the Diagnostic Criteria for Psychosomatic Research. We assessed 8 areas concerned with the assessment of psychological factors in the setting of medical disease: hypochondriasis, disease phobia, persistent somatization, conversion symptoms, illness denial, demoralization, irritable mood, and Type A behavior. A new subclassification of the Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-V]; not yet published) category of psychological factors affecting physical conditions appears to be feasible and may provide the clinician with better tools for identifying psychological distress.

  3. Pedagogical Conditions of Shaping Motor Competence in Physical Education of Students of Special Medical Groups

    Directory of Open Access Journals (Sweden)

    В. М. Корягін

    2016-09-01

    Full Text Available Study objective. To define the pedagogical conditions of shaping motor competence in students of special medical groups during physical education at higher educational institutions. Study methods: theoretical analysis, systematization, comparison of different views on the issue under study, methodological and special literature collation, general scientific methods of theoretical level: analogy, analysis, synthesis, abstraction, induction. Study results. The study addresses the issues of indicating the pedagogical conditions necessary for the effective shaping of the motor competence in students of special medical groups during their physical education at higher educational institutions. The data analysis and collation of the data collected from the scientific, methodological and special literature helped outline and organize their index, which is a pre-requisite for ensuring the process effectiveness. We recommend using the study results as a major foundation for re-organization of the scientific and methodological aspects of physical education of students with health problems to ensure their motor competence effectively shaped.

  4. Life Balance and Stress in Adults With Medical Conditions or Obesity.

    Science.gov (United States)

    Matuska, Kathleen; Bass, Julie

    2016-04-01

    This cross-sectional research examined differences in life balance and perceived stress by body mass index (BMI) levels and self-reported medical conditions that limited physical activity. The sample consisted of 2,338 participants between the ages of 18 and 49 years who took the Life Balance Inventory, the Perceived Stress Scale, and provided demographic information including height and weight. Findings showed that individuals who were obese (BMI > 30.0) reported significantly lower life balance scores and higher stress scores than participants without obesity (p life balance and more stress than individuals without medical conditions (p < .001). These findings highlight the importance of addressing activity participation as a means to promote health and wellness. © The Author(s) 2016.

  5. Drowning fatalities in childhood: the role of pre-existing medical conditions.

    Science.gov (United States)

    Franklin, Richard C; Pearn, John H; Peden, Amy E

    2017-10-01

    This study is an analysis of the contribution of pre-existing medical conditions to unintentional fatal child (0-14 years) drowning and a of critique prevention stratagems, with an exploration of issues of equity in recreation. This study is a total population, cross-sectional audit of all demographic, forensic and on-site situational details surrounding unintentional fatal drowning of children 0-14 years in Australia for the period of 1 July 2002 to 30 June 2012. Data were sourced from the National (Australia) Coronial Information System. Age-specific disease patterns in the general population were obtained from the Australian Institute of Health and Welfare. Four hundred and sixty-eight children drowned during the study period. Fifty-three (11.3%) had a pre-existing medical condition, of whom 19 suffered from epilepsy, 13 from autism and 5 with non-specific intellectual disabilities. Epilepsy is a risk factor in childhood drowning deaths, with a prevalence of 4.1% of drowning fatalities, compared with 0.7%-1.7% among the general 0-14 years population (relative risk: 2.4-5.8). Epilepsy was deemed to be contributory in 16 of 19 cases (84.2% of epilepsy cases) with a median age of 8 years. Asthma and intellectual disabilities were under-represented in the drowning cohort. Except for epilepsy, this research has indicated that the risks of drowning while undertaking aquatic activities are not increased in children with pre-existing medical conditions. Children with pre-existing medical conditions can enjoy aquatic activities when appropriately supervised. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  6. Performance investigation of low – Concentration photovoltaic systems under hot and arid conditions: Experimental and numerical results

    International Nuclear Information System (INIS)

    Yousef, Mohamed S.; Abdel Rahman, Ali K.; Ookawara, S.

    2016-01-01

    Highlights: • Influence of cooling on the performance of photovoltaic systems. • A comprehensive model (optical, thermal, and electrical) was developed. • Experimental measurements were conducted under hot climate conditions. • For conventional photovoltaic with cooling, about 11% more power was obtained. • For concentrated photovoltaic with cooling, about 15% more power was obtained. - Abstract: In this study, a comparative performance analysis was performed between a conventional photovoltaic system and a low-concentration photovoltaic system. Two typical photovoltaic modules and two compound parabolic concentrating photovoltaic systems were examined. A Cooling system was employed to lower the temperature of the solar cells in each of the two configurations. Experimental and numerical investigations of the performance of the two arrangements with and without cooling were presented. Experiments were conducted outdoors at the Egypt-Japan University of Science and Technology, subjected to the hot climate conditions of New Borg El-Arab City, Alexandria, Egypt (Longitude/Latitude: E 029°42′/N 30°55′). A comprehensive system model was established, which comprises an optical model, coupled with thermal and electrical models. The coupled model was developed analytically and solved numerically, using MATLAB software, to assess the overall performance of the two configurations, considering the concentration ratio of the concentrated photovoltaic system to be 2.4X. The results indicated that cooling the solar panels considerably improved the electrical power yield of the photovoltaic systems. By employing cooling, the temperatures of the conventional photovoltaic system and the concentrated photovoltaic system were effectively lowered by approximately 25% and 30%, respectively, resulting in a significant enhancement in the electrical power output of the photovoltaic system by 11% and that of the concentrated photovoltaic system by 15%. Furthermore, the

  7. Estimating the Impact of Workplace Bullying: Humanistic and Economic Burden among Workers with Chronic Medical Conditions

    Directory of Open Access Journals (Sweden)

    A. Fattori

    2015-01-01

    Full Text Available Background. Although the prevalence of work-limiting diseases is increasing, the interplay between occupational exposures and chronic medical conditions remains largely uncharacterized. Research has shown the detrimental effects of workplace bullying but very little is known about the humanistic and productivity cost in victims with chronic illnesses. We sought to assess work productivity losses and health disutility associated with bullying among subjects with chronic medical conditions. Methods. Participants (N=1717 with chronic diseases answered a self-administered survey including sociodemographic and clinical data, workplace bullying experience, the SF-12 questionnaire, and the Work Productivity Activity Impairment questionnaire. Results. The prevalence of significant impairment was higher among victims of workplace bullying as compared to nonvictims (SF-12 PCS: 55.5% versus 67.9%, p<0.01; SF-12 MCS: 59.4% versus 74.3%, p<0.01. The adjusted marginal overall productivity cost of workplace bullying ranged from 13.9% to 17.4%, corresponding to Italian Purchase Power Parity (PPP 2010 US$ 4182–5236 yearly. Association estimates were independent and not moderated by concurrent medical conditions. Conclusions. Our findings demonstrate that the burden on workers’ quality of life and productivity associated with workplace bullying is substantial. This study provides key data to inform policy-making and prioritize occupational health interventions.

  8. Estimating the Impact of Workplace Bullying: Humanistic and Economic Burden among Workers with Chronic Medical Conditions.

    Science.gov (United States)

    Fattori, A; Neri, L; Aguglia, E; Bellomo, A; Bisogno, A; Camerino, D; Carpiniello, B; Cassin, A; Costa, G; De Fazio, P; Di Sciascio, G; Favaretto, G; Fraticelli, C; Giannelli, R; Leone, S; Maniscalco, T; Marchesi, C; Mauri, M; Mencacci, C; Polselli, G; Quartesan, R; Risso, F; Sciaretta, A; Vaggi, M; Vender, S; Viora, U

    2015-01-01

    Although the prevalence of work-limiting diseases is increasing, the interplay between occupational exposures and chronic medical conditions remains largely uncharacterized. Research has shown the detrimental effects of workplace bullying but very little is known about the humanistic and productivity cost in victims with chronic illnesses. We sought to assess work productivity losses and health disutility associated with bullying among subjects with chronic medical conditions. Participants (N = 1717) with chronic diseases answered a self-administered survey including sociodemographic and clinical data, workplace bullying experience, the SF-12 questionnaire, and the Work Productivity Activity Impairment questionnaire. The prevalence of significant impairment was higher among victims of workplace bullying as compared to nonvictims (SF-12 PCS: 55.5% versus 67.9%, p bullying ranged from 13.9% to 17.4%, corresponding to Italian Purchase Power Parity (PPP) 2010 US$ 4182-5236 yearly. Association estimates were independent and not moderated by concurrent medical conditions. Our findings demonstrate that the burden on workers' quality of life and productivity associated with workplace bullying is substantial. This study provides key data to inform policy-making and prioritize occupational health interventions.

  9. Estimating the Impact of Workplace Bullying: Humanistic and Economic Burden among Workers with Chronic Medical Conditions

    Science.gov (United States)

    Fattori, A.; Neri, L.; Aguglia, E.; Bellomo, A.; Bisogno, A.; Camerino, D.; Carpiniello, B.; Cassin, A.; Costa, G.; De Fazio, P.; Di Sciascio, G.; Favaretto, G.; Fraticelli, C.; Giannelli, R.; Leone, S.; Maniscalco, T.; Marchesi, C.; Mauri, M.; Mencacci, C.; Polselli, G.; Quartesan, R.; Risso, F.; Sciaretta, A.; Vaggi, M.; Vender, S.; Viora, U.

    2015-01-01

    Background. Although the prevalence of work-limiting diseases is increasing, the interplay between occupational exposures and chronic medical conditions remains largely uncharacterized. Research has shown the detrimental effects of workplace bullying but very little is known about the humanistic and productivity cost in victims with chronic illnesses. We sought to assess work productivity losses and health disutility associated with bullying among subjects with chronic medical conditions. Methods. Participants (N = 1717) with chronic diseases answered a self-administered survey including sociodemographic and clinical data, workplace bullying experience, the SF-12 questionnaire, and the Work Productivity Activity Impairment questionnaire. Results. The prevalence of significant impairment was higher among victims of workplace bullying as compared to nonvictims (SF-12 PCS: 55.5% versus 67.9%, p bullying ranged from 13.9% to 17.4%, corresponding to Italian Purchase Power Parity (PPP) 2010 US$ 4182–5236 yearly. Association estimates were independent and not moderated by concurrent medical conditions. Conclusions. Our findings demonstrate that the burden on workers' quality of life and productivity associated with workplace bullying is substantial. This study provides key data to inform policy-making and prioritize occupational health interventions. PMID:26557692

  10. The Relationship Between Aerobic Activity Health Conditions and Medical Visits Among Men and Women Serving Aboard Navy Ships

    National Research Council Canada - National Science Library

    Hughes, Linda

    2002-01-01

    .... Contingency tables were computed for amount of self-reported aerobic activity and prevalence rate of adverse health conditions, number of adverse health conditions, number of medical visits, and gender...

  11. Design of a numerical model of lung by means of a special boundary condition in the truncated branches.

    Science.gov (United States)

    Tena, Ana F; Fernández, Joaquín; Álvarez, Eduardo; Casan, Pere; Walters, D Keith

    2017-06-01

    The need for a better understanding of pulmonary diseases has led to increased interest in the development of realistic computational models of the human lung. To minimize computational cost, a reduced geometry model is used for a model lung airway geometry up to generation 16. Truncated airway branches require physiologically realistic boundary conditions to accurately represent the effect of the removed airway sections. A user-defined function has been developed, which applies velocities mapped from similar locations in fully resolved airway sections. The methodology can be applied in any general purpose computational fluid dynamics code, with the only limitation that the lung model must be symmetrical in each truncated branch. Unsteady simulations have been performed to verify the operation of the model. The test case simulates a spirometry because the lung is obliged to rapidly perform both inspiration and expiration. Once the simulation was completed, the obtained pressure in the lower level of the lung was used as a boundary condition. The output velocity, which is a numerical spirometry, was compared with the experimental spirometry for validation purposes. This model can be applied for a wide range of patient-specific resolution levels. If the upper airway generations have been constructed from a computed tomography scan, it would be possible to quickly obtain a complete reconstruction of the lung specific to a specific person, which would allow individualized therapies. Copyright © 2016 John Wiley & Sons, Ltd.

  12. Numeric simulation model for long-term orthodontic tooth movement with contact boundary conditions using the finite element method.

    Science.gov (United States)

    Hamanaka, Ryo; Yamaoka, Satoshi; Anh, Tuan Nguyen; Tominaga, Jun-Ya; Koga, Yoshiyuki; Yoshida, Noriaki

    2017-11-01

    Although many attempts have been made to simulate orthodontic tooth movement using the finite element method, most were limited to analyses of the initial displacement in the periodontal ligament and were insufficient to evaluate the effect of orthodontic appliances on long-term tooth movement. Numeric simulation of long-term tooth movement was performed in some studies; however, neither the play between the brackets and archwire nor the interproximal contact forces were considered. The objectives of this study were to simulate long-term orthodontic tooth movement with the edgewise appliance by incorporating those contact conditions into the finite element model and to determine the force system when the space is closed with sliding mechanics. We constructed a 3-dimensional model of maxillary dentition with 0.022-in brackets and 0.019 × 0.025-in archwire. Forces of 100 cN simulating sliding mechanics were applied. The simulation was accomplished on the assumption that bone remodeling correlates with the initial tooth displacement. This method could successfully represent the changes in the moment-to-force ratio: the tooth movement pattern during space closure. We developed a novel method that could simulate the long-term orthodontic tooth movement and accurately determine the force system in the course of time by incorporating contact boundary conditions into finite element analysis. It was also suggested that friction is progressively increased during space closure in sliding mechanics. Copyright © 2017. Published by Elsevier Inc.

  13. Medical condition and care of undocumented migrants in ambulatory clinics in Tel Aviv, Israel: assessing unmet needs.

    Science.gov (United States)

    Mor, Zohar; Raveh, Yuval; Lurie, Ido; Leventhal, Alex; Gamzu, Roni; Davidovitch, Nadav; Benari, Orel; Grotto, Itamar

    2017-07-14

    Approximately 150,000 undocumented migrants (UM) who are medically uninsured reside in Israel, including ~50,000 originating from the horn of Africa (MHA). Free medical-care is provided by two walk-in clinics in Tel-Aviv. This study aims to compare the medical complaints of UM from different origins, define their community health needs and assess gaps between medical needs and available services. This cross-sectional study included a random sample of 610 UM aged 18-64 years, who were treated in these community clinics between 2008 and 2011. The study compared UM who had complex medical conditions which necessitated referral to more equipped medical settings with UM having mild/simple medical conditions, who were treated at the clinics. MHA were younger, unemployed and more commonly males compared with UM originating from other countries. MHA also had longer referral-delays and visited the clinics less frequently. UM with complex medical conditions were more commonly females, had chronic diseases and demonstrated longer referral-delays than those who had mild/simple medical conditions. The latter more commonly presented with complained of respiratory, muscular and skeletal discomfort. In multivariate analysis, the variables which predicted complex medical conditions included female gender, chronic illnes and self-referral to the clinics. The ambulatory clinics were capable of responding to mild/simple medical conditions. Yet, the health needs of women and migrants suffering from complex medical conditions and chronic diseases necessitated referrals to secondary/tertiary medical settings, while jeopardizing the continuity of care. The health gaps can be addressed by a more holistic social approach, which includes integration of UM in universal health insurance.

  14. The analysis of the medical university students’ health condition and lifestyle

    Directory of Open Access Journals (Sweden)

    OLGA KHURS

    2017-01-01

    Full Text Available Introduction: Significant psychophysiological burdens and unhealthy lifestyle constitute the risk factors leading to students’ health deterioration. Purpose: The purpose of the research was the analysis of students’ health condition and lifestyle in medical university. Material and methods: The objects of the research were 100 third year students of the Faculties of General Medicine and Pediatrics of Grodno State Medical University. For the study of students’ orientation on healthy lifestyle, a special scale-type questionnaire was developed and used. Results: According to the respondents’ opinions it has been detected that the basic factors influencing the state of health are the lifestyle and the living conditions. The students activity is evaluated as very low as well as their rational nutrition. The majority of them smoke and drink alcohol. Conclusions: The peculiarities of studying at a medical university accompanied by imbalanced nutrition might lead to the deterioration of health in the students which are doctors to be. The results ought to lead to the optimization of prophylaxis programs and entire alteration of the students’ lifestyles.

  15. Gorlin-Goltz syndrome – a medical condition requiring a multidisciplinary approach

    Science.gov (United States)

    Kiwilsza, Małgorzata; Sporniak-Tutak, Katarzyna

    2012-01-01

    Summary Gorlin-Goltz syndrome is a rare genetic condition showing a variable expressiveness. It is inherited in a dominant autosomal way. The strongest characteristic of the disease includes multiple basal cell carcinomas, jaw cysts, palmar and plantar pits, skeletal abnormalities and other developmental defects. Owing to the fact that the condition tends to be a multisystemic disorder, familiarity of various medical specialists with its manifestations may reduce the time necessary for providing a diagnosis. It will also enable them to apply adequate methods of treatment and secondary prevention. In this study, we present symptoms of the disease, its diagnostic methods and currently used treatments. We searched 2 scientific databases: Medline (EBSCO) and Science Direct, for the years 1996 to 2011. In our search of abstracts, key words included nevoid basal cell carcinoma syndrome and Gorlin-Goltz syndrome. We examined 287 studies from Medline and 80 from Science Direct, all published in English. Finally, we decided to use 60 papers, including clinical cases and literature reviews. Patients with Gorlin-Goltz syndrome need particular multidisciplinary medical care. Knowledge of multiple and difficult to diagnose symptoms of the syndrome among professionals of various medical specialties is crucial. The consequences of the disease pose a threat to the health and life of patients. Therefore, an early diagnosis creates an opportunity for effective prevention and treatment of the disorder. Prevention is better than cure. PMID:22936202

  16. Gorlin-Goltz syndrome--a medical condition requiring a multidisciplinary approach.

    Science.gov (United States)

    Kiwilsza, Małgorzata; Sporniak-Tutak, Katarzyna

    2012-09-01

    Gorlin-Goltz syndrome is a rare genetic condition showing a variable expressiveness. It is inherited in a dominant autosomal way. The strongest characteristic of the disease includes multiple basal cell carcinomas, jaw cysts, palmar and plantar pits, skeletal abnormalities and other developmental defects. Owing to the fact that the condition tends to be a multisystemic disorder, familiarity of various medical specialists with its manifestations may reduce the time necessary for providing a diagnosis. It will also enable them to apply adequate methods of treatment and secondary prevention. In this study, we present symptoms of the disease, its diagnostic methods and currently used treatments. We searched 2 scientific databases: Medline (EBSCO) and Science Direct, for the years 1996 to 2011. In our search of abstracts, key words included nevoid basal cell carcinoma syndrome and Gorlin-Goltz syndrome. We examined 287 studies from Medline and 80 from Science Direct, all published in English. Finally, we decided to use 60 papers, including clinical cases and literature reviews. Patients with Gorlin-Goltz syndrome need particular multidisciplinary medical care. Knowledge of multiple and difficult to diagnose symptoms of the syndrome among professionals of various medical specialties is crucial. The consequences of the disease pose a threat to the health and life of patients. Therefore, an early diagnosis creates an opportunity for effective prevention and treatment of the disorder. Prevention is better than cure.

  17. Validity of self-reported periodontal measures, demographic characteristics and systemic medical conditions.

    Science.gov (United States)

    Chatzopoulos, Georgios S; Cisneros, Alejandro; Sanchez, Miguel; Lunos, Scott; Wolff, Larry F

    2018-04-06

    The objective of the present study was to assess self-reported periodontal screening questions, demographic characteristics, systemic medical conditions and tobacco use for predicting periodontal disease among individuals seeking dental therapy in a university dental clinic. In this retrospective study, a total of 4,890 randomly selected dental charts were evaluated from among patients who had attended the University of Minnesota School of Dentistry clinics for treatment. Radiographic bone loss measurements were utilized to assess the severity of periodontal disease. Demographic characteristics as well as medical history of the patients were also recorded. Five self-reported periodontal screening questions were included with the range of answers limited to Yes/No. Generalized logit models were used to assess the association between bone loss and the predictors. The sample mean age was 54.1 years and included 52.6% males and 14.9% smokers with a mean number of missing teeth of 3.5. Self-reported tooth mobility, history of "gum treatment" and the importance to keep the teeth as well as age, tobacco use and cancer were statistically significant (p brushing", gender, diabetes, anxiety and arthritis. Self-reported periodontal screening questions as well as demographic characteristics, smoking and systemic medical conditions were significant predictors of periodontal disease and they could be used as valid, economical and practical measures. This article is protected by copyright. All rights reserved. © 2018 American Academy of Periodontology.

  18. Experimental and numerical investigations of a plasma reactor for the thermal destruction of medical waste using a model substance

    International Nuclear Information System (INIS)

    Fiedler, J; Lietz, E; Bendix, D; Hebecker, D

    2004-01-01

    A demonstration plant for the thermal destruction of medical waste using dc plasma torches as the energy source has been developed and tested in several set-ups and under different conditions. Three-dimensional CFD modelling of the gaseous phase in the thermal plasma reactor has been carried out to investigate the experimentally observed phenomena, with the objective of improving the process with respect to conversion rate and power consumption per unit weight. Several models for energy release, and additional parameter studies required to approach the real process as closely as possible, will be discussed. Results for velocity, temperature, and residence time distribution are presented and qualitatively compared with images taken from the running process

  19. Medical Comorbidity of Full and Partial Posttraumatic Stress Disorder in United States Adults: Results from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions

    Science.gov (United States)

    Pietrzak, Robert H.; Goldstein, Risë B.; Southwick, Steven M.; Grant, Bridget F.

    2011-01-01

    Objective This study examined associations between lifetime trauma exposures, PTSD and partial PTSD, and past-year medical conditions in a nationally representative sample of U.S. adults. Methods Face-to-face interviews were conducted with 34,653 participants in the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Logistic regression analyses evaluated associations of trauma exposure, PTSD and partial PTSD with respondent-reported medical diagnoses. Results After adjustment for sociodemographic characteristics and comorbid Axis I and II disorders, respondents with full PTSD were more likely than traumatized respondents without full or partial PTSD (comparison group) to report diagnoses of diabetes mellitus, noncirrhotic liver disease, angina pectoris, tachycardia, hypercholesterolemia, other heart disease, stomach ulcer, HIV seropositivity, gastritis, and arthritis (odds ratios [ORs]=1.2-2.5). Respondents with partial PTSD were more likely than the comparison group to report past-year diagnoses of stomach ulcer, angina pectoris, tachycardia, and arthritis (ORs=1.3-1.6). Men with full and partial PTSD were more likely than controls to report diagnoses of hypertension (both ORs=1.6), and both men and women with PTSD (ORs=1.8 and 1.6, respectively), and men with partial PTSD (OR=2.0) were more likely to report gastritis. Total number of lifetime traumatic event types was associated with many assessed medical conditions (ORs=1.04-1.16), reducing the magnitudes and rendering non-significant some of the associations between PTSD status and medical conditions. Conclusions Greater lifetime trauma exposure and PTSD are associated with numerous medical conditions, many of which are stress-related and chronic, in U.S. adults. Partial PTSD is associated with intermediate odds of some of these conditions. PMID:21949429

  20. Psychological Stressors and Burden of Medical Conditions in Older Adults: A Psychosomatic Approach

    Directory of Open Access Journals (Sweden)

    Arash Mani

    2009-12-01

    Full Text Available "n  "n  "nObjective: "nIn geriatric practice, the impact of psychological distress on health status has been undermined due to ageism, atypical presentation and less tendency to report negative affect among elderly people. Few studies have examined the impact of psychological stressors on medical burden in older adults. The current study has investigated the correlation of psychological distress and burden of medical conditions in a sample of older people .     "n  "n  "nMethod: A convenient study sample of 120 elderly subjects was recruited from the places where there was greater chance for the elderly people to attend. Data were collected by a trained research assistant using perceived stress scale, cumulative illness rating scale, geriatric depressive scale and a demographic questionnaire.     "n  "n  "nResults: "nOur participants perceived more level of stress than the average for their age. In the current study, the burden of medical condition was significantly correlated with the level of perceived stress(r = .197, p = .044. Moreover, in regression analysis, perceived stress was the strongest predictor for physical health morbidity (R2 =.049, significant f= .03.     "n  "n  "nConclusions: "nThe result of this study suggested that the psychological stressors contribute to poor health outcome in older adults ; the area that is usually overlooked due to ageism and its physiological related changes. The medical practitioners should consider the psychological distress as a part of etiological factors implicating in health morbidity among their aged patients.

  1. Conditions and consequences of medical futility--from a literature review to a clinical model.

    Science.gov (United States)

    Löfmark, R; Nilstun, T

    2002-04-01

    To present an analysis of "futility" that is useful in the clinical setting. Literature review. According to Medline more than 750 articles have been published about medical futility. Three criteria (language, time period, and the authors expressed their own opinions) singled out 43 of them. The authors' opinions about futility were analysed using the scheme: "If certain conditions are satisfied, then a particular measure is futile" and "If a particular measure is futile, then certain moral consequences are implied". Regarding conditions, most authors stated that judgments about futility should be made by physicians. The measure was usually some kind of medical treatment, and the goals related to quality of life, physiological improvement, or prolongation of life. The probability of success in reaching the goal was in most cases described in semiquantitative terms. Regarding consequences, the authors stated that health care professionals may (sometimes ought or should) withhold or withdraw a futile measure, most often after a dialogue with the patient (29 articles), but sometimes without informing the patient (nine articles), or with one-way information (four articles). Over time more and more articles recommend that the patient should be involved in joint decision making. Based on this literature review a clinical model was developed. The model, requiring that conditions and consequences should be made explicit, may, in "futility situations", facilitate both the collection of the necessary information and make the moral implications visible. It also makes communication about measures considered to be futile possible without using such ambiguous terms as "futile".

  2. Impact of socioeconomic status and medical conditions on health and healthcare utilization among aging Ghanaians.

    Science.gov (United States)

    Saeed, Bashiru Ii; Xicang, Zhao; Yawson, Alfred Edwin; Nguah, Samuel Blay; Nsowah-Nuamah, Nicholas N N

    2015-03-20

    This study attempts to examine the impact of socioeconomic and medical conditions in health and healthcare utilization among older adults in Ghana. Five separate models with varying input variables were estimated for each response variable. Data (Wave 1 data) were drawn from the World Health Organization Global Ageing and Adult Health (SAGE) conducted during 2007-2008 and included a total of 4770 respondents aged 50+ and 803 aged 18-49 in Ghana. Ordered logits was estimated for self-rated health, and binary logits for functional limitation and healthcare utilization. Our results show that the study provides enough grounds for further research on the interplay between socioeconomic and medical conditions on one hand and the health of the aged on the other. Controlling for socioeconomic status substantially contributes significantly to utilization. Also, aged women experience worse health than men, as shown by functioning assessment, self-rated health, chronic conditions and functional limitations. Women have higher rates of healthcare utilization, as shown by significantly higher rates of hospitalization and outpatient encounters. Expansion of the national health insurance scheme to cover the entire older population--for those in both formal and informal employments--is likely to garner increased access and improved health states for the older population.

  3. Risk of Adverse Health Outcomes and Decrements in Performance Due to In-flight Medical Conditions

    Science.gov (United States)

    Antonsen,Erik

    2017-01-01

    The drive to undertake long-duration space exploration missions at greater distances from Earth gives rise to many challenges concerning human performance under extreme conditions. At NASA, the Human Research Program (HRP) has been established to investigate the specific risks to astronaut health and performance presented by space exploration, in addition to developing necessary countermeasures and technology to reduce risk and facilitate safer, more productive missions in space (NASA Human Research Program 2009). The HRP is divided into five subsections, covering behavioral health, space radiation, habitability, and other areas of interest. Within this structure is the ExMC Element, whose research contributes to the overall development of new technologies to overcome the challenges of expanding human exploration and habitation of space. The risk statement provided by the HRP to the ExMC Element states: "Given that medical conditions/events will occur during human spaceflight missions, there is a possibility of adverse health outcomes and decrements in performance in mission and for long term health" (NASA Human Research Program 2016). Within this risk context, the Exploration Medical Capabilities (ExMC) Element is specifically concerned with establishing evidenced-based methods of monitoring and maintaining astronaut health. Essential to completing this task is the advancement in techniques that identify, prevent, and treat any health threats that may occur during space missions. The ultimate goal of the ExMC Element is to develop and demonstrate a pathway for medical system integration into vehicle and mission design to mitigate the risk of medical issues. Integral to this effort is inclusion of an evidence-based medical and data handling system appropriate for long-duration, exploration-class missions. This requires a clear Concept of Operations, quantitative risk metrics or other tools to address changing risk throughout a mission, and system scoping and system

  4. Numerical simulation of divergent rocket-based-combined-cycle performances under the flight condition of Mach 3

    Science.gov (United States)

    Cui, Peng; Xu, WanWu; Li, Qinglian

    2018-01-01

    Currently, the upper operating limit of the turbine engine is Mach 2+, and the lower limit of the dual-mode scramjet is Mach 4. Therefore no single power systems can operate within the range between Mach 2 + and Mach 4. By using ejector rockets, Rocket-based-combined-cycle can work well in the above scope. As the key component of Rocket-based-combined-cycle, the ejector rocket has significant influence on Rocket-based-combined-cycle performance. Research on the influence of rocket parameters on Rocket-based-combined-cycle in the speed range of Mach 2 + to Mach 4 is scarce. In the present study, influences of Mach number and total pressure of the ejector rocket on Rocket-based-combined-cycle were analyzed numerically. Due to the significant effects of the flight conditions and the Rocket-based-combined-cycle configuration on Rocket-based-combined-cycle performances, flight altitude, flight Mach number, and divergence ratio were also considered. The simulation results indicate that matching lower altitude with higher flight Mach numbers can increase Rocket-based-combined-cycle thrust. For another thing, with an increase of the divergent ratio, the effect of the divergent configuration will strengthen and there is a limit on the divergent ratio. When the divergent ratio is greater than the limit, the effect of divergent configuration will gradually exceed that of combustion on supersonic flows. Further increases in the divergent ratio will decrease Rocket-based-combined-cycle thrust.

  5. A study on the numerical instability of COBRA-series subchannel analysis codes at low-pressure and low-flow conditions

    International Nuclear Information System (INIS)

    Yoo, Y. J.; Hwnag, T. H.; Kim, K. K.; Ji, S. K.

    2001-01-01

    The numerical instability at low-pressure and low-flow conditions has been confirmed to be the common problem of the existing COBRA-series subchannel analysis codes. In addition, the range of operating conditions at which the analyses by the codes are impossible has been evaluated. To evaluate the MATRA's inapplicable range of operating conditions of the SMART core that is to be operated at the low flow condition, i.e. about 30% of the flow of the existing commercial pressurized water reactors at the steady-state condition, the analyses of various operating conditions were performed by using several representative COBRA-series subchannel analysis codes including MATRA. TORC of CE, COBRA3CP of Siemens/KWU, COBRA4I of PNL, and MATRA of KAERI were chosen as the subchannel analysis codes to be evaluated. The various operating conditions used in the CHF tests carried out at the Winfrith Establishment of UKAEA were chosen as the conditions to be analyzed. As the result, the numerical instabilities at low-pressure and low-flow conditions occurred in the analyses by all of the codes. It was revealed that the MATRA code, which numerically more stable thatn the other codes, was not able to analyze the conditions of the pressure not more than 100 bar and the mass velocity not more than 300 kg/sec-m 2 . Hereafter it is required to find out the exact reason for the numerical instability of the existing COBRA-series subchannel analysis codes at low-pressure and low-flow conditions and to devise the new method to get over that numerical problem

  6. A simple and rational numerical method of two-phase flow with volume-junction model. 2. The numerical method for general condition of two-phase flow in non-equilibrium states

    International Nuclear Information System (INIS)

    Okazaki, Motoaki

    1997-11-01

    In the previous report, the usefulness of a new numerical method to achieve a rigorous numerical calculation using a simple explicit method with the volume-junction model was presented with the verification calculation for the depressurization of a saturated two-phase mixture. In this report, on the basis of solution method above, a numerical method for general condition of two-phase flow in non-equilibrium states is presented. In general condition of two-phase flow, the combinations of saturated and non-saturated conditions of each phase are considered in the each flow of volume and junction. Numerical evaluation programs are separately prepared for each combination of flow condition. Several numerical calculations of various kinds of non-equilibrium two-phase flow are made to examine the validity of the numerical method. Calculated results showed that the thermodynamic states obtained in different solution schemes were consistent with each other. In the first scheme, the states are determined by using the steam table as a function of pressure and specific enthalpy which are obtained as the solutions of simultaneous equations. In the second scheme, density and specific enthalpy of each phase are directly calculated by using conservation equations of mass and enthalpy of each phase, respectively. Further, no accumulation of error in mass and energy was found. As for the specific enthalpy, two cases of using energy equations for the volume are examined. The first case uses total energy conservation equation and the second case uses the type of the first law of thermodynamics. The results of both cases agreed well. (author)

  7. Experimental and numerical study of atmospheric turbulence and dispersion in stable conditions and in near field at a complex site

    International Nuclear Information System (INIS)

    Wei, Xiao

    2016-01-01

    An experimental program has been designed in order to study pollutants dispersion at a complex site with a focus on stable conditions, which are still challenging for numerical modelling. This experimental program is being conducted at the SIRTA site in a southern suburb of Paris and consists in measuring, in near field, the turbulence and the pollutants dispersion. The aim of this program is to characterize the fine structure of turbulence and associated dispersion through high temporal and spatial resolution measurements. Then, these measurements allow to validate and improve the performance of CFD simulation for turbulence and dispersion in a heterogeneous field. The instrumental set up includes 12 ultrasonic anemometers measuring continuously wind velocity and temperature at 10 Hz, and 6 photo-ionization detectors (PIDs) measuring gas concentration at 50 Hz during tracer tests. Intensive observations periods (IOPs) with gas releases have been performed since March 2012. First of all, a detailed study of flow on the site is made, because it must be characterised and properly simulated before attempting to simulate the pollutants dispersion. This study is based on two years of continuous measurements and on measurements performed during IOPs. Turbulence strong anisotropy in the surface layer is characterized by calculating variances, integral length scales and power spectra of the three wind velocity components. Propagation of turbulent structures between sensors has been characterized with velocity correlations. Energy spectra show several slopes in different frequency regions. Also, data analyses show impact of terrain heterogeneity on the measurements. The forest to the north of the experimental field modifies wind velocity and direction for a large northerly sector. It induces a strong directional wind shear and a wind deceleration below the forest height. Numerical simulations are carried out using the CFD code, Code-Saturne, in RANS mode with a standard k

  8. Patient-centered medical homes improve care for adults with chronic conditions.

    Science.gov (United States)

    Pourat, Nadereh; Lavarreda, Shana Alex; Snyder, Sophie

    2013-05-01

    The success of health care reform implementation in 2014 partly depends on more efficient delivery of care to the millions of California residents eligible to gain insurance. Emerging evidence supports the effectiveness of the patient-centered medical home (PCMH) as a potential model of care delivery, which improves health outcomes and reduces costs. Among other principles, PCMH entails receipt of care from a personal doctor, who coordinates the patient's care and develops an individualized treatment plan for the patient. These principles are particularly essential in delivery of care to those with chronic conditions who require more intensive care management. Using the 2009 California Health Interview Survey (CHIS 2009), this policy brief indicates that patients who reported meeting these fundamental PCMH principles were more likely to have visited the doctor and to have received flu shots, and they also had better communication with providers than those who did not report meeting these PCMH principles. The data also showed that uninsured individuals, Medi-Cal beneficiaries, those at or below 133% of the federal poverty level, Latinos, and Asian-Americans were less likely to report meeting all three PCMH principles. These findings highlight the population groups that would most benefit from the PCMH care delivery model, particularly Medi-Cal beneficiaries and those eligible for Covered California, the California health benefits exchange.

  9. The Influence of Safety, Efficacy, and Medical Condition Severity on Natural versus Synthetic Drug Preference.

    Science.gov (United States)

    Meier, Brian P; Lappas, Courtney M

    2016-11-01

    Research indicates that there is a preference for natural v. synthetic products, but the influence of this preference on drug choice in the medical domain is largely unknown. We present 5 studies in which participants were asked to consider a hypothetical situation in which they had a medical issue requiring pharmacological therapy. Participants ( N = 1223) were asked to select a natural, plant-derived, or synthetic drug. In studies 1a and 1b, approximately 79% of participants selected the natural v. synthetic drug, even though the safety and efficacy of the drugs were identical. Furthermore, participants rated the natural drug as safer than the synthetic drug, and as that difference increased, the odds of choosing the natural over synthetic drug increased. In studies 2 and 3, approximately 20% of participants selected the natural drug even when they were informed that it was less safe (study 2) or less effective (study 3) than the synthetic drug. Finally, in study 4, approximately 65% of participants chose a natural over synthetic drug regardless of the severity of a specific medical condition (mild v. severe hypertension), and this choice was predicted by perceived safety and efficacy differences. Overall, these data indicate that there is a bias for natural over synthetic drugs. This bias could have implications for drug choice and usage. © The Author(s) 2015.

  10. Medical conditions among Iraqi refugees in Jordan: data from the United Nations Refugee Assistance Information System

    Science.gov (United States)

    Carone, Marco; Al-Saedy, Huda; Nyce, Sayre; Ghosn, Jad; Mutuerandu, Timothy; Black, Robert E

    2012-01-01

    Abstract Objective To determine the range and burden of health services utilization among Iraqi refugees receiving health assistance in Jordan, a country of first asylum. Methods Medical conditions, diagnosed in accordance with the tenth revision of the International classification of diseases, were actively monitored from 1January to 31December 2010 using a pilot centralized database in Jordan called the Refugee Assistance Information System. Findings There were 27 166 medical visits by 7642 Iraqi refugees (mean age: 37.4 years; 49% male; 70% from Baghdad; 6% disabled; 3% with a history of torture). Chronic diseases were common, including essential hypertension (22% of refugees), visual disturbances (12%), joint disorders (11%) and type II diabetes mellitus (11%). The most common reasons for seeking acute care were upper respiratory tract infection (11%), supervision of normal pregnancy (4%) and urinary disorders (3%). The conditions requiring the highest number of visits per refugee were cerebrovascular disease (1.46 visits), senile cataract (1.46) and glaucoma (1.44). Sponsored care included 31 747 referrals or consultations to a specialty service, 18 432 drug dispensations, 2307 laboratory studies and 1090 X-rays. The specialties most commonly required were ophthalmology, dentistry, gynaecology and orthopaedic surgery. Conclusion Iraqi refugees in countries of first asylum and resettlement require targeted health services, health education and sustainable prevention and control strategies for predominantly chronic diseases. PMID:22690034

  11. Medical conditions among Iraqi refugees in Jordan: data from the United Nations Refugee Assistance Information System.

    Science.gov (United States)

    Mateen, Farrah J; Carone, Marco; Al-Saedy, Huda; Nyce, Sayre; Ghosn, Jad; Mutuerandu, Timothy; Black, Robert E

    2012-06-01

    To determine the range and burden of health services utilization among Iraqi refugees receiving health assistance in Jordan, a country of first asylum. Medical conditions, diagnosed in accordance with the tenth revision of the International classification of diseases, were actively monitored from 1 January to 31 December 2010 using a pilot centralized database in Jordan called the Refugee Assistance Information System. There were 27 166 medical visits by 7642 Iraqi refugees (mean age: 37.4 years; 49% male; 70% from Baghdad; 6% disabled; 3% with a history of torture). Chronic diseases were common, including essential hypertension (22% of refugees), visual disturbances (12%), joint disorders (11%) and type II diabetes mellitus (11%). The most common reasons for seeking acute care were upper respiratory tract infection (11%), supervision of normal pregnancy (4%) and urinary disorders (3%). The conditions requiring the highest number of visits per refugee were cerebrovascular disease (1.46 visits), senile cataract (1.46) and glaucoma (1.44). Sponsored care included 31 747 referrals or consultations to a specialty service, 18 432 drug dispensations, 2307 laboratory studies and 1090 X-rays. The specialties most commonly required were ophthalmology, dentistry, gynaecology and orthopaedic surgery. Iraqi refugees in countries of first asylum and resettlement require targeted health services, health education and sustainable prevention and control strategies for predominantly chronic diseases.

  12. Interactive effect between depression and chronic medical conditions on fall risk in community-dwelling elders.

    Science.gov (United States)

    Kao, Senyeong; Wang, Yun-Chang; Tzeng, Ya-Mei; Liang, Chang-Kuo; Lin, Fu-Gong

    2012-09-01

    It is well documented that fall risk among elderly people is associated with poor health and depression. In this study, we set out to examine the combined effects of medical condition and depression status on fall incidents among community-dwelling elderly people. A cross-sectional study was carried out to investigate the fall history of community-dwelling elders involving 360 participants. Those who had experienced at least two falls over the previous year, or one injurious fall, were defined as "fallers." The Geriatric Depression Scale-15 was used as a screening instrument for depression status. Based on a multivariate logistic regression and stratification analysis, depression was found to interact with various medical conditions on fall risk. In comparison with the non-depressive reference group, a six-fold fall risk was discernible among depressed elders with polypharmacy, while a five-fold risk was found among depressive elders using ancillary devices, along with a four-fold risk among depressive elders with diabetes or cardiovascular disease. Finally, arthritis was found to produce a nine-fold risk of falls among such populations. These findings suggest that greater emphasis should be placed on the integration of depression screening as an element of fall risk assessment in elderly people.

  13. Making choices about medical interventions: the experience of disabled young people with degenerative conditions.

    Science.gov (United States)

    Mitchell, Wendy A

    2014-04-01

    Current western policy, including the UK, advocates choice for service users and their families, taking greater control and being more involved in decision making. However, children's role in health decision making, especially from their own perspective, has received less research attention compared to doctors and parents' perspectives. To explore the perspective and experiences of disabled young people with degenerative conditions as they face significant medical interventions and engage in decision-making processes. Findings from a longitudinal qualitative study of 10 young people (13-22 years) with degenerative conditions are reported. Individual semi-structured interviews were conducted with participants over 3 years (2007-2010); the paper reports data from all three interview rounds. Interviews focused on medical intervention choices the young people identified as significant. Although the young people in this study felt involved in the medical intervention choices discussed, findings demonstrate a complex and diverse picture of decision making. Results highlighted different decisional roles adopted by the young people, the importance of information heuristics and working with other people whilst engaging in complex processes weighing up different decisional factors. Young people's experiences demonstrate the importance of moving beyond viewing health choices as technical or rational decisions. How each young person framed their decision was important. Recognizing this diversity and the importance of emerging themes, such as living a normal life, independence, fear of decisions viewed as 'irreversible' and the role of parents and peers in decision making highlights that, there are clear practice implications including, active practitioner listening, sensitivity and continued holistic family working. © 2012 John Wiley & Sons Ltd.

  14. Experimental and numerical study of atmospheric turbulence and dispersion in stable conditions and in near field at a complex site

    International Nuclear Information System (INIS)

    Wei, Xiao

    2016-01-01

    An experimental program has been designed in order to study pollutants dispersion at a complex site with a focus on stable conditions, which are still challenging for numerical modelling. This experimental program is being conducted at the SIRTA site in a southern suburb of Paris and consists in measuring, in near field, the turbulence and the pollutants dispersion. The aim of this program is to characterize the fine structure of turbulence and associated dispersion through high temporal and spatial resolution measurements. Then, these measurements allow to validate and improve the performance of CFD simulation for turbulence and dispersion in a heterogeneous field. The instrumental set up includes 12 ultrasonic anemometers measuring continuously wind velocity and temperature at 10 Hz, and 6 photo-ionization detectors (PIDs) measuring gas concentration at 50 Hz during tracer tests. Intensive observations periods (IOPs) with gas releases have been performed since March 2012.First of all, a detailed study of flow on the site is made, because it must be characterised and properly simulated before attempting to simulate the pollutants dispersion. This study is based on two years of continuous measurements and on measurements performed during IOPs. Turbulence strong anisotropy in the surface layer is characterized by calculating variances, integral length scales and power spectra of the three wind velocity components. Propagation of turbulent structures between sensors has been characterized with velocity correlations. Energy spectra show several slopes in different frequency regions. Also, data analyses show impact of terrain heterogeneity on the measurements. The forest to the north of experimental field modifies wind velocity and direction for a large northerly sector. It induces a strong directional wind shear and a wind deceleration below the forest height. Numerical simulations are carried out using the CFD code Code-Saturne in RANS mode with a standard κ

  15. Numerical simulation of water flow and Nitrate transport through variably saturated porous media in laboratory condition using HYDRUS 2D

    Science.gov (United States)

    Jahangeer, F.; Gupta, P. K.; Yadav, B. K.

    2017-12-01

    Due to the reducing availability of water resources and the growing competition for water between residential, industrial, and agricultural users, increasing irrigation efficiency, by several methods like drip irrigation, is a demanding concern for agricultural experts. The understanding of the water and contaminants flow through the subsurface is needed for the sustainable irrigation water management, pollution assessment, polluted site remediation and groundwater recharge. In this study, the Windows-based computer software package HYDRUS-2D, which numerically simulates water and solute movement in two-dimensional, variably-saturated porous media, was used to evaluate the distribution of water and Nitrate in the sand tank. The laboratory and simulation experiments were conducted to evaluate the role of drainage, recharge flux, and infiltration on subsurface flow condition and subsequently, on nitrate movement in the subsurface. The water flow in the unsaturated zone model by Richards' equation, which was highly nonlinear and its parameters were largely dependent on the moisture content and pressure head of the partially saturated zone. Following different cases to be considered to evaluate- a) applying drainage and recharge flux to study domains, b) transient infiltration in a vertical soil column and c) subsequently, nitrate transport in 2D sand tank setup. A single porosity model was used for the simulation of water and nitrate flow in the study domain. The results indicate the transient water table position decreases as the time increase significantly by applying drainage flux at the bottom. Similarly, the water table positions in study domains increasing in the domain by applying recharge flux. Likewise, the water flow profile shows the decreasing water table elevation with increasing water content in the vertical domain. Moreover, the nitrate movement was dominated by advective flux and highly affected by the recharge flux in the vertical direction. The

  16. Using Electronic Health Record Data to Measure Care Quality for Individuals with Multiple Chronic Medical Conditions.

    Science.gov (United States)

    Bayliss, Elizabeth A; McQuillan, Deanna B; Ellis, Jennifer L; Maciejewski, Matthew L; Zeng, Chan; Barton, Mary B; Boyd, Cynthia M; Fortin, Martin; Ling, Shari M; Tai-Seale, Ming; Ralston, James D; Ritchie, Christine S; Zulman, Donna M

    2016-09-01

    To inform the development of a data-driven measure of quality care for individuals with multiple chronic conditions (MCCs) derived from an electronic health record (EHR). Qualitative study using focus groups, interactive webinars, and a modified Delphi process. Research department within an integrated delivery system. The webinars and Delphi process included 17 experts in clinical geriatrics and primary care, health policy, quality assessment, health technology, and health system operations. The focus group included 10 individuals aged 70-87 with three to six chronic conditions selected from a random sample of individuals aged 65 and older with three or more chronic medical conditions. Through webinars and the focus group, input was solicited on constructs representing high-quality care for individuals with MCCs. A working list was created of potential measures representing these constructs. Using a modified Delphi process, experts rated the importance of each possible measure and the feasibility of implementing each measure using EHR data. High-priority constructs reflected processes rather than outcomes of care. High-priority constructs that were potentially feasible to measure included assessing physical function, depression screening, medication reconciliation, annual influenza vaccination, outreach after hospital admission, and documented advance directives. High-priority constructs that were less feasible to measure included goal setting and shared decision-making, identifying drug-drug interactions, assessing social support, timely communication with patients, and other aspects of good customer service. Lower-priority domains included pain assessment, continuity of care, and overuse of screening or laboratory testing. High-quality MCC care should be measured using meaningful process measures rather than outcomes. Although some care processes are currently extractable from electronic data, capturing others will require adapting and applying technology to

  17. Evaluating sociodemographic and medical conditions of patients under home care service

    Directory of Open Access Journals (Sweden)

    Tolga Önder

    2015-09-01

    Full Text Available Objective: In our study, we aimed to reveal medical conditions and the sociodemographic conditions of patients under home care service. Methods: Our study is planned on 52 patients who are under home care service at Sarıkamış State Hospital between June 2013 and May 2014. Patients' sex, education, social security status, comorbid diseases and general health status were recorded. Results: Fifty-two patients enrolled. 21 of them (40.4% were men, 31 of them (59.6 % were women. It is revealed that In 36 patients (69.2% did not receive formal education throughout their lives, while16 (30.8% of them had only primary education. All female patients were housewives. The most frequent diseases in home care patients were cerebrovascular disease in 18 (34.6% subjects, Alzheimer's disease in 9 (17.3%, and chronic obstructive pulmonary disease in 4 (7.7% d. 38 patients (73.1% needed routine follow-up. Most of the patients (61.5% had green card health insurance. Only 6 patients (11.5% were in need of narcotic analgesics. Thirteen patients had pressure ulcers due to immobilization. Evaluating the exercise capacity of the patients; 43 (82.7% could not dressed themselves, 38 (73.1% could not use phone. Thirty-two patients had urinary incontinence and 31 had fecal incontinence. Conclusion: Today, population of patients who need home care service is increasing due to ease access to home care service and increase in survival. For a better care of patients, home care providers should be well educated and differences on features of patients and medical conditions it should be taken into consideration.

  18. Medical privacy and the disclosure of personal medical information: the beliefs and experiences of those with genetic and other clinical conditions.

    Science.gov (United States)

    Kass, Nancy E; Hull, Sara Chandros; Natowicz, Marvin R; Faden, Ruth R; Plantinga, Laura; Gostin, Lawrence O; Slutsman, Julia

    2004-07-30

    There has been heightened legislative attention to medical privacy and to protections from genetic discrimination, without large-scale studies to document privacy concerns or analysis of whether experiences differ by whether the condition is genetic (defined here as a single-gene disorder) or non-genetic. To determine whether experiences regarding privacy, disclosure, and consequences of disclosure differ by whether one's medical condition is genetic, we conducted a descriptive study with one-time, structured quantitative and qualitative interviews. We interviewed approximately 100 adults or parents of children with each of the following medical conditions: sickle cell disease, cystic fibrosis, diabetes, and HIV, and 200 adults with or at risk for breast cancer or colon cancer. The percentages of the total 597 respondents experiencing positive or negative consequences of disclosure and the degree to which experiences differed by whether the condition was genetic were the outcomes of interest. Seventy-four percent were glad and 13% regretted others knew about their condition; these findings did not differ significantly by genetic vs. non-genetic condition. Reports of job and health insurance discrimination were not uncommon for the overall study population (19 and 27%, respectively) but were more likely among those with genetic conditions (30 and 37%, respectively). Legislation and other policy-making should target the needs of persons with all conditions and not focus exclusively on genetic discrimination, given that experiences and concerns generally do not differ based on the genetic etiology of the condition. Copyright 2004 Wiley-Liss, Inc.

  19. Extensive medical absenteeism among secondary school students : An observational study on their health condition from a biopsychosocial perspective

    NARCIS (Netherlands)

    Vanneste-van Zandvoort, Y.T.M.; Mathijssen, J.J.P.; van de Goor, L.A.M.; Rots, M.C.; Feron, F.

    2015-01-01

    An adequate approach to reducing school absenteeism should focus on medical absenteeism as this is the most prevalent form of school absenteeism. The objective of this study is to explore the health condition of pre-vocational secondary students with extensive medical absenteeism from a

  20. 42 CFR 484.18 - Condition of participation: Acceptance of patients, plan of care, and medical supervision.

    Science.gov (United States)

    2010-10-01

    ..., and medical supervision. Patients are accepted for treatment on the basis of a reasonable expectation that the patient's medical, nursing, and social needs can be met adequately by the agency in the... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Acceptance of patients...

  1. University of the Witwatersrand physiotherapy undergraduate curriculum alignment to medical conditions of patients within Gauteng state health facilities

    Directory of Open Access Journals (Sweden)

    Mokgobadibe V. Ntsiea

    2017-06-01

    Conclusion: The Wits physiotherapy curriculum covers all medical conditions treated by physiotherapists within the Gauteng state health facilities, and overall, the curriculum prepares the students to practise in a variety of situations.

  2. Chronic medical conditions and mental health in older people : disability and psychosocial resources mediate specific mental health effects

    NARCIS (Netherlands)

    Ormel, J; Kempen, GIJM; Penninx, BWJH; Brilman, EI; Beekman, ATF; VanSonderen, E

    Background. This study describes the differences in psychological distress, disability and psychosocial resources between types of major medical conditions and sensory impairments (collectively denoted as CMCs); and tests whether disability and psychosocial resources mediate CMC-specific mental

  3. Factors associated with geographic variation in cost per episode of care for three medical conditions

    Science.gov (United States)

    2014-01-01

    Objective To identify associations between market factors, especially relative reimbursement rates, and the probability of surgery and cost per episode for three medical conditions (cataract, benign prostatic neoplasm, and knee degeneration) with multiple treatment options. Methods We use 2004–2006 Medicare claims data for elderly beneficiaries from sixty nationally representative communities to estimate multivariate models for the probability of surgery and cost per episode of care as a function local market factors, including Medicare physician reimbursement for surgical versus non-surgical treatment and the availability of primary care and specialty physicians. We used Symmetry’s Episode Treatment Groups (ETG) software to group claims into episodes for the three conditions (n = 540,874 episodes). Results Higher Medicare reimbursement for surgical episodes and greater availability of the relevant specialists are significantly associated with more surgery and higher cost per episode for all three conditions, while greater availability of primary care physicians is significantly associated with less frequent surgery and lower cost per episode. Conclusion Relative Medicare reimbursement rates for surgical vs. non-surgical treatments and the availability of both primary care physicians and relevant specialists are associated with the likelihood of surgery and cost per episode. PMID:24949281

  4. A numerical solution to define channel heads and hillslope parameters from digital topography of glacially conditioned catchments

    Science.gov (United States)

    Salcher, Bernhard; Baumann, Sebastian; Kober, Florian; Robl, Jörg; Heiniger, Lukas

    2016-04-01

    The analysis of the slope-area relationship in bedrock streams is a common way for discriminating the channel from the hillslope domain and associated landscape processes. Spatial variations of these domains are important indicators of landscape change. In fluvial catchments, this relationship is a function of contributing drainage area, channel slope and the threshold drainage area for fluvial erosion. The resulting pattern is related to climate, tectonic and underlying bedrock. These factors may become secondary in catchments affected by glacial erosion, as it is the case in many mid- to high-latitude mountain belts. The perturbation (i.e. the destruction) of an initial steady state fluvial bedrock morphology (where uplift is balanced by surface lowering rates) will tend to become successively larger if the repeated action of glacial processes exceeds the potential of fluvial readjustment during deglaciated periods. Topographic change is associated with a decrease and fragmentation of the channel network and an extension of the hillslope domain. In case of glacially conditioned catchments discrimination of the two domains remains problematic and a discrimination inconsistent. A definition is therefore highly needed considering that (i) a spatial shift in the domains affect the process and rate of erosion and (ii) topographic classifications of alpine catchments often base on channel and hillslope parameters (i.e.channel or hillslope relief). Here we propose a novel numerical approach to topographically define channel heads from digital topography in glacially conditioned mountain range catchments in order to discriminate the channel from the hillslope domain. We analyzed the topography of the southern European Central Alps, a region which (i) has been glaciated multiple times during the Quaternary, shows (ii) little lithological variations, is (iii) home of very low erodible rocks and is (iv) known as a region were tectonic processes have largely ceased. The

  5. Health conditions and motivations for marijuana use among young adult medical marijuana patients and non-patient marijuana users.

    Science.gov (United States)

    Lankenau, Stephen E; Ataiants, Janna; Mohanty, Salini; Schrager, Sheree; Iverson, Ellen; Wong, Carolyn F

    2018-02-01

    While marijuana has been legal for medical purposes in California since 1996, little is known about the health histories of young adult medical marijuana patients who are a significant proportion of medical marijuana patients. We examined whether young adult medical marijuana patients reported health conditions and motivations for use that were consistent with medical use of marijuana in California. Young adults (N = 366) aged 18 to 26 years were sampled in Los Angeles in 2014-2015 and segmented into medical marijuana 'patients' (n = 210), marijuana users with a current recommendation, and non-patient users or 'non-patients' (n = 156), marijuana users who never had a medical marijuana recommendation. Differences between patients and non-patients regarding self-reported health histories and past/current motivations for marijuana use were expressed as unadjusted risk ratios. Compared with non-patients, patients were significantly more likely to report a range of lifetime health problems, such as psychological, physical pain and gastrointestinal. In the past 90 days, patients were significantly more likely to report motivations for marijuana use than non-patients concerning sleep, anxiety, physical pain and focusing. Psychological and pain problems were the most common health conditions reported to receive a medical marijuana recommendation. Patients were significantly less likely than non-patients to report any privacy concerns about obtaining a medical marijuana recommendation. Patients were significantly more likely to report a range of health conditions and motivations associated with medical use than non-patients. A great majority of patients reported obtaining a medical marijuana recommendation for health problems in accordance with the California law. [Lankenau SE, Ataiants J,Mohanty S, Schrager S, Iverson E, Wong CF.Health conditions and motivations for marijuana use among young adultmedical marijuana patients and non-patient marijuana users. Drug

  6. Dental Erosion and Medical Conditions: An Overview of Aetiology, Diagnosis and Management.

    Science.gov (United States)

    Paryag, A; Rafeek, R

    2014-09-01

    Tooth wear or tooth surface loss is a normal physiological process and occurs throughout life but is considered pathological when the degree of destruction is excessive or the rate of loss is rapid, causing functional, aesthetic or sensitivity problems. The importance of tooth wear as a dental problem has been increasingly recognized. The findings of a study in Trinidad indicate that the prevalence of tooth wear in a Trinidadian population is comparable to the United Kingdom (UK) and, indeed, that the level of moderate and severe wear is in fact nearly twice as high. The aetiology of tooth wear is attributed to four causes: erosion, attrition, abrasion and abfraction. Erosion is generally considered to be the most prevalent cause of tooth wear in the UK and Europe. Acids that cause dental erosion originate mainly from the diet or the stomach and to a lesser extent, the environment. Underlying medical problems can contribute to the progress of tooth wear due to erosion and the patient may not be aware of these conditions. Moderate to severe tooth wear poses a significant clinical challenge to dental practitioners and may result in treatment that is more complex and costly to the patient both in terms of finances and time spent in the dental chair. This paper provides an overview of aetiology and diagnosis of tooth wear, in particular tooth wear due to erosion, so that medical and dental practitioners may recognize tooth wear early, institute preventive measures and manage patients appropriately.

  7. Numerical Simulation of the Application of Solar Radiant Systems, Internal Airflow and Occupants’ Presence in the Improvement of Comfort in Winter Conditions

    Directory of Open Access Journals (Sweden)

    Eusébio Z. E. Conceição

    2016-09-01

    Full Text Available In this work, the use of numerical simulation in the application of solar radiant systems, internal airflow and occupants’ presence in the improvement of comfort in winter conditions is made. The thermal comfort, the local thermal discomfort and the air quality in an occupied chamber space are evaluated. In the experimental measurements, a wood chamber, a desk, two seats, two seated hygro-thermal manikins, a warm radiant floor, a solar radiation simulator and a water solar collector are used. The air velocity and the air temperature fluctuation are experimentally evaluated around 15 human body sections. The chamber surface temperature is experimentally measured. In the numerical simulation, a coupling human thermal comfort (HTC integral model, a computational fluids dynamics (CFD differential model and a building thermal response (BTR integral model are applied. The human thermal comfort level is evaluated by the HTC numerical model. The airflow inside the virtual chamber, using the k-epsilon and RNG turbulence models, is evaluated by the CFD numerical model. The chamber surface and the collector temperatures are evaluated by the BTR numerical model. In the human thermal comfort level, in non-uniform environments, the predicted mean vote (PMV and the predicted percentage of dissatisfied (PPD people are numerically evaluated; in the local thermal discomfort level the draught risk (DR is experimentally and numerically analyzed; and in the air quality, the carbon dioxide CO2 concentration is numerically calculated. In the validation tests, the experimental and numerical values of the chamber surface temperature, the air temperature, the air velocity, the air turbulence intensity and the DR are presented.

  8. Effectiveness of short-term numerical weather prediction in predicting growing degree days and meteorological conditions for apple scab appearance

    Czech Academy of Sciences Publication Activity Database

    Lalic, B.; Francia, M.; Eitzinger, Josef; Podrascanin, Z.; Arsenic, I.

    2016-01-01

    Roč. 23, č. 1 (2016), s. 50-56 ISSN 1350-4827 Institutional support: RVO:86652079 Keywords : venturia-inaequalis * temperature * equation * schemes * model * numerical weather prediction * disease prediction * verification * apple scab * growing degree days Subject RIV: DG - Athmosphere Sciences, Meteorology OBOR OECD: Meteorology and atmospheric sciences Impact factor: 1.411, year: 2016

  9. Desaturation of a clay-stone around a ventilated gallery: numerical modelling of pressures and water contents under various conditions

    International Nuclear Information System (INIS)

    Ababou, Rachid; Mansouri, Nahla; Bailly, David; Poutrel, Adrien

    2012-01-01

    Document available in extended abstract form only. We present simulation tests focusing on the drying process around a gallery in an initially saturated (water-filled) porous clay rock, in the framework of a research on the isolation properties and hydro-mechanical behaviour of a clayey geologic repository for radioactive waste. The saturated/unsaturated hydrodynamic parameters used in these tests correspond to a hypothetical clay-stone, similar to the 130 m thick Callovo-Oxfordian formation located between depths 400 m and 600 m at the Meuse / Haute-Marne (MHM) Underground Research Laboratory (URL), operated by ANDRA (Bure, France). The simulations tests were designed according to 3 'types' of computational geometries. The drying period was extended to very long time scales in some cases. The clay rock was taken homogeneous in many tests, but the damaged zone was represented in some (Type III) tests. Type (I) tests are conducted in a simplified non circular geometry. Assuming a square cross-section for the drift, the drying process is obtained by imposing a fixed suction on a flat piece of wall at the roof. The bottom of the porous domain coincides with the roof of the drift. The imposed suction at the roof affects the near field pressure both horizontally and vertically. Type (II) tests reproduce the circular cylindrical geometry of a partially or perfectly filled gallery, with drying conditions imposed at both ends of the drift. Finally, Type (III) tests consider the case of an empty ventilated cylindrical drift with circular cross-section. In this case the drying is imposed on the curved walls of the drift via a transmission mechanism thanks the 'macro-porous immersion' method. In all cases, the drying of the porous clay rock is modeled by imposing a suction condition (ψ), obtained from relative air humidity (HR) via Kelvin's law (ψ). Briefly, the macro-porous immersion method consists in the following interrelated procedures. First, the volumetric excavation

  10. Keep calm and carry on: Mental disorder is not more "organic" than any other medical condition.

    Science.gov (United States)

    Micoulaud-Franchi, J A; Quiles, C; Masson, M

    2017-10-01

    Psychiatry as a discipline should no longer be grounded in the dualistic opposition between organic and mental disorders. This non-dualistic position refusing the partition along functional versus organic lines is in line with Jean Delay, and with Robert Spitzer who wanted to include in the definition of mental disorder discussed by the DSM-III task force the statement that "mental disorders are a subset of medical disorders". However, it is interesting to note that Spitzer and colleagues ingeniously introduced the definition of "mental disorder" in the DSM-III in the following statement: "there is no satisfactory definition that specifies precise boundaries for the concept "mental disorder" (also true for such concepts as physical disorder and mental and physical health)". Indeed, as for "mental disorders", it is as difficult to define what they are as it is to define what constitutes a "physical disorder". The problem is not the words "mental" or "organic" but the word "disorder". In this line, Wakefield has proposed a useful "harmful dysfunction" analysis of mental disorder. They raise the issue of the dualistic opposition between organic and mental disorders, and situate the debate rather between the biological/physiological and the social. The paper provides a brief analysis of this shift on the question of what is a mental disorder, and demonstrates that a mental disorder is not more "organic" than any other medical condition. While establishing a dichotomy between organic and psychiatry is no longer intellectually tenable, the solution is not to reduce psychiatric and non-psychiatric disorders to the level of "organic disorders" but rather to continue to adopt both a critical and clinically pertinent approach to what constitutes a "disorder" in medicine. Copyright © 2017 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  11. Validation of the shortened Perceived Medical Condition Self-Management Scale in patients with chronic disease.

    Science.gov (United States)

    Wild, Marcus G; Ostini, Remo; Harrington, Magdalena; Cavanaugh, Kerri L; Wallston, Kenneth A

    2018-05-21

    Self-efficacy, or perceived competence, has been identified as an important factor in self-management behaviors and health outcomes in patients with chronic disease. Measures of self-management self-efficacy are currently available for multiple forms of chronic disease. One established measure is the 8-item Perceived Medical Condition Self-Management Scale (PMCSMS). This study investigated the use of the PMCSMS in samples of patients with a chronic disease to develop an abbreviated version of the scale that could be more readily used in clinical contexts or in large population health cohort studies. The PMCSMS was administered as either a generic scale or as a disease-specific scale. The results of analyses using item response theory and classical test theory methods indicated that using 4 items of the scale resulted in similar internal consistency (α = .70-0.90) and temporal stability (test-retest r = .75 after 2 to 4 weeks) to the 8-item PMCSMS (r = .81 after 2 to 4 weeks). The 4 items selected had the greatest discriminability among participants (α parameters = 2.49-3.47). Scores from both versions also demonstrated similar correlations with related constructs such as health literacy (r = .13-0.29 vs. 0.14-0.27), self-rated health (r = .17-0.48 vs. 0.26-0.50), social support (r = .21-0.32 vs. 0.25-0.34), and medication adherence (r = .20-0.24 vs. 0.20-0.25). The results of this study indicate that 4-item PMCSMS scores are equally valid but more efficient, and have the potential to be beneficial for both research and clinical applications. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  12. The medicalization of society: on the transformation of human conditions into treatable disorders

    National Research Council Canada - National Science Library

    Conrad, Peter

    2007-01-01

    ... 197This page intentionally left blank PrefacePreface I have been interested in the medicalization of society for a long time. My Ph.D. dissertation was a participant observation study of the medicalization of hyperactivity in children (Conrad, 1976). This was followed by a more historical account of the medicalization of deviance, coau...

  13. Numerical simulation of permanent magnet method: Influence of experimental conditions on accuracy of j{sub C}-distribution

    Energy Technology Data Exchange (ETDEWEB)

    Takayama, T., E-mail: takayama@yz.yamagata-u.ac.j [Faculty of Engineering, Yamagata University, 4-3-16, Johnan, Yonezawa, Yamagata 992-8510 (Japan); Kamitani, A.; Tanaka, A. [Graduate School of Science and Engineering, Yamagata University, 4-3-16, Johnan, Yonezawa, Yamagata 992-8510 (Japan)

    2010-11-01

    Influence of the magnet position on the determination of the distribution of the critical current density in a high-temperature superconducting (HTS) thin film has been investigated numerically. For this purpose, a numerical code has been developed for analyzing the shielding current density in a HTS sample. By using the code, the permanent magnet method is reproduced. The results of computations show that, even if the center of the permanent magnet is located near the film edge, the maximum repulsive force is roughly proportional to the critical current density. This means that the distribution of the critical current density in the HTS film can be estimated from the proportionality constants determined by using the relations between the maximum repulsive force and the critical current density.

  14. Numerical analysis of non-linear vibrations of a fractionally damped cylindrical shell under the conditions of combinational internal resonance

    Directory of Open Access Journals (Sweden)

    Rossikhin Yury A.

    2018-01-01

    Full Text Available Non-linear damped vibrations of a cylindrical shell embedded into a fractional derivative medium are investigated for the case of the combinational internal resonance, resulting in modal interaction, using two different numerical methods with further comparison of the results obtained. The damping properties of the surrounding medium are described by the fractional derivative Kelvin-Voigt model utilizing the Riemann-Liouville fractional derivatives. Within the first method, the generalized displacements of a coupled set of nonlinear ordinary differential equations of the second order are estimated using numerical solution of nonlinear multi-term fractional differential equations by the procedure based on the reduction of the problem to a system of fractional differential equations. According to the second method, the amplitudes and phases of nonlinear vibrations are estimated from the governing nonlinear differential equations describing amplitude-and-phase modulations for the case of the combinational internal resonance. A good agreement in results is declared.

  15. Numerical experiments with assimilation of the mean and unresolved meteorological conditions into large-eddy simulation model

    OpenAIRE

    Esau, Igor

    2010-01-01

    Micrometeorology, city comfort, land use management and air quality monitoring increasingly become important environmental issues. To serve the needs, meteorology needs to achieve a serious advance in representation and forecast on micro-scales (meters to 100 km) called meteorological terra incognita. There is a suitable numerical tool, namely, the large-eddy simulation modelling (LES) to support the development. However, at present, the LES is of limited utility for applications. The study a...

  16. Experimental and numerical investigation on compressor cascade flows with tip clearance at a low Reynolds number condition

    Science.gov (United States)

    Kato, Hiromasa; Taniguchi, Hideo; Matsuda, Kazunari; Funazaki, Ken-Ichi; Kato, Dai; Pallot, Guillaume

    2011-12-01

    High flow rate aeroengines typically employ axial flow compressors, where aerodynamic loss is predominantly due to secondary flow features such as tip leakage and corner vortices. In very high altitude missions, turbomachinery operates at low density ambient atmosphere, and the recent trend toward more compact engine core inevitably leads to the reduction of blade size, which in turn increases the relative height of the blade tip clearance. Low Reynolds number flowfield as a result of these two factors amplifies the relative importance of secondary flow effects. This paper focuses on the behavior of tip leakage flow, investigating by use of both experimental and numerical approaches. In order to understand the complex secondary flow behavior, cascade tests are usually conducted using intrusive probes to determine the loss. However relatively few experimental studies are published on tip leakage flows which take into account the interaction between a rotating blade row and its casing wall. Hence a new linear cascade facility has been designed with a moving belt casing in order to reproduce more realistic flowfield as encountered by a rotating compressor row. Numerical simulations were also performed to aid in the understanding of the complex flow features. The experimental results indicate a significant difference in the flowfield when the moving belt casing is present. The numerical simulations reveal that the leakage vortex is pulled by the shearing motion of the endwall toward the pressure side of the adjacent blade. The results highlight the importance of casing wall relative motion in analyzing leakage flow effects.

  17. Medical conditions, family history of cancer, and the risk of biliary tract cancers.

    Science.gov (United States)

    Rosato, Valentina; Bosetti, Cristina; Dal Maso, Luigino; Montella, Maurizio; Serraino, Diego; Negri, Eva; La Vecchia, Carlo

    2016-06-02

    Scanty data exist on the role of personal medical conditions, except for gallstones, and family history of cancer on the risk of biliary tract cancers (BTC). We analyzed this issue using data from two Italian case-control studies, including 159 cases of BTC and 795 matched hospital controls. Odds ratios (ORs) of BTC and corresponding 95% confidence intervals (CIs) were estimated using multiple logistic regression models. Gallstones were associated with a 2-fold excess risk of BTC (95% CI 1.24-3.45). No significant associations were observed with other conditions investigated, including diabetes (OR 1.15, 95% CI 0.63-2.11), hypertension (OR 0.65, 95% CI 0.39-1.11), hyperlipidemia (OR 0.61, 95% CI 0.31-1.21), allergy (OR 0.64, 95% CI 0.29-1.40), gastroduodenal ulcer (OR 0.52, 95% CI 0.24-1.12), hepatitis (OR 2.02, 95% CI 0.35-11.67), benign thyroid diseases (OR 1.16, 95% CI 0.56-2.40), hysterectomy (OR 1.19, 95% CI 0.53-2.68), unilateral oophorectomy (OR 1.75, 95% CI 0.44-6.93), and bilateral oophorectomy (OR 2.48, 95% CI 0.79-7.82). We found an excess risk of BTC in relation to family history of any cancer (OR 1.52, 95% CI 1.03-2.24) and family history of gallbladder cancer (OR 3.83, 95% CI 0.59-24.75). The present study confirms a strong association between BTC and history of gallstones, and provides further evidence of a positive association with family history of cancer.

  18. Trends, Productivity Losses, and Associated Medical Conditions Among Toxoplasmosis Deaths in the United States, 2000–2010

    Science.gov (United States)

    Cummings, Patricia L.; Kuo, Tony; Javanbakht, Marjan; Sorvillo, Frank

    2014-01-01

    Few studies have quantified toxoplasmosis mortality, associated medical conditions, and productivity losses in the United States. We examined national multiple cause of death data and estimated productivity losses caused by toxoplasmosis during 2000–2010. A matched case–control analysis examined associations between comorbid medical conditions and toxoplasmosis deaths. In total, 789 toxoplasmosis deaths were identified during the 11-year study period. Blacks and Hispanics had the highest toxoplasmosis mortality compared with whites. Several medical conditions were associated with toxoplasmosis deaths, including human immunodeficiency virus (HIV), lymphoma, leukemia, and connective tissue disorders. The number of toxoplasmosis deaths with an HIV codiagnosis declined from 2000 to 2010; the numbers without such a codiagnosis remained static. Cumulative disease-related productivity losses for the 11-year period were nearly $815 million. Although toxoplasmosis mortality has declined in the last decade, the infection remains costly and is an important cause of preventable death among non-HIV subgroups. PMID:25200264

  19. Perceptions of the impact of depression and anxiety and the medication for these conditions on safety in the workplace.

    Science.gov (United States)

    Haslam, C; Atkinson, S; Brown, S; Haslam, R A

    2005-08-01

    The number of people taking prescribed medication for anxiety and depression has increased greatly, but little is known of how this medication impacts on safety at work. To examine the relation between anxiety and depression, prescribed medication, performance, and safety in the workplace. The research involved nine focus groups with sufferers of anxiety and depression to investigate experiences of mental health problems and the impact of psychotropic drugs. A further three focus groups were conducted with staff in human resources, personnel, occupational health, and health and safety departments, to explore organisational perspectives. The sample comprised 74 individuals drawn from a wide range of occupational sectors. Finally, the results were presented to a panel of experts from occupational medicine, general practice, psychology, health and safety, and psychiatry, to consider the implications for practice. Workers reported that both the symptoms and the medication impaired work performance. Participants described accidents which they attributed to their condition or to the medication. Workers with responsibilities for others, such as teachers, healthcare workers, and managers appeared to present a particular safety risk. Healthcare workers believed that they placed themselves and their patients at risk when carrying out medical procedures. Respondents in this study felt that their symptoms of anxiety and depression and the medication they took to treat these conditions placed them at risk with respect to safety in the workplace. Drawing on the results, the authors outline areas for improvement in the management of mental health problems at work.

  20. Skin diseases and conditions among students of a medical college in southern India

    Directory of Open Access Journals (Sweden)

    Nitin Joseph

    2014-01-01

    Conclusion: Skin disorders, particularly the cosmetic problems are very common among medical students. Gender and place of origin were found to significantly influence the development of certain morbidities.

  1. 42 CFR 482.24 - Condition of participation: Medical record services.

    Science.gov (United States)

    2010-10-01

    ... anesthesia services. (B) An updated examination of the patient, including any changes in the patient's... practitioners' orders, nursing notes, reports of treatment, medication records, radiology, and laboratory...

  2. Electronic health records and online medical records: an asset or a liability under current conditions?

    Science.gov (United States)

    Allen-Graham, Judith; Mitchell, Lauren; Heriot, Natalie; Armani, Roksana; Langton, David; Levinson, Michele; Young, Alan; Smith, Julian A; Kotsimbos, Tom; Wilson, John W

    2018-02-01

    Objective The aim of the present study was to audit the current use of medical records to determine completeness and concordance with other sources of medical information. Methods Medical records for 40 patients from each of five Melbourne major metropolitan hospitals were randomly selected (n=200). A quantitative audit was performed for detailed patient information and medical record keeping, as well as data collection, storage and utilisation. Using each hospital's current online clinical database, scanned files and paperwork available for each patient audited, the reviewers sourced as much relevant information as possible within a 30-min time allocation from both the record and the discharge summary. Results Of all medical records audited, 82% contained medical and surgical history, allergy information and patient demographics. All audited discharge summaries lacked at least one of the following: demographics, medication allergies, medical and surgical history, medications and adverse drug event information. Only 49% of records audited showed evidence the discharge summary was sent outside the institution. Conclusions The quality of medical data captured and information management is variable across hospitals. It is recommended that medical history documentation guidelines and standardised discharge summaries be implemented in Australian healthcare services. What is known about this topic? Australia has a complex health system, the government has approved funding to develop a universal online electronic medical record system and is currently trialling this in an opt-out style in the Napean Blue Mountains (NSW) and in Northern Queensland. The system was originally named the personally controlled electronic health record but has since been changed to MyHealth Record (2016). In Victoria, there exists a wide range of electronic health records used to varying degrees, with some hospitals still relying on paper-based records and many using scanned medical records

  3. Numerical and Experimental Investigation on the Structural Behaviour of a Horizontal Stabilizer under Critical Aerodynamic Loading Conditions

    Directory of Open Access Journals (Sweden)

    R. Sepe

    2017-01-01

    Full Text Available The aim of the proposed research activity is to investigate the mechanical behaviour of a part of aerospace horizontal stabilizer, made of composite materials and undergoing static loads. The prototype design and manufacturing phases have been carried out in the framework of this research activity. The structural components of such stabilizer are made of composite sandwich panels (HTA 5131/RTM 6 with honeycomb core (HRH-10-1/8-4.0; the sandwich skins have been made by means of Resin Transfer Moulding (RTM process. In order to assess the mechanical strength of this stabilizer, experimental tests have been performed. In particular, the most critical inflight recorded aerodynamic load has been experimentally reproduced and applied on the stabilizer. A numerical model, based on the Finite Element Method (FEM and aimed at reducing the experimental effort, has been preliminarily developed to calibrate amplitude, direction, and distribution of an equivalent and simpler load vector to be used in the experimental test. The FEM analysis, performed by using NASTRAN code, has allowed modelling the skins of the composite sandwich plates by definition of material properties and stack orientation of each lamina, while the honeycomb core has been modelled by using an equivalent orthotropic plate. Numerical and experimental results have been compared and a good agreement has been achieved.

  4. NUMERICAL ANALYSIS OF THE STRESS-STRAIN STATE OF A ROPE STRAND WITH LINEAR CONTACT UNDER TENSION AND TORSION LOADING CONDITIONS

    Directory of Open Access Journals (Sweden)

    Evgenij Kalentev

    2017-06-01

    Full Text Available The paper presents the results of a numerical analysis of the stress-strain state of a rope strand with linear contact under tension and torsion loading conditions. Calculations are done using the ANSYS software package. Different approaches to calculation of the stress-strain state of ropes are reviewed, and their advantages and deficiencies are considered. The analysis of the obtained results leads us to the conclusion that the proposed method can be used in engineering calculations.

  5. Numerical doubly-periodic solution of the (2+1)-dimensional Boussinesq equation with initial conditions by the variational iteration method

    International Nuclear Information System (INIS)

    Inc, Mustafa

    2007-01-01

    In this Letter, a scheme is developed to study numerical doubly-periodic solutions of the (2+1)-dimensional Boussinesq equation with initial condition by the variational iteration method. As a result, the approximate and exact doubly-periodic solutions are obtained. For different modulus m, comparison between the approximate solution and the exact solution is made graphically, revealing that the variational iteration method is a powerful and effective tool to non-linear problems

  6. Application of numerical modeling of selective NOx reduction by hydrocarbon under diesel transient conditions in consideration of hydrocarbon adsorption and desorption process

    International Nuclear Information System (INIS)

    Watanabe, Y.; Asano, A.; Banno, K.; Yokota, K.; Sugiura, M.

    2001-01-01

    A model of NO x selective reduction by hydrocarbon (HC) was developed, which takes into account the adsorption and desorption of HC. The model was applied for predicting the performance of a De-NO x catalytic reactor, working under transient conditions such as a legislative driving cycle. Diesel fuel was used as a supplemental reductant. The behavior of HC and NO x reactions and HC adsorption and desorption has been simulated successfully by our numerical approach under the transient conditions of the simulated Japanese 10-15 driving cycle. Our model is expected to optimize the design of selective diesel NO x reduction systems using a diesel fuel as a supplemental reductant

  7. Comparison of in-hospital versus 30-day mortality assessments for selected medical conditions.

    Science.gov (United States)

    Borzecki, Ann M; Christiansen, Cindy L; Chew, Priscilla; Loveland, Susan; Rosen, Amy K

    2010-12-01

    In-hospital mortality measures such as the Agency for Healthcare Research and Quality (AHRQ) Inpatient Quality Indicators (IQIs) are easily derived using hospital discharge abstracts and publicly available software. However, hospital assessments based on a 30-day postadmission interval might be more accurate given potential differences in facility discharge practices. To compare in-hospital and 30-day mortality rates for 6 medical conditions using the AHRQ IQI software. We used IQI software (v3.1) and 2004-2007 Veterans Health Administration (VA) discharge and Vital Status files to derive 4-year facility-level in-hospital and 30-day observed mortality rates and observed/expected ratios (O/Es) for admissions with a principal diagnosis of acute myocardial infarction, congestive heart failure, stroke, gastrointestinal hemorrhage, hip fracture, and pneumonia. We standardized software-calculated O/Es to the VA population and compared O/Es and outlier status across sites using correlation, observed agreement, and kappas. Of 119 facilities, in-hospital versus 30-day mortality O/E correlations were generally high (median: r = 0.78; range: 0.31-0.86). Examining outlier status, observed agreement was high (median: 84.7%, 80.7%-89.1%). Kappas showed at least moderate agreement (k > 0.40) for all indicators except stroke and hip fracture (k ≤ 0.22). Across indicators, few sites changed from a high to nonoutlier or low outlier, or vice versa (median: 10, range: 7-13). The AHRQ IQI software can be easily adapted to generate 30-day mortality rates. Although 30-day mortality has better face validity as a hospital performance measure than in-hospital mortality, site assessments were similar despite the definition used. Thus, the measure selected for internal benchmarking should primarily depend on the healthcare system's data linkage capabilities.

  8. Veterinary homeopathy: systematic review of medical conditions studied by randomised trials controlled by other than placebo.

    Science.gov (United States)

    Mathie, Robert T; Clausen, Jürgen

    2015-09-15

    No systematic review has previously been carried out on randomised controlled trials (RCTs) of veterinary homeopathy in which the control group was an intervention other than placebo (OTP). For eligible peer-reviewed RCTs, the objectives of this study were to assess the risk of bias (RoB) and to quantify the effect size of homeopathic intervention compared with an active comparator or with no treatment. Our systematic review approach complied fully with the PRISMA 2009 Checklist. Cochrane methods were applied to assess RoB and to derive effect size using standard meta-analysis methods. Based on a thorough and systematic literature search, the following key attributes of the published research were distinguished: individualised homeopathy (n = 1 RCT)/non-individualised homeopathy (n = 19); treatment (n = 14)/prophylaxis (n = 6); active controls (n = 18)/untreated controls (n = 2). The trials were highly diverse, representing 12 different medical conditions in 6 different species. No trial had sufficiently low RoB to be judged as reliable evidence: 16 of the 20 RCTs had high RoB; the remaining four had uncertain RoB in several domains of assessment. For three trials with uncertain RoB and without overt vested interest, it was inconclusive whether homeopathy combined with conventional intervention was more or was less effective than conventional intervention alone for modulation of immune response in calves, or in the prophylaxis of cattle tick or of diarrhoea in piglets. Due to the poor reliability of their data, OTP-controlled trials do not currently provide useful insight into the effectiveness of homeopathy in animals.

  9. Men in extreme conditions: some medical and psychological aspects of the Auschwitz concentration camp.

    Science.gov (United States)

    Radil-Weiss, T

    1983-08-01

    The second world war ended many years ago. Most of those who survived the stay at the German concentration camp at Auschwitz have already died of the consequences of their imprisonment; those still alive are already in the last third of their life. Is there any point in returning to the experiences of those days? Consideration of the mental hygiene of former prisoners cautions us that perhaps we should not do it. But consideration of the general interest holds that we are not entitled to ignore any knowledge that can contribute to social development--including medicine and psychology--even if acquired under unspeakably awful conditions. In addition, since the war new generations have grown up that play an increasingly significant role in various spheres of life but have little concrete information about those events; they can neither rationally nor emotionally understand how the horrors connected with fascism and the war could have happened. In a sense it is encouraging that they cannot grasp such inhuman behavior; nevertheless, we must adhere to the following motto: "Nothing must be forgotten, nobody will be forgotten." We owe it to those millions who did not survive--both the victims of the Holocaust and those who fought against it. These are arguments in favor of returning to the facts that are ineffaceably recorded somewhere in our memories. In doing so, however, we must remember that at times we are revisiting experiences of a boy of 14 as recalled by a 50-year-old man. The material below, examining the medical as well as psychological aspects of imprisonment at Auschwitz, is based on my own memories, as an adolescent imprisoned at Auschwitz. I have tried to move from this individual account to more general statements, although the methodological apparatus on which scientific analysis is usually based is absent.

  10. Risk of Adverse Health Outcomes & Decrements in Performance due to Inflight Medical Conditions: ExMC Pharmacy Research Plan

    Science.gov (United States)

    Antonsen, Erik

    2016-01-01

    The Exploration Medical Capabilities (ExMC) Element of NASA's Human Research Program is charged with identifying medical capabilities that can address the challenges of prevention, diagnosis, and treatment of disease and injuries that could occur during exploration missions beyond Earth's orbit. Faced with the obstacle of access to in-flight medical care, and limitations of vehicle space, time, and communications; it is necessary to prioritize what medical consumables are manifested for the flight, and which medical conditions are addressed. Studies of astronaut health establish the incidence of common and high risk medical conditions that require medical intervention during long-duration exploration missions. In 2000, the Institute of Medicine (IOM) convened a committee of experts, Committee on Creating a Vision for Space Medicine during Travel beyond Earth Orbit, to examine the issues surrounding astronaut health and safety for long duration space missions. Two themes run throughout the committee's final report: (1) that not enough is known about the risks to human health during long-duration missions beyond Earth's orbit or about what can effectively mitigate those risks to enable humans to travel and work safely in the environment of deep space and (2) that everything reasonable should be done to gain the necessary information before humans are sent on missions of space exploration (IOM, 2001). Although several spaceflight focused pharmaceutical research studies have been conducted, few have provided sufficient data regarding medication usage or potency changes during spaceflight. The Du pharmaceutical stability study assessed medications flown on space shuttles to and from the International Space Station (ISS) from 2006 until 2008; of which some medications were still viable beyond their expiration dates (Du et al, 2011). However, as with many spaceflight studies, the small 'n' associated with this study limits the ability to draw strong conclusions from it

  11. 42 CFR 416.47 - Condition for coverage-Medical records.

    Science.gov (United States)

    2010-10-01

    ... accurate medical records to ensure adequate patient care. (a) Standard: Organization. The ASC must develop and maintain a system for the proper collection, storage, and use of patient records. (b) Standard...) Patient identification. (2) Significant medical history and results of physical examination. (3) Pre...

  12. Increases in the numerical density of GAT-1 positive puncta in the barrel cortex of adult mice after fear conditioning.

    Directory of Open Access Journals (Sweden)

    Ewa Siucinska

    Full Text Available Three days of fear conditioning that combines tactile stimulation of a row of facial vibrissae (conditioned stimulus, CS with a tail shock (unconditioned stimulus, UCS expands the representation of "trained" vibrissae, which can be demonstrated by labeling with 2-deoxyglucose in layer IV of the barrel cortex. We have also shown that functional reorganization of the primary somatosensory cortex (S1 increases GABAergic markers in the hollows of "trained" barrels of the adult mouse. This study investigated how whisker-shock conditioning (CS+UCS affected the expression of puncta of a high-affinity GABA plasma membrane transporter GAT-1 in the barrel cortex of mice 24 h after associative learning paradigm. We found that whisker-shock conditioning (CS+UCS led to increase expression of neuronal and astroglial GAT-1 puncta in the "trained" row compared to controls: Pseudoconditioned, CS-only, UCS-only and Naïve animals. These findings suggest that fear conditioning specifically induces activation of systems regulating cellular levels of the inhibitory neurotransmitter GABA.

  13. Numerical analysis of the influence of the fuel pellet shape on the pellet-cladding contact condition

    International Nuclear Information System (INIS)

    Marajofsky, Adolfo; Denis, Alicia C.; Soba, Alejandro

    2004-01-01

    One of the problems of greater concern in nuclear fuels operation is that of pellet-cladding interaction (PCI), since it may be cause of fuel failure. In unfailed claddings, the occurrence of contact with the pellet is generally evidenced by a typical deformation pattern known as bamboo effect. In the present work different pellets' shapes are proposed, all of them with a chamfer next to the top and bottom surfaces. The performance of these pellets design is simulated with a numerical code, DIONISIO, previously developed in this working group, which makes use of the finite elements method. It provides the temperature, stress and strain distribution and the inventory of fission gases by analyzing phenomena like thermal expansion, elasticity, plasticity, creep, irradiation growth, PCI, swelling and densification. The pellets' design tested are grouped into two types: those with a straight chamfer running from the central pellet plane to both extremes (R-type pellets) and those with the chamfer occupying one quarter of the pellet's height leaving a central ring of the standard, cylindrical shape (M-type pellets). Different chamfer depths were numerically tested. It was found that the gap increase associated with the introduction of a deep chamfer is responsible for a significant temperature increment. But chamfers which leave a gap of 110 to 150 μm (assuming a normal fuel element with a gap 90 μm thick) gave place to pellets with an adequate thermal response and, moreover, the disappearance of the bamboo effect or even the appearance of an inverse effect, that is, pellets which make contact with the cladding in the region around its middle plane. (author) [es

  14. A numerical study for the assessment of pollutant dispersion from Kostolac B power plant to Viminacium for different atmospheric conditions

    Directory of Open Access Journals (Sweden)

    Kozić Mirko S.

    2015-01-01

    Full Text Available The level of pollution concentration to the archaeological site Viminacium caused by the stack of Kostolac B power plant is analyzed using CFD software. The wind is directed from the stack toward Viminacium-Archaeological Site, Therma and Viminacium - Museum. Three different meteorological conditions resulting in fanning, fumigating and looping plume are modelled. The temperature gradient as the most important factor defining the conditions of the atmosphere is included through the appropriate boundary conditions. It is shown that concentrations of the pollutants on the objects of Viminacium are very low. It can be attributed to the stack height and high temperature of the smoke at its exit. It also indicates that other sources of pollution such as open ash dumps and acid rain should be checked.

  15. [Towards the problem of necessity to reduce the medical evacuation stages in conditions of local wars and armed conflicts].

    Science.gov (United States)

    Gaĭdar, B V; Ivantsov, V A; Sidel'nikov, V O; Rusev, I T; Madaĭ, D Iu; Kokoev, V G; Zinov'ev, E V; Mutalibov, M M

    2004-06-01

    The article is devoted to the review of modern opinions concerning the experience of military operation medical support in conditions of local wars and military conflicts. On the base of analysis of medical assistance rendered to the wounded and casualties in Republic of Chechnya the advantages and defects of different approaches are discussed. The experience in rendering assistance to the casualties in the Armed Forces of NATO countries during the local wars for the last decades is discussed. It is shown that the optimal variant of organization of treatment-and-evacuation measures during the local armed conflicts and wars is the two-stage scheme of evacuation: the first medical aid--the qualified (specialized) medical aid.

  16. Determining risk factors for internalizing problem behavior: the Screening Instrument for Adolescents of Parents with Chronic Medical Condition

    NARCIS (Netherlands)

    Sieh, D.S.; Oort, F.J.; Visser-Meily, J.M.A.; Meijer, A.M.

    2013-01-01

    A large body of evidence suggests that the risk for adjustment difficulties in children of parents with a chronic medical condition (CMC) depend on a number of demographic, illness-related, child adaptational, and family characteristics. In particular, internalizing problems are common in children

  17. Numerical simulations of island-scale airflow over Maui and the Maui vortex under summer trade wind conditions

    Science.gov (United States)

    DaNa L. Carlis; Yi-Leng Chen; Vernon R. Morris

    2010-01-01

    The fifth-generation Pennsylvania State University–NCAR Mesoscale Model (MM5) coupled with the Noah land surface model (LSM) is employed to simulate island-scale airflow and circulations over Maui County, Hawaii, under summer trade wind conditions, during July–August 2005. The model forecasts are validated by surface observations with good agreement.

  18. A numerical model to evaluate the flow distribution in large solar collector fields in different operating conditions

    DEFF Research Database (Denmark)

    Bava, Federico; Dragsted, Janne; Furbo, Simon

    2017-01-01

    in different an-ay layouts. Balancing valves proved to he an effective way to achieve uniform flow distribution also in conditions different from those for which the valves were regulated, as well as in case of irregular layouts with different compositions of the collector rows. A Tichelmann connection gave...

  19. Treatment Effect in Earlier Trials of Patients With Chronic Medical Conditions: A Meta-Epidemiologic Study.

    Science.gov (United States)

    Alahdab, Fares; Farah, Wigdan; Almasri, Jehad; Barrionuevo, Patricia; Zaiem, Feras; Benkhadra, Raed; Asi, Noor; Alsawas, Mouaz; Pang, Yifan; Ahmed, Ahmed T; Rajjo, Tamim; Kanwar, Amrit; Benkhadra, Khalid; Razouki, Zayd; Murad, M Hassan; Wang, Zhen

    2018-03-01

    To determine whether the early trials in chronic medical conditions demonstrate an effect size that is larger than that in subsequent trials. We identified randomized controlled trials (RCTs) evaluating a drug or device in patients with chronic medical conditions through meta-analyses (MAs) published between January 1, 2007, and June 23, 2015, in the 10 general medical journals with highest impact factor. We estimated the prevalence of having the largest effect size or heterogeneity in the first 2 published trials. We evaluated the association of the exaggerated early effect with several a priori hypothesized explanatory variables. We included 70 MAs that had included a total of 930 trials (average of 13 [range, 5-48] RCTs per MA) with average follow-up of 24 (range, 1-168) months. The prevalence of the exaggerated early effect (ie, proportion of MAs with largest effect or heterogeneity in the first 2 trials) was 37%. These early trials had an effect size that was on average 2.67 times larger than the overall pooled effect size (ratio of relative effects, 2.67; 95% CI, 2.12-3.37). The presence of exaggerated effect was not significantly associated with trial size; number of events; length of follow-up; intervention duration; number of study sites; inpatient versus outpatient setting; funding source; stopping a trial early; adequacy of random sequence generation, allocation concealment, or blinding; loss to follow-up or the test for publication bias. Trials evaluating treatments of chronic medical conditions published early in the chain of evidence commonly demonstrate an exaggerated treatment effect compared with subsequent trials. At the present time, this phenomenon remains unpredictable. Considering the increasing morbidity and mortality of chronic medical conditions, decision makers should act on early evidence with caution. Copyright © 2017 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  20. Factors Affecting the Readiness of Medical Doctors and Patients with Chronic Conditions toward the Usage of Smartphones in the Saudi Arabian Healthcare Sector

    Directory of Open Access Journals (Sweden)

    Bassam M Al-Mahadeen

    2015-01-01

    Full Text Available Numerous studies have reported the rapid increase in the number of individuals who use smartphones. However, smartphones appear to be increasingly used by healthcare workers, particularly physicians and nurses. Therefore, this study aims to investigate the readiness of medical doctors and patients with chronic conditions in using and adopting smartphones for communication. This study employs the Technology Acceptance Model to examine the behavior of people in using smartphones from the perspectives of trust and rural areas. To realize our objective, we conducted a questionnaire survey that involved medical doctors and patients with chronic conditions. Our particular focus was Al Qunfudhah City in Saudi Arabia. More than 200 questionnaires were distributed to people belonging to different healthcare sectors in the rural areas of Al Qunfudhah City. Our aim was to include every possible scenario and to obtain excellent perspectives. The results that we eventually analyzed indicated that trust factor and rural areas significantly influence the readiness of people belonging to the healthcare sector toward using smartphones. The results of our study concur with the findings of other studies. Our results indicate that smartphones and other high-technology gadgets are now necessary and accepted devices in the different healthcare fields. However, further studies should explore the challenges and effects of smartphone use in the healthcare sector.

  1. Numerical Optimisation in Non Reacting Conditions of the Injector Geometry for a Continuous Detonation Wave Rocket Engine

    Science.gov (United States)

    Gaillard, T.; Davidenko, D.; Dupoirieux, F.

    2015-06-01

    The paper presents the methodology and the results of a numerical study, which is aimed at the investigation and optimisation of different means of fuel and oxidizer injection adapted to rocket engines operating in the rotating detonation mode. As the simulations are achieved at the local scale of a single injection element, only one periodic pattern of the whole geometry can be calculated so that the travelling detonation waves and the associated chemical reactions can not be taken into account. Here, separate injection of fuel and oxidizer is considered because premixed injection is handicapped by the risk of upstream propagation of the detonation wave. Different associations of geometrical periodicity and symmetry are investigated for the injection elements distributed over the injector head. To analyse the injection and mixing processes, a nonreacting 3D flow is simulated using the LES approach. Performance of the studied configurations is analysed using the results on instantaneous and mean flowfields as well as by comparing the mixing efficiency and the total pressure recovery evaluated for different configurations.

  2. Validation of a Numerical Model for the Prediction of the Annoyance Condition at the Operator Station of Construction Machines

    Directory of Open Access Journals (Sweden)

    Eleonora Carletti

    2016-11-01

    Full Text Available It is well-known that the reduction of noise levels is not strictly linked to the reduction of noise annoyance. Even earthmoving machine manufacturers are facing the problem of customer complaints concerning the noise quality of their machines with increasing frequency. Unfortunately, all the studies geared to the understanding of the relationship between multidimensional characteristics of noise signals and the auditory perception of annoyance require repeated sessions of jury listening tests, which are time-consuming. In this respect, an annoyance prediction model was developed for compact loaders to assess the annoyance sensation perceived by operators at their workplaces without repeating the full sound quality assessment but using objective parameters only. This paper aims at verifying the feasibility of the developed annoyance prediction model when applied to other kinds of earthmoving machines. For this purpose, an experimental investigation was performed on five earthmoving machines, different in type, dimension, and engine mechanical power, and the annoyance predicted by the numerical model was compared to the annoyance given by subjective listening tests. The results were evaluated by means of the squared value of the correlation coefficient, R2, and they confirm the possible applicability of the model to other kinds of machines.

  3. Numerical evaluation for a five-sensor probe method to measure the interfacial area concentration under the bubble fluctuation condition

    International Nuclear Information System (INIS)

    Euh, D. J.; Yun, B. J.; Song, C. H.

    2003-01-01

    Interfacial area concentration is an important parameter in the two phase flow models. Currently, two types of probe methods, double-sensor and four-sensor, are widely used to measure the interfacial area concentration. In this study, a configuration of five-sensor probe sensor tips and a measuring method for the interfacial area concentration by using the probe are proposed to improve the performance of the previous probe methods. The five-sensor probe method proposed in this study is essentially based on the four-sensor probe method but improves it by adapting one more sensor. The passing types of the interfaces through the sensors are categorized into four and independent methods are applied to the interfaces belonging to each category. This method has an advantage such that a more systematic approach for missing bubbles can be made when compared with the classical four sensor probe method. To verify the applicability of the five-sensor probe method, numerical tests are performed with consideration of the bubble lateral movement. The effects of bubble size and intensity of the bubble lateral motion on the measurement of the interfacial area concentration are also investigated. The bubble parameters related to the bubble fluctuation and interface geometry are determined by the Monte Carlo approach

  4. Peer-Led Self-Management of General Medical Conditions for Patients With Serious Mental Illnesses: A Randomized Trial.

    Science.gov (United States)

    Druss, Benjamin G; Singh, Manasvini; von Esenwein, Silke A; Glick, Gretl E; Tapscott, Stephanie; Tucker, Sherry Jenkins; Lally, Cathy A; Sterling, Evelina W

    2018-02-01

    Individuals with serious mental illnesses have high rates of general medical comorbidity and challenges in managing these conditions. A growing workforce of certified peer specialists is available to help these individuals more effectively manage their health and health care. However, few studies have examined the effectiveness of peer-led programs for self-management of general medical conditions for this population. This randomized study enrolled 400 participants with a serious mental illness and one or more chronic general medical conditions across three community mental health clinics. Participants were randomly assigned to the Health and Recovery Peer (HARP) program, a self-management program for general medical conditions led by certified peer specialists (N=198), or to usual care (N=202). Assessments were conducted at baseline and three and six months. At six months, participants in the intervention group demonstrated a significant differential improvement in the primary study outcome, health-related quality of life. Specifically, compared with the usual care group, intervention participants had greater improvement in the Short-Form Health Survey physical component summary (an increase of 2.7 versus 1.4 points, p=.046) and mental component summary (4.6 versus 2.5 points, p=.039). Significantly greater six-month improvements in mental health recovery were seen for the intervention group (p=.02), but no other between-group differences in secondary outcome measures were significant. The HARP program was associated with improved physical health- and mental health-related quality of life among individuals with serious mental illness and comorbid general medical conditions, suggesting the potential benefits of more widespread dissemination of peer-led disease self-management in this population.

  5. Chronic medical conditions and reproducibility of self-reported age at menopause among community-dwelling women.

    Science.gov (United States)

    de Vries, Heather F; Northington, Gina M; Kaye, Elise M; Bogner, Hillary R

    2011-12-01

    The aim of this study was to examine the association between chronic medical conditions and reproducibility of self-reported age at menopause among community-dwelling women. Age at menopause was assessed in a population-based longitudinal survey of 240 women twice, in 1993 and 2004. Women who recalled age at menopause in 2004 within 1 year or less of age at menopause recalled in 1993 (concordant) were compared with women who did not recall age at menopause in 2004 within 1 year of age at menopause recalled in 1993 (discordant). Type of menopause (surgical or natural) and chronic medical conditions were assessed by self-report. One hundred forty-three women (59.6%) reported surgical menopause, and 97 (40.4%) reported natural menopause. In all, 130 (54.2%) women recalled age at menopause in 2004 within 1 year or less of recalled age at menopause in 1994, whereas 110 (45.8%) women did not recall age at menopause in 2004 within 1 year or less of recalled age at menopause in 1994. Among the women with surgical menopause, the women with three or more medical conditions were less likely to have concordant recall of age at menopause than the women with less than three chronic medical conditions (adjusted odds ratio, 0.36; 95% CI, 0.15-0.91) in multivariate models controlling for potentially influential characteristics including cognition and years since menopause. Among women who underwent surgical menopause, the presence of three or more medical conditions is associated with decreased reproducibility of self-reported age at menopause.

  6. Age and Sex Variation In Prevalence Of Chronic Medical Conditions In Older Residents of U.S. Nursing Homes

    Science.gov (United States)

    Moore, Kelly L.; Boscardin, W. John; Steinman, Michael A.; Schwartz, Janice B.

    2012-01-01

    OBJECTIVES To investigate patterns in prevalences of chronic medical conditions over the agespan of long-term stay nursing home residents and between the sexes with data from the 2004 National Nursing Home Survey (NNHS). DESIGN Retrospective, cross-sectional study. SETTING U.S. nursing homes. PARTICIPANTS Nationally representative sample comprising 11,788 long-term stay residents (3003 (25%) men and 8785 women) aged 65 years or older. MEASUREMENTS Clinical Classifications Software (CCS) was used to group ICD-9 codes to identify the 20 most prevalent chronic medical conditions. SAS survey procedures were used to account for design effects of stratification and clustering to generate nationally representative estimates of prevalences of medical conditions. RESULTS Average age was 84 y, with women older than men (85 vs. 81, p=0.02) with 67% of women ages 80–95. Women required more ADL assistance. The most frequent chronic medical conditions were hypertension (53, 56%: men, women), dementia (45, 52%), depression (31, 37%), arthritis (26, 35%), diabetes mellitus (26, 23%), gastrointestinal reflux -GERD (23, 23%), atherosclerosis (24, 20%), congestive heart failure -CHF (18, 21%), cerebrovascular disease (24, 19%) and anemia (17, 20%). Sex differences in prevalences existed for all but constipation, GERD, and hypertension. Diabetes, cerebrovascular disease, and lipid disorders decreased with age in men and women. Atrial fibrillation, anemia, arthritis, CHF, and dementia, and thyroid disease increased with age in both men and women. Age-related patterns differed between the sexes for diabetes, hypertension, and Parkinson’s disease. CONCLUSION The profile of chronic medical conditions varies over the agespan of nursing home residents and differs between men and women. This knowledge should guide educational and care efforts in long-term care. PMID:22463062

  7. Physiologic changes associated with violence and abuse exposure: an examination of related medical conditions.

    Science.gov (United States)

    Keeshin, Brooks R; Cronholm, Peter F; Strawn, Jeffrey R

    2012-01-01

    Although the extant evidence is replete with data supporting linkages between exposure to violence or abuse and the subsequent development of medical illnesses, the underlying mechanisms of these relationships are poorly defined and understood. Physiologic changes occurring in violence- or abuse-exposed individuals point to potentially common biological pathways connecting traumatic exposures with medical outcomes. Herein, the evidence describing the long-term physiologic changes in abuse- and violence-exposed populations and associated medical illnesses are reviewed. Current data support that (a) specific neurobiochemical changes are associated with exposure to violence and abuse; (b) several biological pathways have the potential to lead to the development of future illness; and (c) common physiologic mechanisms may moderate the severity, phenomenology, or clinical course of medical illnesses in individuals with histories of exposure to violence or abuse. Importantly, additional work is needed to advance our emerging understanding of the biological mechanisms connecting exposure to violence and abuse and negative health outcomes.

  8. THE METHODOLOGY FOR CALCULATING OF LABOR COSTS OF MEDICAL PERSONNEL IN MARKET CONDITIONS

    Directory of Open Access Journals (Sweden)

    S. V. Katasonov

    2015-01-01

    Full Text Available The article presents the approximate calculations of working time of physician to work with the patient and documentation. On the base of these calculations they outline the possible ways to optimize the work of the medical staff.

  9. IMPLEMENTATION OF SPECIAL COURSE AS CONDITION OF FORMATION OF MEDICAL UNIVERSITY STUDENTS’ PROGNOSTIC COMPETENCE

    Directory of Open Access Journals (Sweden)

    Svetlana Tarasova

    2015-09-01

    Full Text Available The pedagogical aspects of making and teaching a special course «Statistical methods of prognostication in medicine» are discussed on the basis of the analysis of the application of various pedagogical tools, shows the significance of implementing a predictive function in the training of medical students. The efficiency of formation of medical university students’ prognostic competence in the process of studying a special course is estimated.

  10. Fictitious domain methods for elliptic problems with general boundary conditions with an application to the numerical simulation of two phase flows

    International Nuclear Information System (INIS)

    Ramiere, I.

    2006-09-01

    This work is dedicated to the introduction of two original fictitious domain methods for the resolution of elliptic problems (mainly convection-diffusion problems) with general and eventually mixed boundary conditions: Dirichlet, Robin or Neumann. The originality lies in the approximation of the immersed boundary by an approximate interface derived from the fictitious domain Cartesian mesh, which is generally not boundary-fitted to the physical domain. The same generic numerical scheme is used to impose the embedded boundary conditions. Hence, these methods require neither a surface mesh of the immersed boundary nor the local modification of the numerical scheme. We study two modelling of the immersed boundary. In the first one, called spread interface, the approximate immersed boundary is the union of the cells crossed by the physical immersed boundary. In the second one, called thin interface, the approximate immersed boundary lies on sides of mesh cells. Additional algebraic transmission conditions linking both flux and solution jumps through the thin approximate interface are introduced. The fictitious problem to solve as well as the treatment of the embedded boundary conditions are detailed for the two methods. A Q1 finite element scheme is implemented for the numerical validation of the spread interface approach while a new cell-centered finite volume scheme is derived for the thin interface approach with immersed jumps. Each method is then combined to multilevel local mesh refinement algorithms (with solution or flux residual) to increase the precision of the solution in the vicinity of the immersed interface. A convergence analysis of a Q1 finite element method with non-boundary fitted meshes is also presented. This study proves the convergence rates of the present methods. Among the various industrial applications, the simulation on a model of heat exchanger in french nuclear power plants enables us to appreciate the performances of the fictitious domain

  11. Numerical simulation of the insulation material transport to a PWR core under loss of coolant accident conditions

    International Nuclear Information System (INIS)

    Höhne, Thomas; Grahn, Alexander; Kliem, Sören; Rohde, Ulrich; Weiss, Frank-Peter

    2013-01-01

    Highlights: ► Detailed results of a numerical simulation of the insulation material transport to a PWR core are shown. ► The spacer grid is modeled as a strainer which completely retains the insulation material carried by coolant. ► The CFD calculations showed that the fibers at the upper spacer grid plane are not uniformly distributed. ► Furthermore the pressure loss does not exceed a critical limit. ► The PWR core coolablity can be guaranteed all the time during the transient. -- Abstract: In 1992, strainers on the suction side of the ECCS pumps in Barsebäck NPP Unit 2 became partially clogged with mineral wool because after a safety valve opened the steam impinged on thermally insulated equipment and released mineral wool. This event pointed out that strainer clogging is an issue in the course of a loss-of-coolant accident. Modifications of the insulation material, the strainer area and mesh size were carried out in most of the German NPPs. Moreover, back flushing procedures to remove the mineral wool from the strainers and differential pressure measurements were implemented to assure the performance of emergency core cooling during the containment sump recirculation mode. Nevertheless, it cannot be completely ruled out, that a limited amount of small fractions of the insulation material is transported into the RPV. During a postulated cold leg LOCA with hot leg ECC injection, the fibers enter the upper plenum and can accumulate at the fuel element spacer grids, preferably at the uppermost grid level. This effect might affect the ECC flow into the core and could result in degradation of core cooling. It was the aim of the numerical simulations presented to study where and how many mineral wool fibers are deposited at the upper spacer grid. The 3D, time dependent, multi-phase flow problem was modeled applying the CFD code ANSYS CFX. The CFD calculation does not yet include steam production in the core and also does not include re-suspension of the

  12. Numerical Simulation of PAHs Formation and Effect of Operating Conditions in DI-Diesel Engines Based on a Comprehensive Chemical Mechanism

    Directory of Open Access Journals (Sweden)

    Bei-Jing Zhong

    2013-01-01

    Full Text Available Three-dimensional numerical simulations of polycyclic aromatic hydrocarbon (PAH formation in a Chaochai 6102bzl direct injection diesel engine are performed. n-Heptane is chosen as the fuel. A detailed mechanism, which includes 108 species and 572 elementary reactions that describe n-heptane oxidation and PAH formation, is proposed. A reduced kinetic mechanism, with only 86 reactions and 57 species, is developed and incorporated into computational fluid dynamics (CFD software for the numerical simulations. Results show that PAHs, which were mostly deposited at the bottom of the diesel combustion chamber wall, first increased and then decreased with the increase in diesel crank angle. Furthermore, the diesel engine operating conditions (intake vortex intensity, intake air pressure, fuel injection advance angle, diesel load, and engine speed had a significant effect on PAH formation.

  13. Impaired driving from medical conditions: a 70-year-old man trying to decide if he should continue driving.

    Science.gov (United States)

    Rizzo, Matthew

    2011-03-09

    Some medical disorders can impair performance, increasing the risk of driving safety errors that can lead to vehicle crashes. The causal pathway often involves a concatenation of factors or events, some of which can be prevented or controlled. Effective interventions can operate before, during, or after a crash occurs at the levels of driver capacity, vehicle and road design, and public policy. A variety of systemic, neurological, psychiatric, and developmental disorders put drivers at potential increased risk of a car crash in the short or long term. Medical diagnosis and age alone are usually insufficient criteria for determining fitness to drive. Strategies are needed for determining what types and levels of reduced function provide a threshold for disqualification in drivers with medical disorders. Evidence of decreased mileage, self-restriction to driving in certain situations, collisions, moving violations, aggressive driving, sleepiness, alcohol abuse, metabolic disorders, and multiple medications may trigger considerations of driver safety. A general framework for evaluating driver fitness relies on a functional evaluation of multiple domains (cognitive, motor, perceptual, and psychiatric) that are important for safe driving and can be applied across many disorders, including conditions that have rarely been studied with respect to driving, and in patients with multiple conditions and medications. Neurocognitive tests, driving simulation, and road tests provide complementary sources of evidence to evaluate driver safety. No single test is sufficient to determine who should drive and who should not.

  14. Impaired driving from medical conditions: A 70-year-old man trying to decide if he should continue driving

    Science.gov (United States)

    Rizzo, Matthew

    2012-01-01

    Some medical disorders can impair performance, increasing the risk of driving safety errors that can lead to vehicle crashes. The causal pathway often involves a concatenation of factors or events, some of which can be prevented or controlled. Effective interventions can operate before, during, or after a crash occurs at the levels of driver capacity, vehicle and road design, and public policy. A variety of systemic, neurological, psychiatric, and developmental disorders put drivers at potential increased risk of a car crash in the short or long term. Medical diagnosis and age alone are usually insufficient criteria for determining fitness to drive. Strategies are needed for determining what types and levels of reduced function provide a threshold for disqualification in drivers with medical disorders. Evidence of decreased mileage, self-restriction to driving in certain situations, collisions, moving violations, aggressive driving, sleepiness, alcohol abuse, metabolic disorders, and multiple medications may trigger considerations of driver safety. A general framework for evaluating driver fitness relies on a functional evaluation of multiple domains (cognitive, motor, perceptual, and psychiatric) that are important for safe driving and can be applied across many disorders, including conditions that have rarely been studied with respect to driving, and in patients with multiple conditions and medications. Neurocognitive tests, driving simulation, and road tests provide complementary sources of evidence to evaluate driver safety. No single test is sufficient to determine who should drive and who should not. PMID:21364126

  15. Numerical Investigation of the Thermal Regime of Underground Channel Heat Pipelines Under Flooding Conditions with the Use of a Conductive-Convective Heat Transfer Model

    Science.gov (United States)

    Polovnikov, V. Yu.

    2018-05-01

    This paper presents the results of numerical analysis of thermal regimes and heat losses of underground channel heating systems under flooding conditions with the use of a convective-conductive heat transfer model with the example of the configuration of the heat pipeline widely used in the Russian Federation — a nonpassage ferroconcrete channel (crawlway) and pipelines insulated with mineral wool and a protective covering layer. It has been shown that convective motion of water in the channel cavity of the heat pipeline under flooding conditions has no marked effect on the intensification of heat losses. It has been established that for the case under consideration, heat losses of the heat pipeline under flooding conditions increase from 0.75 to 52.39% due to the sharp increase in the effective thermal characteristics of the covering layer and the heat insulator caused by their moistening.

  16. American Academy of Allergy, Asthma & Immunology membership experience with allergen immunotherapy safety in patients with specific medical conditions.

    Science.gov (United States)

    Larenas-Linnemann, Désirée E S; Hauswirth, David W; Calabria, Christopher W; Sher, Lawrence D; Rank, Matthew A

    2016-09-01

    Little data in the literature exist concerning patients with certain underlying medical conditions who receive allergen subcutaneous immunotherapy (SCIT). To survey allergists' experience with SCIT in patients with medical conditions considered to impose an elevated risk for untoward outcomes. A Web-based survey was conducted among members of the American Academy of Allergy, Asthma & Immunology to query about their experience with SCIT in patients with certain medical conditions. There were 1085 replies (21% response), of whom, 86% were U.S. based, 51% were suburban, 31% were academic, 42% were medium-sized practices, and 54% had >15 years' experience. In responders' opinion, SCIT was "contraindicated" in patients with the following: acquired immune deficiency syndrome (AIDS) (48%), cancer (and still receiving active treatment) (33%), severe asthma (32%), and a history of transplantation (30%). Even so, survey responders collectively gave SCIT to >2400 patients for each of these conditions: severe asthma, coronary artery disease, cancer in remission, and autoimmune disorders; and to ≥5400 patients with hypertension and ≥4100 women who became pregnant. The experience of colleagues with these patients rarely resulted in major problems (i.e., activation of underlying disease, systemic reactions to SCIT, or SCIT discontinuation), with the exception of severe asthma (12.5%), initiation of SCIT during pregnancy (5.4%), and AIDS (4.2%). For most other conditions, it was ≤1.5% (e.g., continue during pregnancy, cancer in remission, history of transplantation, positive human immunodeficiency virus and no AIDS). According to the experience of a large group of practicing allergists, the American Academy of Allergy, Asthma & Immunology members, few medical conditions seemed to pose an elevated risk for untoward outcomes from SCIT. Because these are survey results, prospective research might yield even more solid data.

  17. Numerical and analytical investigation of the chimera state excitation conditions in the Kuramoto-Sakaguchi oscillator network

    Science.gov (United States)

    Frolov, Nikita S.; Goremyko, Mikhail V.; Makarov, Vladimir V.; Maksimenko, Vladimir A.; Hramov, Alexander E.

    2017-03-01

    In this paper we study the conditions of chimera states excitation in ensemble of non-locally coupled Kuramoto-Sakaguchi (KS) oscillators. In the framework of current research we analyze the dynamics of the homogeneous network containing identical oscillators. We show the chimera state formation process is sensitive to the parameters of coupling kernel and to the KS network initial state. To perform the analysis we have used the Ott-Antonsen (OA) ansatz to consider the behavior of infinitely large KS network.

  18. Does Coordinated, Multidisciplinary Treatment Limit Medical Disability and Attrition Related to Spine Conditions in the US Navy?

    Science.gov (United States)

    Ziemke, Gregg; Campello, Marco; Hiebert, Rudi; Weiner, Shira Schecter; Rennix, Chris; Nordin, Margareta

    2015-09-01

    Musculoskeletal conditions account for the largest proportion of cases resulting in early separation from the US Navy. This study evaluates the impact of the Spine Team, a multidisciplinary care group that included physicians, physical therapists, and a clinical psychologist, for the treatment of active-duty service members with work-disabling, nonspecific low back pain at the Naval Medical Center, Portsmouth, VA, USA. We compared the impact of the introduction of the Spine Team in limiting disability and attrition from work-disabling spine conditions with the experience of the Naval Medical Center, San Diego, CA, USA, where there is no comparable spine team. Is a multidisciplinary spine team effective in limiting disability and attrition related to work-disabling spine conditions as compared with the current standard of care for US military active-duty service members? This is a retrospective, pre-/post-study with a separate, concurrent control group using administratively collected data from two large military medical centers during the period 2007 to 2009. In this study, disability is expressed as the proportion of active-duty service members seeking treatment for a work-disabling spine condition that results in the assignment of a first-career limited-duty status. Attrition is expressed as the proportion of individuals assigned a first-career limited-duty status for a work-disabling spine condition who were referred to a Physical Evaluation Board. We analyzed 667 individuals assigned a first-career limited-duty for a work-disabling spine condition between 2007 and 2009 who received care at the Naval Medical Center Portsmouth or Naval Medical Center San Diego. Rates of first-career limited-duty assignments for spine conditions decreased from 2007 to 2009 at both sites, but limited-duty rates decreased to a greater extent at the intervention site (Naval Medical Center Portsmouth; from 8.5 per 100 spine cases in 2007 to 5.1 per 100 cases in 2009, p Team was

  19. Experimental and numerical study on single-phase flow characteristics of natural circulation system with heated narrow rectangular channel under rolling motion condition

    International Nuclear Information System (INIS)

    Yu, Shengzhi; Wang, Jianjun; Yan, Ming; Yan, Changqi; Cao, Xiaxin

    2017-01-01

    Highlights: • The phasic difference between flow rate and frictional pressure drop is negligible. • Effect mechanism of rolling motion on flow behaviors of NC is interpreted. • The startup model is proposed and verified. • Steady-state correlations are feasible to predict transient resistance. • The in-house code can simulate instantaneous flow behaviors of NC correctly. - Abstract: Effects of rolling motion on flow characteristics in a natural circulation system were investigated experimentally and numerically. The numerical results from validated code were mainly used to provide detailed information for the discussion and analysis of experimental results. The results indicate that under rolling motion condition, the phasic difference between flow rate and frictional pressure drop of narrow rectangular channel is negligible. Angular acceleration is the eigenvalue for the effects of rolling motion on flow rate under single-phase natural circulation condition. When angular acceleration is approximately equal, even though either the angle or the period of rolling motion is different, peak, trough and time-averaged values of flow rate are approximately equal. Under rolling motion and single-phase natural circulation conditions, the phenomenon that dimensionless time-averaged mass flow rate is smaller than that under steady state condition is controlled by the nonlinear relationship between mass flow rate and the resistance of loop. The factor also causes the result that the absolute difference of dimensionless flow rate between peak and steady state is smaller than that between trough and steady state. The startup model which is proposed in present paper can be used to predict the flow characteristics of single-phase natural circulation system at startup stage of rolling motion favorably. The self-developed code can simulate instantaneous flow characteristics of single-phase natural circulation system under rolling motion and steady state conditions

  20. Mothers of children diagnosed with attention-deficit/hyperactivity disorder: health conditions and medical care utilization in periods before and after birth of the child.

    Science.gov (United States)

    Ray, G Thomas; Croen, Lisa A; Habel, Laurel A

    2009-01-01

    Analyzing health conditions and medical utilization of mothers of children with attention-deficit/hyperactivity disorder (ADHD) can shed light on biologic, environmental, and psychosocial factors relating to ADHD. To examine health conditions, health care utilization, and costs of mothers of children with ADHD in periods before the child was diagnosed. Using automated data from Northern California Kaiser Permanente we identified mothers of children with ADHD, mothers of children without ADHD, and mothers of children with asthma. Mothers' diagnostic clusters, health care utilization, and costs were compared. Mothers of children with ADHD were compared with mothers of children without ADHD and, separately, to mothers of children with asthma. Compared with mothers of children without ADHD, mothers of children with ADHD were more likely to be diagnosed with numerous medical and mental health problems in the 2 years after birth of their child, including depression [odds ratio (OR): 1.88], anxiety neuroses (OR: 1.64), obesity (OR: 1.70), and musculoskeletal symptoms (OR: 1.51). Results were similar for the year before delivery. Mothers of children with ADHD also had higher total health care costs per person in the year before ($1,003) and the 2 years after ($953) the birth of their child. Mothers of children with ADHD also were diagnosed with more health conditions and had higher health care costs than mothers of children with asthma. Our findings suggest that the likelihood of being diagnosed with ADHD is related to maternal conditions and use of health services that precede the child's diagnosis. Future studies are needed to clarify whether this is due to biologic, psychosocial, or environmental factors, or a combination.

  1. Experimental and Numerical Study of the Radiant Induction-Unit and the Induction Radiant Air-Conditioning System

    Directory of Open Access Journals (Sweden)

    Qiang Si

    2016-12-01

    Full Text Available In this paper we proposed the novel air-conditioning system which combined induction ventilation and radiant air-conditioning. The indoor terminal device is the radiant induction-unit (RIDU. The RIDU is the induction unit combined with the pore radiant panel on which the copper pipes with rigid aluminum diffusion fins are installed. The two-stage evaporator chiller with the non-azeotropic mixture refrigerant is utilized in the system to reduce the initial investment in equipment. With the performance test and the steady state heat transfer model based on the theory of radiative heat transfer, the relationship between the induction ratio of the RIDU and the characteristic of the air supply was studied. Based on this, it is verified that the RIDU has a lower dew-point temperature and better anti-condensation performance than a traditional plate-type radiant panel. The characteristics of the radiation and convection heat transfer of the RIDU were studied. The total heat exchange of the RIDU can be 16.5% greater than that of the traditional plate-type radiant terminal.

  2. Optimization of working conditions of medical staff of isotopic diagnostic departments. Optimizatsiya uslovij truda meditsinskogo personala radiodiagnosticheskikh otdelenij

    Energy Technology Data Exchange (ETDEWEB)

    Ovsyannikov, A S [Akademiya Meditsinskikh Nauk SSSR, Moscow (USSR). Inst. Gigieny Truda i Professional' nykh Zabolevanij

    1989-01-01

    The study was undertaken to analyze the characteristics of the work of medical staff of isotopic diagnostic departments during use of {sup 99m}Tc isotope generators. The data on the functional load of physicians and paramedical staff were given along with the description of radiation doses and dose rates at various stages of work. The measures on optimization of labour conditions by means of the appropriate department's design, improvement of the regime of nurses' work and adequate allocation and utilization of medical equipment were developed.

  3. Framework conditions and requirements to ensure the technical functional safety of reprocessed medical devices.

    Science.gov (United States)

    Kraft, Marc

    2008-09-03

    Testing and restoring technical-functional safety is an essential part of medical device reprocessing. Technical functional tests have to be carried out on the medical device in the course of the validation of reprocessing procedures. These ensure (in addition to the hygiene tests) that the reprocessing procedure is suitable for the medical device. Functional tests are, however, also a part of reprocessing procedures. As a stage in the reprocessing, they ensure for the individual medical device that no damage or other changes limit the performance. When determining which technical-functional tests are to be carried out, the current technological standard has to be taken into account in the form of product-specific and process-oriented norms. Product-specific norms primarily define safety-relevant requirements. The risk management method described in DIN EN ISO 14971 is the basis for recognising hazards; the likelihood of such hazards arising can be minimised through additional technical-functional tests, which may not yet have been standardised. Risk management is part of a quality management system, which must be bindingly certified for manufacturers and processors of critical medical devices with particularly high processing demands by a body accredited by the competent authority.

  4. Numerical study of the spreading and solidification of a molten particle impacting onto a rigid substrate under plasma spraying conditions

    Directory of Open Access Journals (Sweden)

    Oukach Soufiane

    2015-01-01

    Full Text Available This paper deals with simulation of the spreading and solidification of a fully molten particle impacting onto a preheated substrate under traditional plasma spraying conditions. The multiphase problem governing equations of mass, momentum and energy conservation taking into account heat transfer by conduction, convection and phase change are solved by using a Finite Element approach. The interface between molten particle and surrounding air, is tracked using the Level Set method. The effect of the Reynolds number on the droplet spreading and solidification, using a wide range of impact velocities (40-250m/s, is reported. A new correlation that predicts the final spread factor of splat as a function of Reynolds number is obtained. Thermal contact resistance, viscous dissipation, wettability and surface tension forces effects are taken into account.

  5. Numerical Evaluation of Averaging BDFT(bidirectional flow tube) Flow Meter on Applicability in the Fouling Condition

    International Nuclear Information System (INIS)

    Park, J. P.; Jeong, J. H.; Yuna, B. J.; Jerng, D. W.

    2013-01-01

    The results show that the averaging BDFT is a promising flow meter for the accurate measurement of flow rates in the fouling condition of the NPPs. A new instrumentation, an averaging BDFT, was proposed to measure the accurate flow rate under corrosion environment. In this study, to validate the applicability of the averaging BDFT on the fouling conditions, flow analyses using the CFD code were performed. Analyses results show that this averaging BDFT does not lose the measuring performance even under the corrosion environment. Therefore, it is expected that the averaging BDFT can replace the type flow meters for the feedwater pipe of steam generator of NPPs. Most of the NPPs adopt pressure difference type flow meters such as venturi and orifice meters for the measurement of feedwater flow rates to calculate reactor thermal power. However, corrosion products in the feedwater deposits on the flow meter as operating time goes. These effects lead to severe errors in the flow indication and then determination of reactor thermal power. The averaging BDFT has a potentiality to minimize this problem. Therefore, it is expected that the averaging BDFT can replace the type venturi meters for the feedwater pipe of steam generator of NPPs. The present work compares the amplification factor, K, based on CFD calculation against the K obtained from experiments in order to confirm whether a CFD code can be applicable to the evaluation of characteristic for the averaging BDFT. In addition to this, the simulations to take into account of fouling effect are also carried out by rough wall option

  6. Economic aspects of telemedical trainings realization in conditions of medical services outsourcing

    Directory of Open Access Journals (Sweden)

    Bushmanov A.Yu.

    2016-12-01

    Full Text Available Economic efficiency of various telemedical services are still a subject of scientific discussion. The article considers approaches to a complex estimation of economic benefit and economic efficiency of services in remote education. Calculations are submitted on the basis of realization of remote trainings series on training to receptions of urgent medical aid and occupational medicine for the medical personnel of the large oil-extracting company. Preparation of the program, materials, including videofragments, presentations and demonstrations, and also realization of trainings were carried out by autsourcing by experts of the foreign organizations.

  7. Living conditions, ability to seek medical treatment, and awareness of health conditions and healthcare options among homeless persons in Tokyo, Japan.

    Science.gov (United States)

    Ohtsu, Tadahiro; Toda, Ryouhei; Shiraishi, Tomonobu; Toyoda, Hirokuni; Toyozawa, Hideyasu; Kamioka, Yasuaki; Ochiai, Hirotaka; Shimada, Naoki; Shirasawa, Takako; Hoshino, Hiromi; Kokaze, Akatsuki

    2011-12-01

    Empirical data indicative of the health conditions and medical needs of homeless persons are scarce in Japan. In this study, with the aim of contributing to the formulation of future healthcare strategies for the homeless, we conducted a self-administered questionnaire survey and interviews at a park in Shinjuku Ward, Tokyo, to clarify the living conditions of homeless persons and their health conditions and awareness about the availability of medical treatment. Responses from 55 homeless men were recorded (response rate: 36.7%). With the exception of one person, none of them possessed a health insurance certificate. Half of the respondents reported having a current income source, although their modal monthly income was 30,000 yen($1 was approximately 90 yen). The number of individuals who responded "yes" to the questions regarding "Consulting a doctor on the basis of someone's recommendation" and "Being aware of the location of the nearest hospital or clinic" was significantly higher among those who had someone to consult when they were ill than among those who did not (the odds ratios [95% confidence intervals] were 15.00 [3.05-93.57] and 11.45 [1.42-510.68], respectively). This showed that whether or not a homeless person had a person to consult might influence his healthcare-seeking behavior. When queried about the entity they consulted (multiple responses acceptable), respondents mentioned "life support organizations" (61.1%) and "public offices" (33.3%). Overall, 94.5% of the respondents were aware of swine flu (novel influenza A (H1N1)). Their main sources of information were newspapers and magazines. On the basis of these findings, with regard to the aim of formulating healthcare strategies for homeless persons, while life support organizations and public offices play significant roles as conduits to medical institutions, print media should be considered useful for communicating messages to homeless persons.

  8. Numerical Simulation of a Lee Wave Case over Three-Dimensional Mountainous Terrain under Strong Wind Condition

    Directory of Open Access Journals (Sweden)

    Lei Li

    2013-01-01

    Full Text Available This study of a lee wave event over three-dimensional (3D mountainous terrain in Lantau Island, Hong Kong, using a simulation combining mesoscale model and computational fluid dynamics (CFD model has shown that (1 3D steep mountainous terrain can trigger small scale lee waves under strong wind condition, and the horizontal extent of the wave structure is in a dimension of few kilometers and corresponds to the dimension of the horizontal cross-section of the mountain; (2 the life cycle of the lee wave is short, and the wave structures will continuously form roughly in the same location, then gradually move downstream, and dissipate over time; (3 the lee wave triggered by the mountainous terrain in this case can be categorized into “nonsymmetric vortex shedding” or “turbulent wake,” as defined before based on water tank experiments; (4 the magnitude of the wave is related to strength of wind shear. This study also shows that a simulation combining mesoscale model and CFD can capture complex wave structure in the boundary layer over realistic 3D steep terrain, and have a potential value for operational jobs on air traffic warning, wind energy utilization, and atmospheric environmental assessment.

  9. Numerical Simulations of High Reactivity Gasoline Fuel Sprays under Vaporizing and Reactive Conditions

    KAUST Repository

    Mohan, Balaji; Jaasim, Mohammed; Ahmed, Ahfaz; Hernandez Perez, Francisco; Sim, Jaeheon; Roberts, William L.; Sarathy, Mani; Im, Hong G.

    2018-01-01

    Gasoline compression ignition (GCI) engines are becoming more popular alternative for conventional spark engines to harvest the advantage of high volatility. Recent experimental study demonstrated that high reactivity gasoline fuel can be operated in a conventional mixing controlled combustion mode producing lower soot emissions than that of diesel fuel under similar efficiency and NOx level [1]. Therefore, there is much interest in using gasoline-like fuels in compression ignition engines. In order to improve the fidelity of simulation-based GCI combustion system development, it is mandatory to enhance the prediction of spray combustion of gasoline-like fuels. The purpose of this study is to model the spray characteristics of high reactivity gasoline fuels and validate the models with experimental results obtained through an optically accessible constant volume vessel under vaporizing [2] and reactive conditions [3]. For reacting cases, a comparison of PRF and KAUST multi-component surrogate (KMCS) mechanism was done to obtain good agreement with the experimental ignition delay. From this study, some recommendations were proposed for GCI combustion modelling framework using gasoline like fuels.

  10. Numerical Simulations of High Reactivity Gasoline Fuel Sprays under Vaporizing and Reactive Conditions

    KAUST Repository

    Mohan, Balaji

    2018-04-03

    Gasoline compression ignition (GCI) engines are becoming more popular alternative for conventional spark engines to harvest the advantage of high volatility. Recent experimental study demonstrated that high reactivity gasoline fuel can be operated in a conventional mixing controlled combustion mode producing lower soot emissions than that of diesel fuel under similar efficiency and NOx level [1]. Therefore, there is much interest in using gasoline-like fuels in compression ignition engines. In order to improve the fidelity of simulation-based GCI combustion system development, it is mandatory to enhance the prediction of spray combustion of gasoline-like fuels. The purpose of this study is to model the spray characteristics of high reactivity gasoline fuels and validate the models with experimental results obtained through an optically accessible constant volume vessel under vaporizing [2] and reactive conditions [3]. For reacting cases, a comparison of PRF and KAUST multi-component surrogate (KMCS) mechanism was done to obtain good agreement with the experimental ignition delay. From this study, some recommendations were proposed for GCI combustion modelling framework using gasoline like fuels.

  11. 42 CFR 415.110 - Conditions for payment: Medically directed anesthesia services.

    Science.gov (United States)

    2010-10-01

    ... anesthesia services. 415.110 Section 415.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... directed anesthesia services. (a) General payment rule. Medicare pays for the physician's medical direction of anesthesia services for one service or two through four concurrent anesthesia services furnished...

  12. Spiritually Competent Practice with Individuals and Families Dealing with Medical Conditions

    Science.gov (United States)

    Sperry, Len

    2011-01-01

    Counselors and psychotherapists are increasingly expected to provide services that are spiritually competent. Those counseling individuals and families where medical concerns are a focus would do well to consider the implications of spiritual competence in their work. The article defines spiritual competence, describes spiritual competencies, and…

  13. 42 CFR 410.38 - Durable medical equipment: Scope and conditions.

    Science.gov (United States)

    2010-10-01

    ... or purchase of durable medical equipment, including iron lungs, oxygen tents, hospital beds, and wheelchairs, if the equipment is used in the patient's home or in an institution that is used as a home. (b... vehicle whose steering is operated by an electronic device or a joystick to control direction and turning...

  14. Is there a relationship between periodontal conditions and number of medications among the elderly?

    Science.gov (United States)

    Natto, Zuhair S; Aladmawy, Majdi; Alshaeri, Heba K; Alasqah, Mohammed; Papas, Athena

    2016-03-01

    To investigate possible correlations of clinical attachment level and pocket depth with number of medications in elderly individuals. Intra-oral examinations for 139 patients visiting Tufts dental clinic were done. Periodontal assessments were performed with a manual UNC-15 periodontal probe to measure probing depth (PD) and clinical attachment level (CAL) at 6 sites. Complete lists of patients' medications were obtained during the examinations. Statistical analysis involved Kruskal-Wallis, chi square and multivariate logistic regression analyses. Age and health status attained statistical significance (p3mm) when compared to the no-medication group, in crude OR (1.20, 95% CI:0.22-6.64), and age adjusted (OR=1.16, 95% CI:0.21-6.45), but not with the multivariate model (OR=0.71, 95% CI:0.11-4.39). CAL seems to be more sensitive to the number of medications taken, when compared to PD. However, it is not possible to discriminate at exactly what number of drug combinations the breakdown in CAL will happen. We need to do further analysis, including more subjects, to understand the possible synergistic mechanisms for different drug and periodontal responses.

  15. 75 FR 27662 - Special Conditions: Boeing 747-468, Installation of a Medical Lift

    Science.gov (United States)

    2010-05-18

    ... electrical motors, mounted to the rear wall, between the struts. A lifting gear-drive with shafts and gear... OPERATE LIFT DURING TAXI, TAKEOFF, LANDING, OR TURBULENCE. c. AN APPROVED MEDICAL STRETCHER OR WHEELCHAIR... operation. b. Operate the lift. c. Stow the lift for non-operation such as during TTL and turbulence. d...

  16. 76 FR 15798 - Special Conditions: Boeing 747-468, Installation of a Medical Lift

    Science.gov (United States)

    2011-03-22

    ... platform is driven by two redundant electrical motors, mounted to the rear wall, between the struts. A... DURING TAXI, TAKEOFF, LANDING, OR TURBULENCE. c. AN APPROVED MEDICAL STRETCHER OR WHEELCHAIR MUST BE... the lift. c. Stow the lift for non-operation such as during TTL and turbulence. d. Operate the...

  17. National priorities for the assessment of clinical conditions and medical technologies: report of a pilot study

    National Research Council Canada - National Science Library

    Lara, María Elena; Goodman, Clifford

    1990-01-01

    ... and Medical Technologies Report of a Pilot Study Maria Elena Lara and Clifford Goodman, editors Priority-Setting Group Council on Health Care Technology Institute of Medicine NATIONAL ACADEMY PRESS WASHINGTON, D.C. 1990 i Copyrightoriginal retained, the be not from cannot book, paper original however, for version formatting, authoritative the typese...

  18. Numerical study of magnetohydrodynamics (MHD boundary layer slip flow of a Maxwell nanofluid over an exponentially stretching surface with convective boundary condition

    Directory of Open Access Journals (Sweden)

    P.BalaAnki Reddy

    2017-12-01

    Full Text Available This paper focuses on a theoretical analysis of a steady two-dimensional magnetohydrodynamic boundary layer flow of a Maxwell fluid over an exponentially stretching surface in the presence of velocity slip and convective boundary condition. This model is used for a nanofluid, which incorporates the effects of Brownian motion and thermophoresis. The resulting non-linear partial differential equations of the governing flow field are converted into a system of coupled non-linear ordinary differential equations by using suitable similarity transformations, and the resultant equations are then solved numerically by using Runge-Kutta fourth order method along with shooting technique. A parametric study is conducted to illustrate the behavior of the velocity, temperature and concentration. The influence of significant parameters on velocity, temperature, concentration, skin friction coefficient and Nusselt number has been studied and numerical results are presented graphically and in tabular form. The reported numerical results are compared with previously published works on various special cases and are found to be an in excellent agreement. It is found that momentum boundary layer thickness decreases with the increase of magnetic parameter. It can also be found that the thermal boundary layer thickness increases with Brownian motion and thermophoresis parameters.

  19. Experimental and theoretical/numerical study of evaporation from shallow pools of organic liquids, at simulated work place conditions

    Energy Technology Data Exchange (ETDEWEB)

    Lennert, Anne Spandet

    1998-04-01

    The rate of evaporation from shallow pools of organic liquids was measured together with the global pollutant concentration distribution in a test chamber simulating work place conditions at room temperature. factorial data cover three liquids with different volatility, three pool geometries, and three room convective velocities in the range usually met in occupational hygiene. The data are compared to 6 semi-empirical correlations for mass tranfer employed in occupational hygiene and to 5 analytical correlations for boundary layer theory derived by the Reynolds analogy to heat transfer. The semi-empirical correlations generally showed a fair agreement for all experimental data, but tended to underestimate the evaporation especially at the lowest air velocity. All analytical correlations strongly underestimated all experimental data. A new simple correlation predicting evaporation rate based on the data was suggested. Three-dimensional CFD-predictions for laminar flow are in fair agreement with the data on the evaporation rates for the experiment that covers three organic compounds, all pool geometries and the two lowest levels of the air velocity. The global pollutant concentration distribution in case of convective air flow cannot be predicted by the model developed by Roach. If knowledge of the evaporation rate and pollutant concentration at some distance from the source were available, the predicted global pollutant concentration distribution by the model suggested by Scheff. offered a fair agreement with observed data. The box model suggested by Sinden generally offered a fair performance but tended to underestimate the pollutant concentration in region close to the source. Preliminary three-dimensional CFD-predictions of the pollutant concentration distribution in the test chamber covering the data with the lowest air velocity were in fair agreement with the average pollutant concentration but overestimated the average velocity. (au) 29 refs.

  20. Numerical investigation of influence on heat transfer characteristics to pneumatically conveyed dense phase flow by selecting models and boundary conditions

    Science.gov (United States)

    Zheng, Y.; Liu, Q.; Li, Y.

    2012-03-01

    Solids moving with a gas stream in a pipeline can be found in many industrial processes, such as power generation, chemical, pharmaceutical, food and commodity transfer processes. A mass flow rate of the solids is important characteristic that is often required to be measured (and controlled) to achieve efficient utilization of energy and raw materials in pneumatic conveying systems. The methods of measuring the mass flow rate of solids in a pneumatic pipeline can be divided into direct and indirect (inferential) measurements. A thermal solids' mass flow-meter, in principle, should ideally provide a direct measurement of solids flow rate, regardless of inhomogeneities in solids' distribution and environmental impacts. One key issue in developing a thermal solids' mass flow-meter is to characterize the heat transfer between the hot pipe wall and the gas-solids dense phase flow. The Eulerian continuum modeling with gas-solid two phases is the most common method for pneumatic transport. To model a gas-solid dense phase flow passing through a heated region, the gas phase is described as a continuous phase and the particles as the second phase. This study aims to describe the heat transfer characteristics between the hot wall and the gas-solids dense phase flow in pneumatic pipelines by modeling a turbulence gas-solid plug passing through the heated region which involves several actual and crucial issues: selections of interphase exchange coefficient, near-wall region functions and different wall surface temperatures. A sensitivity analysis was discussed to identify the influence on the heat transfer characteristics by selecting different interphase exchange coefficient models and different boundary conditions. Simulation results suggest that sensitivity analysis in the choice of models is very significant. The simulation results appear to show that a combination of choosing the Syamlal-O'Brien interphase exchange coefficient model and the standard k-ɛ model along with

  1. Trends, productivity losses, and associated medical conditions among toxoplasmosis deaths in the United States, 2000-2010.

    Science.gov (United States)

    Cummings, Patricia L; Kuo, Tony; Javanbakht, Marjan; Sorvillo, Frank

    2014-11-01

    Few studies have quantified toxoplasmosis mortality, associated medical conditions, and productivity losses in the United States. We examined national multiple cause of death data and estimated productivity losses caused by toxoplasmosis during 2000-2010. A matched case-control analysis examined associations between comorbid medical conditions and toxoplasmosis deaths. In total, 789 toxoplasmosis deaths were identified during the 11-year study period. Blacks and Hispanics had the highest toxoplasmosis mortality compared with whites. Several medical conditions were associated with toxoplasmosis deaths, including human immunodeficiency virus (HIV), lymphoma, leukemia, and connective tissue disorders. The number of toxoplasmosis deaths with an HIV codiagnosis declined from 2000 to 2010; the numbers without such a codiagnosis remained static. Cumulative disease-related productivity losses for the 11-year period were nearly $815 million. Although toxoplasmosis mortality has declined in the last decade, the infection remains costly and is an important cause of preventable death among non-HIV subgroups. © The American Society of Tropical Medicine and Hygiene.

  2. Empathetic attitudes of undergraduate paramedic and nursing students towards four medical conditions: a three-year longitudinal study.

    Science.gov (United States)

    Williams, Brett; Boyle, Malcolm; Fielder, Chris

    2015-02-01

    In the healthcare context empathy is the cognitive ability to understand a patient's perspectives and experiences and to convey that understanding back to the patient. Some medical conditions are frequently stigmatised or otherwise detrimentally stereotyped with patients often describing healthcare practitioners as intolerant, prejudiced and discriminatory. The purpose of this study was to find how a group of paramedic students and nursing/paramedic double-degree students regard these types of patients and to note any changes that may occur as those students continued through their education. The 11-questions, 6-point Likert scale version of the Medical Condition Regard Scale was used in this prospective cross-sectional longitudinal study. This study included paramedic students enrolled in first, second, third and fourth year of an undergraduate paramedic or paramedic/nursing program from Monash University. A total of 554 students participated. Statistically significant differences were found between double-degree and single-degree students (pintellectual disability and attempted suicide. No statistically significant results were found for acute mental illness. This study has demonstrated significant differences in empathy between paramedic and nursing/paramedic double-degree students in regard to patients with these complex medical conditions. Paramedic/nursing students generally showed a positive change in empathy towards these complex patients by their third year of study; however, they also showed some alarming drops in empathy between second and third year. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. On the effects of assembly compression on the performance of liquid-feed DMFCs under methanol-limiting conditions: A 2D numerical study

    Science.gov (United States)

    García-Salaberri, P. A.; Vera, M.

    2015-07-01

    The influence of assembly compression on the performance of liquid-feed DMFCs under methanol-limiting conditions is explored by means of a 2D/1D multiphysics across-the-channel model. The numerical formulation incorporates a comprehensive 2D description of the anode GDL, including two-phase phenomena, non-uniform anisotropic transport properties, and electrical contact resistances at the GDL/BPP interface. GDL effective properties are evaluated using empirical data corresponding to Toray® carbon paper. A simplified but physically sound 1D description, locally coupled to the 2D anode GDL model, is adopted to describe transport processes in the MPLs, membrane and cathode GDL, whereas the catalyst layers are treated as infinitely thin surfaces. Good agreement is found between the numerical results and previous experimental data. The interplay between assembly compression, bipolar plate material, and channel configuration is also investigated. The results show that there is an optimum GDL compression ratio in terms of overall power density, the optimal compression level being strongly dependent on bipolar plate material. Beyond the optimum, the detrimental effect of compression is larger in non-parallel flow fields due to the additional reduction of methanol transported by under-rib convection. The results suggest that, under certain conditions, this transport mechanism could be more important than diffusion in the anode of liquid-feed DMFCs.

  4. The geological and geodynamic condition on the formation of the Dabashan thrust nappe structure: Based on FLAC numerical modelling

    Directory of Open Access Journals (Sweden)

    Xiaoning Zhang

    2016-10-01

    Full Text Available The Dabashan thrust nappe structure at the southern margin of the Qinling orogenic belt suffered at least two stages of evolution which are Late Triassic plate subduction collisional orogeny between North China block, Qinling micro-plate and Yangtze block followed by intracontinental orogeny since the Meso-Cenozoic. A prominent topography characteristic within the Dabashan area is a southwestward extrusive arc (Bashan Arc fault that is one of key factors to understand the geodynamic condition of the Dabashan thrust nappe structure. In this work, two-dimensional plan-view models are constructed to simulate the collisional and intracontinental orogenic movements, and the factors that may control the formation of the Bashan Arc fault are analysed. The modelling results show that the compressive stress produced by the plates collision along both north and south boundaries is the main driving force. The dextral shearing derived from the inconsistent shape on the block margins is the main controller. Rigid tectonic units such as Bikou and Hanan-Micangshan terranes, Foping and Wudang domes, as well as Shennongjia-Huangling anticline also contribute as “anchor” effects. Additionally, the rheology properties of rock material in the Dabashan area affect the shape of the arc.  Condición geológica y geodinámica para la formación estructural de la falla de cabalgamiento en las montañas Dabashan basada en el modelo numérico del software FLAC  Resumen La estructura de la falla de cabalgamiento de las montañas Dabashan en el margen sur del cinturón orogénico de Qinling sufrió por lo menos dos etapas de evolución, la colisión orogénica del Triásico Superior entre el bloque de la China del Norte, la microplaca de Qinling y el bloque Yangtze, y la orogénesis intracontinental desde el Meso-Cenozoico. Una característica topográfica prominente del área de Dabashan es un arco extrusivo (falla Arco de Bashan hacia el suroeste, que es un

  5. Numerical investigations of buoyancy-driven natural ventilation in a simple atrium building and its effect on the thermal comfort conditions

    International Nuclear Information System (INIS)

    Hussain, Shafqat; Oosthuizen, Patrick H.

    2012-01-01

    In the present study use of solar-assisted buoyancy-driven natural ventilation in a simple atrium building is explored numerically with particular emphasis on the thermal comfort conditions in the building. Initially various geometric configurations of the atrium space were considered in order to investigate airflows and temperature distributions in the building using a validated computational fluid dynamics (CFD) model. The Reynolds Averaged Navier–Stokes (RANS) modelling approach with the SST-k–ω turbulence model and the Discrete Transfer Radiation Model (DTRM) was used for the investigations. The steady-state governing equations were solved using a commercial CFD solver FLUENT © . From the numerical results obtained, it was noted that an atrium space integrated with a solar chimney would be a relatively better option to be used in an atrium building. In the geometry selected, the performance of the building in response to various changes in design parameters was investigated. The produced airflows and temperature distributions were then used to evaluate indoor thermal comfort conditions in terms of the thermal comfort indices, i.e. the well-known predicted mean vote (PMV) index, its modifications especially for natural ventilation, predicted percent dissatisfied (PPD) index and Percent dissatisfied (PD) factor due to draft. It was found that the thermal conditions in the occupied areas of the building developed as a result of the use of solar-assisted buoyancy-driven ventilation for the particular values of the design parameters selected are mostly in the comfortable zone. Finally, it is demonstrated that the proposed methodology leads to reliable thermal comfort predictions, while the effect of various design variables on the performance of the building is easily recognized. - Highlights: ► Numerical investigations were carried for the use of buoyancy-driven displacement ventilation in a simple atrium building. ► Effect of various atrium

  6. [Investigation of actual condition of management and disposal of medical radioactive waste in Korea].

    Science.gov (United States)

    Watanabe, Hiroshi; Nagaoka, Hiroaki; Yamaguchi, Ichiro; Horiuchi, Shoji; Imoto, Atsushi

    2009-07-20

    In order to realize the rational management and disposal of radioactive waste like DIS or its clearance as performed in Europe, North America, and Japan, we investigated the situation of medical radioactive waste in Korea and its enforcement. We visited three major Korean facilities in May 2008 and confirmed details of the procedure being used by administering a questionnaire after our visit. From the results, we were able to verify that the governmental agency had established regulations for the clearance of radioactive waste as self-disposal based on the clearance level of IAEA in Korea and that the medical facilities performed suitable management and disposal of radioactive waste based on the regulations and superintendence of a radiation safety officer. The type of nuclear medicine was almost the same as that in Japan, and the half-life of all radiopharmaceuticals was 60 days or less. While performing regulatory adjustment concerning the rational management and disposal of radioactive waste in Korea for reference also in this country, it is important to provide an enforcement procedure with quality assurance in the regulations.

  7. Ménière's Disease and Underlying Medical and Mental Conditions: Towards Factors Contributing to the Disease.

    Science.gov (United States)

    Mohamed, Shwan; Khan, Imran; Iliodromiti, Stamatina; Gaggini, Margaret; Kontorinis, Georgios

    2016-01-01

    To investigate the relation of Ménière's disease (MD) with medical comorbidity or mental conditions. Demographic data, medical and mental comorbidities were retrospectively collected and compared from 3 groups of 30 patients each: a group with patients with definite MD, a second one with patients with vestibulopathies other than MD (non-Ménière's vertigo, NMV) and a third one with patients without any vestibular symptoms (control). The level of significance was set at 0.05. The prevalence of mental conditions was 26.7, 23.3 and 6.7% for the MD, the NMV and the control group, respectively. Medical comorbidity was found in 80% of patients in the MD, 63% in the NMV and 20% in the control group. Arthritis was encountered in 8 patients with MD, 3 with NMV and none from the control group. The differences in prevalence of mental disease, comorbidities and arthritis between the MD and the control group were statistically significant (p = 0.02, p disease. © 2016 S. Karger AG, Basel.

  8. Conditions for successful reflective use of portfolios in undergraduate medical education

    NARCIS (Netherlands)

    Driessen, Erik W.; Van Tartwijk, Jan; Overeem, Karlijn; Vermunt, Jan D.; Van Der Vleuten, C. P M

    2005-01-01

    AIM: Portfolios are often used as an instrument with which to stimulate students to reflect on their experiences. Research has shown that working with portfolios does not automatically stimulate reflection. In this study we addressed the question: What are the conditions for successful reflective

  9. Pathologic Aerophagia: A Rare but Important Medical Condition in People with Intellectual Disabilities

    Science.gov (United States)

    Wong, Wendy; Sajith, Sreedharan Geetha

    2017-01-01

    Background: Pathologic aerophagia (PA) is characterised by excessive swallowing of air resulting in significant abdominal distension or belching. This is a relatively rare condition in general population but has been reported in up to 8.8% of institutionalised patients with intellectual disability. In severe cases, this can cause volvulus and…

  10. Numerical study of inflow conditions on a turbulent isothermal or heated plane jet; Etude numerique des conditions d'emission sur un ecoulement de type jet plan turbulent isotherme ou chauffe

    Energy Technology Data Exchange (ETDEWEB)

    Mhiri, H.; Habli, S.; El Golli, S. [Ecole Nationale d' Ingenieurs de Monastir (Tunisia); Le Palec, G.; Bournot, Ph. [Institut de Mecanique de Marseille (France)

    1999-11-01

    We intend to solve equations governing turbulent plane-vertical isotherm and non isotherm jets by taking into account inflow conditions at the exit of the nozzle. The analysis is focused on the influence of these conditions on this type of flow. Two cases are considered (uniform and parabolic velocity and temperature profiles). A finite difference scheme is developed to solve the governing equations. This numeric model allows us to show that the region of fully developed regime begins much nearer the nozzle for the turbulent case than for the laminar flow case. Indeed, the turbulence increases the mixing between the incoming gas from the nozzle and the ambient fluid, and consequently the size of the potential core zone decreases. The results are compared to other works introducing mathematical variables based on the energy conservation for the case of the mixed convection and the momentum conservation for the forced convection, which allows the validation of our results. (authors)

  11. MedMinify: An Advice-giving System for Simplifying the Schedules of Daily Home Medication Regimens Used to Treat Chronic Conditions.

    Science.gov (United States)

    Flynn, Allen J; Klasnja, Predrag; Friedman, Charles P

    2014-01-01

    For those with high blood pressure, diabetes, or high cholesterol, adherence to a home medication regimen is important for health. Reductions in the number of daily medication-taking events or daily pill burden improve adherence. A novel advice-giving computer application was developed using the SMART platform to generate advice on how to potentially simplify home medication regimens. MedMinify generated advice for 41.3% of 1,500 home medication regimens for adults age 60 years and older with chronic medical conditions. If the advice given by MedMinify were implemented, 320 regimen changes would have reduced daily medication-taking events while an additional 295 changes would have decreased the daily pill burden. The application identified four serious drug-drug interactions and so advised against taking two pairs of medications simultaneously. MedMinify can give advice to change home medication regimens that could result in simpler home medication-taking schedules.

  12. [Hygienic aspects of the lifestyle of medical students under the present conditions].

    Science.gov (United States)

    Kozhevnikova, N G; Kataeva, V A

    2011-01-01

    The paper gives the results of a study of the lifestyle of medical students. The students' motor activity has been found to be lower and to continue to drop in the undergraduates. Examination of the daily routine has shown that 92% of the students break the study-and-rest routine; the reported reasons for this are a high academic load, a prolonged academic day, a study-work combination, mental stress during examinations, and computer-aided learning. The students' nutrition is inadequate in major nutrients, poor-quality, irregular, and uncontrolled. The college crowd shows a preponderance of bad habits; 85% of cases had these or those combinations of risk factors: smoking, low motor activity, overweight, alcohol consumption, etc.

  13. Numerical Tests of the Virtual Human Model Response Under Dynamic Load Conditions Defined in Federal Aviation Regulation Part 23.562 and 25.562 – Preliminary Study

    Directory of Open Access Journals (Sweden)

    Lindstedt Lukasz

    2016-12-01

    Full Text Available The main aim of the presented research was to check mechanical response of human body model under loads that can occur during airplane accidents and compare results of analysis with some results of experimental tests described in literature. In simulations, new multi-purpose human body model, the VIRTHUMAN, was used. The whole model, as well as its particular segments, was earlier validated based on experimental data, which proved its accuracy to simulate human body dynamic response under condition typical for car crashes, but it was not validated for loads with predominant vertical component (loads acting along spinal column, typical for airplane crashes. Due to limitation of available experimental data, the authors focused on conducting calculations for the case introduced in 14 CFR: Parts 23.562 and 25.562, paragraph (b(1, knowing as the 60° pitch test. The analysis consists in comparison of compression load measured in lumbar section of spine of the FAA HIII Dummy (experimental model and in the Virthuman (numerical model. The performed analyses show numerical stability of the model and satisfactory agreement between experimental data and simulated Virthuman responses. In that sense, the Virthuman model, although originally developed for automotive analyses, shows also great potential to become valuable tool for applications in aviation crashworthiness and safety analyses, as well.

  14. Numerical simulation of CO2 leakage from a geologic disposal reservoir, including transitions from super- to sub-critical conditions, and boiling of liquid of CO2

    International Nuclear Information System (INIS)

    Pruess, Karsten

    2003-01-01

    The critical point of CO 2 is at temperature and pressure conditions of T crit = 31.04 C, P crit = 73.82 bar. At lower (subcritical) temperatures and/or pressures, CO 2 can exist in two different phase states, a liquid and a gaseous state, as well as in two-phase mixtures of these states. Disposal of CO 2 into brine formations would be made at supercritical pressures. However, CO 2 escaping from the storage reservoir may migrate upwards towards regions with lower temperatures and pressures, where CO 2 would be in subcritical conditions. An assessment of the fate of leaking CO 2 requires a capability to model not only supercritical but also subcritical CO 2 , as well as phase changes between liquid and gaseous CO 2 in sub-critical conditions. We have developed a methodology for numerically simulating the behavior of water-CO 2 mixtures in permeable media under conditions that may include liquid, gaseous, and supercritical CO 2 . This has been applied to simulations of leakage from a deep storage reservoir in which a rising CO 2 plume undergoes transitions from supercritical to subcritical conditions. We find strong cooling effects when liquid CO 2 rises to elevations where it begins to boil and evolve a gaseous CO 2 phase. A three-phase zone forms (aqueous - liquid - gas), which over time becomes several hundred meters thick as decreasing temperatures permit liquid CO 2 to advance to shallower elevations. Fluid mobilities are reduced in the three-phase region from phase interference effects. This impedes CO 2 upflow, causes the plume to spread out laterally, and gives rise to dispersed CO 2 discharge at the land surface. Our simulation suggests that temperatures along a CO 2 leakage path may decline to levels low enough so that solid water ice and CO 2 hydrate phases may be formed

  15. Modeling and numerical simulation of a novel solar-powered absorption air conditioning system driven by a bubble pump with energy storage

    Institute of Scientific and Technical Information of China (English)

    QIU Jia; LIANG Jian; CHEN GuangMing; DU RuXu

    2009-01-01

    This paper presents a novel solar-powered absorption air conditioning system driven by a bubble pump with energy storage. It solves the problem of unreliable solar energy supply by storing the working fluids and hence, functions 24 h per day. First, the working principles are described and the dynamic models for the primary energy storage components are developed. Then, the system is evaluated based on a numerical simulation. Based on the meteorological data of a typical day in a subtropical area, with the area of a solar collector being set at 19.15 m2, whilst the initial charging mass, mass fraction and temperature of the solution are respectively set at 379.5 kg, 54.16% and 34.5 ℃, it is found that the respective coefficients of performance (COP) of the air conditioning system and the en-tire system (including the solar panel) are 0.7771 and 0.4372. In particular, the energy storage density of the system is 206.69 MJ/m3 which is much greater than those of chilled water or hot water storage systems under comparable conditions. This makes the new system much more compact and efficient. Finally, an automatic control strategy is given to achieve the highest COP when solar energy fluctuates.

  16. Determining Threshold Distance Providing Less Interference for Wireless Medical Implant Communication Systems in Coexisting Environments under Shadow Fading Conditions

    Directory of Open Access Journals (Sweden)

    Selman KULAÇ

    2017-08-01

    Full Text Available Important interference problems will be able to be encountered especially close areas to the hospitals where wireless implantable medical systems' communication traffic occurs heavily in near future. It is possible that these interferences could cause wireless implant devices to malfunction and harmful effects on patients. In this study, it is proposed to determine threshold distance in order to get less interference for wireless implantable medical systems under shadow fading conditions where MICS band and MetAids band users coexist intensely simultaneously. In this method, threshold power according to the \\cite{FCC} is pulled down by adding extra distance margin in order to minimize the interference effects to the MICS systems using confidence interval calculations. Because received signal strength just below the monitoring threshold power according to the \\cite{FCC} brings about much more interferences for the MICS systems even if listen-before-talk technique is applied.

  17. Improvement of a mesoscale atmospheric dynamic model PHYSIC. Utilization of output from synoptic numerical prediction model for initial and boundary condition

    International Nuclear Information System (INIS)

    Nagai, Haruyasu; Yamazawa, Hiromi

    1995-03-01

    This report describes the improvement of the mesoscale atmospheric dynamic model which is a part of the atmospheric dispersion calculation model PHYSIC. To introduce large-scale meteorological changes into the mesoscale atmospheric dynamic model, it is necessary to make the initial and boundary conditions of the model by using GPV (Grid Point Value) which is the output of the numerical weather prediction model of JMA (Japan Meteorological Agency). Therefore, the program which preprocesses the GPV data to make a input file to PHYSIC was developed and the input process and the methods of spatial and temporal interpolation were improved to correspond to the file. Moreover, the methods of calculating the cloud amount and ground surface moisture from GPV data were developed and added to the model code. As the example of calculation by the improved model, the wind field simulations of a north-west monsoon in winter and a sea breeze in summer in the Tokai area were also presented. (author)

  18. Economic losses and burden of disease by medical conditions in Norway.

    Science.gov (United States)

    Kinge, Jonas Minet; Sælensminde, Kjartan; Dieleman, Joseph; Vollset, Stein Emil; Norheim, Ole Frithjof

    2017-06-01

    We explore the correlation between disease specific estimates of economic losses and the burden of disease. This is based on data for Norway in 2013 from the Global Burden of Disease (GBD) project and the Norwegian Directorate of Health. The diagnostic categories were equivalent to the ICD-10 chapters. Mental disorders topped the list of the costliest conditions in Norway in 2013, and musculoskeletal disorders caused the highest production loss, while neoplasms caused the greatest burden in terms of DALYs. There was a positive and significant association between economic losses and burden of disease. Neoplasms, circulatory diseases, mental and musculoskeletal disorders all contributed to large health care expenditures. Non-fatal conditions with a high prevalence in working populations, like musculoskeletal and mental disorders, caused the largest production loss, while fatal conditions such as neoplasms and circulatory disease did not, since they occur mostly at old age. The magnitude of the production loss varied with the estimation method. The estimations presented in this study did not include reductions in future consumption, by net-recipients, due to premature deaths. Non-fatal diseases are thus even more burdensome, relative to fatal diseases, than the production loss in this study suggests. Hence, ignoring production losses may underestimate the economic losses from chronic diseases in countries with an epidemiological profile similar to Norway. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. Numerical investigation on thermal striping conditions for a tee junction of LMFBRE coolant pipes. 7. Effect of the 'Turbulence promoter' on the fluid mixing

    International Nuclear Information System (INIS)

    Tanaka, Masa-aki; Muramatsu, Toshiharu

    2004-06-01

    It is important to evaluate thermal-striping phenomena, which is the thermal fatigue issue in the structure generated by the temperature fluctuation due to the fluid mixing. Especially, the high amplitude and the high number of repetitions of the temperature fluctuation are needed to take into consideration. Moreover, it is necessary to consider the comparatively low frequency components of fluid temperature fluctuation, since the influence to structure material is large. Therefore, it is required to know the generating mechanism and conditions of the high amplitude and the low frequency component of fluid temperature fluctuation. In Japan Nuclear Cycle Development Institute, basic research on the promote system for fluid mixing is conducted, which system ('Turbulence promoter') is expected to reduce the large amplitude and low frequency components of fluid temperature fluctuation in T junction pipe. In this investigation, it is aimed to validate the effect and to generalize the mixing characteristics of 'Turbulence promoter' on the fluid mixing in T-junction pipe, and to contribute the knowledge to the rational design of LMFBR. In this report, numerical simulation for the existing experiment was conducted using a quasi-direct simulation code (DINUS-3). From the numerical simulation, the following results are obtained. (1) Numerical calculations could simulate well the flow patterns observed in the visualization experiment, in impinging jet case (Pattern-C) and deflecting jet cases (Pattern-B1 and Pattern-B). (2) By installing Turbulence promoter', cross-section area of main pipe after the mixing point is narrowed, and the fluid of main pipe is accelerated and flows along the slope of the promoter on the opposite side of branch pipe. this accelerated flow acts to prevent the collision of the branch pipe flow to the promoter. Therefore, the branch pipe flow conditions in deflecting jet category are extended. (3) At the throat of the main pipe, the flow was separated

  20. Vascular Surgery in the Pacific Theaters of World War II: The Persistence of Ligation Amid Unique Military Medical Conditions.

    Science.gov (United States)

    Barr, Justin; Cherry, Kenneth J; Rich, Norman M

    2018-06-18

    : Although multiple sources chronicle the practice of vascular surgery in the North African, Mediterranean, and European theaters of World War II, that of the Pacific campaign remains undescribed. Relying on primary source documents from the war, this article provides the first discussion of the management of vascular injuries in the island-hopping battles of the Pacific. It explains how the particular military, logistic, and geographic conditions of this theater influenced medical and surgical care, prompting a continued emphasis on ligation when surgeons in Europe had already transitioned to repairing arteries.

  1. Patient's awareness of their medical conditions in multi-specialtyoutpatient clinics in Saudi Arabia

    International Nuclear Information System (INIS)

    Al-Khowaiter, Saad S.; Al-Ali, Abdulaziz S.; Al-Maawi, Abdulaziz M.; Al-Rukban, Mohammed O.; Abdo, Ayman A.; Al-Obaidy, Mamdoh S.; Al-Sedrani, Yasser A.

    2008-01-01

    Objective was to assess the patient's awareness of their medicalconditions, identify the factors affecting their awareness and assesspatient's satisfaction with their doctor's explanations of medicalconditions. A cross-sectional study was conducted in October 2005 in theoutpatient clinics of King Khalid University Hospital in Riyadh, Kingdom ofSaudi Arabia. A self-administered questionnaire was used for data collection.The statistical package for Social Science was used for analysis. Fivehundred and one patients were included in the study. The mean age was45.6+-16.8. Fifty-five percent were female and 29% were highly educated. Mostof the patients (64.1%) knew their diagnoses. This was significantlyassociated with educational level; chronicity of the disease and theawareness of other issues related to their illness such as complications andname of their medications (p>0.05). Few patients (20%) knew complications oftheir diseases. Seventy percent of the patients were satisfied with theirdoctor's explanation of their disease. Knowing the diagnosis (p=0.001) andthe disease complications (p=0.014) were associated significantly withpatient's satisfaction. These figures are less than what they should be.Physicians must be advised of the importance of proper patient education. Inaddition, the lack of proper education by physicians demonstrated in thisstudy should be compensated for by an increase in non-physician basededucation tools. (author)

  2. Spirituality and Religiousness are Associated With Fewer Depressive Symptoms in Individuals With Medical Conditions.

    Science.gov (United States)

    Lucette, Aurelie; Ironson, Gail; Pargament, Kenneth I; Krause, Neal

    2016-01-01

    The increased prevalence of depressive symptoms among adults diagnosed with chronic health issues has been largely documented. Research is needed to clarify the effect of religiousness/spirituality in relation to chronic health conditions and depression, to establish whether these variables can serve as protective factors. Self-report data from a nationwide study of spirituality and health were used. Individuals with at least 1 chronic illness (N = 1696) formed the subsample for this study. Religiousness/spirituality variables included frequency of church attendance, prayer, religious meaning, religious hope, general meaning, general hope, peace, and view of God. Other variables included depressive symptoms and demographics (age, gender, ethnicity, and education). A series of hierarchical regression analyses revealed that chronic conditions were consistently associated with more depressive symptoms. Greater religiousness/spirituality was significantly associated with fewer depressive symptoms, contributing 16% of the variance above demographics and the number of chronic illnesses. The religiousness/spirituality variables conferring the greatest protection against depression were psychospiritual variables (general meaning and general hope, followed by peace). Also significant but making a smaller contribution to less depression were church attendance, religious meaning, religious hope, and positive view of God. Only prayer did not relate significantly to less depression. Maintaining a sense of spirituality or religiousness can benefit well-being of individuals diagnosed with a chronic health condition, especially having meaning, maintaining hope, and having a sense of peace. Patients could potentially benefit from being offered the resources that support their spiritual/religious practices and beliefs as they cope with chronic illness. Copyright © 2016. Published by Elsevier Inc.

  3. Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success?

    Science.gov (United States)

    Gagnon, Marie-Pierre; Duplantie, Julie; Fortin, Jean-Paul; Landry, Réjean

    2006-08-24

    Telehealth, as other information and communication technologies (ICTs) introduced to support the delivery of health care services, is considered as a means to answer many of the imperatives currently challenging health care systems. In Canada, many telehealth projects are taking place, mostly targeting rural, remote or isolated populations. So far, various telehealth applications have been implemented and have shown promising outcomes. However, telehealth utilisation remains limited in many settings, despite increased availability of technology and telecommunication infrastructure. A qualitative field study was conducted in four remote regions of Quebec (Canada) to explore perceptions of physicians and managers regarding the impact of telehealth on clinical practice and the organisation of health care services, as well as the conditions for improving telehealth implementation. A total of 54 respondents were interviewed either individually or in small groups. Content analysis of interviews was performed and identified several effects of telehealth on remote medical practice as well as key conditions to ensure the success of telehealth implementation. According to physicians and managers, telehealth benefits include better access to specialised services in remote regions, improved continuity of care, and increased availability of information. Telehealth also improves physicians' practice by facilitating continuing medical education, contacts with peers, and access to a second opinion. At the hospital and health region levels, telehealth has the potential to support the development of regional reference centres, favour retention of local expertise, and save costs. Conditions for successful implementation of telehealth networks include the participation of clinicians in decision-making, the availability of dedicated human and material resources, and a planned diffusion strategy. Interviews with physicians and managers also highlighted the importance of considering

  4. Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success?

    Directory of Open Access Journals (Sweden)

    Duplantie Julie

    2006-08-01

    Full Text Available Abstract Background Telehealth, as other information and communication technologies (ICTs introduced to support the delivery of health care services, is considered as a means to answer many of the imperatives currently challenging health care systems. In Canada, many telehealth projects are taking place, mostly targeting rural, remote or isolated populations. So far, various telehealth applications have been implemented and have shown promising outcomes. However, telehealth utilisation remains limited in many settings, despite increased availability of technology and telecommunication infrastructure. Methods A qualitative field study was conducted in four remote regions of Quebec (Canada to explore perceptions of physicians and managers regarding the impact of telehealth on clinical practice and the organisation of health care services, as well as the conditions for improving telehealth implementation. A total of 54 respondents were interviewed either individually or in small groups. Content analysis of interviews was performed and identified several effects of telehealth on remote medical practice as well as key conditions to ensure the success of telehealth implementation. Results According to physicians and managers, telehealth benefits include better access to specialised services in remote regions, improved continuity of care, and increased availability of information. Telehealth also improves physicians' practice by facilitating continuing medical education, contacts with peers, and access to a second opinion. At the hospital and health region levels, telehealth has the potential to support the development of regional reference centres, favour retention of local expertise, and save costs. Conditions for successful implementation of telehealth networks include the participation of clinicians in decision-making, the availability of dedicated human and material resources, and a planned diffusion strategy. Interviews with physicians and

  5. The diffusion of medical technology, local conditions, and technology re-invention: a comparative case study on coronary stenting.

    Science.gov (United States)

    Hashimoto, Hideki; Noguchi, Haruko; Heidenreich, Paul; Saynina, Olga; Moreland, Abigail; Miyazaki, Shunichi; Ikeda, Shunya; Kaneko, Yoshihiro; Ikegami, Naoki

    2006-12-01

    Innovation of medical technology is a major driving force behind the increase in medical expenditures in developed countries. Previous studies identified that the diffusion of medical technology varied across countries according to the characteristics of regulatory policy and payment systems. Based on Roger's diffusion of innovation theory, this study purported to see how local practice norms, the evolving nature of diffusing technology, and local clinical needs in addition to differences in politico-economic systems would affect the process of innovation diffusion. Taking a case of coronary stenting, an innovative therapeutic technology in early 1990s, we provided a case study of hospital-based data between two teaching high-tech hospitals in Japan and the US for discussion. Stenting began to be widely used in both countries when complementary new technology modified its clinical efficacy, but the diffusion process still differed between the two hospitals due to (1) distinctive payment systems for hospitals and physicians, (2) practice norms in favor of percutaneous intervention rather than bypass surgery that was shaped by payment incentives and cultural attitudes, and (3) local patient's clinical characteristics that the technology had to be tailored for. The case study described the diffusion of stent technology as a dynamic process between patients, physicians, hospitals, health care systems, and technology under global and local conditions.

  6. The Perceived Medical Condition Self-Management Scale can be applied to patients with chronic kidney disease.

    Science.gov (United States)

    Wild, Marcus G; Wallston, Kenneth A; Green, Jamie A; Beach, Lauren B; Umeukeje, Ebele; Wright Nunes, Julie A; Ikizler, T Alp; Steed, Julia; Cavanaugh, Kerri L

    2017-10-01

    Chronic Kidney Disease (CKD) is a major burden on patients and the health care system. Treatment of CKD requires dedicated involvement from both caretakers and patients. Self-efficacy, also known as perceived competence, contributes to successful maintenance of patient's CKD self-management behaviors such as medication adherence and dietary regulations. Despite a clear association between self-efficacy and improved CKD outcomes, there remains a lack of validated self-report measures of CKD self-efficacy. To address this gap, the Perceived Kidney/Dialysis Self-Management Scale (PKDSMS) was adapted from the previously validated Perceived Medical Condition Self-Management Scale. We then sought to validate this using data from two separate cohorts: a cross-sectional investigation of 146 patients with end-stage renal disease receiving maintenance hemodialysis and a longitudinal study of 237 patients with CKD not receiving dialysis. The PKDSMS was found to be positively and significantly correlated with self-management behaviors and medication adherence in both patient cohorts. The PKDSMS had acceptable reliability, was internally consistent, and exhibited predictive validity between baseline PKDSMS scores and self-management behaviors across multiple time points. Thus, the PKDSMS is a valid and reliable measure of CKD patient self-efficacy and supports the development of interventions enhancing perceived competence to improve CKD self-management. Copyright © 2017 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

  7. Assessment of the Impact of Climate Change on the Water Balances and Flooding Conditions of Peninsular Malaysia watersheds by a Coupled Numerical Climate Model - Watershed Hydrology Model

    Science.gov (United States)

    Ercan, A.; Kavvas, M. L.; Ishida, K.; Chen, Z. Q.; Amin, M. Z. M.; Shaaban, A. J.

    2017-12-01

    Impacts of climate change on the hydrologic processes under future climate change conditions were assessed over various watersheds of Peninsular Malaysia by means of a coupled regional climate and physically-based hydrology model that utilized an ensemble of future climate change projections. An ensemble of 15 different future climate realizations from coarse resolution global climate models' (GCMs) projections for the 21st century were dynamically downscaled to 6 km resolution over Peninsular Malaysia by a regional numerical climate model, which was then coupled with the watershed hydrology model WEHY through the atmospheric boundary layer over the selected watersheds of Peninsular Malaysia. Hydrologic simulations were carried out at hourly increments and at hillslope-scale in order to assess the impacts of climate change on the water balances and flooding conditions at the selected watersheds during the 21st century. The coupled regional climate and hydrology model was simulated for a duration of 90 years for each of the 15 realizations. It is demonstrated that the increase in mean monthly flows due to the impact of expected climate change during 2040-2100 is statistically significant at the selected watersheds. Furthermore, the flood frequency analyses for the selected watersheds indicate an overall increasing trend in the second half of the 21st century.

  8. Modelling the transition between fixed and mobile bed conditions in two-phase free-surface flows: The Composite Riemann Problem and its numerical solution

    Science.gov (United States)

    Rosatti, Giorgio; Zugliani, Daniel

    2015-03-01

    In a two-phase free-surface flow, the transition from a mobile-bed condition to a fixed-bed one (and vice versa) occurs at a sharp interface across which the relevant system of partial differential equations changes abruptly. This leads to the possibility of conceiving a new type of Riemann Problem (RP), which we have called Composite Riemann Problem (CRP), where not only the initial constant values of the variables but also the system of equations change from left to right of a discontinuity. In this paper, we present a strategy for solving a CRP by reducing it to a standard RP of a single, composite system of equations. This can be obtained by combining the two original systems by means of a suitable weighting function, namely the erodibility variable, and the introduction of an appropriate differential equation for this quantity. In this way, the CRP problem can be analyzed theoretically with standard methods, and the features of the solutions can be clearly identified. In particular, a stationary contact wave is able to correctly describe the sharp transition between mobile- and fixed-bed conditions. A finite volume scheme based on the Multiple Averages Generalized Roe approach (Rosatti and Begnudelli (2013) [22]) was used to numerically solve the fixed-mobile CRP. Several test cases demonstrate the effectiveness, exact well balanceness and high accuracy of the scheme when applied to problems that fall within the physical range of applicability of the relevant mathematical model.

  9. Numerical study of Tallinn storm-water system flooding conditions using CFD simulations of multi-phase flow in a large-scale inverted siphon

    Science.gov (United States)

    Kaur, K.; Laanearu, J.; Annus, I.

    2017-10-01

    The numerical experiments are carried out for qualitative and quantitative interpretation of a multi-phase flow processes associated with malfunctioning of the Tallinn storm-water system during rain storms. The investigations are focused on the single-line inverted siphon, which is used as under-road connection of pipes of the storm-water system under interest. A multi-phase flow solver of Computational Fluid Dynamics software OpenFOAM is used for simulating the three-phase flow dynamics in the hydraulic system. The CFD simulations are performed with different inflow rates under same initial conditions. The computational results are compared essentially in two cases 1) design flow rate and 2) larger flow rate, for emptying the initially filled inverted siphon from a slurry-fluid. The larger flow-rate situations are under particular interest to detected possible flooding. In this regard, it is anticipated that the CFD solutions provide an important insight to functioning of inverted siphon under a restricted water-flow conditions at simultaneous presence of air and slurry-fluid.

  10. Updated numerical model with uncertainty assessment of 1950-56 drought conditions on brackish-water movement within the Edwards aquifer, San Antonio, Texas

    Science.gov (United States)

    Brakefield, Linzy K.; White, Jeremy T.; Houston, Natalie A.; Thomas, Jonathan V.

    2015-01-01

    In 2010, the U.S. Geological Survey, in cooperation with the San Antonio Water System, began a study to assess the brackish-water movement within the Edwards aquifer (more specifically the potential for brackish-water encroachment into wells near the interface between the freshwater and brackish-water transition zones, referred to in this report as the transition-zone interface) and effects on spring discharge at Comal and San Marcos Springs under drought conditions using a numerical model. The quantitative targets of this study are to predict the effects of higher-than-average groundwater withdrawals from wells and drought-of-record rainfall conditions of 1950–56 on (1) dissolved-solids concentration changes at production wells near the transition-zone interface, (2) total spring discharge at Comal and San Marcos Springs, and (3) the groundwater head (head) at Bexar County index well J-17. The predictions of interest, and the parameters implemented into the model, were evaluated to quantify their uncertainty so the results of the predictions could be presented in terms of a 95-percent credible interval.

  11. Conditions for excellence in teaching in medical education: The Frankfurt Model to ensure quality in teaching and learning

    Directory of Open Access Journals (Sweden)

    Giesler, Marianne

    2017-10-01

    Full Text Available Background: There is general consensus that the organizational and administrative aspects of academic study programs exert an important influence on teaching and learning. Despite this, no comprehensive framework currently exists to describe the conditions that affect the quality of teaching and learning in medical education. The aim of this paper is to systematically and comprehensively identify these factors to offer academic administrators and decision makers interested in improving teaching a theory-based and, to an extent, empirically founded framework on the basis of which improvements in teaching quality can be identified and implemented.Method: Primarily, the issue was addressed by combining a theory-driven deductive approach with an experience based, “best evidence” one during the course of two workshops held by the GMA Committee on Personnel and Organizational Development in Academic Teaching (POiL in Munich (2013 and Frankfurt (2014. Two models describing the conditions relevant to teaching and learning (Euler/Hahn and Rindermann were critically appraised and synthesized into a new third model. Practical examples of teaching strategies that promote or hinder learning were compiled and added to the categories of this model and, to the extent possible, supported with empirical evidence.Based on this, a checklist with recommendations for optimizing general academic conditions was formulated.Results: The covers six categories: and These categories have been supplemented by the interests, motives and abilities of the actual teachers and students in this particular setting. The categories of this model provide the structure for a checklist in which recommendations for optimizing teaching are given.Conclusions: The checklist derived from the Frankfurt Model for ensuring quality in teaching and learning can be used for quality assurance and to improve the conditions under which teaching and learning take place in medical schools.

  12. PubMed search strategies for the identification of etiologic associations between hypothalamic-pituitary disorders and other medical conditions.

    Science.gov (United States)

    Guaraldi, Federica; Grottoli, Silvia; Arvat, Emanuela; Mattioli, Stefano; Ghigo, Ezio; Gori, Davide

    2013-12-01

    Biomedical literature has enormously grown in the last decades and become broadly available through online databases. Ad-hoc search methods, created on the basis of research field and goals, are required to enhance the quality of searching. Aim of this study was to formulate efficient, evidence-based PubMed search strategies to retrieve articles assessing etiologic associations between a condition of interest and hypothalamic-pituitary disorders (HPD). Based on expert knowledge, 17 MeSH (Medical Subjects Headings) and 79 free terms related to HPD were identified to search PubMed. Using random samples of abstracts retrieved by each term, we estimated the proportion of articles containing pertinent information and formulated two strings (one more specific, one more sensitive) for the detection of articles focusing on the etiology of HPD, that were then applied to retrieve articles identifying possible etiologic associations between HPD and three diseases (malaria, LHON and celiac disease) considered not associated to HPD, and define the number of abstracts needed to read (NNR) to find one potentially pertinent article. We propose two strings: one sensitive string derived from the combination of articles providing the largest literature coverage in the field and one specific including combined terms retrieving ≥40% of potentially pertinent articles. NNR were 2.1 and 1.6 for malaria, 3.36 and 2.29 for celiac disease, 2.8 and 2.2 for LHON, respectively. For the first time, two reliable, readily applicable strings are proposed for the retrieval of medical literature assessing putative etiologic associations between HPD and other medical conditions of interest.

  13. Numerical investigation of solid-liquid two phase flow in a non-clogging centrifugal pump at off-design conditions

    International Nuclear Information System (INIS)

    Zhao, B J; Chen, H L; Hou, D H; Huang, Z F

    2012-01-01

    The solid-liquid two-phase flow fields in the non-clogging centrifugal pump with a double-channel impeller have been investigated numerically for the design condition and also off-design conditions, in order to study the solid-liquid two-phase flow pattern and non-clogging mechanism in non-clogging centrifugal pumps. The main conclusions include: The sand volume fraction distribution is extremely inhomogeneous in the whole flow channel of the pump at off-design conditions. In the impeller, particles mainly flow along the pressure surface and hub; In the volute, particles mainly accumulate in the region near to the exit of volute, the largest sand volume fraction is observed at the tongue, and a large number of particles collide with volute wall and exit the volute after circling around the volute for several times. When the particle diameter increases, particles tend to accumulate on the pressure side of the impeller, and more particles crash with the pressure side of the blade. And larger sand volume fraction gratitude is also observed in the whole flow channel of the pump. With the decrease of the inlet sand volume fraction, particles tend to accumulate on the suction side of the blade. Compared with the particle diameter, the inlet sand volume fraction has less influence on the sand volume fraction gratitude in the whole channel of the pump. At the large flow rate, the minimum and maximum sand volume fraction in the whole flow channel of the model pump tends to be smaller than that at the small flow rate. Thus, it is concluded that the water transportation capacity increases with the flow rate. This research will strengthen people's understanding of the multiphase flow pattern in non-clogging centrifugal pumps, thus provides a theoretical basis for the optimal design of non-clogging centrifugal pumps.

  14. Measurement of serum melatonin in intensive care unit patients: changes in traumatic brain injury, trauma and medical conditions

    Directory of Open Access Journals (Sweden)

    Marc A Seifman

    2014-11-01

    Full Text Available Melatonin is an endogenous hormone mainly produced by the pineal gland whose dysfunction leads to abnormal sleeping patterns. Changes in melatonin have been reported in acute traumatic brain injury (TBI, however the impact of environmental conditions typical of the intensive care unit (ICU has not been assessed. The aim of this study was to compare daily melatonin production in three patient populations treated at the ICU to differentiate the role of TBI versus ICU conditions. Forty-five patients were recruited and divided into severe TBI, trauma without TBI, medical conditions without trauma and compared to healthy volunteers. Serum melatonin levels were measured at four daily intervals at 0400h, 1000h, 1600h and 2200h for 7 days post-ICU admission by commercial ELISA. The geometric mean concentrations (95% confidence intervals of melatonin in these groups showed no difference being 8.3 (6.3-11.0, 9.3 (7.0-12.3 and 8.9 (6.6-11.9 pg/mL, respectively in TBI, trauma and intensive care cohorts. All of these patient groups demonstrated decreased melatonin concentrations when compared to control patients.This study suggests that TBI as well as ICU conditions, may have a role in the dysfunction of melatonin. Monitoring and possibly substituting melatonin acutely in these settings may assist in ameliorating longterm sleep dysfunction in all of these groups, and possibly contribute to reducing secondary brain injury in severe TBI.

  15. Interventions to Address Medical Conditions and Health-Risk Behaviors Among Persons With Serious Mental Illness: A Comprehensive Review

    Science.gov (United States)

    McGinty, Emma E.; Baller, Julia; Azrin, Susan T.; Juliano-Bult, Denise; Daumit, Gail L.

    2016-01-01

    People with serious mental illness (SMI) have mortality rates 2 to 3 times higher than the overall US population, largely due to cardiovascular disease. The prevalence of cardiovascular risk factors such as obesity and diabetes mellitus and other conditions, such as HIV/AIDS, is heightened in this group. Based on the recommendations of a National Institute of Mental Health stakeholder meeting, we conducted a comprehensive review examining the strength of the evidence surrounding interventions to address major medical conditions and health-risk behaviors among persons with SMI. Peer-reviewed studies were identified using 4 major research databases. Randomized controlled trials and observational studies testing interventions to address medical conditions and risk behaviors among persons with schizophrenia and bipolar disorder between January 2000 and June 2014 were included. Information was abstracted from each study by 2 trained reviewers, who also rated study quality using a standard tool. Following individual study review, the quality of the evidence (high, medium, low) and the effectiveness of various interventions were synthesized. 108 studies were included. The majority of studies examined interventions to address overweight/obesity (n = 80). The strength of the evidence was high for 4 interventions: metformin and behavioral interventions had beneficial effects on weight loss; and bupropion and varenicline reduced tobacco smoking. The strength of the evidence was low for most other interventions reviewed. Future studies should test long-term interventions to cardiovascular risk factors and health-risk behaviors. In addition, future research should study implementation strategies to effectively translate efficacious interventions into real-world settings. PMID:26221050

  16. Analysis of obese patients' medical conditions in the pre and postoperative periods of bariatric surgery.

    Science.gov (United States)

    Rêgo, Anderson DA Silva; Zulin, Aline; Scolari, Sandro; Marcon, Sônia Silva; Radovanovic, Cremilde Aparecida Trindade

    2017-01-01

    to compare the clinical conditions of obese patients in the pre and postoperative period of bariatric surgery. we carried out a descriptive, retrospective, quantitative study by consulting the charts of 134 patients who underwent bariatric surgery in the period from 2009 to 2014. We collected the data between September and November 2015. We performed a descriptive statistical analysis and comparative analysis of anthropometric, metabolic, biochemical and clinical variables, considering six months before and after surgery. the majority of the patients were female (91.8%), with a higher prevalence (35%) in the age group 18-29 years old, complete high-school education (65.6%) and grade III obesity (60.4%). Six months after surgery, weight and lipid profile reduction were significant in both genders, but the impact on biochemical, anthropometric, metabolic and clinical parameters was significant only in female subjects, with a reduction in morbidities associated with obesity, such as arterial hypertension, diabetes mellitus, dyslipidemia and metabolic syndrome and in the use of drugs to control them. bariatric surgery was effective in weight loss, with improvements in anthropometric, metabolic and biochemical parameters and in the reduction of morbidities associated with obesity. comparar as condições clínicas de pacientes obesos em período pré e pós-operatório de cirurgia bariátrica. estudo descritivo, retrospectivo, de abordagem quantitativa, por meio de consulta ao prontuário de 134 pacientes submetidos à cirurgia bariátrica no período de 2009 a 2014. Os dados foram coletados entre os meses de setembro e novembro de 2015. Foi realizada análise estatística descritiva e comparativa das variáveis antropométricas, metabólicas, bioquímicas e clínicas, considerando seis meses antes e após a cirurgia. a maioria dos pacientes era do sexo feminino (91,8%), com maior prevalência (35%) na faixa etária de 18 aos 29 anos, com ensino médio completo (65

  17. Suspended Sediment Dynamics in the Macrotidal Seine Estuary (France): 2. Numerical Modeling of Sediment Fluxes and Budgets Under Typical Hydrological and Meteorological Conditions

    Science.gov (United States)

    Schulz, E.; Grasso, F.; Le Hir, P.; Verney, R.; Thouvenin, B.

    2018-01-01

    Understanding the sediment dynamics in an estuary is important for its morphodynamic and ecological assessment as well as, in case of an anthropogenically controlled system, for its maintenance. However, the quantification of sediment fluxes and budgets is extremely difficult from in-situ data and requires thoroughly validated numerical models. In the study presented here, sediment fluxes and budgets in the lower Seine Estuary were quantified and investigated from seasonal to annual time scales with respect to realistic hydro- and meteorological conditions. A realistic three-dimensional process-based hydro- and sediment-dynamic model was used to quantify mud and sand fluxes through characteristic estuarine cross-sections. In addition to a reference experiment with typical forcing, three experiments were carried out and analyzed, each differing from the reference experiment in either river discharge or wind and waves so that the effects of these forcings could be separated. Hydro- and meteorological conditions affect the sediment fluxes and budgets in different ways and at different locations. Single storm events induce strong erosion in the lower estuary and can have a significant effect on the sediment fluxes offshore of the Seine Estuary mouth, with the flux direction depending on the wind direction. Spring tides cause significant up-estuary fluxes at the mouth. A high river discharge drives barotropic down-estuary fluxes at the upper cross-sections, but baroclinic up-estuary fluxes at the mouth and offshore so that the lower estuary gains sediment during wet years. This behavior is likely to be observed worldwide in estuaries affected by density gradients and turbidity maximum dynamics.

  18. An evidence-based approach to the creation of normative data: base rates of impaired scores within a brief neuropsychological battery argue for age corrections, but against corrections for medical conditions.

    Science.gov (United States)

    O'Connell, Megan E; Tuokko, Holly; Voll, Stacey; Simard, Martine; Griffith, Lauren E; Taler, Vanessa; Wolfson, Christina; Kirkland, Susan; Raina, Parminder

    We detail a new approach to the creation of normative data for neuropsychological tests. The traditional approach to normative data creation is to make demographic adjustments based on observations of correlations between single neuropsychological tests and selected demographic variables. We argue, however, that this does not describe the implications for clinical practice, such as increased likelihood of misclassification of cognitive impairment, nor does it elucidate the impact on decision-making with a neuropsychological battery. We propose base rate analyses; specifically, differential base rates of impaired scores between theoretical and actual base rates as the basis for decisions to create demographic adjustments within normative data. Differential base rates empirically describe the potential clinical implications of failing to create an appropriate normative group. We demonstrate this approach with data from a short telephone-administered neuropsychological battery given to a large, neurologically healthy sample aged 45-85 years old. We explored whether adjustments for age and medical conditions were warranted based on differential base rates of spuriously impaired scores. Theoretical base rates underestimated the frequency of impaired scores in older adults and overestimated the frequency of impaired scores in younger adults, providing an evidence base for the creation of age-corrected normative data. In contrast, the number of medical conditions (numerous cardiovascular, hormonal, and metabolic conditions) was not related to differential base rates of impaired scores. Despite a small correlation between number of medical conditions and each neuropsychological variable, normative adjustments for number of medical conditions does not appear warranted. Implications for creation of normative data are discussed.

  19. NUMERICAL AND ANALYTICAL SOLUTIONS OF NEUTRINO-DOMINATED ACCRETION FLOWS WITH A NON-ZERO TORQUE BOUNDARY CONDITION AND ITS APPLICATIONS IN GAMMA-RAY BURSTS

    Energy Technology Data Exchange (ETDEWEB)

    Xie, Wei; Lei, Wei-Hua; Wang, Ding-Xiong, E-mail: leiwh@hust.edu.cn [School of Physics, Huazhong University of Science and Technology, Wuhan 430074 (China)

    2016-12-20

    A stellar-mass black hole (BH) surrounded by a neutrino-dominated accretion flow (NDAF) has been discussed in a number of works as the central engine of gamma-ray bursts (GRBs). It is widely believed that NDAF cannot liberate enough energy for bright GRBs. However, these works have been based on the assumption of a “no torque” boundary condition, which is invalid when the disk is magnetized. In this paper, we present both numerical and analytical solutions for NDAFs with non-zero boundary stresses and reexamine their properties. We find that an NDAF with such a boundary torque can be powerful enough to account for those bright short GRBs, energetic long GRBs, and ultra-long GRBs. The disk becomes viscously unstable, which makes it possible to interpret the variability of GRB prompt emission and the steep decay phase in the early X-ray afterglow. Finally, we study the gravitational waves radiated from a processing BH-NDAF. We find that the effects of the boundary torque on the strength of the gravitational waves can be ignored.

  20. Numerical simulation study of fracturing wells for shale gas with gas–water two-phase flow system under desorption and diffusion conditions

    Directory of Open Access Journals (Sweden)

    Jinzhou Zhao

    2016-06-01

    Full Text Available Hydraulic fracturing is an essential technology in developing shale gas reservoirs, not to mention, accurate prediction of productivity in fractured shale gas wells is the foundation of an efficient development in shale gas reservoirs. This paper establishes a gas–water two-phase flow percolation mathematical model by a determined numerical simulation and calculation method under desorption and diffusion conditions. By means of simulating for a post-frac performance of the shale gas reservoir, this paper devotes to a quantitative analysis the impact of fracture parameters, physical parameters, and desorption–diffusion parameters. The outcome of this research indicates that hydraulic fracturing can improve single well production and it's an effective measure in the development of shale gas. The conductivity of hydraulic fractures and the permeability of natural fractures are the main influences on shale gas production. The higher these factors are, the higher the gas and water productions are. In comparison, the matrix permeability and diffusion coefficients have minimal influences on production.

  1. A Numerical Handling of the Boundary Conditions Imposed by the Skull on an Inhomogeneous Diffusion-Reaction Model of Glioblastoma Invasion Into the Brain: Clinical Validation Aspects

    Directory of Open Access Journals (Sweden)

    Georgios S Stamatakos

    2017-01-01

    Full Text Available A novel explicit triscale reaction-diffusion numerical model of glioblastoma multiforme tumor growth is presented. The model incorporates the handling of Neumann boundary conditions imposed by the cranium and takes into account both the inhomogeneous nature of human brain and the complexity of the skull geometry. The finite-difference time-domain method is adopted. To demonstrate the workflow of a possible clinical validation procedure, a clinical case/scenario is addressed. A good agreement of the in silico calculated value of the doubling time (ie, the time for tumor volume to double with the value of the same quantity based on tomographic imaging data has been observed. A theoretical exploration suggests that a rough but still quite informative value of the doubling time may be calculated based on a homogeneous brain model. The model could serve as the main component of a continuous mathematics-based glioblastoma oncosimulator aiming at supporting the clinician in the optimal patient-individualized design of treatment using the patient’s multiscale data and experimenting in silico (ie, on the computer.

  2. Numerical Analysis of The Effect of Hydrodynamics and Operating Conditions on Biodiesel Synthesis in a Rotor-Stator Spinning Disk Reactor

    Directory of Open Access Journals (Sweden)

    Wen Zhuqing

    2017-06-01

    Full Text Available A rotor-stator spinning disk reactor for intensified biodiesel synthesis is described and numerically simulated in the present research. The reactor consists of two flat disks, located coaxially and parallel to each other with a gap ranging from 0.1 mm to 0.2 mm between the disks. The upper disk is located on a rotating shaft while the lower disk is stationary. The feed liquids, triglycerides (TG and methanol are injected into the reactor from centres of rotating disk and stationary disk, respectively. Fluid hydrodynamics in the reactor for synthesis of biodiesel from TG and methanol in the presence of a sodium hydroxide catalyst are simulated, using convection-diffusion-reaction multicomponent transport model with the CFD software ANSYS©Fluent v. 13.0. Effect of operating conditions on TG conversion is particularly investigated. Simulation results indicate that there is occurrence of back flow close to the stator at the outlet zone. Small gap size and fast rotational speed generally help to intensify mixing among reagents, and consequently enhance TG conversion. However, increasing rotational speed of spinning disk leads to more backflow, which decreases TG conversion. Large flow rate of TG at inlet is not recommended as well because of the short mean residence time of reactants inside the reactor.

  3. Medical Underwriting In Long-Term Care Insurance: Market Conditions Limit Options For Higher-Risk Consumers.

    Science.gov (United States)

    Cornell, Portia Y; Grabowski, David C; Cohen, Marc; Shi, Xiaomei; Stevenson, David G

    2016-08-01

    A key feature of private long-term care insurance is that medical underwriters screen out would-be buyers who have health conditions that portend near-term physical or cognitive disability. We applied common underwriting criteria based on data from two long-term care insurers to a nationally representative sample of individuals in the target age range (50-71 years) for long-term care insurance. The screening criteria put upper bounds on the current proportion of Americans who could gain coverage in the individual market without changes to medical underwriting practice. Specifically, our simulations show that in the target age range, approximately 30 percent of those whose wealth meets minimum industry standards for suitability for long-term care insurance would have their application for such insurance rejected at the underwriting stage. Among the general population-without considering financial suitability-we estimated that 40 percent would have their applications rejected. The predicted rejection rates are substantially higher than the rejection rates of about 20-25 percent of applicants in the actual market. In evaluating reforms for long-term care financing and their potential to increase private insurance rates, as well as to reduce financial pressure on public safety-net programs, policy makers need to consider the role of underwriting in the market for long-term care insurance. Project HOPE—The People-to-People Health Foundation, Inc.

  4. Medical cannabis in the treatment of cancer pain and spastic conditions and options of drug delivery in clinical practice.

    Science.gov (United States)

    Landa, Leos; Jurica, Jan; Sliva, Jiri; Pechackova, Monika; Demlova, Regina

    2018-03-01

    The use of cannabis for medical purposes has been recently legalised in many countries including the Czech Republic. As a result, there is increased interest on the part of physicians and patients in many aspects of its application. This mini review briefly covers the main active substances of the cannabis plant and mechanisms of action. It focuses on two conditions, cancer pain and spasticity in multiple sclerosis, where its effects are well-documented. A comprehensive overview of a few cannabis-based products and the basic pharmacokinetics of marijuana's constituents follows. The review concludes with an outline for preparing cannabis (dried inflorescence) containing drug dosage forms that can be produced in a hospital pharmacy.

  5. Numerical relativity

    International Nuclear Information System (INIS)

    Piran, T.

    1982-01-01

    There are many recent developments in numerical relativity, but there remain important unsolved theoretical and practical problems. The author reviews existing numerical approaches to solution of the exact Einstein equations. A framework for classification and comparison of different numerical schemes is presented. Recent numerical codes are compared using this framework. The discussion focuses on new developments and on currently open questions, excluding a review of numerical techniques. (Auth.)

  6. Numerically efficient simulation of multi-vaporator air conditioners in highly dynamic boundary conditions; Numerisch effiziente Simulation von Mehrverdampfer-Klimaanlagen unter hochdynamischen Randbedingungen

    Energy Technology Data Exchange (ETDEWEB)

    Schulze, Christian; Kaiser, Christian [TLK-Thermo GmbH, Braunschweig (Germany); Tegethoff, Wilhelm; Koehler, Juergen [TU Braunschweig (Germany). Inst. fuer Thermodynamik

    2011-07-01

    In the development of physically based models for dynamic simulations of cycle processes, a good equilibrium must be chosen between the degree of detailing and the speed of calculation. Dynamic modelling of mult-evaporator air conditioners is a special challenge as the interaction of several heat transfer fluides at one pressure level may result in numerically challenging effects like reflux. The contribution goes into the simulation of the heat transfer fluids in such systems in highly dynamic boundary conditions, e.g. after shutoff of the compressor. There are different modelling methods, e.g. finite volume, moving boundary, or finite element analysis. The methods are presented and evaluated. For the 1-D finite volume method, various established simplification strategies are presented that may enhance numerical efficiency. It is also shown that the equation system will not always be solvable with these strategies, and an approach to ensure solvability is presented. The new approach is illustrated by the example of a multi-evaporator bus air conditioner. [German] Bei der Erstellung von physikalisch basierten Modellen fuer die dynamische Simulation von Kreisprozessen muss ein gutes Gleichgewicht zwischen Detaillierungsgrad und Rechengeschwindigkeit gewaehlt werden: Das Modell muss die Realitaet hinreichend genau abbilden, im Gegenzug jedoch auch innerhalb eines angemessenen Zeitraums Ergebnisse liefern sowie in allen Betriebszustaenden loesbar sein. Die dynamische Modellierung von Mehrverdampfer-Klimaanlagen stellt im Vergleich zu einfachen Kreisprozessen eine besondere Herausforderung dar, da in diesen Systemen die Interaktion mehrerer Waermeuebertrager auf einem Druckniveau zu numerisch herausfordernden Effekten wie z. B. Rueckstroemung fuehren kann. Dieser Beitrag beschaeftigt sich mit der Simulation der Waermeuebertrager in diesen Systemen unter hochdynamischen Randbedingungen wie z. B. einer Abschaltung des Verdichters. Zur Modellierung der Waermeuebertrager

  7. Large eddy simulation of spray and combustion characteristics with realistic chemistry and high-order numerical scheme under diesel engine-like conditions

    International Nuclear Information System (INIS)

    Zhou, Lei; Luo, Kai Hong; Qin, Wenjin; Jia, Ming; Shuai, Shi Jin

    2015-01-01

    Highlights: • MUSCL differencing scheme in LES method is used to investigate liquid fuel spray and combustion process. • Using MUSCL can accurately capture the gas phase velocity distribution and liquid spray features. • Detailed chemistry mechanism with a parallel algorithm was used to calculate combustion process. • Increasing oxygen concentration can decrease ignition delay time and flame LOL. - Abstract: The accuracy of large eddy simulation (LES) for turbulent combustion depends on suitably implemented numerical schemes and chemical mechanisms. In the original KIVA3V code, finite difference schemes such as QSOU (Quasi-second-order upwind) and PDC (Partial Donor Cell Differencing) cannot achieve good results or even computational stability when using coarse grids due to large numerical diffusion. In this paper, the MUSCL (Monotone Upstream-centered Schemes for Conservation Laws) differencing scheme is implemented into KIVA3V-LES code to calculate the convective term. In the meantime, Lu’s n-heptane reduced 58-species mechanisms (Lu, 2011) is used to calculate chemistry with a parallel algorithm. Finally, improved models for spray injection are also employed. With these improvements, the KIVA3V-LES code is renamed as KIVALES-CP (Chemistry with Parallel algorithm) in this study. The resulting code was used to study the gas–liquid two phase jet and combustion under various diesel engine-like conditions in a constant volume vessel. The results show that using the MUSCL scheme can accurately capture the spray shape and fuel vapor penetration using even a coarse grid, in comparison with the Sandia experimental data. Similarly good results are obtained for three single-component fuels, i-Octane (C8H18), n-Dodecanese (C12H26), and n-Hexadecane (C16H34) with very different physical properties. Meanwhile the improved methodology is able to accurately predict ignition delay and flame lift-off length (LOL) under different oxygen concentrations from 10% to 21

  8. Effects of forest cover changes in European Russia on regional weather conditions: results of numerical experiments with the COSMO-CLM model

    Science.gov (United States)

    Olchev, Alexander; Kuzmina, Ekaterina; Rozinkina, Inna; Nikitin, Mikhail; Rivin, Gdaly S.

    2017-04-01

    The forests have a significant effect on the climatic system. They capture CO2 from the atmosphere, regulate the surface evaporation and runoff, and influence the radiation and thermal conditions of the land surface. It is obvious, that their influence depends on many different factors including regional climate conditions, land use and vegetation structure, surface topography, etc. The main goal of the study is to assess the possible influence of forest cover changes (under deforestation and/or afforestation) on regional weather conditions in the central part of European Russia using the results of modeling experiments provided by the meso-scale COSMO-CLM model. The need of the study lies in a lack of the experimental and modeling data characterizing the influence of the forest and land-use changes on regional weather conditions in European part of Russia. The forest ecosystems in the study region play a very important biosphere role that is significantly increased in the last decades due to considerable strengthening of anthropogenic activity in the area of European Russia. The area selected for the study is located in the central part of European Russia between 55 and 59N and 28 and 37E. It comprises several geographical zones including dark-coniferous forests of the South-European taiga in the north, the mixed forests in the central part and the broad-leaved forests in the south. The forests within the study area are very heterogeneous. The total area covered by forests according to recent remote sensing data is about 50%. The numerical experiments were provided using the COSMO-CLM model with the spatial resolution 13.2 km. As initial and boundary conditions for the numerical experiments the global reanalysis ERA Interim (with the 6-hour resolution in time and 0.75° × 0.75° in space) were used. The weather conditions were simulated in a continuous cycle for several months for the entire area of European Russia using the results of global reanalysis on

  9. Related Medical Conditions

    Science.gov (United States)

    ... Immunotherapy Report Overview of FARE Research National Academies Consensus Study Research Grants FARE Clinical Network FARE Patient ... is common for patients with eczema to have false positive testing to foods so it is important ...

  10. Availability of Care Concordant With Patient-centered Medical Home Principles Among Those With Chronic Conditions: Measuring Care Outcomes.

    Science.gov (United States)

    Pourat, Nadereh; Charles, Shana A; Snyder, Sophie

    2016-03-01

    Care delivery redesign in the form of patient-centered medical home (PCMH) is considered as a potential solution to improve patient outcomes and reduce costs, particularly for patients with chronic conditions. But studies of prevalence or impact at the population level are rare. We aimed to assess whether desired outcomes indicating better care delivery and patient-centeredness were associated with receipt of care according to 3 important PCMH principles. We analyzed data from a representative population survey in California in 2009, focusing on a population with chronic condition who had a usual source of care. We used bivariate, logistic, and negative-binomial regressions. The indicators of PCMH concordant care included continuity of care (personal doctor), care coordination, and care management (individual treatment plan). Outcomes included flu shots, count of outpatient visits, any emergency department visit, timely provider communication, and confidence in self-care. We found that patients whose care was concordant with all 3 PCMH principles were more likely to receive flu shots, more outpatient care, and timely response from providers. Concordance with 2 principles led to some desired outcomes. Concordance with only 1 principle was not associated with desired outcomes. Patients who received care that met 3 key aspects of PCMH: coordination, continuity, and management, had better quality of care and more efficient use of the health care system.

  11. Frontal white matter alterations in short-term medicated panic disorder patients without comorbid conditions: a diffusion tensor imaging study.

    Directory of Open Access Journals (Sweden)

    Borah Kim

    Full Text Available The frontal cortex might play an important role in the fear network, and white matter (WM integrity could be related to the pathophysiology of panic disorder (PD. A few studies have investigated alterations of WM integrity in PD. The aim of this study was to determine frontal WM integrity differences between patients with PD without comorbid conditions and healthy control (HC subjects by using diffusion tensor imaging. Thirty-six patients with PD who had used medication within 1 week and 27 age- and sex-matched HC subjects participated in this study. Structural brain magnetic resonance imaging was performed on all participants. Panic Disorder Severity Scale and Beck Anxiety Inventory (BAI scores were assessed. Tract-based spatial statistics (TBSS was used for image analysis. TBSS analysis showed decreased fractional anisotropy (FA in frontal WM and WM around the frontal lobe, including the corpus callosum of both hemispheres, in patients with PD compared to HC subjects. Moreover, voxel-wise correlation analysis revealed that the BAI scores for patients with PD were positively correlated with their FA values for regions showing group differences in the FA of frontal WM of both hemispheres. Altered integrity in frontal WM of patients with PD without comorbid conditions might represent the structural pathophysiology in these patients, and these changes could be related to clinical symptoms of PD.

  12. [The Evaluation of Medical Demographic and Economic Losses of the Region Conditioned by Mortality of Lung Cancer].

    Science.gov (United States)

    Zukov, R A; Modestov, A A; Safontsev, I P; Slepov, E V; Narkevich, A N

    2017-11-01

    The article presents evaluation of medical demographic and economic losses of population of the Krasnoyarskii kraii conditioned by mortality of lung cancer in 2010-2014 using DALY technology. In the Krasnoyarskii kraii, during 2010-2014 64,712 individuals died because of lung cancer. The mortality of male population surpasses corresponding indices of mortality of females up to 3.9 times. In the region, the standardized indicator mortality of lung cancer among males annually surpasses the same indicator among females at maximum up to 8.1 times. The DALY maximal absolute losses of among males were registered in 2010 and 2013 and fell on age group of 55-59 years and among females on the age group of 60-64 years in 2014. The maximal (up to 5.2 times) difference in values of DALY indicator was established in 2010 between male and female population. the maximal gap in in DALY indices between male and female population was established in the age of 55-59 years. Almost half of DALY losses among males was established in 2013 and among females in 2014. The total losses of gross regional product in the region because of mortality conditioned by lung cancer made up to 29.8 billions of rubles in 2010-2014.

  13. Long-Term Effects of Chemical Warfare on Post-traumatic Stress Disorder, Depression, and Chronic Medical Conditions in Veterans.

    Science.gov (United States)

    Safi-Aghdam, Hamideh; Shafie, Mehrzad; Khoshdel, Alireza; Moazen-Zadeh, Ehsan; Avakh, Farhad; Rahmani, Arash

    2018-04-24

    We investigated the association between exposure to chemical warfare and chronic mental/physical conditions. This was a secondary analysis of data from a case-control study on Iranian male veterans. Participants with neuropsychiatric disorders other than depressive/anxiety disorders, anatomical defects, or malignancies were excluded. Compared to non-exposed veterans, exposed veterans demonstrated significantly higher odds of PTSD [OR (95% CI) = 5.23 (1.98-13.85)], hypertension [OR (95% CI) = 5.57 (1.68-18.48)], coronary heart disease [OR (95% CI) = 6.8 (1.62-28.49)], and diabetes [OR (95% CI) = 3.88 (1.35-11.16)], and marginally higher odds of moderate to severe depressive symptoms [OR (95% CI) = 2.21 (0.93-5.28)]. This study provides preliminary evidence on association of exposure to chemical warfare with long-term mental disorders as well as chronic medical conditions.

  14. Evidence for the effectiveness of Alexander Technique lessons in medical and health-related conditions: a systematic review.

    Science.gov (United States)

    Woodman, J P; Moore, N R

    2012-01-01

    Complementary medicine and alternative approaches to chronic and intractable health conditions are increasingly being used, and require critical evaluation. The aim of this review was to systematically evaluate available evidence for the effectiveness and safety of instruction in the Alexander Technique in health-related conditions. PUBMED, EMBASE, PSYCHINFO, ISI Web-of-Knowledge, AMED, CINHAL-plus, Cochrane library and Evidence-based Medicine Reviews were searched to July 2011. Inclusion criteria were prospective studies evaluating Alexander Technique instruction (individual lessons or group delivery) as an intervention for any medical indication/health-related condition. Studies were categorised and data extracted on study population, randomisation method, nature of intervention and control, practitioner characteristics, validity and reliability of outcome measures, completeness of follow-up and statistical analyses.   Of 271 publications identified, 18 were selected: three randomised, controlled trials (RCTs), two controlled non-randomised studies, eight non-controlled studies, four qualitative analyses and one health economic analysis. One well-designed, well-conducted RCT demonstrated that, compared with usual GP care, Alexander Technique lessons led to significant long-term reductions in back pain and incapacity caused by chronic back pain. The results were broadly supported by a smaller, earlier RCT in chronic back pain. The third RCT, a small, well-designed, well-conducted study in individuals with Parkinson's disease, showed a sustained increased ability to carry out everyday activities following Alexander lessons, compared with usual care. The 15 non-RCT studies are also reviewed. Strong evidence exists for the effectiveness of Alexander Technique lessons for chronic back pain and moderate evidence in Parkinson's-associated disability. Preliminary evidence suggests that Alexander Technique lessons may lead to improvements in balance skills in the

  15. The association of an inability to form and maintain close relationships due to a medical condition with anxiety and depressive disorders.

    Science.gov (United States)

    Simning, Adam; Seplaki, Christopher L; Conwell, Yeates

    2016-03-15

    While low social support is a risk factor for mental illness, anxiety and depression's relationship with social impairment specifically resulting from a medical condition is poorly understood. We hypothesize that when a medical illness makes it difficult for people to form and maintain close relationships with others, they will be at increased risk for anxiety and depression. Two nationally representative surveys, the National Comorbidity Survey-Replication and National Latino and Asian American Study, included 6805 adults with at least one medical illness and information on social impairment attributed to a medical condition. The Composite International Diagnostic Interview evaluated a 12-month history of anxiety and depressive disorders. 8.2% of our sample had at least moderate difficulty in forming and maintaining close relationships due to a medical condition. In bivariate analyses, younger age, Latino ethnicity, less education, worse financial status, more chronic illnesses, physical health and discomfort, and problems with mobility, home management, and self-care were associated with this social impairment. In multivariable analyses accounting for possible confounders, there was a dose-dependent relationship between social impairment and the prevalence of anxiety and depression. Data are cross-sectional and our analyses are therefore unable to determine cause-and-effect relationships. Among adults with one or more medical conditions, social impairment attributed to medical illness was associated with a significantly greater odds of anxiety and depression. Further clarification of this relationship could inform more targeted, personalized interventions to prevent and/or alleviate mental illness in those with chronic medical conditions. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. Numerical analysis

    CERN Document Server

    Khabaza, I M

    1960-01-01

    Numerical Analysis is an elementary introduction to numerical analysis, its applications, limitations, and pitfalls. Methods suitable for digital computers are emphasized, but some desk computations are also described. Topics covered range from the use of digital computers in numerical work to errors in computations using desk machines, finite difference methods, and numerical solution of ordinary differential equations. This book is comprised of eight chapters and begins with an overview of the importance of digital computers in numerical analysis, followed by a discussion on errors in comput

  17. Numerical relativity

    CERN Document Server

    Shibata, Masaru

    2016-01-01

    This book is composed of two parts: First part describes basics in numerical relativity, that is, the formulations and methods for a solution of Einstein's equation and general relativistic matter field equations. This part will be helpful for beginners of numerical relativity who would like to understand the content of numerical relativity and its background. The second part focuses on the application of numerical relativity. A wide variety of scientific numerical results are introduced focusing in particular on the merger of binary neutron stars and black holes.

  18. Cumulative burden of comorbid mental disorders, substance use disorders, chronic medical conditions, and poverty on health among adults in the U.S.A.

    Science.gov (United States)

    Walker, Elizabeth Reisinger; Druss, Benjamin G

    2017-07-01

    The health of individuals in the U.S.A. is increasingly being defined by complexity and multimorbidity. We examined the patterns of co-occurrence of mental illness, substance abuse/dependence, and chronic medical conditions and the cumulative burden of these conditions and living in poverty on self-rated health. We conducted a secondary data analysis using publically-available data from the National Survey on Drug Use and Health (NSDUH), which is an annual nationally-representative survey. Pooled data from the 2010-2012 NSDUH surveys included 115,921 adults 18 years of age or older. The majority of adults (52.2%) had at least one type of condition (mental illness, substance abuse/dependence, or chronic medical conditions), with substantial overlap across the conditions. 1.2%, or 2.2 million people, reported all three conditions. Generally, as the number of conditions increased, the odds of reporting worse health also increased. The likelihood of reporting fair/poor health was greatest for people who reported AMI, chronic medical conditions, and poverty (AOR = 9.41; 95% CI: 7.53-11.76), followed by all three conditions and poverty (AOR = 9.32; 95% CI: 6.67-13.02). For each combination of conditions, the addition of poverty increased the likelihood of reporting fair/poor health. Traditional conceptualizations of multimorbidity should be expanded to take into account the complexities of co-occurrence between mental illnesses, chronic medical conditions, and socioeconomic factors.

  19. Supporting Accurate Interpretation of Self-Administered Medical Test Results for Mobile Health: Assessment of Design, Demographics, and Health Condition.

    Science.gov (United States)

    Hohenstein, Jess C; Baumer, Eric Ps; Reynolds, Lindsay; Murnane, Elizabeth L; O'Dell, Dakota; Lee, Seoho; Guha, Shion; Qi, Yu; Rieger, Erin; Gay, Geri

    2018-02-28

    among participants who self-identified as Asian (25.30 times, P=.02), white (13.99 times, P=.01), and Hispanic (6.19 times, P=.04). Finally, with the natural language design, participants who were more educated were, for each one-unit increase in education level, more likely (3.06 times, P=.02) to have false confidence. Our findings illustrate both promises and challenges of interpreting medical data outside of a clinical setting and suggest instances where personal informatics may be inappropriate. In surfacing these tensions, we outline concrete interface design strategies that are more sensitive to users' capabilities and conditions. ©Jess C Hohenstein, Eric PS Baumer, Lindsay Reynolds, Elizabeth L Murnane, Dakota O'Dell, Seoho Lee, Shion Guha, Yu Qi, Erin Rieger, Geri Gay. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 28.02.2018.

  20. The Relationship Between Burnout Syndrome Among the Medical Staff and Work Conditions in the Polish Healthcare System.

    Science.gov (United States)

    Głębocka, Alicja

    2017-01-01

    Psychologists emphasize that people employed in social service organizations are vulnerable to chronic stress and burnout syndrome caused by a close and unsatisfied interpersonal relationship. However, emotional exhaustion, depersonalization, and a feeling of diminished personal accomplishment can be attributed to other external factors. One of them is poor living and occupational conditions. According to a report by OECD, the healthcare system in Poland is the worst among the member countries. The aim of the present study was to define the relationship between occupational burnout and the rating of the Polish healthcare system among the medical staff. The study included 224 participants. The Maslach Burnout Inventory and the Dehumanized Behavior and the Głębocka and Rużyczka scale of Behavioral Indicators of Patient's Dehumanization were applied. The evaluations of the healthcare system were also collected. The results demonstrate that physicians were the group of most emotionally exhausted and, simultaneously, most life-satisfied persons, while nurses presented the highest level of dehumanization and the lowest level of satisfaction from life achievements. Only did physicians evaluate the healthcare system as a relatively good one. They were also more tolerant of latent dehumanization. A relationship between the dimensions of burnout and the evaluation of healthcare system were observed. The emotionally exhausted or prone to dehumanization persons were more likely to evaluate the Polish healthcare system negatively.

  1. Retrospective cohort study shows that the risks for retinopathy of prematurity included birth age and weight, medical conditions and treatment.

    Science.gov (United States)

    Ali, Aliaa A; Gomaa, Nancy A S; Awadein, Ahmed R; Al-Hayouti, Huda H; Hegazy, Ahmed I

    2017-12-01

    This study described the characteristics and risk factors of neonates who developed retinopathy of prematurity (ROP) and severe treatable ROP in two Egyptian neonatal intensive care units (NICUs). This retrospective cohort study comprised 108 preterm neonates who were screened for ROP after being admitted to the two NICUs run by Cairo University Hospital from June 2014 to May 2015. Patients were examined using digital fundus photography and indirect ophthalmoscopy was performed if ROP was detected. Retinopathy of prematurity occurred in 75 patients. Late-onset sepsis, ventilation and hypercapnia were independently associated with ROP. Patients who developed severe treatable ROP had a younger gestational age (GA) than patients who did not develop ROP or developed mild or moderate ROP (29 weeks, range 27-33 weeks versus 32 weeks, range 28-36 weeks, p = 0.002) and a lower birthweight (1200 g, range 980-1590 g versus 1460 g, range 770-2475 g, p = 0.029). The risk factors associated with severe treatable ROP included the duration of admission, the duration of incubator oxygen, late-onset sepsis, intraventricular haemorrhage, total parenteral nutrition and the duration of caffeine citrate therapy. This study showed that the risks for ROP were wide-ranging and included GA and weight, medical conditions and treatment. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  2. Changes in psychosocial and physical working conditions and psychotropic medication in ageing public sector employees: a record-linkage follow-up study.

    Science.gov (United States)

    Kouvonen, Anne; Mänty, Minna; Lallukka, Tea; Pietiläinen, Olli; Lahelma, Eero; Rahkonen, Ossi

    2017-07-12

    To investigate whether changes in psychosocial and physical working conditions are associated with subsequent psychotropic medication in ageing employees. Data were from the Helsinki Health Study, a cohort study of Finnish municipal employees, aged 40-60 years at phase 1 (2000-2002). Changes in psychosocial and physical working conditions were measured between phase 1 and phase 2 (2007). Survey data were longitudinally linked to data on prescribed, reimbursed psychotropic medication purchases (Anatomical Therapeutic Chemical) obtained from the registers of the Social Insurance Institution of Finland between the phase 2 survey and December 2013 (N=3587; 80% women). Outcomes were any psychotropic medication; antidepressants (N06A); anxiolytics (N05B); and sedatives and hypnotics (N05C). Cox regression analyses were performed. During the follow-up, 28% of the participants were prescribed psychotropic medication. Repeated exposures to low job control, high job demands and high physical work load were associated with an increased risk of subsequent antidepressant and anxiolytic medication. Increased and repeated exposure to high physical work load, increased job control and repeated high job demands were associated with subsequent sedative and hypnotic medication. Age and sex-adjusted HR varied from 1.18 to 1.66. Improvement in job control was associated with a lower risk of anxiolytic, but with a higher risk of sedatives and hypnotic medication. Decreased physical work load was associated with a lower risk of antidepressant and anxiolytic medications. Improvement in working conditions could lower the risk of mental ill-health indicated by psychotropic medication. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  3. Association between patient unconscious or not alert conditions and cardiac arrest or high-acuity outcomes within the Medical Priority Dispatch System "Falls" protocol.

    Science.gov (United States)

    Clawson, Jeff; Olola, Christopher; Scott, Greg; Schultz, Bryon; Pertgen, Richard; Robinson, Don; Bagwell, Barry; Patterson, Brett

    2010-01-01

    Falls are one of the most common types of complaints received by 9-1-1 emergency medical dispatch centers. They can be accidental or may be caused by underlying medical problems. Though "not alert" falls patients with severe outcomes mostly are "hot" transported to the hospital, some of these cases may be due to other acute medical events (cardiac, respiratory, circulatory, or neurological), which may not always be apparent to the emergency medical dispatcher (EMD) during call processing. The objective of this study was to characterize the risk of cardiac arrest and "hot-transport" outcomes in patients with "not alert" condition, within the Medical Priority Dispatch System (MPDS®) Falls protocol descriptors. This retrospective study used 129 months of de-identified, aggregate, dispatch datasets from three US emergency communication centers. The communication centers used the Medical Priority Dispatch System version 11.3-OMEGA type (released in 2006) to interrogate Emergency Medical System callers, select dispatch codes assigned to various response configurations, and provide pre-arrival instructions. The distribution of cases and percentages of cardiac arrest and hot-transport outcomes, categorized by MPDS® code, was profiled. Assessment of the association between MPDS® Delta-level 3 (D-3) "not alert" condition and cardiac arrest and hot-transport outcomes then followed. Overall, patients within the D-3 and D-2 "long fall" conditions had the highest proportions (compared to the other determinants in the "falls" protocol) of cardiac arrest and hot-transport outcomes, respectively. "Not alert" condition was associated significantly with cardiac arrest and hot-transport outcomes (pdeterminant within the MPDS® "fall" protocol was associated significantly with severe outcomes for short falls (falls. As reported to 9-1-1, the complaint of a "fall" may include the presence of underlying conditions that go beyond the obvious traumatic injuries caused by the fall itself.

  4. A randomised crossover trial of minimising medical terminology in secondary care correspondence in patients with chronic health conditions: impact on understanding and patient reported outcomes.

    Science.gov (United States)

    Wernick, M; Hale, P; Anticich, N; Busch, S; Merriman, L; King, B; Pegg, T

    2016-05-01

    There is little existing research on the role that secondary care letters have in ensuring patient understanding of chronic health conditions. To determine whether minimising the use of medical terminology in medical correspondence improved patient understanding and anxiety/depression scores. A single-centre, non-blinded, randomised crossover design assessed health literacy, EQ-5D scores and the impact of the 'translated' letter on the doctor's professionalism, the patient's relationship with their general practitioner (GP) and their perceived impact on chronic disease management. Patients were crossed over between their 'translated' and original letter. Sixty patients were recruited. Use of a 'translated' letter reduced mean terms not understood from 7.78 to 1.76 (t(58) = 4.706, P medical terminology in medical correspondence significantly improved patient understanding and perception of their ability to manage their chronic health condition. Although there was no impact on EQ-5D depression/anxiety scores, overwhelming patient preference for the 'translated' letter indicates a need for minimisation of medical terminology in medical correspondence for patients with chronic health conditions. © 2016 Royal Australasian College of Physicians.

  5. Development status of the experimental and numerical load analysis of package units CASTOR {sup registered} under drop test conditions; Entwicklungsstand in der experimentellen und numerischen Beanspruchungsanalyse von Versandstuecken der Bauart CASTOR {sup registered} unter Fallpruefbedingungen

    Energy Technology Data Exchange (ETDEWEB)

    Voelzer, Walter; Schaefer, Marc; Rumanus, Erkan; Liedtke, Ralph [Gesellschaft fuer Nuklear-Service mbH (Germany); Brehmer, Frank [ITB GmbH (Germany)

    2012-11-01

    The mechanical integrity of package units CASTOR {sup registered} for a 9-m drop test under accident conditions has to be demonstrated according the requirements of IAEA among others. For reduction of the loads the containers have to be equipped with shock absorbers on the bottom and top sides. The determination of loads under drop test conditions can be performed with experimental or numerical methods. Due to the complexity of the load state and the verification of results both methods are usually used for integrity demonstration. The numerical codes have to model the short-term dynamic behavior of the whole container for different drop orientations and temperatures, local stress states have to be quantifiable for assessment. One of the problems is the modeling of the material behavior of wood that is used in the shock absorbers. The so far used energetic calculation approach will be replaced by a dynamic approach, the numerical models will have to be verified by experimental drop tests.

  6. Numerical problems in physics

    CERN Document Server

    Singh, Devraj

    2015-01-01

    Numerical Problems in Physics, Volume 1 is intended to serve the need of the students pursuing graduate and post graduate courses in universities with Physics and Materials Science as subject including those appearing in engineering, medical, and civil services entrance examinations. KEY FEATURES: * 29 chapters on Optics, Wave & Oscillations, Electromagnetic Field Theory, Solid State Physics & Modern Physics * 540 solved numerical problems of various universities and ompetitive examinations * 523 multiple choice questions for quick and clear understanding of subject matter * 567 unsolved numerical problems for grasping concepts of the various topic in Physics * 49 Figures for understanding problems and concept

  7. Do people with and without medical conditions respond similarly to the short health anxiety inventory? An assessment of differential item functioning using item response theory.

    Science.gov (United States)

    LeBouthillier, Daniel M; Thibodeau, Michel A; Alberts, Nicole M; Hadjistavropoulos, Heather D; Asmundson, Gordon J G

    2015-04-01

    Individuals with medical conditions are likely to have elevated health anxiety; however, research has not demonstrated how medical status impacts response patterns on health anxiety measures. Measurement bias can undermine the validity of a questionnaire by overestimating or underestimating scores in groups of individuals. We investigated whether the Short Health Anxiety Inventory (SHAI), a widely-used measure of health anxiety, exhibits medical condition-based bias on item and subscale levels, and whether the SHAI subscales adequately assess the health anxiety continuum. Data were from 963 individuals with diabetes, breast cancer, or multiple sclerosis, and 372 healthy individuals. Mantel-Haenszel tests and item characteristic curves were used to classify the severity of item-level differential item functioning in all three medical groups compared to the healthy group. Test characteristic curves were used to assess scale-level differential item functioning and whether the SHAI subscales adequately assess the health anxiety continuum. Nine out of 14 items exhibited differential item functioning. Two items exhibited differential item functioning in all medical groups compared to the healthy group. In both Thought Intrusion and Fear of Illness subscales, differential item functioning was associated with mildly deflated scores in medical groups with very high levels of the latent traits. Fear of Illness items poorly discriminated between individuals with low and very low levels of the latent trait. While individuals with medical conditions may respond differentially to some items, clinicians and researchers can confidently use the SHAI with a variety of medical populations without concern of significant bias. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Numerical Development

    Science.gov (United States)

    Siegler, Robert S.; Braithwaite, David W.

    2016-01-01

    In this review, we attempt to integrate two crucial aspects of numerical development: learning the magnitudes of individual numbers and learning arithmetic. Numerical magnitude development involves gaining increasingly precise knowledge of increasing ranges and types of numbers: from non-symbolic to small symbolic numbers, from smaller to larger…

  9. Hindi Numerals.

    Science.gov (United States)

    Bright, William

    In most languages encountered by linguists, the numerals, considered as a paradigmatic set, constitute a morpho-syntactic problem of only moderate complexity. The Indo-Aryan language family of North India, however, presents a curious contrast. The relatively regular numeral system of Sanskrit, as it has developed historically into the modern…

  10. Numerical analysis

    CERN Document Server

    Rao, G Shanker

    2006-01-01

    About the Book: This book provides an introduction to Numerical Analysis for the students of Mathematics and Engineering. The book is designed in accordance with the common core syllabus of Numerical Analysis of Universities of Andhra Pradesh and also the syllabus prescribed in most of the Indian Universities. Salient features: Approximate and Numerical Solutions of Algebraic and Transcendental Equation Interpolation of Functions Numerical Differentiation and Integration and Numerical Solution of Ordinary Differential Equations The last three chapters deal with Curve Fitting, Eigen Values and Eigen Vectors of a Matrix and Regression Analysis. Each chapter is supplemented with a number of worked-out examples as well as number of problems to be solved by the students. This would help in the better understanding of the subject. Contents: Errors Solution of Algebraic and Transcendental Equations Finite Differences Interpolation with Equal Intervals Interpolation with Unequal Int...

  11. Proposed Industry Best Practices in Development and Marketing of Medical Foods for the Management of Chronic Conditions and Diseases while Awaiting Regulation.

    Science.gov (United States)

    Burnett, Bruce; Levy, Robert M

    Ideal therapeutics have low toxicity and can effectively manage condition(s) or disease(s). The Food & Drug Administration (FDA) marketing category of therapeutics called “medical foods” (MFs) meets such a definition. Medical foods have existed in Federal law since passage the Orphan Drug Act in 1988, which created a category of nutritional therapeutics separate from drugs. Unfortunately, MFs are not widely understood by the medical community or utilized in all patients who need them due to lack of a FDA-approval process, unclear and contradictory guidance especially with regard for need for an investigational new drug (IND) application, and no clear regulations regarding their development and marketing. The goals of this article are to propose “Best Practices” to guide the medical food industry in the development and marketing of products as well as to serve as a starting point for suggestions regarding further FDA regulation so that therapeutics which are shown to be generally recognized as safe (GRAS), provide food ingredients to meet a distinctive nutritional requirement for a specific condition/disease and are proven effective for the management for that condition/disease can be used to benefit patients who need them.

  12. Health Care Use, Health Behaviors, and Medical Conditions Among Individuals in Same-Sex and Opposite-Sex Partnerships: A Cross-Sectional Observational Analysis of the Medical Expenditures Panel Survey (MEPS), 2003-2011.

    Science.gov (United States)

    Blosnich, John R; Hanmer, Janel; Yu, Lan; Matthews, Derrick D; Kavalieratos, Dio

    2016-06-01

    Prior research documents disparities between sexual minority and nonsexual minority individuals regarding health behaviors and health services utilization. However, little is known regarding differences in the prevalence of medical conditions. To examine associations between sexual minority status and medical conditions. We conducted multiple logistic regression analyses of the Medical Expenditure Panel Survey (2003-2011). We identified individuals who reported being partnered with an individual of the same sex, and constructed a matched cohort of individuals in opposite-sex partnerships. A total of 494 individuals in same-sex partnerships and 494 individuals in opposite-sex partnerships. Measures of health risk (eg, smoking status), health services utilization (eg, physician office visits), and presence of 15 medical conditions (eg, cancer, diabetes, arthritis, HIV, alcohol disorders). Same-sex partnered men had nearly 4 times the odds of reporting a mood disorder than did opposite-sex partnered men [adjusted odds ratio (aOR)=3.96; 95% confidence interval (CI), 1.85-8.48]. Compared with opposite-sex partnered women, same-sex partnered women had greater odds of heart disease (aOR=2.59; 95% CI, 1.19-5.62), diabetes (aOR=2.75; 95% CI, 1.10-6.90), obesity (aOR=1.92; 95% CI, 1.26-2.94), high cholesterol (aOR=1.89; 95% CI, 1.03-3.50), and asthma (aOR=1.90; 95% CI, 1.02-1.19). Even after adjusting for sociodemographics, health risk behaviors, and health conditions, individuals in same-sex partnerships had 67% increased odds of past-year emergency department utilization and 51% greater odds of ≥3 physician visits in the last year compared with opposite-sex partnered individuals. A combination of individual-level, provider-level, and system-level approaches are needed to reduce disparities in medical conditions and health care utilization among sexual minority individuals.

  13. Numerical analysis

    CERN Document Server

    Scott, L Ridgway

    2011-01-01

    Computational science is fundamentally changing how technological questions are addressed. The design of aircraft, automobiles, and even racing sailboats is now done by computational simulation. The mathematical foundation of this new approach is numerical analysis, which studies algorithms for computing expressions defined with real numbers. Emphasizing the theory behind the computation, this book provides a rigorous and self-contained introduction to numerical analysis and presents the advanced mathematics that underpin industrial software, including complete details that are missing from most textbooks. Using an inquiry-based learning approach, Numerical Analysis is written in a narrative style, provides historical background, and includes many of the proofs and technical details in exercises. Students will be able to go beyond an elementary understanding of numerical simulation and develop deep insights into the foundations of the subject. They will no longer have to accept the mathematical gaps that ex...

  14. Thermal boundary condition effects on forced convection heat transfer. Application of a numerical solution of an adjoint problem; Kyosei tairyu netsudentatsu mondai ni okeru netsuteki kyokai joken no eikyo. Zuihan mondai no suchi kai wo mochiita kosatsu

    Energy Technology Data Exchange (ETDEWEB)

    Momose, K.; Saso, K.; Kimoto, H. [Osaka University, Osaka (Japan). Faculty of Engineering Science

    1997-11-25

    We propose a numerical solution for the adjoint operator of a forced convection heat transfer problem to evaluate mean heat transfer characteristics under arbitrary thermal conditions. Using the numerical solutions of the adjoint problems under Dirichlet and Neumann conditions, both of which can be computed using a conventional CFD code, the influence function of the local surface temperature on the total heat transfer and that of the local surface heat flux on the mean surface temperature are obtained. As a result, the total heat fluxes for arbitrary surface temperature distributions and the mean surface temperatures for arbitrary surface heat flux distributions can be calculated using these influence functions. The influence functions for a circular cylinder and for an in-line square rod array are presented. 14 refs., 9 figs., 1 tab.

  15. Medical Services at an International Summer Camp Event Under Hot and Humid Conditions: Experiences From the 23rd World Scout Jamboree, Japan.

    Science.gov (United States)

    Watanabe, Takemasa; Mizutani, Keiji; Iwai, Toshiyasu; Nakashima, Hiroshi

    2018-06-01

    The 23rd World Scout Jamboree (WSJ) was a 10-day summer camp held in Japan in 2015 under hot and humid conditions. The attendees comprised 33,628 people from 155 countries and territories. The aim of this study was to examine the provision of medical services under such conditions and to identify preventive factors for major diseases among long-term campers. Data were obtained from WSJ medical center records and examined to clarify the effects of age, sex, and period on visit frequencies and rates. Medical records from 3215 patients were examined. Daytime temperatures were 31.5±3.2°C and relative humidity was 61±13% (mean±SD). The initial visit rates among scouts and adults were 72.2 and 77.2 per 1000 persons, respectively. No significant age difference was observed in the initial visit rate; however, it was significantly higher among female patients than male patients. Significant differences were also seen in the adjusted odds ratios by age, sex, and period for disease distributions of initial visit frequencies. In addition, a higher initial visit frequency for heat strain-related diseases was seen among the scouts. Initial visit frequencies for heatstroke and/or dehydration increased just after opening day and persisted until closing day. Our findings suggest the importance of taking effective countermeasures against heat strain, fatigue, and unsanitary conditions at the WSJ. Medical services staff should take attendees' age, sex, and period into consideration to prevent heat strain-related diseases during such camps under hot and humid conditions. Copyright © 2018 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  16. Connecting the dots: Semi-analytical and random walk numerical solutions of the diffusion–reaction equation with stochastic initial conditions

    Energy Technology Data Exchange (ETDEWEB)

    Paster, Amir, E-mail: paster@tau.ac.il [Environmental Fluid Mechanics Laboratories, Dept. of Civil and Environmental Engineering and Earth Sciences, University of Notre Dame, Notre Dame, IN (United States); School of Mechanical Engineering, Tel Aviv University, Tel Aviv, 69978 (Israel); Bolster, Diogo [Environmental Fluid Mechanics Laboratories, Dept. of Civil and Environmental Engineering and Earth Sciences, University of Notre Dame, Notre Dame, IN (United States); Benson, David A. [Hydrologic Science and Engineering, Colorado School of Mines, Golden, CO, 80401 (United States)

    2014-04-15

    We study a system with bimolecular irreversible kinetic reaction A+B→∅ where the underlying transport of reactants is governed by diffusion, and the local reaction term is given by the law of mass action. We consider the case where the initial concentrations are given in terms of an average and a white noise perturbation. Our goal is to solve the diffusion–reaction equation which governs the system, and we tackle it with both analytical and numerical approaches. To obtain an analytical solution, we develop the equations of moments and solve them approximately. To obtain a numerical solution, we develop a grid-less Monte Carlo particle tracking approach, where diffusion is modeled by a random walk of the particles, and reaction is modeled by annihilation of particles. The probability of annihilation is derived analytically from the particles' co-location probability. We rigorously derive the relationship between the initial number of particles in the system and the amplitude of white noise represented by that number. This enables us to compare the particle simulations and the approximate analytical solution and offer an explanation of the late time discrepancies. - Graphical abstract:.

  17. The impact of diabetes mellitus and other chronic medical conditions on health-related Quality of Life: Is the whole greater than the sum of its parts?

    Directory of Open Access Journals (Sweden)

    Fong Kok-Yong

    2005-01-01

    Full Text Available Abstract Background Diabetes mellitus (DM is an important public health concern, the impact of which is increased by the high prevalence of co-existing chronic medical conditions among subjects with DM. The aims of this study were therefore to (1 evaluate the impact of DM and co-existing chronic medical conditions on health-related quality of life (HRQoL (which could be additive, synergistic or subtractive; (2 to determine the extent to which the SF-6D (a single-index preference measure captures the multidimensional information provided by the SF-36 (a profile measure. Methods Using data from a cross-sectional, population-based survey of Chinese, Malay and Indians in Singapore, we developed 9 separate multiple linear regression models, with each SF-36 scale or SF-6D index score being the dependent variable for one model. The influence of DM and a second chronic medical condition (hypertension (HTN, heart disease (HD, musculoskeletal illnesses (MS and their interactions were studied after adjusting for the influence of potential confounding variables. Results Among 5,224 subjects, the prevalence of DM, HTN, HD and MS were 5.9%, 10.7%, 2.4% and 26.6% respectively. DM lowered SF-36 scores by more than 2 points on 3 SF-36 scales and lowered SF-6D scores by 0.03 points. Subjects with DM and HTN, DM and HD or DM and MS experienced further lowering of SF-36 scores exceeding 2 points on at least 6 scales and further lowering of SF-6D scores by 0.05, 0.08 and 0.10 points respectively. Generally, DM and co-existing medical conditions exerted additive effects on HRQoL, with the exception of DM and heart disease, where a subtractive effect was noted. SF-6D index scores generally reflected the patterns of influence of DM and chronic medical conditions on SF-36 scores. Conclusion DM and chronic medical conditions generally reduced HRQoL in this multiethnic general population in an additive, rather than synergistic or subtractive fashion. In this study, the SF

  18. Towards the geophysical regime in numerical dynamo models: studies of rapidly-rotating convection driven dynamos with low Pm and constant heat flux boundary conditions

    DEFF Research Database (Denmark)

    Sheyko, A.A.; Finlay, Chris; Marti, P.

    We present a set of numerical dynamo models with the convection strength varied by a factor of 30 and the ratio of magnetic to viscous diffusivities by a factor of 20 at rapid rotation rates (E =nu/(2 Omega d^2 ) = 10-6 and 10-7 ) using a heat flux outer BC. This regime has been little explored...... on the structure of the dynamos and how this changes in relation to the selection of control parameters, a comparison with the proposed rotating convection and dynamo scaling laws, energy spectra of steady solutions and inner core rotation rates. Magnetic field on the CMB. E=2.959*10-7, Ra=6591.0, Pm=0.05, Pr=1....

  19. Manipulating the Shape of Electronic Non-Dispersive Wave-Packets in the Hydrogen Atom: Numerical Tests in Realistic Experimental Conditions

    International Nuclear Information System (INIS)

    Delande, D.; Sacha, K.; Zakrzewski, J.

    2002-01-01

    We show that combination of a linearly polarized resonant microwave field and a parallel static electric field may be used to create a non-dispersive electronic wave packet in Rydberg atoms. The static electric field allows for manipulation of the shape of the elliptical trajectory the wave packet is propagating on. Exact quantum numerical calculations for realistic experimental parameters show that the wave packet evolving on a linear orbit can be very easily prepared in a laboratory either by a direct optical excitation or by preparing an atom in an extremal Stark state and then slowly switching on the micro wave field. The latter scheme seems to be very resistant to experimental imperfections. Once the wave packet on the linear orbit is excited, the static field may be used to manipulate the shape of the orbit. (author)

  20. Numerical investigation of soot formation and oxidation processes under large two-stroke marine diesel engine-like conditions using integrated CFD-chemical kinetics

    DEFF Research Database (Denmark)

    Pang, Kar Mun; Karvounis, Nikolas; Walther, Jens Honore

    2016-01-01

    n-heptane mechanism and a revised multi-step soot model using laser extinction measurements of diesel soot obtained at different ambient pressure levels in an optical accessible, constant volume chamber experiment. It is revealed that ignition delay times and liftoff lengths generated using the new......In this reported work, multi-dimensional computational fluid dynamics studies of diesel combustion and soot formation processes in a constant volume combustion chamber and a marine diesel engine are carried out. The key interest here is firstly to validate the coupling of a newly developed skeletal...... using the revised soot model agrees reasonably well with the measurements in terms of peak values. The numerical model is subsequently applied to investigate the flame development, soot/nitrogen monoxide formation and heat transfer in a two-stroke, low-speed uniflow-scavenged marine diesel engine...

  1. Flow visualization on a natural circulation inter-wrapper flow. Experimental and numerical results under a geometric condition of button type spacer pads

    Energy Technology Data Exchange (ETDEWEB)

    Yasuda, A.; Miyakoshi, H.; Hayashi, K.; Nishimura, M.; Kamide, H.; Hishida, K. [Japan Nuclear Cycle Development Inst., Oarai, Ibaraki (Japan). Oarai Engineering Center

    1999-04-01

    Investigations on the inter-wrapper flow (IWF) in a liquid metal cooled fast breeder reactor core have been carried out. The IWF is a natural circulation flow between wrapper tubes in the core barrel where cold fluid is coming from a direct heat exchanger (DHX) in the upper plenum. It was shown by the sodium experiment using 7-subassembly core model that the IWF can cool the subassemblies. To clarify thermal-hydraulic characteristics of the IWF in the core, the water experiment was performed using the flow visualization technique. The test rig for IWF (TRIF) has the core simulating the fuel subassemblies and radial reflectors. The subassemblies are constructed featuring transparent heater to enable both Joule heating and flow visualization. The transparent heater was made of glass with thin conductor film coating of tin oxide, and the glass heater was embedded on the wall of modeled wrapper tube made of acrylic plexiglass. In the present experiment, influences of peripheral geometric parameters such as flow holes of core formers on the thermal-hydraulic field were investigated with the button type spacer pads of the wrapper tube. Through the water tests, flow patterns of the IWF were revealed and velocity fields were quantitatively measured with a particle image velocimetry (PIV). Also, no substantial influence of peripheral geometry was found on the temperature field of the IWF, as far as the button type spacer pad was applied. Numerical simulation was applied to the experimental analysis of IWF by using multidimensional code with porous body model. The numerical results reproduced the flow patterns within TRIF and agreed well to experimental temperature distributions, showing capability of predicting IWF with porous body model. (author)

  2. Numerical analysis

    CERN Document Server

    Brezinski, C

    2012-01-01

    Numerical analysis has witnessed many significant developments in the 20th century. This book brings together 16 papers dealing with historical developments, survey papers and papers on recent trends in selected areas of numerical analysis, such as: approximation and interpolation, solution of linear systems and eigenvalue problems, iterative methods, quadrature rules, solution of ordinary-, partial- and integral equations. The papers are reprinted from the 7-volume project of the Journal of Computational and Applied Mathematics on '/homepage/sac/cam/na2000/index.html<

  3. Smartphone Applications for Educating and Helping Non-motivating Patients Adhere to Medication That Treats Mental Health Conditions: Aims and Functioning

    Directory of Open Access Journals (Sweden)

    Angelos P. Kassianos

    2017-10-01

    Full Text Available Background: Patients prescribed with medication that treats mental health conditions benefit the most compared to those prescribed with other types of medication. However, they are also the most difficult to adhere. The development of mobile health (mHealth applications (“apps” to help patients monitor their adherence is fast growing but with limited evidence on their efficacy. There is no evidence on the content of these apps for patients taking psychotropic medication. The aim of this study is to identify and evaluate the aims and functioning of available apps that are aiming to help and educate patients to adhere to medication that treats mental health conditions.Method: Three platform descriptions (Apple, Google, and Microsoft were searched between October 2015 and February 2016. Included apps need to focus on adherence to medication that treats mental health conditions and use at least a reinforcement strategy. Descriptive information was extracted and apps evaluated on a number of assessment criteria using content analysis.Results: Sixteen apps were identified. All apps included self-monitoring properties like reminders and psycho-educational properties like mood logs. It was unclear how the latter were used or how adherence was measured. Major barriers to medication adherence like patients' illness and medication beliefs and attitudes were not considered nor where information to patients about mediation side effects. Very few apps were tailored and none was developed based on established theories explaining the processes for successful medication adherence like cognitions and beliefs. Reported information on app development and validation was poor.Discussion: A variety of apps with different properties that tackle both intentional and unintentional non-adherence from a different perspective are identified. An evidence-based approach and co-creation with patients is needed. This will ensure that the apps increase the possibility to

  4. Smartphone Applications for Educating and Helping Non-motivating Patients Adhere to Medication That Treats Mental Health Conditions: Aims and Functioning.

    Science.gov (United States)

    Kassianos, Angelos P; Georgiou, Giorgos; Papaconstantinou, Electra P; Detzortzi, Angeliki; Horne, Rob

    2017-01-01

    Background: Patients prescribed with medication that treats mental health conditions benefit the most compared to those prescribed with other types of medication. However, they are also the most difficult to adhere. The development of mobile health (mHealth) applications ("apps") to help patients monitor their adherence is fast growing but with limited evidence on their efficacy. There is no evidence on the content of these apps for patients taking psychotropic medication. The aim of this study is to identify and evaluate the aims and functioning of available apps that are aiming to help and educate patients to adhere to medication that treats mental health conditions. Method: Three platform descriptions (Apple, Google, and Microsoft) were searched between October 2015 and February 2016. Included apps need to focus on adherence to medication that treats mental health conditions and use at least a reinforcement strategy. Descriptive information was extracted and apps evaluated on a number of assessment criteria using content analysis. Results: Sixteen apps were identified. All apps included self-monitoring properties like reminders and psycho-educational properties like mood logs. It was unclear how the latter were used or how adherence was measured. Major barriers to medication adherence like patients' illness and medication beliefs and attitudes were not considered nor where information to patients about mediation side effects. Very few apps were tailored and none was developed based on established theories explaining the processes for successful medication adherence like cognitions and beliefs. Reported information on app development and validation was poor. Discussion: A variety of apps with different properties that tackle both intentional and unintentional non-adherence from a different perspective are identified. An evidence-based approach and co-creation with patients is needed. This will ensure that the apps increase the possibility to impact on non

  5. Chronic condition combinations and health care expenditures and out-of-pocket spending burden among adults, Medical Expenditure Panel Survey, 2009 and 2011.

    Science.gov (United States)

    Meraya, Abdulkarim M; Raval, Amit D; Sambamoorthi, Usha

    2015-01-29

    Little is known about how combinations of chronic conditions in adults affect total health care expenditures. Our objective was to estimate the annual average total expenditures and out-of-pocket spending burden among US adults by combinations of conditions. We conducted a cross-sectional study using 2009 and 2011 data from the Medical Expenditure Panel Survey. The sample consisted of 9,296 adults aged 21 years or older with at least 2 of the following 4 highly prevalent chronic conditions: arthritis, diabetes mellitus, heart disease, and hypertension. Unadjusted and adjusted regression techniques were used to examine the association between chronic condition combinations and log-transformed total expenditures. Logistic regressions were used to analyze the relationship between chronic condition combinations and high out-of-pocket spending burden. Among adults with chronic conditions, adults with all 4 conditions had the highest average total expenditures ($20,016), whereas adults with diabetes/hypertension had the lowest annual total expenditures ($7,116). In adjusted models, adults with diabetes/hypertension and hypertension/arthritis had lower health care expenditures than adults with diabetes/heart disease (P expenditures compared with those with diabetes and heart disease. However, the difference was only marginally significant (P = .04). Among adults with arthritis, diabetes, heart disease, and hypertension, total health care expenditures differed by type of chronic condition combinations. For individuals with multiple chronic conditions, such as heart disease and diabetes, new models of care management are needed to reduce the cost burden on the payers.

  6. Decree No 449 - Regulations on the conditions for keeping records of physical and medical surveillance relating to protection against ionizing radiation and medical surveillance of workers exposed to hazards from such radiation

    International Nuclear Information System (INIS)

    1990-01-01

    The 1964 Decree on radiation protection (DPR No. 185 of 1964) provides that the competent authorities may lay down specific conditions for keeping documentation on physical and medical surveillance of workers exposed to ionizing radiation. This Decree establishes where such documents must be kept, the information they should provide on irradiation and contamination, the relevant obligations of qualified experts, and employers according to Euratom Directive No. 80/836 on the health protection of workers against ionizing radiation [fr

  7. A 3D numerical study of humidity evolution and condensation risk on a printed circuit board (PCB) exposed to harsh ambient conditions

    DEFF Research Database (Denmark)

    Shojaee Nasirabadi, Parizad; Hattel, Jesper Henri

    2018-01-01

    an electronic enclosure exposed to harsh ambient conditions (relative humidity of 100% and cyclic temperature changes from 10 to 50 (°C)) are studied by developing a full 3D finite element based CFD model. The RH evolution is studied in three stages: first, in an empty enclosure, then in an enclosure with a PCB...

  8. Numerical Relativity

    Science.gov (United States)

    Baker, John G.

    2009-01-01

    Recent advances in numerical relativity have fueled an explosion of progress in understanding the predictions of Einstein's theory of gravity, General Relativity, for the strong field dynamics, the gravitational radiation wave forms, and consequently the state of the remnant produced from the merger of compact binary objects. I will review recent results from the field, focusing on mergers of two black holes.

  9. An Evaluation of the Significance of Work-Related Influence Factors on Fitness and the Development of Medical and Orthopaedic Conditions in Military Executives

    Directory of Open Access Journals (Sweden)

    Christoph Schulze

    2016-01-01

    Full Text Available Occupational health promotion is an effective tool to improve the state of health of employees. As part of occupational health promotion in the German Bundeswehr, top-ranking military executives are offered a medical examination and training programme. Health-related data is collected as a basis for training and lifestyle counselling. This data was subjected to a retrospective evaluation in order to identify occupational risk factors and their correlation with cardiovascular resilience, trunk strength, and the development of orthopaedic and internal disorders. A total of 122 military executives (all male, age 54.6±4.2 years answered a questionnaire aimed at evaluating private and occupational stress factors. The medical history was followed by a medical and orthopaedic examination involving a lactate performance test (treadmill or bicycle ergometry and an isometric trunk strength measurement. The data obtained was then statistically evaluated. For military executives, work-related travelling and commuting involve a high risk of medical and orthopaedic conditions. Regular exercise leads to improved fitness levels. In order to prevent medical problems, military executives working long hours should regularly take part in fitness and weight training under professional instructions.

  10. Efficiency improvement of a spark-ignition engine at full load conditions using exhaust gas recirculation and variable geometry turbocharger – Numerical study

    International Nuclear Information System (INIS)

    Sjerić, Momir; Taritaš, Ivan; Tomić, Rudolf; Blažić, Mislav; Kozarac, Darko; Lulić, Zoran

    2016-01-01

    Highlights: • A cylinder model was calibrated according to experimental results. • A full cycle simulation model of turbocharged spark-ignition engine was made. • Engine performance with high pressure exhaust gas recirculation was studied. • Cooled exhaust gas recirculation lowers exhaust temperature and knock occurrence. • Leaner mixtures enable fuel consumption improvement of up to 11.2%. - Abstract: The numerical analysis of performance of a four cylinder highly boosted spark-ignition engine at full load is described in this paper, with the research focused on introducing high pressure exhaust gas recirculation for control of engine limiting factors such as knock, turbine inlet temperature and cyclic variability. For this analysis the cycle-simulation model which includes modeling of the entire engine flow path, early flame kernel growth, mixture stratification, turbulent combustion, in-cylinder turbulence, knock and cyclic variability was applied. The cylinder sub-models such as ignition, turbulence and combustion were validated by using the experimental results of a naturally aspirated multi cylinder spark-ignition engine. The high load operation, which served as a benchmark value, was obtained by a standard procedure used in calibration of engines, i.e. operation with fuel enrichment and without exhaust gas recirculation. By introducing exhaust gas recirculation and by optimizing other engine operating parameters, the influence of exhaust gas recirculation on engine performance is obtained. The optimum operating parameters, such as spark advance, intake pressure, air to fuel ratio, were found to meet the imposed requirements in terms of fuel consumption, knock occurrence, exhaust gas temperature and variation of indicated mean effective pressure. By comparing the results of the base point with the results that used exhaust gas recirculation the improvement in fuel consumption of 8.7%, 11.2% and 1.5% at engine speeds of 2000 rpm, 3500 rpm and 5000

  11. Numerical investigation of the reactor pressure vessel behaviour under severe accident conditions taking into account the combined processes of the vessel creep and the molten pool natural convection

    International Nuclear Information System (INIS)

    Loktionov, V.D.; Mukhtarov, E.S.; Yaroshenko, N.I.; Orlov, V.E.

    1999-01-01

    Analysis of the WWER lower head behaviour and its failure has been performed for several molten pool structures and internal overpressure levels in a reactor pressure vessel (RPV). The different types of the molten pools (homogeneous, conventionally homogeneous, conventionally stratified, stratified) cover the bounding scenarios during a hypothetical severe accident. The parametric investigations of the failure mode and RPV behaviour for various molten pool types, its heights and internal overpressure levels are presented herein. A coupled treatment in this investigation includes: (i) a 2-D thermohydraulic analysis of a molten pool natural convection. Domestic NARAUFEM code has been used in this detailed analysis for prediction of the heat flux from the molten pool to the RPV inner surface; and (ii) a detailed 3-D transient thermal analysis of the RPV lower head. Domestic 3-D ASHTER-VVR finite element code has been used for the numerical simulations of the high temperature creep and failure of the lower head. The effect of an external RPV cooling, temperature-dependent physical properties of the molten pool and vessel steel, the hydrostatic forces and vessel dead-weight were taken into account in this study. The obtained results show that lower head failure occurs as a result of the vessel creep process which is significantly dependent on both an internal overpressure level and the type of molten pool structure. In particular, it was found that there were combinations of 'overpressure-molten pool structure' when the vessel failure started at the 'hot' layers of the vessel. (orig.)

  12. A Utilitarian Perspective of Social and Medical Contributions to Three Illustrative Conditions, and Recent UK NHS Policy Initiatives

    OpenAIRE

    Middleton, Hugh; Shaw, Ian

    2007-01-01

    Background: To date debate concerning the relative merits of social and medical sciences has been\\ud largely academic.\\ud Aims: To outline and critically appraise a utilitarian approach to mental health research that reflects a\\ud critical realist perspective.\\ud Method: Consideration of the relative utility of differing approaches to illustrative ‘‘psychiatric’’\\ud disorders, and recent policy initiatives.\\ud Results: Socially relevant outcomes of Bipolar Affective Disorder are determined by...

  13. Numerical relativity

    CERN Document Server

    Nakamura, T

    1993-01-01

    In GR13 we heard many reports on recent. progress as well as future plans of detection of gravitational waves. According to these reports (see the report of the workshop on the detection of gravitational waves by Paik in this volume), it is highly probable that the sensitivity of detectors such as laser interferometers and ultra low temperature resonant bars will reach the level of h ~ 10—21 by 1998. in this level we may expect the detection of the gravitational waves from astrophysical sources such as coalescing binary neutron stars once a year or so. Therefore the progress in numerical relativity is urgently required to predict the wave pattern and amplitude of the gravitational waves from realistic astrophysical sources. The time left for numerical relativists is only six years or so although there are so many difficulties in principle as well as in practice.

  14. Numerical analysis and simulation of behavior of high burn-up PWR fuel pulse-irradiated in reactivity-initiated accident conditions

    International Nuclear Information System (INIS)

    Suzuki, M.; Sugiyama, T.; Udagawa, Y.; Nagase, F.; Fuketa, T.

    2010-01-01

    The four cases of the NSRR experiments, consisting of two room temperature tests and two high temperature tests, using high burn-up PWR fuel rods are analyzed by using the RANNS code to discuss the fuel behavior in hypothetical pulse-irradiation conditions, and the results are compared with metallography observations of ruptured claddings. The cladding rupture occurred by a shear sliding which starts from the tip of incipient crack generated in the hydride dense layer. The analyses reveal that the onset of shear sliding leading to cladding rupture can be closely associated with the stress intensity factor KI at the crack tip and local plastic strain evolution around the tip as well, and that these two factors depend also on the temperature of cladding. Simulation calculations on the basis of experimental conditions reveals that the cladding stress is dependent on the height and half-width of pulse power, and for the same integral enthalpy of pulse a larger half-width mitigates the severity of transient and decreases KI to allow plastic strain by temperature rise, thus failure possibility would be markedly decreased

  15. Astronomy for Special Needs Children (Low-income and/or Serious Medical Conditions) and Their Families

    Science.gov (United States)

    Lubowich, Donald

    2015-08-01

    I present the results of two NASA-IDEAS/STScI* sponsored and one IAU OAD grant for astronomy outreach programs for seriously ill or traumatically injured children and their families staying at the Ronald McDonald Houses of Long Island (New Hyde Park, NY) and Chicago or for children hospitalized at the Winthrop University Hospital Children’s Medical Center, (Mineola, NY). An astronomy program was also created for the five Fresh Air Fund Charity summer camps (low-income and special needs) and for a Hofstra summer camp for developmentally challenged youths.These programs are designed for children of all ages include” STSCi’s “Tonight’s Sky” (monthly guide to the sky); telescope observations of the Moon, Sun, planets, nebulae, and stars; and hands-on activities. During cloudy weather remote/robotic telescope observations are shown to the children.The staff and volunteers at the Ronald McDonald House and Children’s Medical Center are trained to use the telescope and to do astronony demonstrations. I created an Activity Book for the staff with demonstrations, participatory hands-on activities, and edible demonstrations using chocolate, marshmallows, and popcorn are to stimulate interest.These educational activities help children and their families learn about astronomy while providing a diversion to take their minds off their illness during a stressful time. The RMHs provide free or low-cost housing in a comfortable, supportive alternative atmosphere where family members sleep, eat, relax and find support from other families in similar situations. Families are kept united when mutual support is as critical as the medical treatment itself. The ill children and their families may stay for a few days or months because of chemotherapy, dialysis, or rehabilitative therapy. Children from 50 states and 50 countries stay the Chicago RMHs and there are 260 RMHs in the US and 65 worldwide.

  16. On the theoretical–numerical study of the ITER Upper Port Plug structure hydraulic behaviour under steady state and draining and drying transient conditions

    International Nuclear Information System (INIS)

    Di Maio, P.A.; Paradiso, D.; Dell’Orco, G.; Pitcher, C.S.; Kalish, M.

    2011-01-01

    Highlights: ► UPP TS hydraulic behaviour has been investigated under steady state and D and D transient conditions. ► A thermal–hydraulic system code has been adopted and a UPP TS model has been set-up and validated against results of steady state CFD analyses. ► The TS steady state hydraulic characteristic functions have been derived for two coolant flow paths showing that right plate inlet one is the most promising. ► Draining simulations indicate that the 4 MPa injection pressure is high enough to drain almost completely the circuit in a reasonable time (∼6 s). ► Results indicate that right plate inlet flow path allows the TS complete draining, eliminating the need for the drying procedure. - Abstract: The ITER diagnostic Upper Port Plug (UPP) is a water-cooled stainless steel structure aimed to integrate within vacuum vessel the plasma diagnostic systems, shielding them from neutron and photon irradiation. Due to the very intense heat loads expected, a proper cooling circuit has been designed to ensure an adequate UPP cooling with an acceptable thermal rise and an unduly high pumping power and to perform its draining and drying procedure by injection of pressurized nitrogen. A theoretical research activity has been launched at the Department of Nuclear Engineering of the University of Palermo aiming to investigate the hydraulic behaviour of the UPP Trapezoid Section cooling circuit under steady state conditions and during its draining and drying transient procedure. The research activity has been performed following a theoretical–computational approach and adopting the RELAP5 thermal–hydraulic system code. The Trapezoid Section cooling circuit characteristic functions have been derived under steady state conditions at various coolant temperatures for both the coolant flow paths at the present under consideration for this circuit. The distributions of coolant mass flow rates along the channels of the cooling circuit have been calculated too

  17. California emergency department visit rates for medical conditions increased while visit rates for injuries fell, 2005-11.

    Science.gov (United States)

    Hsia, Renee Y; Nath, Julia B; Baker, Laurence C

    2015-04-01

    The emergency department (ED) is the source of most hospital admissions; provides care for patients with no other point of access to the health care system; receives advanced care referrals from primary care physicians; and provides surveillance data on injuries, infectious diseases, violence, and adverse drug events. Understanding the changes in the profile of disease in the ED can inform emergency services administration and planning and can provide insight into the public's health. We analyzed the trends in the diagnoses seen in California EDs from 2005 to 2011, finding that while the ED visit rate for injuries decreased by 0.7 percent, the rate of ED visits for noninjury diagnoses rose 13.4 percent. We also found a rise in symptom-related diagnoses, such as abdominal pain, along with nervous system disorders, gastrointestinal disease, and mental illness. These trends point out the increasing importance of EDs in providing care for complex medical cases, as well as the changing nature of illness in the population needing immediate medical attention. Project HOPE—The People-to-People Health Foundation, Inc.

  18. Emotional Condition and Physical Activity of First-year Female Students at Medical College During the Academic Year

    Directory of Open Access Journals (Sweden)

    Nataliia Semenova

    2017-06-01

    Full Text Available The objective isto establish emotional state changes among female students during the academic year regarding available physical activity. Material & methods: the study involved 65 first year femalestudents of medical college at Danylo Halytskyi Lviv National Medical University.  To achieve the tasks set the study relied on the following methods: analysis and synthesis of scientific and technical literature, pedagogical observation, methods of mathematical statistics (t-Student test for independent samples, SAN method. Results: no reliable differences found when comparing indicators of activity and mood at the beginning and end of the academic year. The obtained results of the survey indicate medium and high evaluationof SAN categories at low levels of physical activity. Conclusions: state of health, activity and mood levelswere rated with middle and high scoresbyfemale students. SAN evaluation dynamics has been lowering during the academic year, and the activity level of female students was significantly lower than that ofstate of health as well as mood. The resulting index of activity level as emotional characteristic largely reflects low physical activity of female students.

  19. Reactivity of hydrocarbons in response to injection of a CO2/O2 mixture under depleted reservoir conditions: experimental and numerical modeling

    International Nuclear Information System (INIS)

    Pacini-Petitjean, Claire

    2015-01-01

    The geological storage of CO 2 (CO 2 Capture-Storage - CCS) and the Enhanced Oil Recovery (EOR) by CO 2 injection into petroleum reservoirs could limit CO 2 atmospheric accumulation. However, CO 2 can be associated with oxygen. To predict the hydrocarbon evolution under these conditions involves the study of oxidation mechanisms. Oxidation experiment and kinetic detailed modeling were carried out with pure compounds. The comparison between experimental and modeling results led to the construction of a hydrocarbon oxidation kinetic model and emphasized the parameters leading to auto ignition. The good agreement between our experiments and modeling are promising for the development of a tool predicting the critical temperature leading to auto-ignition and the evolution of hydrocarbon composition, to estimate the stability of a petroleum system in CO 2 injection context. (author) [fr

  20. Numerical Modeling of Conjugate Thermogravitational Convection in a Closed System with a Radiant Energy Source in Conditions of Convective-Radiative Heat Exchange at the External Boundary

    Directory of Open Access Journals (Sweden)

    Nee Alexander

    2016-01-01

    Full Text Available Mathematical modeling of conjugate natural convection in a closed rectangular cavity with a radiant energy source in conditions of convective-radiative heat exchange at the external boundary was conducted. The radiant energy distribution was set by the Lambert’s law. Conduction and convection processes analysis showed that the air masses flow pattern is modified slightly over the time. The temperature increases in the gas cavity, despite the heat removal from the one of the external boundary. According to the results of the integral heat transfer analysis were established that the average Nusselt number (Nuav increasing occurs up to τ = 200 (dimensionless time. Further Nuav has changed insignificantly due to the temperature field equalization near the interfaces “gas – wall”.

  1. Multidimensional Inventory of Hypochondriacal Traits: An Examination of a Bifactor Model and Measurement Invariance Between Those With and Without a Self-Reported Medical Condition.

    Science.gov (United States)

    Bardeen, Joseph R; Fergus, Thomas A

    2017-08-01

    The Multidimensional Inventory of Hypochondriacal Traits (MIHT) is a self-report measure that assesses four interrelated domains of health anxiety (i.e., Cognitive, Behavioral, Perceptual, Affective). Prior research has supported a correlated four-factor model, as well as a hierarchical model, in which each of the four factors load onto the higher order health anxiety construct. However, a bifactor modeling approach has yet to be used to examine the factor structure of the MIHT. Results supported a bifactor model of the MIHT in three different samples (i.e., unselected based on current medical status [ n = 824], and those with [ n = 348] and without [ n = 354] a self-reported medical condition). The MIHT appears to be strongly multidimensional, with three of the four subscales providing substantive value. Confirmatory factor analysis supported the configural and metric/scalar invariance of the bifactor model between those with and without a self-reported medical condition. Results provide support for a bifactor conceptualization of the MIHT and the invariance of that model across levels of current health status.

  2. The impact of cannabis and cannabinoids for medical conditions on health-related quality of life: A systematic review and meta-analysis.

    Science.gov (United States)

    Goldenberg, Matthew; Reid, Mark William; IsHak, Waguih William; Danovitch, Itai

    2017-05-01

    The use of cannabis or cannabinoids to treat medical conditions and/or alleviate symptoms is increasingly common. However, the impact of this use on patient reported outcomes, such as health-related quality of life (HRQoL), remains unclear. We conducted a systematic review and meta-analysis, employing guidelines from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We categorized studies based on design, targeted disease condition, and type of cannabis or cannabinoid used. We scored studies based on quality and risk of bias. After eliminating some studies because of poor quality or insufficient data, we conducted meta-analyses of remaining studies based on design. Twenty studies met our pre-defined selection criteria. Eleven studies were randomized controlled trials (RCTs; 2322 participants); the remaining studies were of cohort and cross-sectional design. Studies of cannabinoids were mostly RCTs of higher design quality than studies of cannabis, which utilized smaller self-selected samples in observational studies. Although we did not uncover a significant association between cannabis and cannabinoids for medical conditions and HRQoL, some patients who used them to treat pain, multiple sclerosis, and inflammatory bower disorders have reported small improvements in HRQoL, whereas some HIV patients have reported reduced HRQoL. The relationship between HRQoL and the use of cannabis or cannabinoids for medical conditions is inconclusive. Some patient populations report improvements whereas others report reductions in HRQoL. In order to inform users, practitioners, and policymakers more clearly, future studies should adhere to stricter research quality guidelines and more clearly report patient outcomes. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. A Web-Based Decision Tool to Improve Contraceptive Counseling for Women With Chronic Medical Conditions: Protocol For a Mixed Methods Implementation Study.

    Science.gov (United States)

    Wu, Justine P; Damschroder, Laura J; Fetters, Michael D; Zikmund-Fisher, Brian J; Crabtree, Benjamin F; Hudson, Shawna V; Ruffin, Mack T; Fucinari, Juliana; Kang, Minji; Taichman, L Susan; Creswell, John W

    2018-04-18

    Women with chronic medical conditions, such as diabetes and hypertension, have a higher risk of pregnancy-related complications compared with women without medical conditions and should be offered contraception if desired. Although evidence based guidelines for contraceptive selection in the presence of medical conditions are available via the United States Medical Eligibility Criteria (US MEC), these guidelines are underutilized. Research also supports the use of decision tools to promote shared decision making between patients and providers during contraceptive counseling. The overall goal of the MiHealth, MiChoice project is to design and implement a theory-driven, Web-based tool that incorporates the US MEC (provider-level intervention) within the vehicle of a contraceptive decision tool for women with chronic medical conditions (patient-level intervention) in community-based primary care settings (practice-level intervention). This will be a 3-phase study that includes a predesign phase, a design phase, and a testing phase in a randomized controlled trial. This study protocol describes phase 1 and aim 1, which is to determine patient-, provider-, and practice-level factors that are relevant to the design and implementation of the contraceptive decision tool. This is a mixed methods implementation study. To customize the delivery of the US MEC in the decision tool, we selected high-priority constructs from the Consolidated Framework for Implementation Research and the Theoretical Domains Framework to drive data collection and analysis at the practice and provider level, respectively. A conceptual model that incorporates constructs from the transtheoretical model and the health beliefs model undergirds patient-level data collection and analysis and will inform customization of the decision tool for this population. We will recruit 6 community-based primary care practices and conduct quantitative surveys and semistructured qualitative interviews with women who

  4. Combined Racial and Gender Differences in the Long-Term Predictive Role of Education on Depressive Symptoms and Chronic Medical Conditions.

    Science.gov (United States)

    Assari, Shervin

    2017-06-01

    Despite a well-established literature on the protective effect of education on health, less is known about group differences in the mechanisms underlying this association. Using a life course approach and cumulative advantage theory, this study compared Black men, Black women, White men, and White women to assess the long-term gradient (education as a continuous measure) and threshold (>12 years) effects of baseline education on change in chronic medical conditions (CMC) and depressive symptoms (DS) from baseline to 25 years later. Data came from the Americans' Changing Lives Study, 1986-2011. The study followed Black and White respondents for up to 25 years, among whom 1271 individuals who had survived and were under follow-up were interviewed in 2011 and reported their number of chronic medical conditions and depressive symptoms (Center for Epidemiological Studies-Depression; CES-D 11). Multi-group structural equation modeling was used to compare gradient and threshold effects of education on change in chronic medical conditions and depressive symptoms from baseline (1986) to 25 years later (2011) among Black men, Black women, White men, and White women. There were group differences in the long-term association between education measured as a gradient and the change in depressive symptoms and chronic medical conditions during the follow-up, and in the association between education measured at the threshold of 12 years on change in depressive symptoms from baseline to follow-up. However, the association between education measured at this threshold and change in chronic medical conditions did not differ across race-gender groups. With the exception of Black men, who showed a gradient protective effect for baseline education against increase in the number of chronic medical associations (threshold or gradient) with change in chronic medical conditions. Among White men and White women, education had a threshold protective effect against increase in depressive

  5. A Web-Based Decision Tool to Improve Contraceptive Counseling for Women With Chronic Medical Conditions: Protocol For a Mixed Methods Implementation Study

    Science.gov (United States)

    Damschroder, Laura J; Fetters, Michael D; Zikmund-Fisher, Brian J; Crabtree, Benjamin F; Hudson, Shawna V; Ruffin IV, Mack T; Fucinari, Juliana; Kang, Minji; Taichman, L Susan; Creswell, John W

    2018-01-01

    Background Women with chronic medical conditions, such as diabetes and hypertension, have a higher risk of pregnancy-related complications compared with women without medical conditions and should be offered contraception if desired. Although evidence based guidelines for contraceptive selection in the presence of medical conditions are available via the United States Medical Eligibility Criteria (US MEC), these guidelines are underutilized. Research also supports the use of decision tools to promote shared decision making between patients and providers during contraceptive counseling. Objective The overall goal of the MiHealth, MiChoice project is to design and implement a theory-driven, Web-based tool that incorporates the US MEC (provider-level intervention) within the vehicle of a contraceptive decision tool for women with chronic medical conditions (patient-level intervention) in community-based primary care settings (practice-level intervention). This will be a 3-phase study that includes a predesign phase, a design phase, and a testing phase in a randomized controlled trial. This study protocol describes phase 1 and aim 1, which is to determine patient-, provider-, and practice-level factors that are relevant to the design and implementation of the contraceptive decision tool. Methods This is a mixed methods implementation study. To customize the delivery of the US MEC in the decision tool, we selected high-priority constructs from the Consolidated Framework for Implementation Research and the Theoretical Domains Framework to drive data collection and analysis at the practice and provider level, respectively. A conceptual model that incorporates constructs from the transtheoretical model and the health beliefs model undergirds patient-level data collection and analysis and will inform customization of the decision tool for this population. We will recruit 6 community-based primary care practices and conduct quantitative surveys and semistructured qualitative

  6. Study of the inpatient admission unit condition in the educational hospitals of Lorestan univercity of medical sciences in 2009

    Directory of Open Access Journals (Sweden)

    mahnaz Samadbeik

    2011-06-01

    Conclusion: The condition of the investigated admission departments was evaluated as average. To improve admission process, some solutions should be taken into consideration including: preparing and supplying special strategies of inpatient admission department, employing professional and interested staff, holding postgraduation courses, ideal allotting of resources and space, regular evaluation of the admission department function and implementing process improvement procedures.

  7. Experimental and Numerical Investigation of the Effect of Process Conditions on Residual Wall Thickness and Cooling and Surface Characteristics of Water-Assisted Injection Molded Hollow Products

    Directory of Open Access Journals (Sweden)

    Hyungpil Park

    2015-01-01

    Full Text Available Recently, water-assisted injection molding was employed in the automobile industry to manufacture three-dimensional hollow tube-type products with functionalities. However, process optimization is difficult in the case of water-assisted injection molding because of the various rheological interactions between the injected water and the polymer. In this study, the boiling phenomenon that occurs because of the high melt temperature when injecting water and the molding characteristics of the hollow section during the water-assisted injection process were analyzed by a water-assisted injection molding analysis. In addition, the changes in the residual wall thickness accompanying changes in the process conditions were compared with the analysis results by considering water-assisted injection molding based on gas-assisted injection molding. Furthermore, by comparing the cooling characteristics and inner wall surface qualities corresponding to the formation of the hollow section by gas and water injections, a water-assisted injection molding technique was proposed for manufacturing hollow products with functionality.

  8. Experimental determination and numerical simulation of viscositites in slag-systems under gasification conditions; Experimentelle Bestimmung und numerische Simulation von Viskositaeten in Schlackesystemen unter Vergasungsbedingungen

    Energy Technology Data Exchange (ETDEWEB)

    Nentwig, Thomas

    2011-07-01

    Silica melts are reflected in many different industrial and natural processes such as slags in steel production and gasification of coal, glass in the glass making industry, lava in the volcanology and in lots of other fields. Rheological properties like the viscosity of this silica melts are really important in all of these processes. A general and good working viscosity model would help all scientists and engineers, who have to simulate and optimise these processes. First, it is important to have the possibility to measure viscosities of slags. As part of this PhD thesis a new high-temperature high-pressure rotational viscosimeter is developed for measurements up to {>=}1600 C and 20 bar. Particularly in relation to the coal gasification process this two parameters are really important, because coal gasification occurs under high temperatures and high pressures. With this new viscosimeter it is possible to measure slag viscosities under realistic gasification conditions. To show that the new viscosimeter works quite good viscosity measurements of four real slags have been done. The influence of pressure and atmosphere on viscosity have been examined. The measurements are also compared with different viscosity models. The Arrhenius- and Weymann-Equation have been determined and the correlation between viscosity and basicity of the slag has been evaluated. In the second part of the Phd thesis a new viscosity model is developed. The model is based on the structure inside the slag and consists in existing thermodynamic models. After a detailed literature research the model is developed for the SiO{sub 2}-Al{sub 2}O{sub 3}-Na{sub 2}O-K{sub 2}O system. The quality of this new model is estimated by comparing calculated viscosity values with measurements found during the literature research. The new model is also compared with other existing models for viscosity calculation.

  9. Numerical Analysis of S-CO{sub 2} Test Loop Transient Conditions near the Critical Point of CO{sub 2}

    Energy Technology Data Exchange (ETDEWEB)

    Bae, Seong Jun; Oh, Bongseong; Ahn, Yoonhan; Baik, Seongjoon; Lee, Jekyoung; Lee, Jeong Ik [KAIST, Daejeon (Korea, Republic of)

    2016-05-15

    It was identified that controlling CO{sub 2} compressor operation near the critical point is one of the most important issues to operate a S-CO{sub 2} Brayton cycle with a high efficiency. Despite the growing interest in the S-CO{sub 2} Brayton cycle, a few previous research on the transient analysis of the S-CO{sub 2} system has been conducted previously. Moreover, previous studies have some limitation in the modelled test facility, and the experiment was not performed to observe specific scenario. The KAIST research team has conducted S-CO{sub 2} system transient experiments with the CO{sub 2} compressing test facility called SCO{sub 2}PE (Supercritical CO{sub 2} Pressurizing Experiment) at KAIST In this study, authors use the transient analysis code GAMMA (Gas Multidimensional Multicomponent mixture Analysis) code for analyzing the experiment. Two transient scenarios were selected in this study; over cooling and under cooling situations. The selected transient situation is of particular interest since the compressor inlet conditions start to drift away from the critical point of CO{sub 2}. The results represent that the GAMMA code can simulate the S-CO{sub 2} test facility, SCO{sub 2}PE. However, as shown in the cooling water flow rate increasing scenario, the GAMMA code shows calculation error when the phase change occurs. Furthermore, although the results of the cooling water flow rate decrease case shows reasonable agreement with the experimental data, there are still some unexplained differences between the experimental data and the GAMMA code prediction.

  10. Acute Care Use for Ambulatory Care-Sensitive Conditions in High-Cost Users of Medical Care with Mental Illness and Addictions.

    Science.gov (United States)

    Hensel, Jennifer M; Taylor, Valerie H; Fung, Kinwah; Yang, Rebecca; Vigod, Simone N

    2018-01-01

    The role of mental illness and addiction in acute care use for chronic medical conditions that are sensitive to ambulatory care management requires focussed attention. This study examines how mental illness or addiction affects risk for repeat hospitalization and/or emergency department use for ambulatory care-sensitive conditions (ACSCs) among high-cost users of medical care. A retrospective, population-based cohort study using data from Ontario, Canada. Among the top 10% of medical care users ranked by cost, we determined rates of any and repeat care use (hospitalizations and emergency department [ED] visits) between April 1, 2011, and March 31, 2012, for 14 consensus established ACSCs and compared them between those with and without diagnosed mental illness or addiction during the 2 years prior. Risk ratios were adjusted (aRR) for age, sex, residence, and income quintile. Among 314,936 high-cost users, 35.9% had a mental illness or addiction. Compared to those without, individuals with mental illness or addiction were more likely to have an ED visit or hospitalization for any ACSC (22.8% vs. 19.6%; aRR, 1.21; 95% confidence interval [CI], 1.20-1.23). They were also more likely to have repeat ED visits or hospitalizations for the same ACSC (6.2% vs. 4.4% of those without; aRR, 1.48; 95% CI, 1.44-1.53). These associations were stronger in stratifications by mental illness diagnostic subgroup, particularly for those with a major mental illness. The presence of mental illness and addiction among high-cost users of medical services may represent an unmet need for quality ambulatory and primary care.

  11. Modelling of fluid flow through short tube orifices under metastable conditions: A new numerical validation approach for evaluating the mass flow rate with refrigerant mixtures (HFC-407C and HFC-410A)

    International Nuclear Information System (INIS)

    García-Valladares, O.; Santoyo, E.

    2014-01-01

    In a previous work, one-dimensional numerical modelling of fluid-flow inside short tube orifices was performed, and successfully validated against a wide range of mass flow rate measurements reported for the refrigerant HFC-134a. Governing equations of continuity, momentum, energy and entropy were solved for describing the fluid flow under a wide variety of thermodynamic transitions (e.g., subcooled liquid region, metastable liquid region, metastable two-phase region and equilibrium two-phase region), including sudden contraction and enlargement. In this new study, a comprehensive comparison analysis between numerical simulation data and experimental measurements obtained for HFC-407C and HFC-410A refrigerants (N o  = 241) to extend the applicability of the same mathematical model was carried out. Using a widespread statistical analysis, based on weighted linear regressions with an outlier detection/rejection module at 95% of confidence level, the prediction performance of the mathematical model was again assessed. Linear regressions between predicted mass flow rate data and experimental measurements were computed, and used them as a statistical comparison criterion. A statistical comparison between predicted simulation results and mass flow rate experimental data are reported. Average deviation errors of ±11.1% (for the refrigerant HFC-407C) and ±7.3% (for refrigerant HFC-410A) were found between numerical model and experimental data. These results demonstrate a new and robust application of the model to predict reliably the mass flow rate through short tube orifices under metastable conditions, which enable this tool to be reliably used for the design of short tube orifices. - Highlights: •A modelling for evaluating short tube orifice was developed for refrigerant mixtures. •The numerical model applied considered metastable regions and choke flow. •The model was validated against experimental data for HFC-407C and HFC-410A. •Statistical analysis based

  12. Numerical stability of finite difference algorithms for electrochemical kinetic simulations: Matrix stability analysis of the classic explicit, fully implicit and Crank-Nicolson methods and typical problems involving mixed boundary conditions

    DEFF Research Database (Denmark)

    Bieniasz, Leslaw K.; Østerby, Ole; Britz, Dieter

    1995-01-01

    The stepwise numerical stability of the classic explicit, fully implicit and Crank-Nicolson finite difference discretizations of example diffusional initial boundary value problems from electrochemical kinetics has been investigated using the matrix method of stability analysis. Special attention...... has been paid to the effect of the discretization of the mixed, linear boundary condition with time-dependent coefficients on stability, assuming the two-point forward-difference approximations for the gradient at the left boundary (electrode). Under accepted assumptions one obtains the usual...... stability criteria for the classic explicit and fully implicit methods. The Crank-Nicolson method turns out to be only conditionally stable in contrast to the current thought regarding this method....

  13. Radiation protection of workers in medical practices. The analysis of the health condition of workers in nuclear medicine

    Energy Technology Data Exchange (ETDEWEB)

    Milacic, Snezana; Kovacevic, Radomir; Jovicic, Dubravka [Belgrade Univ., Faculty of Medicine, Institute of Occupational Medicine and Radiological Protection Belgrade, Serbia and Montenegro (Yugoslavia); Simic, Jadranko [South East Europe Consultants Belgrade, Serbia and Montenegro (Yugoslavia)

    2006-07-01

    Aim: Nuclear medicine uses short living radio-nuclides which are relatively quickly excreted in urine. However, long-term work with open sources of ionizing irradiation causes numerous disorders because of the constant risk from internal contamination. When radionuclide reaches the organism it causes internal irradiation and the lesions may be long lasting in various tissues depending on its metabolism, and even remain after the radionuclide is excreted. Methodology: In this study were presented results of blood cells, chromosomes, by conventional methods, and results of measuring of urine radioactivity by gamma-spectrometric, in nuclear workers. Results: Most of them had urine contamination with J 131 (as a working-places contamination indicator, the values ranged from 0.1- 10 Bq/l.) and with Cs 137 (as an environmental contamination indicator, the values ranged from 0.5-0.7 Bq/l). Although those values did not exceed the yearly quota for professionally exposed individuals (meaning that the yearly absorbed dose was not higher that the allowed 20 mSv) they still had characteristically chromosome aberrations in peripheral blood lymphocytes. Alkaline phosphatases and myeloperoxidase activity were inhibited in the granulocytes. The neutrophilic granulocytes count was lower while the number of eosinophils was higher. The number of platelets was higher, too. Conclusion: In relation to the control group, the most prominent were changes of enzymes activity in the granulocytes (neutrophils and eosinophils), indicating maturation disorders at the bone marrow level and inhibition enzymes in peripheral blood cells. Enzymes in leukocytes will be used as bio markers of contamination with radionuclide in nuclear medicine workers. (authors)

  14. American Academy of Asthma, Allergy & Immunology membership experience with venom immunotherapy in chronic medical conditions and pregnancy, and in young children.

    Science.gov (United States)

    Calabria, Christopher W; Hauswirth, David W; Rank, Matthew; Sher, Lawrence; Larenas-Linnemann, Desiree

    2017-03-01

    Few data exist regarding the use of venom immunotherapy (VIT) in specific high-risk chronic medical conditions and pregnancy, and in young children. A Web-based survey was sent to American Academy of Asthma Allergy & Immunology members to explore their VIT experience in potential high-risk medical conditions and pregnancy, and in young children. Major problems were defined as "activation of underlying disease and/or VIT not well tolerated (systemic adverse events) and/or VIT discontinued for medical reasons." Results were expressed descriptively. A total of 697 of 5123 surveys (14%) were completed: 87% of the respondents were based in the United States, and 28% worked in an academic setting. Most respondents (71%) believed that pregnancy was a contraindication for starting VIT. Most were comfortable continuing VIT (51%) if the woman became pregnant after starting therapy. Of the allergists who treated children, many would give VIT down to age 5 years (42%) or younger, ages 1-4 years (35%). The following list is of the specific medical condition, the number of allergists who used VIT in patients with this condition, and the percentage who reported major problems: severe asthma, 212 (4.2%); hypertension, 287 (1.1%); coronary artery disease, 222 (3.6%); arrhythmias, 136 (3.4%); cerebrovascular disease, 104 (5.1%); cancer in remission, 166 (0%); cancer stable but still under treatment, 44 (7.2%); a history of bone marrow transplantation, 15 (4.9%); a history of solid organ transplantation, 29 (3.6%); human immunodeficiency virus, 53 (1.4%); acquired immunodeficiency syndrome, 24 (6.2%); stable autoimmune disease, 164 (2.8%); mastocytosis, 66 (18.4%); elevated serum tryptase, 101 (10.8%); immunodeficiency 59 (2.5%). Many allergists were comfortable using VIT in young children and continuing but not starting pregnant women on VIT. VIT was commonly used in patients with hypertension, coronary artery disease, arrhythmias, cancer in remission, and stable autoimmune disease

  15. Numerical analysis

    CERN Document Server

    Jacques, Ian

    1987-01-01

    This book is primarily intended for undergraduates in mathematics, the physical sciences and engineering. It introduces students to most of the techniques forming the core component of courses in numerical analysis. The text is divided into eight chapters which are largely self-contained. However, with a subject as intricately woven as mathematics, there is inevitably some interdependence between them. The level of difficulty varies and, although emphasis is firmly placed on the methods themselves rather than their analysis, we have not hesitated to include theoretical material when we consider it to be sufficiently interesting. However, it should be possible to omit those parts that do seem daunting while still being able to follow the worked examples and to tackle the exercises accompanying each section. Familiarity with the basic results of analysis and linear algebra is assumed since these are normally taught in first courses on mathematical methods. For reference purposes a list of theorems used in the t...

  16. Numerical Transducer Modeling

    DEFF Research Database (Denmark)

    Henriquez, Vicente Cutanda

    This thesis describes the development of a numerical model of the propagation of sound waves in fluids with viscous and thermal losses, with application to the simulation of acoustic transducers, in particular condenser microphones for measurement. The theoretical basis is presented, numerical...... manipulations are developed to satisfy the more complicated boundary conditions, and a model of a condenser microphone with a coupled membrane is developed. The model is tested against measurements of ¼ inch condenser microphones and analytical calculations. A detailed discussion of the results is given....

  17. AN IMPACT OF THE EFFICIENT FUNCTIONING OF THE VENTILATION AND AIR-CONDITIONING SYSTEM ON THERMAL COMFORT OF THE MEDICAL STAFF IN THE OPERATING ROOM

    Directory of Open Access Journals (Sweden)

    Tomasz Jankowski

    2016-11-01

    Full Text Available Ventilation and air conditioning systems are necessary for developing proper parameters of indoor envi-ronment in operating rooms. The main task of ventilation and air conditioning in those specific areas consists in creating desirable temperature, reducing the number of microorganisms and the concen-trations of hazardous gases and substances in the air, as well as ensuring the proper direction of airflow. In Poland, indoor environment in operating rooms has to comply with the requirements set out in three regulations (Journal of Laws of 2002 No. 75, item 690, as amended, Journal of Laws of 2002 No. 217, item 1833, Journal of Laws of 2011 No. 31, item 158, as amended and the document entitled "Guidelines for the design of general hospitals". Given insufficient accuracy of the abovementioned national documents, it is a common practice to use foreign standards, i.e. ASHRAE Standard 170-2013, DIN 1946-4: 2008 and FprCEN TR 16244: 2011. When considering the conditions for thermal comfort, it is important to bear in mind a close link between air flow velocity and air temperature. Air in the zone occupied by patients and medical staff must not cause the sensation of draft. Furthermore, air velocity should be sufficient to eliminate interference caused by the presence of people and other sources of heat. It should also reduce the turbulence level in the air in the operating room. Efficient functioning of ventilation and air conditioning was tested during treatments and operations carried out on three wards of a Warsaw hospital. Tests were performed with the participation of medical staff from various surgical units. They were asked to perform minor manual tasks to simulate work on the op-erating table, and to complete a questionnaire on subjective thermal sensation. The applied methodology is widely used during testing of general and local ventilation in public buildings. Air temperature, relative humidity, air flow supply and exhaust air from the

  18. First Approval of Improved Medical Device Conditional on Use-Result Survey in Japan - Regulatory Review of Polymer-Free Drug-Coated BioFreedom Coronary Stent.

    Science.gov (United States)

    Konishi, Akihide; Ho, Mami; Shirai, Yuko; Shirato, Haruki

    2018-05-25

    A prospective randomized clinical trial showed that the BioFreedom stent (Biosensors International), which is a polymer-free and carrier-free drug-coated stent, was significantly superior to a bare-metal stent (BMS) in patients at high bleeding risk who were receiving a 1-month course of dual antiplatelet therapy (DAPT). However, the stent thrombosis rate (2.01% for BioFreedom vs. 2.20% for BMS) was 4-6-fold higher than that of approved drug-eluting stents based on real-world data in Japan. Furthermore, the frequency of stent thrombosis at more than 1 month with the BioFreedom stent was slightly higher than that at less than 1 month. This result suggested that it would not be acceptable to stop DAPT universally at 1 month. Thus, the target patients for the BioFreedom stent are unspecified patients at high bleeding risk needing to continue DAPT for as long as necessary in Japan. Therefore, based on the pre- and post-marketing balance of medical devices regulations, regulatory approval was given for unspecified patients conditionally upon real-world data collection of 2,000 patients with a Use-Results Survey, instead of conducting additional pre-marketing clinical trial(s). The Use-Results Survey System is part of a strategy to expedite patients' access to innovative medical devices and to accelerate the development of medical devices.

  19. Perceived Stress and Its Relationship With Chronic Medical Conditions and Multimorbidity Among 229,293 Community-Dwelling Adults in 44 Low- and Middle-Income Countries.

    Science.gov (United States)

    Vancampfort, Davy; Koyanagi, A; Ward, Philip B; Veronese, Nicola; Carvalho, André F; Solmi, Marco; Mugisha, James; Rosenbaum, Simon; De Hert, Marc; Stubbs, Brendon

    2017-10-15

    In this study, we assessed the association of chronic medical conditions and multimorbidity with perceived stress among community-dwelling adults in 44 low- and middle-income countries. Data from the World Health Survey (2002-2004), including 229,293 adults, were analyzed. A perceived stress score (range, 0 (lowest stress)-100 (highest stress)) was computed on the basis of 2 questions from the Perceived Stress Scale. Eleven chronic conditions were assessed. Multivariable linear regression analyses were conducted to explore the associations. All chronic conditions were associated with significantly higher mean perceived stress scores, with the exception of edentulism. The associations were particularly strong for depression (β = 14.71, 95% confidence interval (CI): 13.68, 15.74), visual impairment (β = 10.66, 95% CI: 8.09, 13.23), and schizophrenia (β = 9.98, 95% CI: 7.71, 12.24). Compared with no chronic conditions, the β coefficients for perceived stress with the presence of 1, 2, 3, and ≥4 chronic conditions were 5.58 (95% CI: 4.94, 6.23), 9.58 (95% CI: 8.67, 10.49), 14.15 (95% CI: 12.63, 15.67), and 20.17 (95% CI: 18.29, 22.05), respectively. The associations with perceived stress were significantly stronger among the poorest individuals for arthritis, asthma, diabetes, edentulism, and ≥4 chronic conditions. Our data suggest that a range of chronic conditions and multimorbidity are associated with greatly increased perceived stress among people in low- and middle-income countries, and that the poorest persons may be a particularly vulnerable group. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  20. The correlation of the lifestyle and medical conditions with the vaginal infections and production of 2-phenylethanol.

    Science.gov (United States)

    Findri-Guštek, Stefica; Petek, Maja Jelena; Sarajlija, Hrvoje; Mršić, Gordan; Džepina, Ana Mlinarić; Oreščanin, Višnja

    2012-09-01

    The objective of this study was determination of causative factors of the genital infections and their correlation with various predictor variables. Secondary objectives included: (1) determination of the presence and the type of low molecular weight metabolites in the samples of vaginal secretion formed in vivo, (2) determination of the concentration of 2-phenylethanol formed in vitro for each Candida species, (3) determination of the relationship between fungal/bacterial/viral infections with the metabolites formed in vivo using multivariate analysis. One hundred and ninety-seven women in the age range from 18 to 65 years were included in the study. After the completion of questionnaire, all the patients were subjected to Pap test, cervical swabs for the presence of aerobic bacteria, yeasts, Ureaplasma urealyticum, Chlamydia trachomatis, Mycoplasma, and hrHPV DNA. The presence and the concentration of low-molecular weight metabolites in vitro and in vivo were determined by gas chromatography-mass spectrometry (GC-MS) method. Multivariate analysis methods were used for statistical evaluation. The most important risk factors of fungal/bacterial/viral infections were determined. The presence of 2-phenylethanol in vivo was confirmed in 14 of 74 tested samples and connected with the Candida species. The presence of symptoms, hrHPV DNA and Ureaplasma urealyticum are the predictor variables with the highest influence on the formation of the metabolite in vivo. The results in vitro confirmed that various Candida species produced 2-phenylethanol with the concentrations ranging from 0.6 to 4.64 μg/mL. The medical exposure to irradiation, marital status, and number of partners as well as stress factors (miscarriages, chronic, viral, or tumor illnesses) had the highest influence on the development of the bacterial/fungal/viral infections. The formation of 2-phenylethanol, both in vivo and in vitro, was confirmed and connected with Candida species. Besides, according to

  1. Imagining life with an ostomy: Does a video intervention improve quality-of-life predictions for a medical condition that may elicit disgust?☆

    Science.gov (United States)

    Angott, Andrea M.; Comerford, David A.; Ubel, Peter A.

    2014-01-01

    Objective To test a video intervention as a way to improve predictions of mood and quality-of-life with an emotionally evocative medical condition. Such predictions are typically inaccurate, which can be consequential for decision making. Method In Part 1, people presently or formerly living with ostomies predicted how watching a video depicting a person changing his ostomy pouch would affect mood and quality-of-life forecasts for life with an ostomy. In Part 2, participants from the general public read a description about life with an ostomy; half also watched a video depicting a person changing his ostomy pouch. Participants’ quality-of-life and mood forecasts for life with an ostomy were assessed. Results Contrary to our expectations, and the expectations of people presently or formerly living with ostomies, the video did not reduce mood or quality-of-life estimates, even among participants high in trait disgust sensitivity. Among low-disgust participants, watching the video increased quality-of-life predictions for ostomy. Conclusion Video interventions may improve mood and quality-of-life forecasts for medical conditions, including those that may elicit disgust, such as ostomy. Practice implications Video interventions focusing on patients’ experience of illness continue to show promise as components of decision aids, even for emotionally charged health states such as ostomy. PMID:23177398

  2. Diurnal and twenty-four hour patterning of human diseases: acute and chronic common and uncommon medical conditions.

    Science.gov (United States)

    Smolensky, Michael H; Portaluppi, Francesco; Manfredini, Roberto; Hermida, Ramon C; Tiseo, Ruana; Sackett-Lundeen, Linda L; Haus, Erhard L

    2015-06-01

    The symptom intensity and mortality of human diseases, conditions, and syndromes exhibit diurnal or 24 h patterning, e.g., skin: atopic dermatitis, urticaria, psoriasis, and palmar hyperhidrosis; gastrointestinal: esophageal reflux, peptic ulcer (including perforation and hemorrhage), cyclic vomiting syndrome, biliary colic, hepatic variceal hemorrhage, and proctalgia fugax; infection: susceptibility, fever, and mortality; neural: frontal, parietal, temporal, and occipital lobe seizures, Parkinson's and Alzheimer's disease, hereditary progressive dystonia, and pain (cancer, post-surgical, diabetic neuropathic and foot ulcer, tooth caries, burning mouth and temporomandibular syndromes, fibromyalgia, sciatica, intervertebral vacuum phenomenon, multiple sclerosis muscle spasm, and migraine, tension, cluster, hypnic, and paroxysmal hemicranial headache); renal: colic and nocturnal enuresis and polyuria; ocular: bulbar conjunctival redness, keratoconjunctivitis sicca, intraocular pressure and anterior ischemic optic neuropathy, and recurrent corneal erosion syndrome; psychiatric/behavioral: major and seasonal affective depressive disorders, bipolar disorder, parasuicide and suicide, dementia-associated agitation, and addictive alcohol, tobacco, and heroin cravings and withdrawal phenomena; plus autoimmune and musculoskeletal: rheumatoid arthritis, osteoarthritis, axial spondylarthritis, gout, Sjögren's syndrome, and systemic lupus erythematosus. Knowledge of these and other 24 h patterns of human pathophysiology informs research of their underlying circadian and other endogenous mechanisms, external temporal triggers, and more effective patient care entailing clinical chronopreventive and chronotherapeutic strategies. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. Managing work–family conflict in the medical profession: working conditions and individual resources as related factors

    Science.gov (United States)

    Mache, Stefanie; Bernburg, Monika; Vitzthum, Karin; Groneberg, David A; Klapp, Burghard F; Danzer, Gerhard

    2015-01-01

    Objectives This study developed and tested a research model that examined the effects of working conditions and individual resources on work–family conflict (WFC) using data collected from physicians working at German clinics. Material and methods This is a cross-sectional study of 727 physicians working in German hospitals. The work environment, WFC and individual resources were measured by the Copenhagen Psychosocial Questionnaire, the WFC Scale, the Brief Resilient Coping Scale and the Questionnaire for Self-efficacy, Optimism and Pessimism. Descriptive, correlation and linear regression analyses were applied. Results Clinical doctors working in German hospitals perceived high levels of WFC (mean=76). Sociodemographic differences were found for age, marital status and presence of children with regard to WFC. No significant gender differences were found. WFCs were positively related to high workloads and quantitative job demands. Job resources (eg, influence at work, social support) and personal resources (eg, resilient coping behaviour and self-efficacy) were negatively associated with physicians’ WFCs. Interaction terms suggest that job and personal resources buffer the effects of job demands on WFC. Conclusions In this study, WFC was prevalent among German clinicians. Factors of work organisation as well as factors of interpersonal relations at work were identified as significant predictors for WFC. Our results give a strong indication that both individual and organisational factors are related to WFC. Results may play an important role in optimising clinical care. Practical implications for physicians’ career planning and recommendations for future research are discussed. PMID:25941177

  4. Miscellaneous conditions

    International Nuclear Information System (INIS)

    Berquist, T.H.; Hoffman, A.D.

    1989-01-01

    This paper reports on numerous conditions (systemic diseases, metabolic diseases, etc.) that may also affect the foot and ankle. In many cases, imaging of the foot and ankle is not performed for primary diagnostic purposes. However, radiographic changes do occur with these conditions. Therefore, it is important to be aware of radiographic abnormalities that these diseases may cause in the foot and ankle

  5. Managing work-family conflict in the medical profession: working conditions and individual resources as related factors.

    Science.gov (United States)

    Mache, Stefanie; Bernburg, Monika; Vitzthum, Karin; Groneberg, David A; Klapp, Burghard F; Danzer, Gerhard

    2015-05-03

    This study developed and tested a research model that examined the effects of working conditions and individual resources on work-family conflict (WFC) using data collected from physicians working at German clinics. This is a cross-sectional study of 727 physicians working in German hospitals. The work environment, WFC and individual resources were measured by the Copenhagen Psychosocial Questionnaire, the WFC Scale, the Brief Resilient Coping Scale and the Questionnaire for Self-efficacy, Optimism and Pessimism. Descriptive, correlation and linear regression analyses were applied. Clinical doctors working in German hospitals perceived high levels of WFC (mean=76). Sociodemographic differences were found for age, marital status and presence of children with regard to WFC. No significant gender differences were found. WFCs were positively related to high workloads and quantitative job demands. Job resources (eg, influence at work, social support) and personal resources (eg, resilient coping behaviour and self-efficacy) were negatively associated with physicians' WFCs. Interaction terms suggest that job and personal resources buffer the effects of job demands on WFC. In this study, WFC was prevalent among German clinicians. Factors of work organisation as well as factors of interpersonal relations at work were identified as significant predictors for WFC. Our results give a strong indication that both individual and organisational factors are related to WFC. Results may play an important role in optimising clinical care. Practical implications for physicians' career planning and recommendations for future research are discussed. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Analytical and numerical analyses for a penny-shaped crack embedded in an infinite transversely isotropic multi-ferroic composite medium: semi-permeable electro-magnetic boundary condition

    Science.gov (United States)

    Zheng, R.-F.; Wu, T.-H.; Li, X.-Y.; Chen, W.-Q.

    2018-06-01

    The problem of a penny-shaped crack embedded in an infinite space of transversely isotropic multi-ferroic composite medium is investigated. The crack is assumed to be subjected to uniformly distributed mechanical, electric and magnetic loads applied symmetrically on the upper and lower crack surfaces. The semi-permeable (limited-permeable) electro-magnetic boundary condition is adopted. By virtue of the generalized method of potential theory and the general solutions, the boundary integro-differential equations governing the mode I crack problem, which are of nonlinear nature, are established and solved analytically. Exact and complete coupling magneto-electro-elastic field is obtained in terms of elementary functions. Important parameters in fracture mechanics on the crack plane, e.g., the generalized crack surface displacements, the distributions of generalized stresses at the crack tip, the generalized stress intensity factors and the energy release rate, are explicitly presented. To validate the present solutions, a numerical code by virtue of finite element method is established for 3D crack problems in the framework of magneto-electro-elasticity. To evaluate conveniently the effect of the medium inside the crack, several empirical formulae are developed, based on the numerical results.

  7. Medical marijuana.

    OpenAIRE

    Marmor, J B

    1998-01-01

    Although many clinical studies suggest the medical utility of marijuana for some conditions, the scientific evidence is weak. Many patients in California are self-medicating with marijuana, and physicians need data to assess the risks and benefits. The only reasonable solution to this problem is to encourage research on the medical effects of marijuana. The current regulatory system should be modified to remove barriers to clinical research with marijuana. The NIH panel has identified several...

  8. Fictitious domain methods for elliptic problems with general boundary conditions with an application to the numerical simulation of two phase flows; Methodes de domaine fictif pour des problemes elliptiques avec conditions aux limites generales en vue de la simulation numerique d'ecoulements diphasiques

    Energy Technology Data Exchange (ETDEWEB)

    Ramiere, I

    2006-09-15

    This work is dedicated to the introduction of two original fictitious domain methods for the resolution of elliptic problems (mainly convection-diffusion problems) with general and eventually mixed boundary conditions: Dirichlet, Robin or Neumann. The originality lies in the approximation of the immersed boundary by an approximate interface derived from the fictitious domain Cartesian mesh, which is generally not boundary-fitted to the physical domain. The same generic numerical scheme is used to impose the embedded boundary conditions. Hence, these methods require neither a surface mesh of the immersed boundary nor the local modification of the numerical scheme. We study two modelling of the immersed boundary. In the first one, called spread interface, the approximate immersed boundary is the union of the cells crossed by the physical immersed boundary. In the second one, called thin interface, the approximate immersed boundary lies on sides of mesh cells. Additional algebraic transmission conditions linking both flux and solution jumps through the thin approximate interface are introduced. The fictitious problem to solve as well as the treatment of the embedded boundary conditions are detailed for the two methods. A Q1 finite element scheme is implemented for the numerical validation of the spread interface approach while a new cell-centered finite volume scheme is derived for the thin interface approach with immersed jumps. Each method is then combined to multilevel local mesh refinement algorithms (with solution or flux residual) to increase the precision of the solution in the vicinity of the immersed interface. A convergence analysis of a Q1 finite element method with non-boundary fitted meshes is also presented. This study proves the convergence rates of the present methods. Among the various industrial applications, the simulation on a model of heat exchanger in french nuclear power plants enables us to appreciate the performances of the fictitious domain

  9. Gender role stereotype and poor working condition pose obstacles for female doctors to stay in full-time employment: alumnae survey from two private medical schools in Japan.

    Science.gov (United States)

    Izumi, Miki; Nomura, Kyoko; Higaki, Yuko; Akaishi, Yu; Seki, Masayasu; Kobayashi, Shizuko; Komoda, Takayuki; Otaki, Junji

    2013-03-01

    The shortage of physicians has become a serious problem in Japan. It has been pointed out that an increase in the number of female doctors may contribute to the aggravation of this shortage because it is known that women work fewer hours than male doctors. Here, we investigated how many female doctors had ever resigned from a full-time position, and elucidated the reasons why female doctors find it difficult to stay in full-time employment. An alumnae survey of 2 private medical schools was conducted in 2007. A self-administered questionnaire was sent to 1423 graduates and 711 responded with informed consent (response rate, 50%; mean age, 39 years). Overall, 55% of the respondents had previously resigned from full-time employment, of which 90% resigned within 10 years of graduating from medical school. The difficulty in balancing work, childbirth and child rearing (45%) were the top 2 reasons for resignation, followed by physical problems (12%) and long working hours (8%). Among those who resigned, only 33% returned to full-time employment. Women who had at least 1 child were only 30% of those who had never resigned and 84% of those who had previously resigned. The majority of study subjects, regardless of experience of resignation (88%), agreed that women should continue to work even after childbirth. In conclusion, the results of this study suggested that many female doctors resigned from a full-time position within 10 years of graduating from medical school, largely because of the gender role stereotype and poor working conditions.

  10. Enterococcus faecium and Enterococcus durans isolated from cheese: Survival in the presence of medications under simulated gastrointestinal conditions and adhesion properties.

    Science.gov (United States)

    Amaral, Daniel M F; Silva, Luana F; Casarotti, Sabrina N; Nascimento, Liane Caroline Sousa; Penna, Ana Lúcia B

    2017-02-01

    In this study, we evaluated the survival of Enterococcus faecium and Enterococcus durans, isolated from cheese, in the presence of medications and under simulated in vitro gastrointestinal conditions. The presence of genes encoding virulence factors, the susceptibility to antimicrobial agents, and adhesion properties were also assessed. Enterococcus faecium and E. durans both exhibited resistance to most of the tested medications but showed a large sensitivity to analgesics and antihypertensives; they also showed wide susceptibility to antimicrobial agents. Enterococcus durans SJRP29 had greater resistance to the presence of medications in comparison with the probiotic Lactobacillus acidophilus La-5. The strains, except for E. durans SJRP05, did not harbor virulence genes. Enterococcus durans SJRP14, SJRP17, and SJRP26 were sensitive to all tested antimicrobial agents. Enterococcus faecium was more stable during the simulation of gastrointestinal tract and showed greater viability. At the end of the assay, except for E. durans SJRP17, all strains showed high viability (>7 log cfu/mL). Enterococcus durans SJRP29 stood out from the other strains and was selected for further evaluation; it tolerated up to 3.0% NaCl at 30 and 37°C, besides having good adhesion properties (high values of auto-aggregation, co-aggregation, and hydrophobicity). Additionally, the microorganism did not show bile salt hydrolase activity or mucin degradation. These results encourage carrying out additional tests to evaluate the probiotic features by using in vitro dynamic models and in vivo tests before applying these strains to a food system. Copyright © 2017 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  11. "For Their Own Good": A Response to Popular Arguments Against Permitting Medical Assistance in Dying (MAID) where Mental Illness Is the Sole Underlying Condition.

    Science.gov (United States)

    Dembo, Justine; Schuklenk, Udo; Reggler, Jonathan

    2018-01-01

    Canada is approaching its federal government's review of whether patients should be eligible for medical assistance in dying (MAID) where mental illness is the sole underlying medical condition, and when "natural death" is not "reasonably foreseeable". For those opposed, arguments involve the following themes: capacity, value of life, vulnerability, stigma, irremediability, and the role of physicians. It has also been suggested that those who are able-bodied should have to kill themselves, even though suicide may be painful, lonely, and violent. Opponents of MAID for severe, refractory suffering due to mental illness imply that it is acceptable to remove agency from such patients on paternalistic grounds. After years of efforts to destigmatise mental illness, these kinds of arguments effectively declare all patients with mental illness, regardless of capacity, unable to make considered choices for themselves. The current paper argues that decisions about capacity must be made on an individual-patient basis. Given the rightful importance granted to respect for patient autonomy in liberal democracies, the wholesale removal of agency advocated by opponents of a permissive MAID regime is difficult to reconcile with Canadian constitutional values.

  12. Exploring the enablers and barriers to implementing the Medication Appropriateness Tool for Comorbid Health conditions during Dementia (MATCH-D) criteria in Australia: a qualitative study.

    Science.gov (United States)

    Page, Amy Theresa; Clifford, Rhonda Marise; Potter, Kathleen; Seubert, Liza; McLachlan, Andrew J; Hill, Xaysja; King, Stephanie; Clark, Vaughan; Ryan, Cristin; Parekh, Nikesh; Etherton-Beer, Christopher D

    2017-08-23

    The Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D) criteria provide expert consensus guidance about medication use for people with dementia. This study aimed to identify enablers and barriers to implementing the criteria in practice. Participants came from both rural and metropolitan communities in two Australian states. Focus groups were held with consumers, general practitioners, nurses and pharmacists. data were analysed thematically. Nine focus groups were conducted. Fifty-five participants validated the content of MATCH-D, appraising them as providing patient-centred principles of care. Participants identified potential applications (including the use of MATCH-D as a discussion aid or educational tool for consumers about medicines) and suggested supporting resources. Participants provided insights into applying MATCH-D in practice and suggested resources to be included in an accompanying toolkit. These data provide external validation of MATCH-D and an empiric basis for their translation to practice. Following resource development, we plan to evaluate the feasibility and efficacy of implementation in practice. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  13. Psychotic experiences and general medical conditions: a cross-national analysis based on 28 002 respondents from 16 countries in the WHO World Mental Health Surveys.

    Science.gov (United States)

    Scott, Kate M; Saha, Sukanta; Lim, Carmen C W; Aguilar-Gaxiola, Sergio; Al-Hamzawi, Ali; Alonso, Jordi; Benjet, Corina; Bromet, Evelyn J; Bruffaerts, Ronny; Caldas-de-Almeida, José Miguel; de Girolamo, Giovanni; de Jonge, Peter; Degenhardt, Louisa; Florescu, Silvia; Gureje, Oye; Haro, Josep M; Hu, Chiyi; Karam, Elie G; Kovess-Masfety, Viviane; Lee, Sing; Lepine, Jean-Pierre; Mneimneh, Zeina; Navarro-Mateu, Fernando; Piazza, Marina; Posada-Villa, José; Sampson, Nancy A; Stagnaro, Juan Carlos; Kessler, Ronald C; McGrath, John J

    2018-02-26

    Previous work has identified associations between psychotic experiences (PEs) and general medical conditions (GMCs), but their temporal direction remains unclear as does the extent to which they are independent of comorbid mental disorders. In total, 28 002 adults in 16 countries from the WHO World Mental Health (WMH) Surveys were assessed for PEs, GMCs and 21 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mental disorders. Discrete-time survival analyses were used to estimate the associations between PEs and GMCs with various adjustments. After adjustment for comorbid mental disorders, temporally prior PEs were significantly associated with subsequent onset of 8/12 GMCs (arthritis, back or neck pain, frequent or severe headache, other chronic pain, heart disease, high blood pressure, diabetes and peptic ulcer) with odds ratios (ORs) ranging from 1.3 [95% confidence interval (CI) 1.1-1.5] to 1.9 (95% CI 1.4-2.4). In contrast, only three GMCs (frequent or severe headache, other chronic pain and asthma) were significantly associated with subsequent onset of PEs after adjustment for comorbid GMCs and mental disorders, with ORs ranging from 1.5 (95% CI 1.2-1.9) to 1.7 (95% CI 1.2-2.4). PEs were associated with the subsequent onset of a wide range of GMCs, independent of comorbid mental disorders. There were also associations between some medical conditions (particularly those involving chronic pain) and subsequent PEs. Although these findings will need to be confirmed in prospective studies, clinicians should be aware that psychotic symptoms may be risk markers for a wide range of adverse health outcomes. Whether PEs are causal risk factors will require further research.

  14. Asthma Medications and Pregnancy

    Science.gov (United States)

    ... Asthma Associated Conditions Asthma & Pregnancy Asthma & Pregnancy: Medications Asthma & Pregnancy: Medications Make an Appointment Refer a Patient ... make sure you are using it correctly. Other Asthma Related Medication Treatment Annual influenza vaccine (flu shot) ...

  15. Medication/Drug Allergy

    Science.gov (United States)

    ... Training Home Conditions Medication/Drug Allergy Medication/Drug Allergy Make an Appointment Find a Doctor Ask a ... risk for adverse reactions to medications. Facts about Allergies The tendency to develop allergies may be inherited. ...

  16. Medical Evaluation and Triage of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA Medical Evaluation Workgroup

    Science.gov (United States)

    Nordstrom, Kimberly; Zun, Leslie S; Wilson, Michael P; MD, Victor Stiebel; Ng, Anthony T; Bregman, Benjamin; Anderson, Eric L

    2012-01-01

    Numerous medical and psychiatric conditions can cause agitation; some of these causes are life threatening. It is important to be able to differentiate between medical and nonmedical causes of agitation so that patients can receive appropriate and timely treatment. This article aims to educate all clinicians in nonmedical settings, such as mental health clinics, and medical settings on the differing levels of severity in agitation, basic triage, use of de-escalation, and factors, symptoms, and signs in determining whether a medical etiology is likely. Lastly, this article focuses on the medical workup of agitation when a medical etiology is suspected or when etiology is unclear. PMID:22461915

  17. Determining Stressors among Dentistry Students of Tabriz University of Medical Sciences in Educational Environments and its Relationship with their General Health Condition

    Directory of Open Access Journals (Sweden)

    Tannaz Pourlak

    2018-04-01

    Full Text Available Background: It is believed that medical students are more faced with stressors during their academic studies. The highest rate of stress and anxiety in clinical education settings may negatively affect the learning and success of these students. The aim of the current study is investigating the stressors dentistry students face within educational settings and its relationship with their general health condition. Materials and Methods: The current statistical-analytic study performed upon 180 dentistry students of Tabriz University of Medical Sciences in 2014. A 54-item Student Stressors Questionnaire was used to assess the students stress and a 28-item Goldberg Questionnaire was used to evaluate the general health of the students. Likert 4-item scale (0 to 3 was used for scoring both questionnaires. Results: Mean age of the participants was 24.37±2.84. 6.65% of students were female and the mean stress level was 1.2±0.6. 36.7%, 48.3% and 15% of students had low, average and high stress level, respectively. There was no significant relationship between students’ stress and sex or their marital status. 50%, 23.3%, 20.6% and 6.1% of students had high, average, poor and very poor general health, respectively. There was no significant relationship between students’ gender and their general health. There was also no significant relationship between students’ stress and their general health. Conclusion: Almost half of dentistry students had average stress and 15% had high stress in which levels its pressure may get sever with increased academic period and difficulty level of the academic units. Correct educational programs, periodic counseling meetings and use of skilled counselors at universities can play influential roles to reduce stress level of dentistry students.

  18. Role of childhood adversity in the development of medical co-morbidities associated with bipolar disorder

    NARCIS (Netherlands)

    Post, Robert M.; Altshuler, Lori L.; Leverich, Gabriele S.; Frye, Mark A.; Suppes, Trisha; McElroy, Susan L.; Keck, Paul E.; Nolen, Willem A.; Kupka, Ralph W.; Grunze, Heinz; Rowe, Mike

    Objective: A role for childhood adversity in the development of numerous medical conditions in adults has been described in the general population, but has not been examined in patients with bipolar disorder who have multiple medical comorbidities which contribute to their premature mortality.

  19. The language of uncertainty in genetic risk communication: framing and verbal versus numerical information.

    Science.gov (United States)

    Welkenhuysen, M; Evers-Kiebooms, G; d'Ydewalle, G

    2001-05-01

    Within a group of 300 medical students, two characteristics of risk communication in the context of a decision regarding prenatal diagnosis for cystic fibrosis are manipulated: verbal versus numerical probabilities and the negative versus positive framing of the problem (having a child with versus without cystic fibrosis). Independently of the manipulations, most students were in favor of prenatal diagnosis. The effect of framing was only significant in the conditions with verbal information: negative framing produced a stronger choice in favor of prenatal diagnosis than positive framing. The framing effect in the verbal conditions and its absence in the numerical conditions are explained by the dominance of the problem-occurrence orientation in health matters as well as a recoding process which is more likely to occur in the numerical (the probability "1-P" switches to its counterpart "P") than in the verbal conditions. The implications for the practice of genetic counseling are discussed.

  20. Comments on numerical simulations

    International Nuclear Information System (INIS)

    Sato, T.

    1984-01-01

    The author comments on a couple of things about numerical simulation. One is just about the philosophical discussion that is, spontaneous or driven. The other thing is the numerical or technical one. Frankly, the author didn't want to touch on the technical matter because this should be a common sense one for those who are working at numerical simulation. But since many people take numerical simulation results at their face value, he would like to remind you of the reality hidden behind them. First, he would point out that the meaning of ''driven'' in driven reconnection is different from that defined by Schindler or Akasofu. The author's definition is closer to Axford's definition. In the spontaneous case, for some unpredicted reason an excess energy of the system is suddenly released at a certain point. However, one does not answer how such an unstable state far beyond a stable limit is realized in the magnetotail. In the driven case, there is a definite energy buildup phase starting from a stable state; namely, energy in the black box increases from a stable level subject to an external source. When the state has reached a certain position, the energy is released suddenly. The difference between driven and spontaneous is whether the cause (plasma flow) to trigger reconnection is specified or reconnection is triggered unpredictably. Another difference is that in driven reconnection the reconnection rate is dependent on the speed of the external plasma flow, but in spontaneous reconnection the rate is dependent on the internal condition such as the resistivity

  1. A cross-sectional survey of pharmacists to understand their personal preference of brand and generic over-the-counter medications used to treat common health conditions.

    Science.gov (United States)

    Patel, Mira; Slack, Marion; Cooley, Janet; Bhattacharjee, Sandipan

    2016-01-01

    Consumers are hesitant in choosing generic medications as they are under the assumption that they are not as safe nor effective as brand medications. However, pharmacists do have the education and training to know that this is not the case. The aim of this study was to determine pharmacists' preference of generic versus brand over-the-counter (OTC) medication for their personal use as self-treatment for various health symptoms. A prospective, cross sectional study was conducted on 553 licensed pharmacists who were presumed to have expertise in the use of generic and brand name OTC medications. In a single Southwestern state in the United States, from December 2014 to January 2015, a web-based questionnaire was sent to pharmacists to explore their preference of brand and generic medications based on various health symptoms. Thirty-one brand-generic medication pairs were used to identify which medication type pharmacists preferred when asked about nine health symptoms. Frequency counts of pharmacists' preference of a brand medication or a generic OTC medication overall and for each of the nine health symptoms were determined. Chi-squared analyses and one-way ANOVA were conducted to determine if there were any differences between the preferences of brand and generic OTC medications across each symptom. The study overall showed that pharmacists preferred generic OTC medications to brand OTC medications (62 to 5 %, respectively). Based on an 11-point rating scale, pharmacists were likely to take OTC generic medications (as their choice of self-treatment) when presented with health symptoms (mean = 7.32 ± 2.88). In addition, pharmacists chose generic OTC medications over brand medications regardless of health symptoms (p brand name OTC medications for self-treating a variety of health symptoms. These study findings support the theory that expertise affects preference for generic versus brand name OTC medications. This information can be used to provide

  2. Numerical methods for image registration

    CERN Document Server

    Modersitzki, Jan

    2003-01-01

    Based on the author's lecture notes and research, this well-illustrated and comprehensive text is one of the first to provide an introduction to image registration with particular emphasis on numerical methods in medical imaging. Ideal for researchers in industry and academia, it is also a suitable study guide for graduate mathematicians, computer scientists, engineers, medical physicists, and radiologists.Image registration is utilised whenever information obtained from different viewpoints needs to be combined or compared and unwanted distortion needs to be eliminated. For example, CCTV imag

  3. Direct numerical simulations of exhaust gas recirculation effect on multistage autoignition in the negative temperature combustion regime for stratified HCCI flow conditions by using H2O2 addition

    Science.gov (United States)

    El-Asrag, Hossam A.; Ju, Yiguang

    2013-04-01

    Direct numerical simulations (DNSs) of a stratified flow in a homogeneous compression charge ignition (HCCI) engine are performed to investigate the exhaust gas recirculation (EGR) and temperature/mixture stratification effects on the autoignition of synthetic dimethyl ether (DME) in the negative temperature combustion region. Detailed chemistry for a DME/air mixture is employed and solved by a hybrid multi-time scale (HMTS) algorithm to reduce the computational cost. The effect of ? to mimic the EGR effect on autoignition are studied. The results show that adding ? enhances autoignition by rapid OH radical pool formation (34-46% reduction in ignition delay time) and changes the ignition heat release rates at different ignition stages. Sensitivity analysis is performed and the important reactions pathways affecting the autoignition are specified. The DNS results show that the scales introduced by thermal and mixture stratifications have a strong effect after the low temperature chemistry (LTC) ignition especially at the locations of high scalar dissipation rates. Compared to homogenous ignition, stratified ignitions show similar first autoignition delay times, but 18% reduction in the second and third ignition delay times. The results also show that molecular transport plays an important role in stratified low temperature ignition, and that the scalar mixing time scale is strongly affected by local ignition in the stratified flow. Two ignition-kernel propagation modes are observed: a wave-like, low-speed, deflagrative mode and a spontaneous, high-speed, ignition mode. Three criteria are introduced to distinguish these modes by different characteristic time scales and Damkhöler numbers using a progress variable conditioned by an ignition kernel indicator. The low scalar dissipation rate flame front is characterized by high displacement speeds and high mixing Damkhöler