The Experts below are selected from a list of 6231 Experts worldwide ranked by ideXlab platform
Philip S Hasleton - One of the best experts on this subject based on the ideXlab platform.
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reforming the Coroner and death certification service
Current Diagnostic Pathology, 2004Co-Authors: Philip S HasletonAbstract:Summary The intention of the Home Office is to introduce a new system that combines an independent check on all deaths and a professional oversight of death patterns, with, for the majority of cases, the minimum of bureaucracy. No public consultation is intended, so that reforms are not delayed. However as the proposals are developed in the coming months, the details, practicalities and costs will be discussed "with relevant professionals (not defined) and those with experience of the existing arrangements". The imperfections of the present system are outlined. It is hoped the medical profession will have an input, since statements such as "‘hospital post mortems', which are for medical research and public health protection purposes " need amendment. There should be a change in perception of the audit value of this procedure to BOTH the family and the treating doctor. Unfortunately it is proposed the new system in total should cost no more than at present . "Professionals" (not defined) will be involved in the financial detail. All deaths, after verification and certification of the medical cause of death (if known) would then be referred to the ‘medical examiner' based in the Coroner's office. He/she would be a qualified doctor employed by the new Coroner service and independent of the Health Service. The medical examiner could provide supplementary advice on medical matters required by the Coroner. "Retention of tissue should only take place where absolutely necessary and the Coroner and his or her other staff should take account of the needs of families and friends carefully throughout the process." "Coroners could take advice from their medical examiner to ascertain and prescribe the minimum level of invasiveness to establish the cause of death." This issue is far from resolved, as signified by a recent call from the DoH giving a grant to study the value of MRI versus a full post mortem. No thought is given to systemic diseases, which may present in one organ system or another disease process, other than that causing death. Medical examiners will have to keep abreast of current developments in medicine BUT will be outside the NHS, which could cause problems. Medical examiners will be appointed (with an input from Regional Directors of Public Health) and managed from within the Coroner service. They would work closely with the registrar of births and deaths. Deaths from unnatural causes or when the medical cause of death is unknown will result in judicial inquests. The medical examiner will have an input into causes of death and relevant investigations. Details of the proposed structure of the system are given, as well as the investigative and other roles of Coroner's officers. The establishment of medico-legal centres, as "examples of good practice" is advocated. The drawbacks of this system are stressed in this paper. There is at present an on-going review of forensic pathology services and it is hoped thought will be given to the increasing trend for sub-specialisation in medicine.
Stefanie M. Hirt - One of the best experts on this subject based on the ideXlab platform.
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experimental study of fillets to reduce corner effects in an oblique shock wave boundary layer interaction
53rd AIAA Aerospace Sciences Meeting, 2015Co-Authors: Stefanie M. HirtAbstract:A test was conducted in the 15 cm x 15 cm supersonic wind tunnel at NASA Glenn Research Center that focused on corner effects of an oblique shock-wave/boundary-layer interaction. In an attempt to control the interaction in the corner region, eight corner fillet configurations were tested. Three parameters were considered for the fillet configurations: the radius, the fillet length, and the taper length from the square corner to the fillet radius. Fillets effectively reduced the boundary-layer thickness in the corner; however, there was an associated penalty in the form of increased boundary-layer thickness at the tunnel centerline. Larger fillet radii caused greater reductions in boundary-layer thickness along the corner bisector. To a lesser, but measureable, extent, shorter fillet lengths resulted in thinner corner boundary layers. Overall, of the configurations tested, the largest radius resulted in the best combination of control in the corner, evidenced by a reduction in boundary-layer thickness, coupled with minimal impacts at the tunnel centerline.
Jo Morgan - One of the best experts on this subject based on the ideXlab platform.
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formative evaluation for a healthy corner store initiative in pitt county north carolina engaging stakeholders for a healthy corner store initiative part 2
Preventing Chronic Disease, 2013Co-Authors: Stephanie Jilcott B Pitts, Karamie R Bringolf, Cameron L Lloyd, Jared T Mcguirt, Katherine K Lawton, Jo MorganAbstract:Introduction We examined the feasibility of increasing access to healthful food in corner stores to inform a Communities Putting Prevention to Work (CPPW) initiative by engaging stakeholders (corner store owners and customers) in a formative evaluation. Methods Qualitative interviews were conducted with corner store owners and managers (n = 11). Customer intercept surveys (n = 179) were also conducted with customers of 9 stores. Corner stores were located in rural food deserts (municipalities without a chain supermarket) and in low-income, urban municipalities in eastern North Carolina. Interviews were transcribed verbatim and double-coded. Qualitative themes related to feasibility of increasing access to healthful foods were extracted. Shopping patterns of rural and urban customers were compared by using t tests. Results Corner store owners were willing to stock more healthful foods, but they perceived that customer demand for these foods was low. Rural customers reported more frequently shopping at corner stores than urban customers and more frequently stated that the reason they do not eat more fruits and vegetables is that the stores in which they shop do not sell them. Most customers reported they would be very or somewhat likely to purchase fresh produce at a corner store. Conclusion Corner stores may be an important source of food for rural and low-income residents and thus a good place in which to intervene. The results of this formative evaluation were used to plan and evaluate a CPPW healthy corner store initiative.
H Babinsky - One of the best experts on this subject based on the ideXlab platform.
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corner effects in oblique shock wave boundary layer interactions in rectangular channels
55th AIAA Aerospace Sciences Meeting, 2017Co-Authors: Xue Xiang, H BabinskyAbstract:© 2017 by the American Institute of Aeronautics and Astronautics, Inc. All rights reserved. In a rectangular cross-section channel a separated oblique shock reflection is set to interact with the turbulent boundary layer (oblique SBLI) both on the bottom wall and in the corners formed by the intersection of the floor with the side-walls. To examine the mechanism as to how corner separations transmit their effects to the flow field elsewhere, an experimental investigation has been conducted in the Cambridge supersonic wind tunnel. Experiments were specially focused on modifications to the onset and magnitude of corner separations while keeping the strength and position of the incident shock unchanged in a M = 2.5 flow. Surface oil streak patterns indicated that three-dimensionality was not confined to the corner region and all flows were found to be three-dimensional. Both the shape and extent of the separated region in the centre of the tunnel floor were observed to be altered considerably by changes to the corner separation. More specifically, exaggerated corner separations caused the centreline separation shape to depart from the quasi-two-dimensional topology of the unmodified baseline flow. The separation length along the symmetry line of the bottom wall presented an increasing and then decreasing trend with growing corner separation. Simple explanations of how corner flow influences the rest of an oblique SBLI are provided. The proposed mechanism is based on the generation of corner shocks due to the displacement effect of corner separations. These corner shocks modify the adverse pressure gradient experienced by other parts of the flow field. The local separation length can therefore either be increased or reduced depending on the relative positions of corner shocks and the main oblique SBLI.
Stephanie Jilcott B Pitts - One of the best experts on this subject based on the ideXlab platform.
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formative evaluation for a healthy corner store initiative in pitt county north carolina engaging stakeholders for a healthy corner store initiative part 2
Preventing Chronic Disease, 2013Co-Authors: Stephanie Jilcott B Pitts, Karamie R Bringolf, Cameron L Lloyd, Jared T Mcguirt, Katherine K Lawton, Jo MorganAbstract:Introduction We examined the feasibility of increasing access to healthful food in corner stores to inform a Communities Putting Prevention to Work (CPPW) initiative by engaging stakeholders (corner store owners and customers) in a formative evaluation. Methods Qualitative interviews were conducted with corner store owners and managers (n = 11). Customer intercept surveys (n = 179) were also conducted with customers of 9 stores. Corner stores were located in rural food deserts (municipalities without a chain supermarket) and in low-income, urban municipalities in eastern North Carolina. Interviews were transcribed verbatim and double-coded. Qualitative themes related to feasibility of increasing access to healthful foods were extracted. Shopping patterns of rural and urban customers were compared by using t tests. Results Corner store owners were willing to stock more healthful foods, but they perceived that customer demand for these foods was low. Rural customers reported more frequently shopping at corner stores than urban customers and more frequently stated that the reason they do not eat more fruits and vegetables is that the stores in which they shop do not sell them. Most customers reported they would be very or somewhat likely to purchase fresh produce at a corner store. Conclusion Corner stores may be an important source of food for rural and low-income residents and thus a good place in which to intervene. The results of this formative evaluation were used to plan and evaluate a CPPW healthy corner store initiative.
