Polyvinyl alcohol cross-linked with two aldehydes

A film forming polyvinyl alcohol resin is admixed, in aqueous solution, with a dialdehyde crosslinking agent which is capable of crosslinking the polyvinyl alcohol resin and a water soluble acid aldehyde containing a reactive aldehyde group capable of reacting with hydroxyl groups in the polyvinyl alcohol resin and an ionizable acid hydrogen atom. The dialdehyde is present in an amount sufficient to react with from 1 to 20% by weight of the theoretical amount required to react with all of the hydroxyl groups of the polyvinyl alcohol. The amount of acid aldehyde is from 1 to 50% by weight, same basis, and is sufficient to reduce the pH of the aqueous admixture to 5 or less. The admixture is then formed into a desired physical shape, such as by casting a sheet or film, and the shaped material is then heated to simultaneously dry and crosslink the article

Translating Social Science Concepts into Medical Education: A Model and a Curriculum

Most serious efforts aimed at linking social and behavioral sciences knowledge tomedical practice have included models which integrate social and behavioral scienceconcepts. We argue that such an integration is intellectually problematic due toan important analytic distinction between social sciences and psychological sciences.If the social explanation of illness is to become useful in medical education, adistinctly social model is necessary for conceptual clarity and for guidance of which isuseful for explicating the link between social science knowledge and medical practiceand for organizing the knowledge for teaching in medical schools

Nearly Space-Filling Fractal Networks of Carbon Nanopores

URL:http://link.aps.org/doi/10.1103/PhysRevLett.88.115502 DOI:10.1103/PhysRevLett.88.115502Small-angle x-ray scattering, nitrogen adsorption, and scanning tunneling microscopy show that a series of activated carbons host an extended fractal network of channels with dimension Dp = 2.8-3.0 (pore fractal), channel width 15-20Å (lower end of scaling), network diameter 3000-3400Å (upper end of scaling), and porosity of 0.3-0.6. We interpret the network as a stack of quasiplanar invasion percolation clusters, formed by oxidative removal of walls between closed voids of diameter of ∼10Å and held in registry by fibrils of the biological precursor, and point out unique applications.This work was supported by the Petroleum Research Fund, Grant No. 30602-AC9,5 (P. P.); the Department of Energy, Contracts No. W-7405-ENG-36 (P. P.) and No. DE-AC04-00A185000 (T. P. R.); and the Ceramic and Non-Metallic Materials Program at AFOSR (W. P. H.)

Testing the Properties of Beam-Dose Monitors for VHEE-FLASH Radiation Therapy

Very High Energy Electrons (VHEE) of 50 - 250 MeV are an attractive choice for FLASH radiation therapy (RT). Before VHEE-FLASH RT can be considered for clinical use, a reliable dosimetric and beam monitoring system needs to be developed, able to measure the dose delivered to the patient in real-time and cut off the beam in the event of a machine fault to prevent overdosing the patient. Ionisation chambers are the standard monitors in conventional RT; however, their response saturates at the high dose rates required for FLASH. Therefore, a new dosimetry method is needed that can provide reliable measurements of the delivered dose in these conditions. Experiments using 200 MeV electrons were done at the CLEAR facility at CERN to investigate the properties of detectors such as diamond beam loss detectors, GEM foil detectors, and Timepix3 ASIC chips. From the tests, the GEM foil proved to be the most promising

Validation of Computationally Efficient Simulations of Douglas Fir Pyrolysis and Combustion Using Time-Resolved Frequency Comb Laser Measurements

Computational simulations have the potential to provide low-cost, low-risk insights into wildland fire structure and dynamics. Simulation accuracy is limited, however, by the difficulty of modeling physical processes that span a wide range of spatial scales. These processes include heat transfer via radiation and turbulent advection, as well as both solid- and gas-phase chemistry. In the present study, we perform large eddy simulation (LES) with adaptive mesh refinement to model the multi-phase pyrolysis and combustion of dry Douglas fir, where temperature-based lookup tables corresponding to a multi-step pyrolysis mechanism are used to represent the composition of gas-phase pyrolysis products. Gas-phase and surface temperatures, mass loss, and water vapor mole fraction from the LES are shown to compare favorably with experimental measurements of a radiatively heated Douglas fir fuel sample undergoing pyrolysis and combustion beneath a cone calorimeter. Using frequency comb laser diagnostics, optical and infrared cameras, and a load cell, the experiments provide simultaneous in situ, time-resolved measurements of chemical composition, temperature, and mass loss. The present study thus combines cutting edge computational and experimental techniques with multi-step chemical pyrolysis modeling to provide a validated computational tool for the prediction of solid fuel pyrolysis and combustion relevant to wildland fires. &nbsp;</p

Gender differences in health and health care utilisation in various ethnic groups in the Netherlands: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>To determine gender differences in health and health care utilisation within and between various ethnic groups in the Netherlands.</p> <p>Methods</p> <p>Data from the second Dutch National Survey of General Practice (2000–2002) were used. A total of 7,789 persons from the indigenous population and 1,512 persons from the four largest migrant groups in the Netherlands – Morocco, Netherlands Antilles, Turkey and Surinam – aged 18 years and older were interviewed. Self-reported health outcomes studied were general health status and the presence of acute (past 14 days) and chronic conditions (past 12 months). And self-reported utilisation of the following health care services was analysed: having contacted a general practitioner (past 2 months), a medical specialist, physiotherapist or ambulatory mental health service (past 12 months), hospitalisation (past 12 months) and use of medication (past 14 days). Gender differences in these outcomes were examined within and between the ethnic groups, using logistic regression analyses.</p> <p>Results</p> <p>In general, women showed poorer health than men; the largest differences were found for the Turkish respondents, followed by Moroccans, and Surinamese. Furthermore, women from Morocco and the Netherlands Antilles more often contacted a general practitioner than men from these countries. Women from Turkey were more hospitalised than Turkish men. Women from Morocco more often contacted ambulatory mental health care than men from this country, and women with an indigenous background more often used over the counter medication than men with an indigenous background.</p> <p>Conclusion</p> <p>In general the self-reported health of women is worse compared to that of men, although the size of the gender differences may vary according to the particular health outcome and among the ethnic groups. This information might be helpful to develop policy to improve the health status of specific groups according to gender and ethnicity. In addition, in some ethnic groups, and for some types of health care services, the use by women is higher compared to that by men. More research is needed to explain these differences.</p

An electronic application for rapidly calculating Charlson comorbidity score

BACKGROUND: Uncertainty regarding comorbid illness, and ability to tolerate aggressive therapy has led to minimal enrollment of elderly cancer patients into clinical trials and often substandard treatment. Increasingly, comorbid illness scales have proven useful in identifying subgroups of elderly patients who are more likely to tolerate and benefit from aggressive therapy. Unfortunately, the use of such scales has yet to be widely integrated into either clinical practice or clinical trials research. METHODS: This article reviews evidence for the validity of the Charlson Comorbidity Index (CCI) in oncology and provides a Microsoft Excel (MS Excel) Macro for the rapid and accurate calculation of CCI score. The interaction of comorbidity and malignant disease and the validation of the Charlson Index in oncology are discussed. RESULTS: The CCI score is based on one year mortality data from internal medicine patients admitted to an inpatient setting and is the most widely used comorbidity index in oncology. An MS Excel Macro file was constructed for calculating the CCI score using Microsoft Visual Basic. The Macro is provided for download and dissemination. The CCI has been widely used and validated throughout the oncology literature and has demonstrated utility for most major cancers. The MS Excel CCI Macro provides a rapid method for calculating CCI score with or without age adjustments. The calculator removes difficulty in score calculation as a limitation for integration of the CCI into clinical research. The simple nature of the MS Excel CCI Macro and the CCI itself makes it ideal for integration into emerging electronic medical records systems. CONCLUSIONS: The increasing elderly population and concurrent increase in oncologic disease has made understanding the interaction between age and comorbid illness on life expectancy increasingly important. The MS Excel CCI Macro provides a means of increasing the use of the CCI scale in clinical research with the ultimate goal of improving determination of optimal treatments for elderly cancer patients

Outcome and serum ion determination up to 11 years after implantation of a cemented metal-on-metal hip prosthesis

Background and purpose Little is known about the long-term outcome of cemented metal-on-metal hip arthroplasties. We evaluated a consecutive series of metal-on-metal polyethylene-backed cemented hip arthroplasties implanted in patients under 60 years of age