904 research outputs found
Pengaruh Material Dalam Perancangan Reflector Antena Bolic Untuk Meningkatkan Daya Terima Wifi
WLAN merupakan solusi yang terbaik dalam mengatasi masalah jangkauan sinyal untuk daerah yang jauh dengan menggunakan antena. Dalam penelitian ini akan dilakukan pengujian terhadap pengaruh material reflector antena bolic untuk meningkatkan daya terima wifi pada proses penerimaan wireless USB adapter. Dalam penelitian ini menggunakan jenis material reflector antena bolic yaitu alumunium, kawat kasa, triplek, plastik dan semen. Adapun paramater yang akan digunakan untuk mengetahui nilai daya penguatan (gain). Pada penelitian skripsi ini aplikasi yang digunakan adalah Software ProLink WN2001 Wireless Utility dan Software Xirrus Wifi Inspector. Hasil pengujian dan pembahasan hasil pengujian didapatkan nilai rata-rata signal strength yang paling baik pada jarak 50 meter adalah material alumunium dengan nilai 73,6%, pada jarak 75 meter material kawat kasa dengan nilai 57,6%, pada jarak 100 meter kawat kasa dengan nilai 61,6% dan pada jarak 104,6% alumunium dengan nilai 56,4%. Pada pengujian ini dilakukan 5 kali percobaan dengan durasi 30 menit (30menit x 5 percobaan = 150 menit) untuk setiap material dan diolah data hasil pengujian dengan menggunakan metode statistika ANOVA single factor. Hasil pengolahan data dengan statistika ini diperoleh bahwa semua jenis material reflector berpengaruh terhadap Perubahan signal strength
Prediction of diagenesis and reservoir quality using wireline logs: evidence from the Upper Triassic (Raethian) fluvial reservoir tags - Toual field, Gassi Touil Area, SE Algeria
Reservoir quality is mainly controlled by environment deposit type and diagenesis processes. To investigate such subject we usually proceed to microscopic techniques. Absence of outcrops and missing of core samples let us use conventional wireline logs and core lab measurements as primary data. Direct lecture of well logs calibrated by core photos and wellsite description, well logs correlation and cross plots were our main methodology axis. Target of this study is the fluvial Shaly Sandstones of Upper Triassic (Rhaetian) reservoir (abreviated in French; TAGS) located in Toual field – SE of Algeria. The present investigation confirms the absence of clean sandstone levels in the studied reservoir. It detects also the presence of halite and clays (Illite) as cements in sandstone. The influence of illite on permeability was confirmed whereas porosity is less affected.Keywords: Diagenesis; Reservoir Quality; Well logs; Fluvial System; Triassic; Toua
3D printing for bio-synthetic biliary stents
Three-dimensional (3D) printing is an additive manufacturing method that holds great potential in a variety of future patient-specific medical technologies. This project validated a novel crosslinked polyvinyl alcohol (XL-PVA) 3D printed stent infused with collagen, human placental mesenchymal stem cells (PMSCs), and cholangiocytes. The biofabrication method in the present study examined 3D printing and collagen injection molding for rapid prototyping of customized living biliary stents with clinical applications in the setting of malignant and benign bile duct obstructions. XL-PVA stents showed hydrophilic swelling and addition of radiocontrast to the stent matrix improved radiographic opacity. Collagen loaded with PMSCs contracted tightly around hydrophilic stents and dense choloangiocyte coatings were verified through histology and fluorescence microscopy. It is anticipated that design elements used in these stents may enable appropriate stent placement, provide protection of the stent-stem cell matrix against bile constituents, and potentially limit biofilm development. Overall, this approach may allow physicians to create personalized bio-integrating stents for use in biliary procedures and lays a foundation for new patient-specific stent fabrication techniques
Tourism and the smartphone app: capabilities, emerging practice and scope in the travel domain.
Based on its advanced computing capabilities and ubiquity, the smartphone has rapidly been adopted as a tourism travel tool.With a growing number of users and a wide varietyof applications emerging, the smartphone is fundamentally altering our current use and understanding of the transport network and tourism travel. Based on a review of smartphone apps, this article evaluates the current functionalities used in the domestic tourism travel domain and highlights where the next major developments lie. Then, at a more conceptual level, the article analyses how the smartphone mediates tourism travel and the role it might play in more collaborative and dynamic travel decisions to facilitate sustainable travel. Some emerging research challenges are discussed
Association of alcohol consumption with selected cardiovascular disease outcomes: a systematic review and meta-analysis
Objective To conduct a comprehensive systematic review and meta-analysis of studies assessing the effect of alcohol consumption on multiple cardiovascular outcomes
Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies
Objective To systematically review interventional studies of the effects of alcohol consumption on 21 biological markers associated with risk of coronary heart disease in adults without known cardiovascular disease
How many diagnosis fields are needed to capture safety events in administrative data? Findings and recommendations from the WHO ICD-11 Topic Advisory Group on Quality and Safety
Objective As part of the WHO ICD-11 development initiative, the Topic Advisory Group on Quality and Safety explores meta-features of morbidity data sets, such as the optimal number of secondary diagnosis fields. Design The Health Care Quality Indicators Project of the Organization for Economic Co-Operation and Development collected Patient Safety Indicator (PSI) information from administrative hospital data of 19-20 countries in 2009 and 2011. We investigated whether three countries that expanded their data systems to include more secondary diagnosis fields showed increased PSI rates compared with six countries that did not. Furthermore, administrative hospital data from six of these countries and two American states, California (2011) and Florida (2010), were analysed for distributions of coded patient safety events across diagnosis fields. Results Among the participating countries, increasing the number of diagnosis fields was not associated with any overall increase in PSI rates. However, high proportions of PSI-related diagnoses appeared beyond the sixth secondary diagnosis field. The distribution of three PSI-related ICD codes was similar in California and Florida: 89-90% of central venous catheter infections and 97-99% of retained foreign bodies and accidental punctures or lacerations were captured within 15 secondary diagnosis fields. Conclusions Six to nine secondary diagnosis fields are inadequate for comparing complication rates using hospital administrative data; at least 15 (and perhaps more with ICD-11) are recommended to fully characterize clinical outcomes. Increasing the number of fields should improve the international and intra-national comparability of data for epidemiologic and health services research, utilization analyses and quality of care assessmen
Evaluation of complication rates after coronary artery bypass surgery using administrative data
Our objectives were (1) to determine if studying hospital complication rates after coronary artery bypass graft (CABG) surgery provides information not available when only mortality is studied, and (2) to reexplore the utility of ICD-9-CM administrative data for CABG outcomes assessment. Using data from Massachusetts, we identified CABG cohorts from 1990 and 1992 to respectively develop and validate multivariate risk adjustment models predicting in-hospital mortality and complications. The resulting models had good discrimination and calibration. In 1992, adjusted hospital complication rates ranged widely from 13.0% to 57.6%, while mortality rates ranged from 1.4% to 6.1%. Hospitals with high complication rates tended to have high mortality (r = 0.74, p = 0.006), but 2 of the 12 hospitals studied ranked quite differently when judged by complications rather than mortality. We conclude that (1) complications after CABG occur frequently and may provide information about hospital quality beyond that obtained from hospital mortality rates, and that (2) administrative data continue to be a promising resource for outcomes research
Physician nutrition and cognition during work hours: effect of a nutrition based intervention
<p>Abstract</p> <p>Background</p> <p>Physicians are often unable to eat and drink properly during their work day. Nutrition has been linked to cognition. We aimed to examine the effect of a nutrition based intervention, that of scheduled nutrition breaks during the work day, upon physician cognition, glucose, and hypoglycemic symptoms.</p> <p>Methods</p> <p>A volunteer sample of twenty staff physicians from a large urban teaching hospital were recruited from the doctors' lounge. During both the baseline and the intervention day, we measured subjects' cognitive function, capillary blood glucose, "hypoglycemic" nutrition-related symptoms, fluid and nutrient intake, level of physical activity, weight, and urinary output.</p> <p>Results</p> <p>Cognition scores as measured by a composite score of speed and accuracy (Tput statistic) were superior on the intervention day on simple (220 vs. 209, p = 0.01) and complex (92 vs. 85, p < 0.001) reaction time tests. Group mean glucose was 0.3 mmol/L lower (p = 0.03) and less variable (coefficient of variation 12.2% vs. 18.0%) on the intervention day. Although not statistically significant, there was also a trend toward the reporting of fewer hypoglycemic type symptoms. There was higher nutrient intake on intervention versus baseline days as measured by mean caloric intake (1345 vs. 935 kilocalories, p = 0.008), and improved hydration as measured by mean change in body mass (+352 vs. -364 grams, p < 0.001).</p> <p>Conclusions</p> <p>Our study provides evidence in support of adequate workplace nutrition as a contributor to improved physician cognition, adding to the body of research suggesting that physician wellness may ultimately benefit not only the physicians themselves but also their patients and the health care systems in which they work.</p
Lay media reporting of rosiglitazone risk: extent, messaging and quality of reporting
<p>Abstract</p> <p>Background</p> <p>A meta-analysis suggested the use of rosiglitazone was associated with an increased risk for cardiovascular (CV) events. Rosiglitazone remained available for use as more definitive safety trials were ongoing. This issue was reported in the lay media.</p> <p>Objective</p> <p>To review lay media articles to determine the extent of media coverage, the nature of the messaging, and to assess the quality of reporting.</p> <p>Methods</p> <p>The Factiva media database was used to identify articles published between May 18 and August 31, 2007. Two reviewers (a lay person and a physician) screened full text articles for eligibility, appraised the articles for their tone (worrisome, neutral, not worrisome), and for the quality of medical data reporting.</p> <p>Results</p> <p>The search identified 156 articles, 95 of which were eligible for our review. Agreement between the lay and medical reviewers in the appraisal of the article tone was 67.4%. Among those with agreement, the articles were often appraised as "worrisome" (75.3%). Among those with disagreement, the lay reviewer was significantly more likely to appraise articles as worrisome compared to the medical reviewer (77.4% vs. 3.2%, X2 = 9.11, P = 0.003). Cardiovascular risk was discussed in 91.6% of the articles, but risk was often reported in qualitative or relative terms.</p> <p>Conclusion</p> <p>There were many lay media articles addressing the safety of rosiglitazone, and the general messaging of these articles was considered "worrisome" by reviewers. Quality of risk reporting in the articles reviewed was poor. The impact of such media coverage on public anxiety and confidence in treatment should be explored.</p
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