How Warm is an Igloo?

Homeostasis maintains the human body temperature within a few degrees of 37oC. However, in severe environments, such as a harsh winter blizzard, the body will not be able to maintain a 37oC temperature without the aid of clothes, shelter, and sources of heat. We find the Igloo, a shelter made of ice and snow, a very interesting means of maintaining body temperature. In this project, we have created a mesh of the Igloo system in GAMBIT and ran simulations in FIDAP to examine temperature variation and air flow inside of the igloo, when the human body is the only source of heat. In the steady state temperature profile obtained, areas of highest temperature were located directly around and above the human, and close to the top of the igloo, the temperature was 289K. The areas of lowest temperature were around 266 K, located at the bottom of the igloo farthest from the human. Natural convection caused the velocity of the air in the igloo to range from 0 to 9mm/s. The FIDAP analysis did not take into account radiative heat transfer, so a separate analysis was done, which revealed that there is considerable heat transfer through radiation in an igloo

Designing an automated clinical decision support system to match clinical practice guidelines for opioid therapy for chronic pain

Abstract Background Opioid prescribing for chronic pain is common and controversial, but recommended clinical practices are followed inconsistently in many clinical settings. Strategies for increasing adherence to clinical practice guideline recommendations are needed to increase effectiveness and reduce negative consequences of opioid prescribing in chronic pain patients. Methods Here we describe the process and outcomes of a project to operationalize the 2003 VA/DOD Clinical Practice Guideline for Opioid Therapy for Chronic Non-Cancer Pain into a computerized decision support system (DSS) to encourage good opioid prescribing practices during primary care visits. We based the DSS on the existing ATHENA-DSS. We used an iterative process of design, testing, and revision of the DSS by a diverse team including guideline authors, medical informatics experts, clinical content experts, and end-users to convert the written clinical practice guideline into a computable algorithm to generate patient-specific recommendations for care based upon existing information in the electronic medical record (EMR), and a set of clinical tools. Results The iterative revision process identified numerous and varied problems with the initially designed system despite diverse expert participation in the design process. The process of operationalizing the guideline identified areas in which the guideline was vague, left decisions to clinical judgment, or required clarification of detail to insure safe clinical implementation. The revisions led to workable solutions to problems, defined the limits of the DSS and its utility in clinical practice, improved integration into clinical workflow, and improved the clarity and accuracy of system recommendations and tools. Conclusions Use of this iterative process led to development of a multifunctional DSS that met the approval of the clinical practice guideline authors, content experts, and clinicians involved in testing. The process and experiences described provide a model for development of other DSSs that translate written guidelines into actionable, real-time clinical recommendations.http://deepblue.lib.umich.edu/bitstream/2027.42/78267/1/1748-5908-5-26.xmlhttp://deepblue.lib.umich.edu/bitstream/2027.42/78267/2/1748-5908-5-26.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/78267/3/1748-5908-5-26-S3.TIFFhttp://deepblue.lib.umich.edu/bitstream/2027.42/78267/4/1748-5908-5-26-S2.TIFFhttp://deepblue.lib.umich.edu/bitstream/2027.42/78267/5/1748-5908-5-26-S1.TIFFPeer Reviewe

Salvage Fractionated Stereotactic Re-irradiation (FSRT) for Patients with Recurrent High Grade Gliomas Progressed after Bevacizumab Treatment

Purpose/Objectives: Bevacizumab failure is a major clinical problem in the manage- ment of high grade gliomas (HGG), with a median overall survival of less than 4 months (m). This study evaluated the efficacy of fractionated stereotactic re-irradiation (FSRT) for patients with HGG after progression on Bevacizumab. Materials/Methods: Retrospective review was conducted of patients treated with FSRT after progression on bevacizumab. A total of 36 patients were identified. FSRT was most commonly delivered in 3.5 Gy fractions to a total dose of 35 Gy. Survival from initial diagnosis, as well as from recurrence and re-irradiation, were utilized as study endpoints. Univariate and multivariate analysis was performed. Results: Among the 36 patients, 31 patients had recurrent glioblastoma, and 5 patients had recurrent anaplastic astrocytoma. The median time from initial bevacizumab treatment to FSRT was 8.5 m (range 2.3 – 32.0 m). The median plan target volume for FSRT was 27.5 cc (range 1.95 – 165 cc). With a median follow up of 20.4 m, the overall survival of the patients since initial diagnosis was also 24.9 m. The median overall survival after initiation of bevacizumab was 13.4 months. The median overall survival from FSRT was 4.8 m. FSRT treatment was well tolerated with no Grade \u3e3 toxicity. Conclusions: Favorable outcomes were observed in patients with recurrent HGG who received salvage FSRT after bevacizumab failure. The treatment was well tolerated. Prospective study is warranted to further evaluate the efficacy of salvage FSRT for selected patients with recurrent HGG amenable to FSRT, who had failed bevacizumab treatment

The SYZ conjecture via homological mirror symmetry

These are expository notes based on a talk given at the Superschool on derived categories and D-branes at University of Alberta in July of 2016. The goal of these notes is to give a motivated introduction to the Strominger-Yau-Zaslow (SYZ) conjecture from the point of view of homological mirror symmetry.Comment: Contribution to the proceedings of the Superschool on derived categories and D-brane

Research on The Optimization Strategy of Cross-border B2B Supply Chain with Service Cost Information Sharing

The development of cross-border e-commerce highlights the importance of service integration and information sharing. This paper considers a cross-border B2B supply chain which consists of a local manufacturer and a foreign trade service integrator. The service integrator holds the service cost structure as private information. The optimal decisions and maximum expected profits of the manufacturer and service integrator are analyzed under two scenarios：no information sharing versus information sharing. The paper finds that information sharing always benefit the manufacturer but not for the service integrator. In the meanwhile, the value of information is increased with the manufacturer’s forecast uncertainty about the service integrator’s service cost. The whole supply chain can get pareto improvement through the Nash bargaining mechanism