In community noise studies, there is often a desire to understand how the annoyance response to multiple noise events aggregates over a long period of time. Many cumulative response metrics, such as day-night level (DNL), are based on the idea that humans respond, on average, to the sum of frequency-weighted acoustic energy over time. This paper introduces a generalization of DNL that includes a parameter, b, that ranges between zero and one. When b equals zero, the metric returns the maximum level of the events. When b equals 0.5, the metric reproduces the equal-energy-based output of DNL. When b = 0, 0.5, and 1, the metric returns a value that more harshly penalizes the number of events. In this way, these common possible hypotheses are organized onto a single scale, one that may be used to craft effective noise mitigation techniques or implement regulations. The analysis is demonstrated in two ways: first, on synthetic datasets to show the utility and consistency of the metric, and second, on limited quiet-supersonic response data gathered during the Quiet Supersonic Flights 2018 community study.
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http://dx.doi.org/10.1121/10.0024765 | DOI Listing |
Med Phys
January 2025
Department of Radiation Medicine and Applied Sciences, University of California at San Diego, La Jolla, California, USA.
Background: Proton pencil beam scanning (PBS) treatment planning for head and neck (H&N) cancers is a time-consuming and experience-demanding task where a large number of potentially conflicting planning objectives are involved. Deep reinforcement learning (DRL) has recently been introduced to the planning processes of intensity-modulated radiation therapy (IMRT) and brachytherapy for prostate, lung, and cervical cancers. However, existing DRL planning models are built upon the Q-learning framework and rely on weighted linear combinations of clinical metrics for reward calculation.
View Article and Find Full Text PDFSpine Deform
January 2025
Department of Orthopaedic Surgery, Columbia University Irving Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, 10032, USA.
Background: Alpine skiing requires flexibility, endurance, strength and rotational ability, which may be lost after long fusions to the pelvis for adult spinal deformity (ASD). ASD patients may worry about their ability to return to skiing (RTS) postoperatively. There is currently insufficient data for spine surgeons to adequately address questions about when, or if, their patients might RTS.
View Article and Find Full Text PDFNeurogastroenterol Motil
January 2025
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Background: The carbon-13 spirulina gastric emptying breath test (GEBT) is approved to identify delayed, but not accelerated, gastric emptying (GE). We compared the utility of the GEBT to scintigraphy for diagnosing abnormal GE in patients with diabetes mellitus.
Methods: Twenty-eight patients with diabetes ate a 230-kcal test meal labeled with technetium 99 m and C-spirulina, after which 10 scintigraphic images and breath samples (baseline, 15, 30, 45, 60, 90, 120, 150, 180, 210, and 240 min) were collected on 2 occasions 1 week apart.
Ann Fam Med
January 2025
Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas
The impact of the Supreme Court of the United States ruling against race-conscious admissions extends beyond college admissions to professional schools. Based partially on the idea that enough time had elapsed for achievement of the stated goals of affirmative action, the court ruled race-conscious admissions are unconstitutional under the 14th Amendment's Equal Protection Clause. The ruling left a crack in the door to higher education, however, allowing students to write an essay showing how race or ethnicity affected their lives.
View Article and Find Full Text PDFJAMA Intern Med
January 2025
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Importance: There are no validated decision rules for terminating resuscitation during in-hospital cardiac arrest. Decision rules may guide termination and prevent inappropriate early termination of resuscitation.
Objective: To develop and validate termination of resuscitation rules for in-hospital cardiac arrest.
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