949 research outputs found

    Direct Laser Sintering of Borosilicate Glass

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    Despite the advantages that selective laser sintering (SLS) offers in terms of material availability, many materials have yet to be explored for feasibility and even fewer are available on a commercial basis. This paper presents initial investigations for one such material, borosilicate glass, which could be of particular interest to filter manufacturers because it presents an attractive alternative to the conventional, time-consuming way of producing filters of various porosity classes. Process results are presented including a determination of the optimal parameter window and the effect of processing parameters on the density and surface quality. The effects of thermal post-processing and the inclusion of an additive are also discussed.Mechanical Engineerin

    Association between memory complaints and incident Alzheimer's disease in elderly people with normal baseline cognition

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    In the community-based Amsterdam Study of the Elderly, a sample of 3,778 nondemented persons, 65-84 yrs old, was divided into 2 cognitive categories: normal, and borderline and impaired. At baseline, the presence or absence of memory complaints was assessed with a single question. At follow-up, incident cases of Alzheimer's disease were diagnosed in a 2-step procedure. After an average of 3.2 yrs, 2,169 persons were reevaluated, of whom 77 had incident Alzheimer's disease. Analyses showed that memory complaints were associated with incident Alzheimer's disease in Ss with normal baseline cognition but not in Ss with impaired baseline cognition. Findings suggest that memory complaints are a relatively strong predictor of incident Alzheimer's disease in older persons in whom cognitive impairment is not yet apparent. Also, they suggest that older persons may be aware of a decline in cognition at a time when mental status tests are still unable to detect a decline from premorbid functioning. (PsycINFO Database Record (c) 2002 APA, all rights reserved

    Determinants of methicillin-susceptible Staphylococcus aureus native bone and joint infection treatment failure: a retrospective cohort study.

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    BACKGROUND: Although methicillin-susceptible Staphylococcus aureus (MSSA) native bone and joint infection (BJI) constitutes the more frequent clinical entity of BJI, prognostic studies mostly focused on methicillin-resistant S. aureus prosthetic joint infection. We aimed to assess the determinants of native MSSA BJI outcomes. METHODS: Retrospective cohort study (2001-2011) of patients admitted in a reference hospital centre for native MSSA BJI. Treatment failure determinants were assessed using Kaplan-Meier curves and binary logistic regression. RESULTS: Sixty-six patients (42 males [63.6%]; median age 61.2 years; interquartile range [IQR] 45.9-71.9) presented an acute (n = 38; 57.6%) or chronic (n = 28; 42.4%) native MSSA arthritis (n = 15; 22.7%), osteomyelitis (n = 19; 28.8%) or spondylodiscitis (n = 32; 48.5%), considered as "difficult-to-treat" in 61 cases (92.4%). All received a prolonged (27.1 weeks; IQR, 16.9-36.1) combined antimicrobial therapy, after surgical management in 37 cases (56.1%). Sixteen treatment failures (24.2%) were observed during a median follow-up period of 63.3 weeks (IQR, 44.7-103.1), including 13 persisting infections, 1 relapse after treatment disruption, and 2 super-infections. Independent determinants of treatment failure were the existence of a sinus tract (odds ratio [OR], 5.300; 95% confidence interval [CI], 1.166-24.103) and a prolonged delay to infectious disease specialist referral (OR, 1.134; 95% CI 1.013-1.271). CONCLUSIONS: The important treatment failure rate pinpointed the difficulty of cure encountered in complicated native MSSA BJI. An early infectious disease specialist referral is essential, especially in debilitated patients or in presence of sinus tract

    W-algebras from symplectomorphisms

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    It is shown how WW-algebras emerge from very peculiar canonical transformations with respect to the canonical symplectic structure on a compact Riemann surface. The action of smooth diffeomorphisms of the cotangent bundle on suitable generating functions is written in the BRS framework while a WW-symmetry is exhibited. Subsequently, the complex structure of the symmetry spaces is studied and the related BRS properties are discussed. The specific example of the so-called W3W_3-algebra is treated in relation to some other different approaches.Comment: LaTex, 25 pages, no figures, to appear in Journ. Math. Phy

    Reproducibility of bone mineral density measurement in daily practice.

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    BACKGROUND: Bone mineral density (BMD) measurements are frequently performed repeatedly for each patient. Subsequent BMD measurements allow reproducibility to be assessed. OBJECTIVE: To examine the reproducibility of BMD by dual energy x ray absorptiometry (DXA) and to investigate the practical value of different measures of reproducibility in a group of postmenopausal women. METHODS: Ninety five women, mean age 59.9 years, underwent two subsequent BMD measurements of spine and hip. Reproducibility was expressed as smallest detectable difference (SDD), coefficient of variation (CV), and intraclass correlation coefficient (ICC). Sources of variation were investigated by multilevel analysis. RESULTS: The median interval between measurements was 0 days (range 0-45). The mean difference (SD) between the measurements (g/cm(2)) was -0.001 (0.02) and -0.0004 (0.02) at L1-4 and the total hip, respectively. At L1-4 and the total hip, SDD (g/cm(2)) was +/-0.05 and +/-0.04 and CV (%) was 1.92 and 1.59, respectively. The ICC at spine and hip was 0.99. CONCLUSIONS: Reproducibility in the postmenopausal women studied was good. In a repeated DXA scan a BMD change exceeding 2 radical 2CV (%), the least significant change (LSC), or the SDD should be regarded as significant. Use of the SDD is preferable to use of the CV and LSC (%) because of its independence from BMD and its expression in absolute units. Expressed as SDD, a BMD change of at least +/-0.05 g/cm(2) at L1-4 and +/-0.04 g/cm(2) at the total hip should be considered significant
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