50 research outputs found

    CIRCULAR COMPARISON OF CONVENTIONAL PRESSURE STANDARDS USING A TRANSPORTABLE OPTICAL REFRACTOMETER: PREPARATION AND TRANSPORTATION

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    Using a transportable Fabry-PĂ©rot cavity refractometer, a circular comparison of existing primary standards at several national metrology institutes is currently underway. This paper provides information about the refractometer, the preparation for the comparison, and the transportation procedur

    Quantum-based realizations of the pascal: status and progress of the EMPIR-project: quantumpascal

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    The QuantumPascal (QP) project combines the capabilities of 12 European institutions to enable traceable pressure measurements utilizing quantum-based methods that evaluate the number density instead of force per area to target the wide pressure range between 1 Pa and 3 MPa. This article summarizes the goals and results since the project start in June 201

    An investigation of the apparent breast cancer epidemic in France: screening and incidence trends in birth cohorts

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    <p>Abstract</p> <p>Background</p> <p>Official descriptive data from France showed a strong increase in breast-cancer incidence between 1980 to 2005 without a corresponding change in breast-cancer mortality. This study quantifies the part of incidence increase due to secular changes in risk factor exposure and in overdiagnosis due to organised or opportunistic screening. Overdiagnosis was defined as non progressive tumours diagnosed as cancer at histology or progressive cancer that would remain asymptomatic until time of death for another cause.</p> <p>Methods</p> <p>Comparison between age-matched cohorts from 1980 to 2005. All women residing in France and born 1911-1915, 1926-1930 and 1941-1945 are included. Sources are official data sets and published French reports on screening by mammography, age and time specific breast-cancer incidence and mortality, hormone replacement therapy, alcohol and obesity. Outcome measures include breast-cancer incidence differences adjusted for changes in risk factor distributions between pairs of age-matched cohorts who had experienced different levels of screening intensity.</p> <p>Results</p> <p>There was an 8-fold increase in the number of mammography machines operating in France between 1980 and 2000. Opportunistic and organised screening increased over time. In comparison to age-matched cohorts born 15 years earlier, recent cohorts had adjusted incidence proportion over 11 years that were 76% higher [95% confidence limits (CL) 67%, 85%] for women aged 50 to 64 years and 23% higher [95% CL 15%, 31%] for women aged 65 to 79 years. Given that mortality did not change correspondingly, this increase in adjusted 11 year incidence proportion was considered as an estimate of overdiagnosis.</p> <p>Conclusions</p> <p>Breast cancer may be overdiagnosed because screening increases diagnosis of slowly progressing non-life threatening cancer and increases misdiagnosis among women without progressive cancer. We suggest that these effects could largely explain the reported "epidemic" of breast cancer in France. Better predictive classification of tumours is needed in order to avoid unnecessary cancer diagnoses and subsequent procedures.</p

    Facilitators and barriers to physical activity following pulmonary rehabilitation in COPD: a systematic review of qualitative studies

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    Pulmonary rehabilitation has short-term benefits on dyspnea, exercise capacity and quality of life in COPD, but evidence suggests these do not always translate to increased daily physical activity on a patient level. This is attributed to a limited understanding of the determinants of physical activity maintenance following pulmonary rehabilitation. This systematic review of qualitative research was conducted to understand COPD patients’ perceived facilitators and barriers to physical activity following pulmonary rehabilitation. Electronic databases of published data, non-published data, and trial registers were searched to identify qualitative studies (interviews, focus groups) reporting the facilitators and barriers to physical activity following pulmonary rehabilitation for people with COPD. Thematic synthesis of qualitative data was adopted involving line-by-line coding of the findings of the included studies, development of descriptive themes, and generation of analytical themes. Fourteen studies including 167 COPD patients met the inclusion criteria. Seven sub-themes were identified as influential to physical activity following pulmonary rehabilitation. These included: intentions, self-efficacy, feedback of capabilities and improvements, relationship with health care professionals, peer interaction, opportunities following pulmonary rehabilitation and routine. These encapsulated the facilitators and barriers to physical activity following pulmonary rehabilitation and were identified as sub-themes within the three analytical themes, which were beliefs, social support, and the environment. The findings highlight the challenge of promoting physical activity following pulmonary rehabilitation in COPD and provide complementary evidence to aid evaluations of interventions already attempted in this area, but also adds insight into future development of interventions targeting physical activity maintenance in COPD

    Pain as the main predictor of the one-year outcome in distal radius fractures

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    Control of Sodium Transport in Durum Wheat

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    In many species, salt sensitivity is associated with the accumulation of sodium (Na(+)) in photosynthetic tissues. Na(+) uptake to leaves involves a series of transport steps and so far very few candidate genes have been implicated in the control of these processes. In this study, Na(+) transport was compared in two varieties of durum wheat (Triticum turgidum) L. subsp. durum known to differ in salt tolerance and Na(+) accumulation; the relatively salt tolerant landrace line 149 and the salt sensitive cultivar Tamaroi. Genetic studies indicated that these genotypes differed at two major loci controlling leaf blade Na(+) accumulation (R. Munns, G.J. Rebetzke, S. Husain, R.A. James, R.A. Hare [2003] Aust J Agric Res 54: 627–635). The physiological traits determined by these genetic differences were investigated using measurements of unidirectional (22)Na(+) transport and net Na(+) accumulation. The major differences in Na(+) transport between the genotypes were (1) the rate of transfer from the root to the shoot (xylem loading), which was much lower in the salt tolerant genotype, and (2) the capacity of the leaf sheath to extract and sequester Na(+) as it entered the leaf. The genotypes did not differ significantly in unidirectional root uptake of Na(+) and there was no evidence for recirculation of Na(+) from shoots to roots. It is likely that xylem loading and leaf sheath sequestration are separate genetic traits that interact to control leaf blade Na(+)

    Stapedius Reflex and Auditory Fatigue

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    Thermodynamic effects in a gas modulated Invar-based dual Fabry-PĂ©rot cavity refractometer

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    By measuring the refractivity and the temperature of a gas, its pressure can be assessed from fundamental principles. The highest performing instruments are based on Fabry-Perot cavities (FPC). Gas modulation refractometry (GAMOR) is a methodology that has the ability to reduce the influence of disturbances to such an extent that high-precision (sub-parts-per-million) assessments of pressure can be made by the use of FPCs of Invar. To allow for high accuracy assessments, it is of importance to assess the uncertainty contribution from the thermodynamic effects that are associated with the gas filling and emptying of the cavity (pV-work). This paper presents a detailed scrutiny of the influence of the gas exchange process on the assessment of gas temperature on an Invar-based dual-FPC (DFPC) instrumentation. It is shown that by virtue of a combination of a number of carefully selected design entities (a small cavity volume with a bore radius of 3 mm, a spacer material with high heat capacitance, large thermal conductivity, and no regions that are connected with low thermal conductance, i.e. no heat islands, and a continuous assessment of temperature of the cavity spacer) the system is not significantly affected by pV-work. Simulations show that 10 s after the filling all temperature gradients in the system are well into the sub-mK range. Experiments support that refractivity assessments initiated after 40 s are not significantly affected by the pV-work. The analysis given in this work indicates that an upper limit for the influence of pV-work on the Invar-based DFPC system using 100 s long gas modulation cycles is 0.5 mK/100 kPa (or 1.8 ppm/100 kPa). Consequently, thermodynamic effects will not be a limiting factor when the Invar-based DFPC GAMOR system is used for assessments of pressure or as a primary pressure standard up to atmospheric pressures
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