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41.
In July 1996, Tennessee initiated a managed mental health and substance abuse program called TennCare Partners. This publicly funded "carve-out" experiment started chaotically and soon deteriorated into a crisis. Many patients did not receive care or lost continuity of care, and the traditional "safety net" mental health system nearly disintegrated. This qualitative case study sought to ascertain the impact of the TennCare Partners program. It points out that the program's difficulties stemmed directly from a flawed design that spread funds previously earmarked for severely mentally ill patients across the entire Medicaid population. States contemplating similar reforms should strive to protect vulnerable patients by risk-adjusting capitation payments and by focusing resources on care for severely mentally ill persons. States should also minimize program complexity and ensure the accountability of managed care networks for their patients' behavioral health care needs.  相似文献   
42.
In this paper, we investigate control strategies for a scalar, one-step delay system in discrete-time, i.e., the state of the system is the input delayed by one time unit. In contrast with classical approaches, here the control action must be a memoryless function of the output of the plant, which comprises the current state corrupted by measurement noise. We adopt a first order state-space representation for the delay system, where the initial state is a Gaussian random variable. In addition, we assume that the measurement noise is drawn from a white and Gaussian process with zero mean and constant variance. Performance evaluation is carried out via a finite-time quadratic cost that combines the second moment of the control signal, and the second moment of the difference between the initial state and the state at the final time. We show that if the time-horizon is one or two then the optimal control is a linear function of the plant’s output, while for a sufficiently large horizon a control taking on only two values will outperform the optimal affine solution. This paper complements the well-known counterexample by Hans Witsenhausen, which showed that the solution to a linear, quadratic and Gaussian optimal control paradigm might be nonlinear. Witsenhausen’s counterexample considered an optimization horizon with two time-steps (two stage control). In contrast with Witsenhausen’s work, the solution to our counterexample is linear for one and two stages but it becomes nonlinear as the number of stages is increased. The fact that our paradigm leads to nonlinear solutions, in the multi-stage case, could not be predicted from prior results. In contrast to prior work, the validity of our counterexample is based on analytical proof methods. Our proof technique rests on a simple nonlinear strategy that is useful in its own right, since it outperforms any affine solution.  相似文献   
43.
In the last few decades the continuous monitoring of complex dynamic systems has become an increasingly important issue across diverse engineering areas. This paper presents a pattern recognition based system that uses visual-based efficient invariants features for continuous monitoring of induction motors. The procedures presented here are based on the image identification of the 3-D current state space patterns that allow the identification of distinct fault types and, furthermore, their corresponding severity. This automatic fault detection system deals with time-variant electric currents and is based on the identification of three-phase stator currents specified patterns. Several simulation and experimental results are also presented in order to verify the effectiveness of the proposed methodology.  相似文献   
44.
A new subspace optimization method for performing aero-structural design is introduced. The method relies on a semi-analytic adjoint approach to the sensitivity analysis that includes post-optimality sensitivity information from the structural optimization subproblem. The resulting coupled post-optimality sensitivity approach is used to guide a gradient-based optimization algorithm. The new approach simplifies the system-level problem, thereby reducing the number of calls to a potentially costly aerodynamics solver. The aero-structural optimization of an aircraft wing is performed using linear aerodynamic and structural analyses, and a performance comparison is made between the new approach and the conventional multidisciplinary feasible method. The new asymmetric suboptimization method is found to be the more efficient approach when it adequately reduces the number of system evaluations or when there is a large enough discrepancy between disciplinary solution times.  相似文献   
45.
Stem cells are present in the adult tissues of most diverse species. Bone marrow is recognized to be the most exploited site to obtain stem cells and cell progenitors. The objective of the present study was to characterize hematopoietic progenitor (HP) morphology and analyze the performance of adherent cell progenitors (ACPs) cultivated in vitro from black‐rumped agouti bone marrow (Dasyprocta prymnolopha). Bone marrow aspirates were obtained from tibia crest and used to prepare histological slides and identify cell morphology. Cells were also scattered on culture plates for later isolation, expansion, and quantification. Smears obtained from bone marrow demonstrated HPs at different stages of maturity. In culture, these cells showed fibroblastoid morphology and a strong tendency to form colonies, demonstrated by the presence of cell aggregates, cytoplasmic elongations lying side by side. An 80% cell confluence was observed at 18 days in culture and progressive reduction in the percentage of nonadherent mononuclear cells. After eight passes, a mean cell viability of 96.07% was observed, from a pool of 1.6 × 107 cells (ACP). Thirteen 25‐cm2 culture bottles were trypsinized, resuspended in freezing medium, stored in 14 criotubes at a concentration of 1 × 106 cells per milliliter, and placed in liquid nitrogen at ?196°C. Agouti bone marrow demonstrated high plasticity, moreover different HP lines, and a population of adherent cells demonstrated morphology similar to mesenchymal stem cells in culture. Microsc. Res. Tech. 2012. © 2012 Wiley Periodicals, Inc.  相似文献   
46.
Inspection for corrosion of gas storage spheres at the welding seam lines must be done periodically. Until now this inspection is being done manually and has a high cost associated to it and a high risk of inspection personel injuries. The Brazilian Petroleum Company, Petrobras, is seeking cost reduction and personel safety by the use of autonomous robot technology. This paper presents the development of a robot capable of autonomously follow a welding line and transporting corrosion measurement sensors. The robot uses a pair of sensors each composed of a laser source and a video camera that allows the estimation of the center of the welding line. The mechanical robot uses four magnetic wheels to adhere to the sphere’s surface and was constructed in a way that always three wheels are in contact with the sphere’s metallic surface which guarantees enough magnetic atraction to hold the robot in the sphere’s surface all the time. Additionally, an independently actuated table for attaching the corrosion inspection sensors was included for small position corrections. Tests were conducted at the laboratory and in a real sphere showing the validity of the proposed approach and implementation.  相似文献   
47.
There are several neural network implementations using either software, hardware-based or a hardware/software co-design. This work proposes a hardware architecture to implement an artificial neural network (ANN), whose topology is the multilayer perceptron (MLP). In this paper, we explore the parallelism of neural networks and allow on-the-fly changes of the number of inputs, number of layers and number of neurons per layer of the net. This reconfigurability characteristic permits that any application of ANNs may be implemented using the proposed hardware. In order to reduce the processing time that is spent in arithmetic computation, a real number is represented using a fraction of integers. In this way, the arithmetic is limited to integer operations, performed by fast combinational circuits. A simple state machine is required to control sums and products of fractions. Sigmoid is used as the activation function in the proposed implementation. It is approximated by polynomials, whose underlying computation requires only sums and products. A theorem is introduced and proven so as to cover the arithmetic strategy of the computation of the activation function. Thus, the arithmetic circuitry used to implement the neuron weighted sum is reused for computing the sigmoid. This resource sharing decreased drastically the total area of the system. After modeling and simulation for functionality validation, the proposed architecture synthesized using reconfigurable hardware. The results are promising.  相似文献   
48.
In this paper two shell finite element models are presented for the structural analysis of composite laminated piezoelectric shells. One is an axisymmetric conical frustum with two nodal rings and the other is a conic shell panel with eight nodes. Both models are based in a mixed laminated theory that combines a higher order shear deformation theory for the mechanical displacement field with a layerwise representation with linear functions for the electric potential through each piezoelectric layer. In order to obtain the optimal design sensitivities analysis and optimization techniques based in the nonlinear mathematical programming are used. The design objectives can be the minimization of the deformed structure or the maximization of the natural fundamental frequency and the design variables are the electric potential difference applied to the actuators or the ply thicknesses among others.  相似文献   
49.
This study aims to estimate changes in the prevalence of ecstasy use over time, analyze the overlap of ecstasy use and other drug use, and compare other drug use in ecstasy versus marijuana users. The authors hypothesized that ecstasy users early in the "epidemic" would be polydrug users and that associations between ecstasy and other drug use would diminish as the prevalence of ecstasy use increased. Data were drawn from public use data files from the 1995, 1997, 1999, and 2001 National Household Survey on Drug Abuse. Ecstasy use increased in the U.S. population and the prevalence was greater in younger age groups. Ecstasy users were likely to use a variety of other drugs; however, association of ecstasy use with other drug use was strongest early in the "epidemic," diminishing as the number of new users increased. Later, more drug-naive adolescents and young adults began experimenting with ecstasy. These results can orient prevention strategies that target ecstasy users. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
50.
In most molten metal processing operations, the acts of melting, transporting and alloying the metal in preparation for casting into desired shapes introduces undesirable non‐metallic inclusions to the melt. Molten metals are highly reactive and tend to interact with gases and refractories during processing steps; undesirable phases are absorbed either as liquid or solid. Such examples of inclusion introduction are molten aluminum reacting with oxygen in air to form solid aluminum oxide, or molten cast iron reacting with oxygen in air to form liquid slag phases.  相似文献   
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