316 research outputs found
A Comparison of Heart Rate Between Two Methods of Survival
The purpose of this study was to determine the difference in mean heart rate, if any between drown-proofing and supine floating.
Heart rate was recorded by the researcher by palpating the radial artery for one-half minute.
One group of ten subjects was used in this study. This group was tested in the spring of 1969. The subjects were tested twice with each session lasting one hour. During each session drownproofing and supine floating were each administered for one-half hour. The subjects were tested six times during each half hour session.
Comparisons were made between the mean differences for each method of survival for all six recordings. The null hypothesis was assumed in making comparisons at the .05 level. This hypothesis was tested with the t technique for the significance of the difference between means derived from correlated scores from small samples.
The conclusions indicated that supine floating required less energy, as determined by pulse rate, than drown-proofing at each of the six five-minute intervals for the ten subjects participating in this study. Results at the end of the first five-minute interval were significant at the .05 level of confidence. Results at all other intervals were significant at the .01 level of confidence
Float processing of high-temperature complex silicate glasses and float baths used for same
A float glass process for production of high melting temperature glasses utilizes a binary metal alloy bath having the combined properties of a low melting point, low reactivity with oxygen, low vapor pressure, and minimal reactivity with the silicate glasses being formed. The metal alloy of the float medium is exothermic with a solvent metal that does not readily form an oxide. The vapor pressure of both components in the alloy is low enough to prevent deleterious vapor deposition, and there is minimal chemical and interdiffusive interaction of either component with silicate glasses under the float processing conditions. Alloys having the desired combination of properties include compositions in which gold, silver or copper is the solvent metal and silicon, germanium or tin is the solute, preferably in eutectic or near-eutectic compositions
Efficacy of Terminator, Max-Con and Y-TEK Experimental Impregnated Ear Tag (MC.602TC) for the Control of Resistant Populations of the Horn Fly in South Dakota During 1987
Insecticide impregnated ear tags containing Diazinon or Dursban/cypermethrin combinations when applied at the rate of two tags per cow were more effective for the control of horn flies than tags that were applied at the rate of one per cow. With the Terminator® tag, the percentage control diminished after 8 t o 10 weeks when one tag was present, but the percentage control remained constant over a period of 15 weeks with two tags per cow. With the Max-Con@ tag control was Less satisfactory after 6 weeks when only one tag per cow was applied, but good control was received after 15 weeks on animals where two tags per cow were used
Waveguide-integrated and portable optomechanical magnetometer
Optomechanical magnetometers enable highly sensitive magnetic field sensing.
However, all such magnetometers to date have been optically excited and
read-out either via free space or a tapered optical fiber. This limits their
scalability and integrability, and ultimately their range of applications.
Here, we present an optomechanical magnetometer that is excited and read out
via a suspended optical waveguide fabricated on the same silicon chip as the
magnetometer. Moreover, we demonstrate that thermomechanical noise limited
sensitivity is possible using portable electronics and laser. The magnetometer
employs a silica microdisk resonator selectively sputtered with a
magnetostrictive film of galfenol (FeGa) which induces a resonant frequency
shift in response to an external magnetic field. Experimental results reveal
the retention of high quality-factor optical whispering gallery mode resonances
whilst also demonstrating high sensitivity and dynamic range in ambient
conditions. The use of off-the-shelf portable electronics without compromising
sensor performance demonstrates promise for applications.Comment: 9 pages, 4 figure
Liquid phase blending of metal-organic frameworks.
The liquid and glass states of metal-organic frameworks (MOFs)Â have recently become of interest due to the potential for liquid-phase separations and ion transport, alongside the fundamental nature of the latter as a new, fourth category of melt-quenched glass. Here we show that the MOF liquid state can be blended with another MOF component, resulting in a domain structured MOF glass with a single, tailorable glass transition. Intra-domain connectivity and short range order is confirmed by nuclear magnetic resonance spectroscopy and pair distribution function measurements. The interfacial binding between MOF domains in the glass state is evidenced by electron tomography, and the relationship between domain size and Tg investigated. Nanoindentation experiments are also performed to place this new class of MOF materials into context with organic blends and inorganic alloys
ACC/AHA Special Report: Clinical Practice Guideline Implementation Strategies: A Summary of Systematic Reviews by the NHLBI Implementation Science Work Group: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
BACKGROUND: In 2008, the National Heart, Lung, and Blood Institute convened an Implementation Science Work Group to assess evidence-based strategies for effectively implementing clinical practice guidelines. This was part of a larger effort to update existing clinical practice guidelines on cholesterol, blood pressure, and overweight/obesity.
OBJECTIVES: Review evidence from the published implementation science literature and identify effective or promising strategies to enhance the adoption and implementation of clinical practice guidelines.
METHODS: This systematic review was conducted on 4 critical questions, each focusing on the adoption and effectiveness of 4 intervention strategies: (1) reminders, (2) educational outreach visits, (3) audit and feedback, and (4) provider incentives. A scoping review of the Rx for Change database of systematic reviews was used to identify promising guideline implementation interventions aimed at providers. Inclusion and exclusion criteria were developed a priori for each question, and the published literature was initially searched up to 2012, and then updated with a supplemental search to 2015. Two independent reviewers screened the returned citations to identify relevant reviews and rated the quality of each included review.
RESULTS: Audit and feedback and educational outreach visits were generally effective in improving both process of care (15 of 21 reviews and 12 of 13 reviews, respectively) and clinical outcomes (7 of 12 reviews and 3 of 5 reviews, respectively). Provider incentives showed mixed effectiveness for improving both process of care (3 of 4 reviews) and clinical outcomes (3 reviews equally distributed between generally effective, mixed, and generally ineffective). Reminders showed mixed effectiveness for improving process of care outcomes (27 reviews with 11 mixed and 3 generally ineffective results) and were generally ineffective for clinical outcomes (18 reviews with 6 mixed and 9 generally ineffective results). Educational outreach visits (2 of 2 reviews), reminders (3 of 4 reviews), and provider incentives (1 of 1 review) were generally effective for cost reduction. Educational outreach visits (1 of 1 review) and provider incentives (1 of 1 review) were also generally effective for cost-effectiveness outcomes. Barriers to clinician adoption or adherence to guidelines included time constraints (8 reviews/overviews); limited staffing resources (2 overviews); timing (5 reviews/overviews); clinician skepticism (5 reviews/overviews); clinician knowledge of guidelines (4 reviews/overviews); and higher age of the clinician (1 overview). Facilitating factors included guideline characteristics such as format, resources, and end-user involvement (6 reviews/overviews); involving stakeholders (5 reviews/overviews); leadership support (5 reviews/overviews); scope of implementation (5 reviews/overviews); organizational culture such as multidisciplinary teams and low-baseline adherence (9 reviews/overviews); and electronic guidelines systems (3 reviews).
CONCLUSION: The strategies of audit and feedback and educational outreach visits were generally effective in improving both process of care and clinical outcomes. Reminders and provider incentives showed mixed effectiveness, or were generally ineffective. No general conclusion could be reached about cost effectiveness, because of limitations in the evidence. Important gaps exist in the evidence on effectiveness of implementation interventions, especially regarding clinical outcomes, cost effectiveness and contextual issues affecting successful implementation
The physical scale of the far-infrared emission in the most luminous submillimetre galaxies II: evidence for merger-driven star formation
We present high-resolution 345 GHz interferometric observations of two
extreme luminous (L_{IR}>10^{13} L_sun), submillimetre-selected galaxies (SMGs)
in the COSMOS field with the Submillimeter Array (SMA). Both targets were
previously detected as unresolved point-sources by the SMA in its compact
configuration, also at 345 GHz. These new data, which provide a factor of ~3
improvement in resolution, allow us to measure the physical scale of the
far-infrared in the submillimetre directly. The visibility functions of both
targets show significant evidence for structure on 0.5-1 arcsec scales, which
at z=1.5 translates into a physical scale of 5-8 kpc. Our results are
consistent with the angular and physical scales of two comparably luminous
objects with high-resolution SMA followup, as well as radio continuum and CO
sizes. These relatively compact sizes (<5-10 kpc) argue strongly for
merger-driven starbursts, rather than extended gas-rich disks, as the preferred
channel for forming SMGs. For the most luminous objects, the derived sizes may
also have important physical consequences; under a series of simplifying
assumptions, we find that these two objects in particular are forming stars
close to or at the Eddington limit for a starburst.Comment: 9 pages, 3 Figures, submitted to MNRA
Analysis of disease clusters and patient outcomes in people with multiple long term conditions using hypergraphs.
Objectives
Having multiple long term health conditions (MLTCs), also known as multimorbidity, is becoming increasingly common as populations age. Understanding how clusters of diseases are likely to lead to other diseases and the effect of multimorbidity on healthcare resource use (HRU) will be of great importance as this trend continues.
Approach
Graph-based approaches, also called network analysis in the literature, have been used previously to study multimorbidity. The use of hypergraphs, which are generalisations of graphs where edges can connect to any number of nodes, and their application to the problem of understanding multimorbidity will be discussed. Analysis using hypergraphs was carried out using a population-scale cohort of people in the Secure Anonymised Information Linkage (SAIL) Databank to find the diseases and disease sets which are most important based on a measure of prevalence and measures of healthcare resource utilisation in secondary care.
Results
The most important sets of diseases based on the centrality of a hypergraph weighted by a measure of prevalence featured hypertension, and the most important was hypertension and diabetes. The most important sets of diseases based on the centrality of a hypergraph weighted by a measure of unplanned inpatient HRU were arrhythmia, heart failure and hypertension while for a measure of outpatient HRU the most important set of diseases was diabetes and hypertension.
Conclusion
Hypergraphs are very flexible and general mathematical objects and there is still a great deal of development that can be done to make them more useful in epidemiological settings and beyond
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