8,782 research outputs found

    Experiments on clinical observation and judgement in the assessment of depression: profiled videotapes and Judgement Analysis

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    Variations within and between observer-judges reduce the accuracy of clinical research. Judgement Analysis allows strategies to be developed and applied which reduce variation in judgement. The prediction that the removal of important sources of error variance by this means would reduce the likelihood of committing a Type 2 Error was supported by the application of Judgement Analysis to assessments by 15 psychiatrists of 92 patients in a clinical trial of 2 antidepressive treatments. The statistical significance of differences between the effect of the treatments on the severity of depression was increased, and significant differences appeared earlier. Ten stimulated patient profiles were also converted into narrative case histories, enacted by experienced psychiatrists or psychologists and videotaped. The participants' judgements of the overall severity of the depression were in good agreement with those they had made on the original cases. Videotapes so prepared help training to reduce variation in observation, just as Judgement Analysis can lead to reductions in the variation of judgemen

    The application of ultrasonic NDT techniques in tribology

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    The use of ultrasonic reflection is emerging as a technique for studying tribological contacts. Ultrasonic waves can be transmitted non-destructively through machine components and their behaviour at an interface describes the characteristics of that contact. This paper is a review of the current state of understanding of the mechanisms of ultrasonic reflection at interfaces, and how this has been used to investigate the processes of dry rough surface contact and lubricated contact. The review extends to cover how ultrasound has been used to study the tribological function of certain engineering machine elements

    Clinical Judgment Analysis

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    SUMMARY Judgment is central to the practice of medicine and occurs between making clinical observations and taking clinical decisions. Clinical judgment analysis has developed as a method of making statistically firm models of doctors' judgments. Computed models reveal the differential importance attached to items of clinical, social, or other data which are determinants of clinical decisions. These models can both reveal the causes of conflicts of judgment and may help resolve them in a way that unaided discussion cannot. Revealing experts' models to students speeds learning of diagnostic skills. Clinical judgment analysis offers a method of probing the judgments not just of students and doctors but also of patients who have shown systematic differences in their perceptions of risk and benefit. The power and relevance of clinical trials can be improved by the consistent application of judgment policies generated from both the trialists and those who will use their result

    The measurement of lubricant-film thickness using ultrasound

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    Ultrasound is reflected from a liquid layer between two solid bodies. This reflection depends on the ultrasonic frequency, the acoustic properties of the liquid and solid, and the layer thickness. If the wavelength is much greater than the liquid-layer thickness, then the response is governed by the stiffness of the layer. If the wavelength and layer thickness are similar, then the interaction of ultrasound with the layer is controlled by its resonant behaviour. This stiffness governed response and resonant response can be used to determine the thickness of the liquid layer, if the other parameters are known. In this paper, ultrasound has been developed as a method to determine the thickness of lubricating films in bearing systems. An ultrasonic transducer is positioned on the outside of a bearing shell such that the wave is focused on the lubricant-film layer. The transducer is used to both emit and receive wide-band ultrasonic pulses. For a particular lubricant film, the reflected pulse is processed to give a reflection-coefficient spectrum. The lubricant-film thickness is then obtained from either the layer stiffness or the resonant frequency. The method has been validated using fluid wedges at ambient pressure between flat and curved surfaces. Experiments on the elastohydrodynamic film formed between a sliding ball and a flat surface were performed. Film-thickness values in the range 50-500 nm were recorded, which agreed well with theoretical film-formation predictions. Similar measurements have been made on the oil film between the balls and outer raceway of a deep-groove ball bearing

    Spanning tree generating functions and Mahler measures

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    We define the notion of a spanning tree generating function (STGF) anzn\sum a_n z^n, which gives the spanning tree constant when evaluated at z=1,z=1, and gives the lattice Green function (LGF) when differentiated. By making use of known results for logarithmic Mahler measures of certain Laurent polynomials, and proving new results, we express the STGFs as hypergeometric functions for all regular two and three dimensional lattices (and one higher-dimensional lattice). This gives closed form expressions for the spanning tree constants for all such lattices, which were previously largely unknown in all but one three-dimensional case. We show for all lattices that these can also be represented as Dirichlet LL-series. Making the connection between spanning tree generating functions and lattice Green functions produces integral identities and hypergeometric connections, some of which appear to be new.Comment: 26 pages. Dedicated to F Y Wu on the occasion of his 80th birthday. This version has additional references, additional calculations, and minor correction

    Second-layer nucleation in coherent Stranski-Krastanov growth of quantum dots

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    We have studied the monolayer-bilayer transformation in the case of the coherent Stranski-Krastanov growth. We have found that the energy of formation of a second layer nucleus is largest at the center of the first-layer island and smallest on its corners. Thus nucleation is expected to take place at the corners (or the edges) rather than at the center of the islands as in the case of homoepitaxy. The critical nuclei have one atom in addition to a compact shape, which is either a square of i*i or a rectangle of i*(i-1) atoms, with i>1 an integer. When the edge of the initial monolayer island is much larger than the critical nucleus size, the latter is always a rectangle plus an additional atom, adsorbed at the longer edge, which gives rise to a new atomic row in order to transform the rectangle into the equilibrium square shape.Comment: 6 pages, 4 figures. Accepted version, minor change

    Single-molecule super-resolution imaging of chromosomes and in situ haplotype visualization using Oligopaint FISH probes

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    Fluorescence in situ hybridization (FISH) is a powerful single-cell technique for studying nuclear structure and organization. Here we report two advances in FISH-based imaging. We first describe the in situ visualization of single-copy regions of the genome using two single-molecule super-resolution methodologies. We then introduce a robust and reliable system that harnesses single-nucleotide polymorphisms (SNPs) to visually distinguish the maternal and paternal homologous chromosomes in mammalian and insect systems. Both of these new technologies are enabled by renewable, bioinformatically designed, oligonucleotide-based Oligopaint probes, which we augment with a strategy that uses secondary oligonucleotides (oligos) to produce and enhance fluorescent signals. These advances should substantially expand the capability to query parent-of-origin-specific chromosome positioning and gene expression on a cell-by-cell basis

    Assessing the quality of life of the individual: the SEIQoL with a healthy and a gastroenterology unit population

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    Current methods of measuring quality of life (QoL) impose an external value system on individuals, rather than allowing them to describe their lives in terms of those factors which they consider important. The Schedule for the Evaluation of Individual Quality of Life (SEIQoL) was developed to overcome such limitations. The QoL of 42 healthy attenders at an international immunization clinic was assessed using SEIQoL. Judgement reliability was high (r = 0·74) and individuals' judgement policies accounted for a large percentage of the variance in overall QoL (R2 = 0·75) demonstrating the construct validity of judgement analysis in this context. In a second study of QoL of out-patients suffering from irritable bowel syndrome (IBS) (N = 20) or peptic ulcer disease (PUD) (N = 20) was assessed using SEIQoL. Judgement reliability was lower (r = 0·54) although statistically highly significant (P < 0·01), and the variance in overall QoL judgements explained was high (R2 = 0·74). SEIQoL is an acceptable, reliable and valid technique for measuring individual QoL that takes greater account of individual perspectives than traditional measurement approache

    Transition from electron accumulation to depletion at InGaN surfaces

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    The composition dependence of the Fermi-level pinning at the oxidized (0001) surfaces of n-type InxGa1−xN films (0<=x<=1) is investigated using x-ray photoemission spectroscopy. The surface Fermi-level position varies from high above the conduction band minimum (CBM) at InN surfaces to significantly below the CBM at GaN surfaces, with the transition from electron accumulation to depletion occurring at approximately x=0.3. The results are consistent with the composition dependence of the band edges with respect to the charge neutrality level

    Calibrated Sub-Bundles in Non-Compact Manifolds of Special Holonomy

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    This paper is a continuation of math.DG/0408005. We first construct special Lagrangian submanifolds of the Ricci-flat Stenzel metric (of holonomy SU(n)) on the cotangent bundle of S^n by looking at the conormal bundle of appropriate submanifolds of S^n. We find that the condition for the conormal bundle to be special Lagrangian is the same as that discovered by Harvey-Lawson for submanifolds in R^n in their pioneering paper. We also construct calibrated submanifolds in complete metrics with special holonomy G_2 and Spin(7) discovered by Bryant and Salamon on the total spaces of appropriate bundles over self-dual Einstein four manifolds. The submanifolds are constructed as certain subbundles over immersed surfaces. We show that this construction requires the surface to be minimal in the associative and Cayley cases, and to be (properly oriented) real isotropic in the coassociative case. We also make some remarks about using these constructions as a possible local model for the intersection of compact calibrated submanifolds in a compact manifold with special holonomy.Comment: 20 pages; for Revised Version: Minor cosmetic changes, some paragraphs rewritten for improved clarit
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