Correlation of laser velocimeter measurements over a wing with results of two prediction techniques

The flow field at the center line of an unswept wing with an aspect ratio of eight was determined using a two dimensional viscous flow prediction technique for the flow field calculation, and a three dimensional potential flow panel method to evaluate the degree of two dimensionality achieved at the wing center line. The analysis was made to provide an acceptable reference for comparison with velocity measurements obtained from a fringe type laser velocimeter optics systems operating in the backscatter mode in the Langley V/STOL tunnel. Good agreement between laser velocimeter measurements and theoretical results indicate that both methods provide a true representation of the velocity field about the wing at angles of attack of 0.6 and 4.75 deg

Is Segmental Interference Position-dependent?

The paper investigates the existence of position-independent segments in written and typed word production. In two experiments, we employed the segmental interference effect to first replicate past findings that naming a picture is more difficult in the context of another picture with which it shares segments in the same position (e.g., glow-flow) compared to an unrelated word (e.g., glow-cave). We then tested a new condition, in which the same target word is paired with an anagram of the original competitor (glow-wolf). Critically, the anagram shared the same number of segments with the target word, but never in the same position. Both experiments found robust interference for targets produced in the context of anagrams, with a magnitude comparable to the interference induced by the position-overlapping word. The results suggest that not only are position-independent segments represented in the production system, but they also play a critical role in activating segmentally related words and creating competition during word production

Letter From Charles R. Hepner to Alfred L. Shoemaker, April 8, 1957

A handwritten letter from Charles R. Hepner addressed to Alfred L. Shoemaker, dated April 8, 1957. Within, Hepner writes to corroborate a story he heard on Shoemaker\u27s radio program about an amputated limb by relating his own experiences of phantom pain following an amputation and the method used to cure it.https://digitalcommons.ursinus.edu/shoemaker_documents/1063/thumbnail.jp

Laser velocimeter survey about a NACA 0012 wing at low angles of attack

An investigation was conducted in the Langley V/STOL tunnel with a laser velocimeter to obtain measurements of airflow velocities about a wing at low angles of attack. The applicability of the laser velocimeter technique for this purpose in the V/STOL tunnel was demonstrated in this investigation with measurement precision bias calculated at -1.33 percent to 0.91 percent and a random uncertainty calculated at + or - 0.47 percent. Free stream measurements were obtained with this device and compared with velocity calculations from pitot static probe data taken near the laser velocimeter measurement location. The two measurements were in agreement to within 1 percent. Velocity measurement results about the centerline at 0.6 degrees angle of attack were typically those expected. At 4.75 degrees, the velocity measurements indicated that a short laminar separation bubble existed near the leading edge with an oscillating shear layer

Flattening of the interventricular septum (D-shaped left ventricle) in addition to high right ventricular tracer uptake and increased right ventricular volume found on gated SPECT studies strongly correlates with right ventricular overload

Background. Flattening of the interventricular septum (D-shaped left ventricle) detected during echocardiographic examination is correlated with significant right ventricular (RV) overload. There are no reports of this finding with cardiac gated single photon emission computed tomography (SPECT) imaging. We report an observational study correlating this finding with the presence of RV overload. Methods and Results. Retrospectively, we compared 8 cases with flattening of the interventricular septum on cardiac gated SPECT imaging for which echocardiographic correlations and clinical data were available regarding the presence of RV overload. All patients but I had pulmonary hypertension ranging from 42 to 52 mm Hg measured by echocardiographic Doppler studies. All patients but 1 had reasons for RV overload (chronic obstructive pulmonary disease in 3, history of atrial septal defect in 3, pulmonary embolism in 1, and obstructive sleep apnea in 1). Septal flattening present on gated SPECT images was seen in 50% of the cases by echocardiography. Other signs of RV overload (RV enlargement, RV hypertrophy) were observed by echocardiography in 5 patients and by the gated SPECT in 7 patients. Conclusion. The presence of interventricular septal flattening on gated SPECT studies correlates with RV overload and should be routinely assessed during interpretation of gated SPECT studies

Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers

Background: Operating room (OR) crises are high-acuity events requiring rapid, coordinated management. Medical judgment and decision-making can be compromised in stressful situations, and clinicians may not experience a crisis for many years. A cognitive aid (e.g., checklist) for the most common types of crises in the OR may improve management during unexpected and rare events. While implementation strategies for innovations such as cognitive aids for routine use are becoming better understood, cognitive aids that are rarely used are not yet well understood. We examined organizational context and implementation process factors influencing the use of cognitive aids for OR crises. Methods: We conducted a cross-sectional study using a Web-based survey of individuals who had downloaded OR cognitive aids from the websites of Ariadne Labs or Stanford University between January 2013 and January 2016. In this paper, we report on the experience of 368 respondents from US hospitals and ambulatory surgical centers. We analyzed the relationship of more successful implementation (measured as reported regular cognitive aid use during applicable clinical events) with organizational context and with participation in a multi-step implementation process. We used multivariable logistic regression to identify significant predictors of reported, regular OR cognitive aid use during OR crises. Results: In the multivariable logistic regression, small facility size was associated with a fourfold increase in the odds of a facility reporting more successful implementation (p = 0.0092). Completing more implementation steps was also significantly associated with more successful implementation; each implementation step completed was associated with just over 50% higher odds of more successful implementation (p ≤ 0.0001). More successful implementation was associated with leadership support (p < 0.0001) and dedicated time to train staff (p = 0.0189). Less successful implementation was associated with resistance among clinical providers to using cognitive aids (p < 0.0001), absence of an implementation champion (p = 0.0126), and unsatisfactory content or design of the cognitive aid (p = 0.0112). Conclusions: Successful implementation of cognitive aids in ORs was associated with a supportive organizational context and following a multi-step implementation process. Building strong organizational support and following a well-planned multi-step implementation process will likely increase the use of OR cognitive aids during intraoperative crises, which may improve patient outcomes. Electronic supplementary material The online version of this article (10.1186/s13012-018-0739-4) contains supplementary material, which is available to authorized users

Integration of Data Mining Classification Techniques and Ensemble Learning for Predicting the Type of Breast Cancer Recurrence

Conservative surgery plus radiotherapy is an alternative to radical mastectomy in the early stages of breast cancer, presenting equivalent survival rates. Data mining facilitates to manage the data and provide the useful medical progression and treatment of cancerous conditions as these methods can help to reduce the number of false positive and false negative decisions. Various machine learning techniques can be used to support the doctors in effective and accurate decision making. In this paper, various classifiers have been tested for the prediction of type of breast cancer recurrence and the results show that neural networks outperform others

Does Screening for Pain Correspond to High Quality Care for Veterans?

Routine numeric screening for pain is widely recommended, but its association with overall quality of pain care is unclear. To assess adherence to measures of pain management quality and identify associated patient and provider factors. A cross-sectional visit-based study. One hundred and forty adult VA outpatient primary care clinic patients reporting a numeric rating scale (NRS) of moderate to severe pain (four or more on a zero to ten scale). Seventy-seven providers completed a baseline survey regarding general pain management attitudes and a post-visit survey regarding management of 112 participating patients. We used chart review to determine adherence to four validated process quality indicators (QIs) including noting pain presence, pain character, and pain control, and intensifying pharmacological intervention. The average NRS was 6.7. Seventy-three percent of charts noted the presence of pain, 13.9% the character, 23.6% the degree of control, and 15.3% increased pain medication prescription. Charts were more likely to include documentation of pain presence if providers agreed that “patients want me to ask about pain” and “pain can have negative consequences on patient’s functioning”. Charts were more likely to document character of pain if providers agreed that “patients are able to rate their pain”. Patients with musculoskeletal pain were less likely to have chart documentation of character of pain. Despite routine pain screening in VA, providers seldom documented elements considered important to evaluation and treatment of pain. Improving pain care may require attention to all aspects of pain management, not just screening

Has Behavioral Science Tumbled Through the Biological Looking Glass? Will Brief, Evidence-Based Training Return It From the Rabbit Hole?

Time constraints and professional demands leave practicing professionals unlikely to enroll in extended training such as a semester-long graduate course. Thus, the three-hour continuing education format has become a standard for those in practice. One may ask what sorts of training strategies optimize that format. To explore that, a three hour training program for seventy-six practicing mental health professionals, most of whom self-identified as psychologists, was devised. It made use of primarily antecedent techniques that have been shown to bring about changed perceptions on a number of topics. Content focused on two areas of importance to behavior analysts, the culture’s increasing acceptance of the biological causation model of disorders such as attentiondeficit hyperactivity disorder (ADHD), unipolar depression, anxiety disorders, and schizophrenia, and the field’s increasing reliance on medications, often to the exclusion of behavioral methods. Pre-post assessment showed that participants had changed their thinking regarding the two content areas. The authors caution that participants’ changed opinions may serve as setting events to changes in practice, but those changes are verbal. One must not assume changes in practice techniques will automatically occur