Burnout affects nearly half of all U.S. nurses and physicians, and has been linked to poor outcomes such as worse patient safety. The most common measure of burnout is the well-validated Maslach Burnout Inventory (MBI). However, the MBI is proprietary and carries licensing fees, posing challenges to routine or repeated assessment.
This paper deals with the computational modeling and sub-grid scale stabilization of incompressibility and convection in the numerical simulation of the material flow around the probe tool in a friction stir welding (FSW) process. Within the paradigmatic framework of the multiscale stabilization methods, suitable pressure and convective derivative of the temperature sub-grid scale stabilized coupled thermomechanical formulations have been developed using an Eulerian description. Norton-Hoff and Sheppard-Wright thermo-rigid-viscoplastic constitutive material models have been considered. Constitutive equations for the sub-grid scale models have been proposed and an approximation of the sub-grid scale variables has been given. In particular, algebraic sub-grid scale (ASGS) and orthogonal sub-grid scale (OSGS) methods for mixed velocity, pressure and temperature P1/P1/P1 linear elements have been considered. Furthermore, it has been shown that well known classical stabilized formulations, such as the Galerkin least-squares (GLS) for incompressible (or quasi-incompressible) problems or the Streamline Upwind/Petrov-Galerkin (SUPG) method for convection dominant problems, can be recovered as particular cases of the multiscale stabilization framework considered. Using a product formula algorithm for the solution of the coupled thermomechanical problem, the resulting algebraic system of equations has been solved using a staggered procedure in which a mechanical problem, defined by the linear momentum balance equation, under quasi-static conditions, and the incompressibility equation, is solved first at constant temperature. Then a thermal problem, defined by the energy balance equation, is solved keeping constant the mechanical variables, i.e. velocity and pressure. The computational model has been implemented in an enhanced version of the finite element software COMET, developed by the authors at the International Center for Numerical Methods in Engineering (CIMNE). Two numerical examples have been considered. The first one deals with the numerical simulation of a coupled thermomechanical flow in a 2D rectangular domain. Steady-state and transient conditions have been considered. The goal of this numerical example has been the comparison between different sub-grid scale stabilization methods for the velocity and temperature equations. In particular, using a GLS stabilization method for the pressure equation, a comparison between SUPG and OSGS convective stabilization methods has been performed. Additionally, using a SUPG stabilization method for the temperature equation, a comparison between GLS and OSGS pressure stabilization methods has been done. The second example deals with the 3D numerical simulation of a representative FSW process. Numerical results obtained have been compared with experimental results available in the literature. A good agreement on the temperature distribution has been obtained and predicted peak temperatures compare well, both in value and position, with the experimental results available.
We compute the Gabor matrix for Schr\"odinger-type evolution operators.Precisely, we analyze the Heat Equation, already presented in\cite{2012arXiv1209.0945C}, giving the exact expression of the Gabor matrixwhich leads to better numerical evaluations. Then, using asymptotic integrationtechniques, we obtain an upper bound for the Gabor matrix in one-dimension forthe generalized Heat Equation, new in the literature. Using Maple software, weshow numeric representations of the coefficients' decay. Finally, we show thesuper-exponential decay of the coefficients of the Gabor matrix for theHarmonic Repulsor, together with some numerical evaluations. This work is thenatural prosecution of the ideas presented in \cite{2012arXiv1209.0945C} and\cite{MR2502369}.
The importance of morbid obesity as a risk factor for complications after total knee arthroplasty (TKA) continues to be debated. Obesity is rarely an isolated diagnosis and tends to cluster with other comorbidities that may independently lead to increased risk and confound outcomes. It is unknown whether morbid obesity independently affects postoperative complications and resource use after TKA.
Microorganism adhesion on polyethylene for total joint arthroplasty is a concern. Many studies have focused on vitamin E-stabilized ultrahigh-molecular-weight polyethylene (UHMWPE), whereas first-generation, highly crosslinked UHMWPE, which is the most commonly used in clinical practice, has been scarcely evaluated.
Neuregulin 1 (NRG1) and v-erb-a erythroblastic leukemia viral oncogene homolog 4 (ErbB4) have been extensively studied in schizophrenia susceptibility because of their pivotal role in key neurodevelopmental processes. One of the reasons for the inconsistencies in results could be the fact that the phenotype investigated has mostly the diagnosis of schizophrenia per se, which is widely heterogeneous, both clinically and biologically. In the present study we tested, in a large cohort of 461 schizophrenia patients recruited in Scotland, whether several SNPs in NRG1 and/or ErbB4 are associated with schizophrenia symptom dimensions as evaluated by the Positive and Negative Syndrome Scale (PANSS). We then followed up nominally significant results in a second cohort of 439 schizophrenia subjects recruited in Germany. Using linear regression, we observed two different groups of polymorphisms in NRG1 gene: one showing a nominal association with higher scores of the PANSS positive dimension and the other one with higher scores of the PANSS negative dimension. Regarding ErbB4, a small cluster located in the 5' end of the gene was detected, showing nominal association mainly with negative, general and total dimensions of the PANSS. These findings suggest that some regions of NRG1 and ErbB4 are functionally involved in biological processes that underlie some of the phenotypic manifestations of schizophrenia. Because of the lack of significant association after correction for multiple testing, our analyses should be considered as exploratory and hypothesis generating for future studies.