682 research outputs found
Type II endometrial cancers with minimal, non-invasive residual disease on final pathology: What should we do next?
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Make-up Fabrication of Big or Complex Parts Using the SLA Process
Rapid prototyping is a highly flexible manufacturing technology which can produce big or
complex parts without any special fixtures and tools. But it is often a costly and time consuming
process to produce big and complex parts. To solve this problem, this paper proposes the makeup
fabrication process. The process cuts the CAD models of big or complex parts into several
small components. optimizes the building orientation and the layout of the multiple objects and
then uses theSLA process to build. The paper discusses the basic process, the discretion rules of
the CAD models and the optimization of the layout of multiple objects in the simultaneous
buildingMechanical Engineerin
Micro-layered-photolithography for Micro-Fabrication and Micro-Molding
A novel process based on the principle of layered photolithography has been proposed and tested for making real three-dimensional micro-structures. An experimental setup was designed and built for doing experiments on this micro-fabrication process. An ultraviolet (UV) excimer laser at the wavelength of 248 nm was used as the light source and a single piece of photo-mask carrying a series of two dimensional (2D) patterns sliced from a three dimensional (3D) micro-part was employed for the photolithography process. The experiments were conducted on the solidification of liquid photopolymer from single layer to multiple layers. The single-layer photolithography experiments showed that certain photopolymers could be applied for the 3D micro-fabrication, and solid layers with sharp shapes could be formed from the liquid polymer identified. By using a unique alignment technique, multiple layers of photolithography was successfully realized for a micro-gear with features at 60 microns. Electroforming was also conducted for converting the photopolymer master to a metal cavity of the micro-gear, which proved that the process is feasible for micro-molding.Singapore-MIT Alliance (SMA
Prevention of cardiovascular and renal pathology of aging by the advanced glycation inhibitor aminoguanidine.
AXL modulates extracellular matrix protein expression and is essential for invasion and metastasis in endometrial cancer
The receptor tyrosine kinase AXL promotes migration, invasion, and metastasis. Here, we evaluated the role of AXL in endometrial cancer. High immunohistochemical expression of AXL was found in 76% (63/83) of advanced-stage, and 77% (82/107) of high-grade specimens and correlated with worse survival in uterine serous cancer patients. In vitro, genetic silencing of AXL inhibited migration and invasion but had no effect on proliferation of ARK1 endometrial cancer cells. AXL-deficient cells showed significantly decreased expression of phospho-AKT as well as uPA, MMP-1, MMP-2, MMP-3, and MMP-9. In a xenograft model of human uterine serous carcinoma with AXL-deficient ARK1 cells, there was significantly less tumor burden than xenografts with control ARK1 cells. Together, these findings underscore the therapeutic potentials of AXL as a candidate target for treatment of metastatic endometrial cancer
Accuracy Analysis and Improvement for Direct Laser Sintering
The accuracy issue of a rapid prototyping-direct laser sintering system is studied in this paper. The sources of errors are analyzed for their contribution to the final accuracy of built parts. The error sources are related to the hardware and software of the machine, the materials and the process. Special measures were exploited to improve the accuracy of the direct laser sintering system and process. For the errors caused by hardware like laser scanner, compensation by software was developed to correct the errors resulting from galvano-mirrors and F-θ lens. A compensation function mode was added to the slicing software to compensate the errors caused by material shrinkage and laser beam offset. Based on the analysis and improvement, a desired accuracy of 0.2mm has been achieved for the direct laser sintering system, which was verified by experiments.Singapore-MIT Alliance (SMA
The VOICE study – a before and after study of a dementia communication skills training course
Background
A quarter of acute hospital beds are occupied by persons living with dementia, many of whom have communication problems. Healthcare professionals lack confidence in dementia communication skills, but there are no evidence-based communication skills training approaches appropriate for professionals working in this context. We aimed to develop and pilot a dementia communication skills training course that was acceptable and useful to healthcare professionals, hospital patients and their relatives.
Methods
The course was developed using conversation analytic findings from video recordings of healthcare professionals talking to patients living with dementia in the acute hospital, together with systematic review evidence of dementia communication skills training and taking account of expert and service-user opinion. The two-day course was based on experiential learning theory, and included simulation and video workshops, reflective diaries and didactic teaching. Actors were trained to portray patients living with dementia for the simulation exercises. Six courses were run between January and May 2017. 44/45 healthcare professionals attended both days of the course. Evaluation entailed: questionnaires on confidence in dementia communication; a dementia communication knowledge test; and participants’ satisfaction. Video-recorded, simulated assessments were used to measure changes in communication behaviour.
Results
Healthcare professionals increased their knowledge of dementia communication (mean improvement 1.5/10; 95% confidence interval 1.0–2.0; p<0.001). Confidence in dementia communication also increased (mean improvement 5.5/45; 95% confidence interval 4.1–6.9; p<0.001) and the course was well-received. One month later participants reported using the skills learned in clinical practice. Blind-ratings of simulated patient encounters demonstrated behaviour change in taught communication behaviours to close an encounter, consistent with the training, but not in requesting behaviours.
Conclusion
We have developed an innovative, evidence-based dementia communication skills training course which healthcare professionals found useful and after which they demonstrated improved dementia communication knowledge, confidence and behaviour
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