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In this study, an experimental apparatus is used to excite four U-tube-shaped liquid pistons connected in series, and to study their behaviour. Some of the gas spaces are heated to induce piston oscillations; in others, gas expansion is utilised to produce a refrigeration effect. It was discovered that the liquid piston surface would become unstable and turbulent at relatively low gas charge pressures (2 bar–3 bar). Cylindrical polyethylene floats were employed at each piston surface in order to reduce the area of the free surface of each piston and allow experiments to be conducted over a wide range of operating conditions. Experiments were carried out using gas charge pressures in the range of 1 bar–6 bar. The resulting liquid piston oscillations were measured and analysed to assess the impact of any developing piston instability. Evidence of a liquid piston acceleration limit, likely resulting from the Rayleigh-Taylor instability phenomenon, is consistently observed during the experiments. The use of submerged polyethylene piston floats is found to increase the surface stability and enable maximum accelerations of 25 ms−2 to 30 ms−2.
In March 2019, German-speaking scientists and scholars calling themselves Scientists for Future, published a statement in support of the youth protesters in Germany, Austria, and Switzerland (Fridays for Future, Klimastreik/Climate Strike), verifying the scientific evidence that the youth protestors refer to. In this article, they provide the full text of the statement, including the list of supporting facts (in both English and German) as well as an analysis of the results and impacts of the statement. Furthermore, they reflect on the challenges for scientists and scholars who feel a dual responsibility: on the one hand, to remain independent and politically neutral, and, on the other hand, to inform and warn societies of the dangers that lie ahead.
Aquifers are typically perceived as rather stable habitats, characterized by low biogeochemical and microbial community dynamics. Upon contamination, aquifers shift to a perturbed ecological status, in which specialized populations of contaminant degraders establish and mediate aquifer restoration. However, the ecological controls of such degrader populations, and possible feedbacks between hydraulic and microbial habitat components, remain poorly understood. Here, we provide evidence of such couplings, via 4 years of annual sampling of groundwater and sediments across a high-resolution depth-transect of a hydrocarbon plume. Specialized anaerobic degrader populations are known to be established at the reactive fringes of the plume. Here, we show that fluctuations of the groundwater table were paralleled by pronounced dynamics of biogeochemical processes, pollutant degradation, and plume microbiota. Importantly, a switching in maximal relative abundance between dominant degrader populations within the Desulfobulbaceae and Desulfosporosinus spp. was observed after hydraulic dynamics. Thus, functional redundancy amongst anaerobic hydrocarbon degraders could have been relevant in sustaining biodegradation processes after hydraulic fluctuations. These findings contribute to an improved ecological perspective of contaminant plumes as a dynamic microbial habitat, with implications for both monitoring and remediation strategies in situ.
Implementation of robotic devices in nursing care. Barriers and facilitators: an integrative review
(2020)
Background: Robots in healthcare are gaining increasing attention; however, their implementation is challenging due to the complexity of both interventions themselves and the contexts in which they are implemented. The objective of this integrative review is to identify barriers to and facilitators of the implementation of robotic systems in nursing.
Methods: Articles published from 2002 to 2019 reporting on projects to implement robotic devices in nursing care were searched on Medline (via PubMed), CINAHL and databases on funded research projects (Community Research and Development Information Services and Technische Informationsbibliothek) and in journals for robotic research in November 2017 and July 2019 for an update. No restrictions regarding study designs were imposed. All included articles underwent quality assessments with design-specific critical appraisal tools. Barriers to and facilitators of implementation were classified using the Context and Implementation of Complex Interventions framework.
Results: After removing all duplicates, the search revealed 11 204 studies, of which 17 met the inclusion criteria and were included in the synthesis. The majority of the studies dealt with the implementation of robots designed to support individuals, either living at home or in nursing homes (n=11). The studies were conducted in Europe, the USA and New Zealand and were carried out in nursing homes, individual living environments, hospital units and laboratories. The quality of reporting and quality of evidence were low in most studies. The most frequently reported barriers were in socioeconomic and ethical domains and were within the implementation outcomes domain. The most frequently reported facilitators were related to the sociocultural context, implementation process and implementation strategies.
Discussion: This review identified barriers to and facilitators of the implementation of robotic devices in nursing within different dimensions. The results serve as a basis for the development of suitable implementation strategies to reduce potential barriers and promote the integration of elements to facilitate implementation.
PROSPERO registration number: CRD42018073486.
Abstract
Objectives: To develop a common reference metric of functioning, incorporating generic and health condition-specific disability instruments, and to test whether this reference metric is invariant across 2 health conditions.
Design: Psychometric study using secondary data analysis. Firstly, the International Classification of Functioning, Disability and Health (ICF) Linking Rules were used to examine the concept equivalence between the World Health Organization Disability Assessment Schedule (WHODAS 2.0), Health Assessment Questionnaire (HAQ), and Functional Independence Measure (FIMTM). Secondly, a scale-bank was developed using a reference metric approach to test-equating, based on the Rasch measurement model.
Participants: Secondary analysis was performed on data from 487 people; 61.4% with rheumatoid arthritis and 38.6% with stroke.
Results: Three sub-domains of the WHODAS 2.0 and all items of the HAQ and FIMTM motor mapped on to the ICF chapters d4 Mobility, d5 Self-care and d6 Domestic life. Test-equating of these scales resulted in good model fit, indicating that a scale bank and associated reference metric across these 3 instruments could be created.
Conclusion: This study provides a transformation table to enable direct comparisons among instruments measuring physical functioning commonly used in rheumatoid arthritis (HAQ) and stroke (FIMTM motor scale), as well as in people with disability in general (WHODAS 2.0).
Keywords: FIM; Functional Independence Measure; HAQ; Health Assessment Questionnaire; WHODAS 2.0; World Health Organization Disability Assessment Schedule; outcome assessment; rheumatoid arthritis; stroke; psychometrics.
Introduction
Mobility limitations have a multitude of different negative consequences on elderly patients including decreasing opportunities for social participation, increasing the risk for morbidity and mortality. However, current healthcare has several shortcomings regarding mobility sustainment of older adults, namely a narrow focus on the underlying pathology, fragmentation of care across services and health professions and deficiencies in personalising care based on patients’ needs and experiences. A tailored healthcare strategy targeted at mobility of older adults is still missing.
Objective
The objective is to develop multiprofessional care pathways targeted at mobility sustainment and social participation in patients with vertigo/dizziness/balance disorders (VDB) and osteoarthritis (OA) .
Methods
Data regarding quality of life, mobility limitation, pain, stiffness and physical function is collected in a longitudinal observational study between 2017 and 2019. General practitioners (GPs) recruit their patients with VDB or OA. Patients who visited their GP in the last quarter will be identified in the practice software based on VDB and OA-related International Classification of Diseases 10th Revision. Study material will be sent from the practice to patients by mail. Six months and 12 months after baseline, all patients will receive a mail directly from the study team containing the follow-up questionnaire. GPs fill out questionnaires regarding patient diagnostics, therapy and referrals.
Ethics and dissemination
The study was approved by the ethical committee of the Ludwig-Maximilians-Universität München and of the Technische Universität Dresden. Results will be published in scientific, peer-reviewed journals and at national and international conferences. Results will be disseminated via newsletters, the project website and a regional conference for representatives of local and national authorities.
The objective of this research project is to develop a solar-powered refrigerator in the lower capacity range of up to 5 kW of cooling power. With the use of liquid pistons and one of the most efficient thermodynamic cycles known, the Stirling cycle, this product has the potential to outperform rival solar cooling technologies while providing inexpensive, reliable, quiet, environmentally-friendly, and efficient solar cooling for residential use, due to its straightforward manufacturing, simple design and inert working gas. Presented in this paper are the newest results of the theoretical and experimental investigation into deducing the key design parameters and system configuration of the so-called Liquid Piston Stirling Cooler (LPSC), which will help lead to optimal performance. Computer models of the complex unconstrained system have been constructed and validated using the modelling software Sage and shown to replicate system behavior with reasonable accuracy in experiments. The models have been used to predict system improvements and identify limitations imposed by the use of liquid pistons. The results to date provide a unique insight into a relatively little studied area in Stirling cycle research.
The classical results of the binomial and negative binomial probability distribution are generalized by means of homogeneous Discrete Time Markov Chains to series of stochastically independent random trials. These have not only two possible outcomes but two groups of them -- different kinds of successes and failures with occurrence probabilities depending on the outcome of the previous trial. This generalization allows a uniform view of occupation time, first passage time and recurrence time. Our results are consequently derived and presented in matrix form, the probabilities as well as the moments. They can be applied to all Discrete Time Markov Chains, especially in computer capacity planning, performability and economics.
Due to the application of elastic interlayers for acoustic decoupling, wood screws to connect timber elements are stressed beneath axial and shear loads additionally by a bending moment. The equations to calculate the load carrying capacity of wood-wood-connections according to the Eurocode 5, lose their validity in case of application of interlayers with low shear resistance. Furthermore, the increasing flexibilities of the joints should be considered for a realistic static modelling.
Aim of the present work is to analyze the mechanical load bearing characteristics of wall-ceiling-connections of cross laminated timber with and without elastic interlayers. On the basis of experiments as well as analytical approaches, the load-deformation-behavior is discussed and contrasted to the current standards.
This paper concerns the development and validation of Finite Element Methods (FEM) to simulate the dynamic response of a dowelled-joist timber floor. This is a solid floor comprised of timber joists connected using timber dowels with individual assemblies connected using inclined metal screws. The focus is on the structural dynamics in the low-frequency range up to 200 Hz which is the relevant range for impact sound insulation and vibration serviceability. Dowel connections between the joists that formed each assembly were modelled using either rigid or spring connectors in the FEM models. The validation against experimental modal analysis showed that both approaches were valid in terms of the eigenfrequencies, Modal Assurance Criterion (MAC) and the spatial-average velocity with point excitation. Whilst the FEM model with spring connectors had a higher number of correlated modes in the MAC analysis, this required removal of many spurious modes before predicting the response. The validated models were used to demonstrate the potential in predicting assessment parameters for vibration serviceability that are contained in EN 1995-1-1 (Eurocode 5). This predictive approach to the evaluation of vibration serviceability has the advantage in that it can be used for non-standard timber floors with non-standard boundary conditions or floor plans.