165 research outputs found
Manufacturing processes for fabricating graphite/PMR 15 polyimide structural elements
Investigations were conducted to obtain commercially available graphite/PMR-15 polyimide prepreg, develop an autoclave manufacturing process, and demonstrate the process by manufacturing structural elements. Controls were established on polymer, prepreg, composite fabrication, and quality assurance, Successful material quality control and processes were demonstrated by fabricating major structural elements including flat laminates, hat sections, I beam sections, honeycomb sandwich structures, and molded graphite reinforced fittings. Successful fabrication of structural elements and simulated section of the space shuttle aft body flap shows that the graphite/PMR-15 polyimide system and the developed processes are ready for further evaluation in flight test hardware
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Preservation of Community College Logic: Organizational Responses to State Policies and Funding Practices in Three States
UNITED STATES DEPARTMENT OF THE INTERIOR GEOLOGICAL SURVEY GEOLOGIC MAP OF SWEENEY PASS QUADRANGLE, SAN DIEGO COUNTY, CALIFORNIA
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So Many Playbills, So Little Time: A Case Study in Fugitive Theatrical Material.
Libraries/Museum
Generalized Heisenberg algebras and k-generalized Fibonacci numbers
It is shown how some of the recent results of de Souza et al. [1] can be
generalized to describe Hamiltonians whose eigenvalues are given as
k-generalized Fibonacci numbers. Here k is an arbitrary integer and the cases
considered by de Souza et al. corespond to k=2.Comment: 8 page
The plastic number and its generalized polynomial
The polynomial has a unique positive root known as plastic
number, which is denoted by and is approximately equal to .
In this note we study the zeroes of the generalized polynomial
for and prove that its unique positive
root tends to the golden ratio as . We also derive bounds on in terms of Fibonacci
numbers.Comment: Publisher's pdf versio
Comparative Effectiveness of Carotid Endarterectomy vs Initial Medical Therapy in Patients With Asymptomatic Carotid Stenosis
Importance
Carotid endarterectomy (CEA) among asymptomatic patients involves a trade-off between a higher short-term perioperative risk in exchange for a lower long-term risk of stroke. The clinical benefit observed in randomized clinical trials (RCTs) may not extend to real-world practice.
Objective
To examine whether early intervention (CEA) was superior to initial medical therapy in real-world practice in preventing fatal and nonfatal strokes among patients with asymptomatic carotid stenosis.
Design, Setting, and Participants
This comparative effectiveness study was conducted from August 28, 2018, to March 2, 2020, using the Corporate Data Warehouse, Suicide Data Repository, and other databases of the US Department of Veterans Affairs. Data analyzed were those of veterans of the US Armed Forces aged 65 years or older who received carotid imaging between January 1, 2005, and December 31, 2009. Patients without a carotid imaging report, those with carotid stenosis of less than 50% or hemodynamically insignificant stenosis, and those with a history of stroke or transient ischemic attack in the 6 months before index imaging were excluded. A cohort of patients who received initial medical therapy and a cohort of similar patients who received CEA were constructed and followed up for 5 years. The target trial method was used to compute weighted Kaplan-Meier curves and estimate the risk of fatal and nonfatal strokes in each cohort in the pragmatic sample across 5 years of follow-up. This analysis was repeated after restricting the sample to patients who met RCT inclusion criteria. Cumulative incidence functions for fatal and nonfatal strokes were estimated, accounting for nonstroke deaths as competing risks in both the pragmatic and RCT-like samples.
Exposures
Receipt of CEA vs initial medical therapy.
Main Outcomes and Measures
Fatal and nonfatal strokes.
Results
Of the total 5221 patients, 2712 (51.9%; mean [SD] age, 73.6 [6.0] years; 2678 men [98.8%]) received CEA and 2509 (48.1%; mean [SD] age, 73.6 [6.0] years; 2479 men [98.8%]) received initial medical therapy within 1 year after the index carotid imaging. The observed rate of stroke or death (perioperative complications) within 30 days in the CEA cohort was 2.5% (95% CI, 2.0%-3.1%). The 5-year risk of fatal and nonfatal strokes was lower among patients randomized to CEA compared with patients randomized to initial medical therapy (5.6% vs 7.8%; risk difference, −2.3%; 95% CI, −4.0% to −0.3%). In an analysis that incorporated the competing risk of death, the risk difference between the 2 cohorts was lower and not statistically significant (risk difference, −0.8%; 95% CI, −2.1% to 0.5%). Among patients who met RCT inclusion criteria, the 5-year risk of fatal and nonfatal strokes was 5.5% (95% CI, 4.5%-6.5%) among patients randomized to CEA and was 7.6% (95% CI, 5.7%-9.5%) among those randomized to initial medical therapy (risk difference, −2.1%; 95% CI, −4.4% to −0.2%). Accounting for competing risks resulted in a risk difference of −0.9% (95% CI, −2.9% to 0.7%) that was not statistically significant.
Conclusions and Relevance
This study found that the absolute reduction in the risk of fatal and nonfatal strokes associated with early CEA was less than half the risk difference in trials from 20 years ago and was no longer statistically significant when the competing risk of nonstroke deaths was accounted for in the analysis. Given the nonnegligible perioperative 30-day risks and the improvements in stroke prevention, medical therapy may be an acceptable therapeutic strategy
Improving Bone Health by Optimizing the Anabolic Action of Wnt Inhibitor Multitargeting
Sclerostin antibody (romosozumab) was recently approved for clinical use in the United States to treat osteoporosis. We and others have explored Wnt‐based combination therapy to disproportionately improve the anabolic effects of sclerostin inhibition, including cotreatment with sclerostin antibody (Scl‐mAb) and Dkk1 antibody (Dkk1‐mAb). To determine the optimal ratio of Scl‐mAb and Dkk1‐mAb for producing maximal anabolic action, the proportion of Scl‐mAb and Dkk1‐mAb were systematically varied while holding the total antibody dose constant. A 3:1 mixture of Scl‐mAb to Dkk1‐mAb produced two to three times as much cancellous bone mass as an equivalent dose of Scl‐mAb alone. Further, a 75% reduction in the dose of the 3:1 mixture was equally efficacious to a full dose of Scl‐mAb in the distal femur metaphysis. The Scl‐mAb/Dkk1‐mAb combination approach was highly efficacious in the cancellous bone mass, but the cortical compartment was much more subtly affected. The osteoanabolic effects of Wnt pathway targeting can be made more efficient if multiple antagonists are simultaneously targeted. © 2021 The Authors. JBMR Plus published by Wiley Periodicals LLC. on behalf of American Society for Bone and Mineral Research
Cluster mutation-periodic quivers and associated Laurent sequences
We consider quivers/skew-symmetric matrices under the action of mutation (in
the cluster algebra sense). We classify those which are isomorphic to their own
mutation via a cycle permuting all the vertices, and give families of quivers
which have higher periodicity. The periodicity means that sequences given by
recurrence relations arise in a natural way from the associated cluster
algebras. We present a number of interesting new families of non-linear
recurrences, necessarily with the Laurent property, of both the real line and
the plane, containing integrable maps as special cases. In particular, we show
that some of these recurrences can be linearised and, with certain initial
conditions, give integer sequences which contain all solutions of some
particular Pell equations. We extend our construction to include recurrences
with parameters, giving an explanation of some observations made by Gale.
Finally, we point out a connection between quivers which arise in our
classification and those arising in the context of quiver gauge theories.Comment: The final publication is available at www.springerlink.com. 42 pages,
35 figure
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