1,659 research outputs found
Strain-induced kinetics of intergrain defects as the mechanism of slow dynamics in the nonlinear resonant response of humid sandstone bars
A closed-form description is proposed to explain nonlinear and slow dynamics
effects exhibited by sandstone bars in longitudinal resonance experiments.
Along with the fast subsystem of longitudinal nonlinear displacements we
examine the strain-dependent slow subsystem of broken intergrain and
interlamina cohesive bonds. We show that even the simplest but
phenomenologically correct modelling of their mutual feedback elucidates the
main experimental findings typical for forced longitudinal oscillations of
sandstone bars, namely, (i) hysteretic behavior of a resonance curve on both
its up- and down-slopes, (ii) linear softening of resonant frequency with
increase of driving level, and (iii) gradual recovery (increase) of resonant
frequency at low dynamical strains after the sample was conditioned by high
strains. In order to reproduce the highly nonlinear elastic features of
sandstone grained structure a realistic non-perturbative form of strain
potential energy was adopted. In our theory slow dynamics associated with the
experimentally observed memory of peak strain history is attributed to
strain-induced kinetic changes in concentration of ruptured inter-grain and
inter-lamina cohesive bonds causing a net hysteretic effect on the elastic
Young's modulus. Finally, we explain how enhancement of hysteretic phenomena
originates from an increase in equilibrium concentration of ruptured cohesive
bonds that are due to water saturation.Comment: 5 pages, 3 figure
Patient Choice for Older People in English NHS Primary Care: Theory and Practice
In the English National Health Service (NHS), patients are now expected to choose the time and place of treatment and even choose the actual treatment. However, the theory on which patient choice is based and the implementation of patient choice are controversial. There is evidence to indicate that attitudes and abilities to make choices are relatively sophisticated and not as straightforward as policy developments suggest. In addition, and surprisingly, there is little research on whethermaking individual choices about care is regarded as a priority by the largest NHS patient group and the single largest group for most GPs—older people.This conceptual paper examines the theory of patient choice concerning accessing and engaging with healthcare provision and reviews existing evidence on older people and patient choice in primary care
Remote Non-invasive Stereoscopic Imaging of Blood Vessels: First In-vivo Results of a New Multispectral Contrast Enhancement Technology
We describe a contactless optical technique selectively enhancing superficial blood vessels below variously pigmented intact human skin by combining images in different spectral bands. Two CMOS-cameras, with apochromatic lenses and dual-band LED-arrays, simultaneously streamed Left (L) and Right (R) image data to a dual-processor PC. Both cameras captured color images within the visible range (VIS, 400–780 nm) and grey-scale images within the near infrared range (NIR, 910–920 nm) by sequentially switching between LED-array emission bands. Image-size-settings of 1280 × 1024 for VIS & 640 × 512 for NIR produced 12 cycles/s (1 cycle = 1 VIS L&R-pair + 1 NIR L&R-pair). Decreasing image-size-settings (640 × 512 for VIS and 320 × 256 for NIR) increased camera-speed to 25 cycles/s. Contrasts from below the tissue surface were algorithmically distinguished from surface shadows, reflections, etc. Thus blood vessels were selectively enhanced and back-projected into the stereoscopic VIS-color-image using either a 3D-display or conventional shutter glasses. As a first usability reconnaissance we applied this custom-built mobile stereoscopic camera for several clinical settings: • blood withdrawal; • vein inspection in dark skin; • vein detection through iodide; • varicose vein and nevi pigmentosum inspection. Our technique improves blood vessel visualization compared to the naked eye, and supports depth perception
ОБМЕН СООБЩЕНИЯМИ В МИКС-СЕТЯХ
Рассмотрена идея Д.Чаума организации анонимной микс-сети с пересылкой сообщений
через каскад миксов (передаточных узлов) и последовательным шифрованием всех
промежуточных результатов. Описаны задачи, решаемые миксами в ходе обеспечения
анонимности связи, обговариваются проблемы ее безопасности
On the Hybrid Extension of CTL and CTL+
The paper studies the expressivity, relative succinctness and complexity of
satisfiability for hybrid extensions of the branching-time logics CTL and CTL+
by variables. Previous complexity results show that only fragments with one
variable do have elementary complexity. It is shown that H1CTL+ and H1CTL, the
hybrid extensions with one variable of CTL+ and CTL, respectively, are
expressively equivalent but H1CTL+ is exponentially more succinct than H1CTL.
On the other hand, HCTL+, the hybrid extension of CTL with arbitrarily many
variables does not capture CTL*, as it even cannot express the simple CTL*
property EGFp. The satisfiability problem for H1CTL+ is complete for triply
exponential time, this remains true for quite weak fragments and quite strong
extensions of the logic
Extreme interatrial conduction delay and regularization of atrial arrhythmias in a subgroup of patients with hypertrophic cardiomyopathy
Background: Hypertrophic cardiomyopathy (HCM) patients may develop interatrial activation delay, indicated by a complete separation of the right and left atrial activation on the ECG. This study aimed to determine the prevalence of interatrial activation delay and the relation to atrial tachycardia (AT) cycle length (CL) in HCM patients. Methods: 159 HCM patients were included (mean age 52±14y). In group I (n=15, 9%) patients had atrial arrhythmias and progressive ATCL. In group II (n=22, 14%) patients had a stable ATCL. In group III (n=122, 77%) HCM patients without AT were included. P wave morphology and change in P wave duration (δP and Pmax) and changes in ATCL (δATCL) were analyzed. Mean follow-up was 8.7±4.7years. Results: In group I 33% (n=5) had separated P waves. In group II no P wave separation was identified (OR 1.50 [1.05-2.15], p=0.007). In group I patients were older compared to group III (62.6±15.1 vs. 50.2±14.0y, p=0.002) and had longer follow-up (13.4±2.2 vs. 7.8±4.6y, p<0.001). In group III Pmax and δP were significantly lower (105.1±22.0ms and 8.9±13.2ms, both p<0.0001). Group I patients had an increased LA size compared to group II (61.1±11.6 vs. 53.7±7.5mm, p=0.028) and higher E/A and E/E prime ratios (p=0.007; p=0.037, respectively). In group I 93.3% of the identified mutations were typical Dutch founder mutations of the MYBPC3 gene. Conclusion: In HCM patients a unique combination of separated P waves and regularization of ATs is associated with larger atria, higher LA pressures and myosin binding protein mutations
Fourteen years of progress testing in radiology residency training: experiences from The Netherlands
Objectives: To describe the development of the Dutch Radiology Progress Test (DRPT) for knowledge testing in radiology residency training in The Netherlands from its start in 2003 up to 2016. Methods: We reviewed all DRPTs conducted since 2003. We assessed key changes and events in the test throughout the years, as well as resident participation and dispensation for the DRPT, test reliability and discriminative power of test items. Results: The DRPT has been conducted semi-annually since 2003, except for 2015 when one digital DRPT failed. Key changes in these years were improvements in test analysis and feedback, test digitalization (2013) and inclusion of test items on nuclear medicine (2016). From 2003 to 2016, resident dispensation rates increased (Pearson’s correlation coefficient 0.74, P-value <0.01) to maximally 16 %. Cronbach´s alpha for test reliability varied between 0.83 and 0.93. The percentage of DRPT test items with negative item-rest-correlations, indicating relatively poor discriminative power, varied between 4 % and 11 %. Conclusions: Progress testing has proven feasible and sustainable in Dutch radiology residency training, keeping up with innovations in the radiological profession. Test reliability and discriminative power of test items have remained fair over the years, while resident dispensation rates have increased. Key Points: • Progress testing allows for monitoring knowledge development from novice to senior trainee.• In postgraduate medical training, progress testing is used infrequently.• Progress testing is feasible and sustainable in radiology residency training
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