5,217 research outputs found

    Postoperative irradiation after implant placement: A pilot study for prosthetic reconstruction

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    Chemical ordering in PtNi nanocrystals

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    We investigated the chemical ordering in PtNi nanocrystals fabricated on sapphire substrate using in-situ synchrotron X-ray scattering. Nanocrystals with composition close to 1:1 were ordered in the tetragonal L1(0) structure at low temperatures. The transition to disordered FCC structure occurred at around 640 degrees C and substantial hysteresis of about 50 K was observed. Nanocrystals of smaller sizes fabricated under the same conditions were Ni rich and ordered into Cu3Au type L1(2) structure. Significantly higher degree of chemical ordering was observed in L1(2) structure than in L1(0) structure. (C) 2016 Elsevier B.V. All rights reserved.1144Ysciescopu

    Do differences in profiling criteria bias performance measurements? Economic profiling of medical clinics under the Korea National Health Insurance program: An observational study using claims data

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    <p>Abstract</p> <p>Background</p> <p>With a greater emphasis on cost containment in many health care systems, it has become common to evaluate each physician's relative resource use. This study explored the major factors that influence the economic performance rankings of medical clinics in the Korea National Health Insurance (NHI) program by assessing the consistency between cost-efficiency indices constructed using different profiling criteria.</p> <p>Methods</p> <p>Data on medical care benefit costs for outpatient care at medical clinics nationwide were collected from the NHI claims database. We calculated eight types of cost-efficiency index with different profiling criteria for each medical clinic and investigated the agreement between the decile rankings of each index pair using the weighted kappa statistic.</p> <p>Results</p> <p>The exclusion of pharmacy cost lowered agreement between rankings to the lowest level, and differences in case-mix classification also lowered agreement considerably.</p> <p>Conclusions</p> <p>A medical clinic may be identified as either cost-efficient or cost-inefficient, even when using the same index, depending on the profiling criteria applied. Whether a country has a single insurance or a multiple-insurer system, it is very important to have standardized profiling criteria for the consolidated management of health care costs.</p

    A Novel Technology to Develop a Nickel-Enriched Layer on Slab Surface by Utilizing NiO-Containing Synthetic Powder

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    Cu, as one of the typical tramp elements, is known to cause hot shortness during reheating of slabs followed by hot rolling of sheet products. In order to prevent such harmful aspects, a new idea is proposed by using synthetic powders containing NiO in the mold flux during continuous casting of the slab. During the casting, NiO is reduced and absorbed on initial solidified steel shell, and a Ni-rich layer is developed near the surface region of the slab. According to the proposed idea, it is expected that both the Cu solubility and the melting temperature of Cu-segregated region would increase considerably by virtue of Ni-rich layer, which is believed to play an important role to prevent the Cu hot shortness. A series of laboratory-scale experiments were carried out in order to confirm the reduction and the absorption of Ni into the steel matrix. It was observed by SEM-EDS and FE-EPMA that a Ni-enriched layer, as thick as a few hundred mu m, formed near the surface of the slab. Also, a number of laboratory-scale heat treatment tests under oxidizing atmosphere showed that the samples with the Ni-enriched layer had a decreased Cu enrichment at the interface between scale and steel, compared to a case without Ni-rich layer. A pilot-plant-scale steel slab (medium carbon steel containing 0.3 wt pct Cu) was obtained in a continuous casting process with the NiO-containing mold flux, and a Ni-enriched layer was also observed. It was concluded that the use of NiO in the mold flux is a promising new approach for suppressing the hot shortness of Cu-containing steel, without an expensive addition of Ni to the whole steel matrix.open110Nsciescopu

    Anodization of nanoporous alumina on impurity-induced hemisphere curved surface of aluminum at room temperature

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    Nanoporous alumina which was produced by a conventional direct current anodization [DCA] process at low temperatures has received much attention in various applications such as nanomaterial synthesis, sensors, and photonics. In this article, we employed a newly developed hybrid pulse anodization [HPA] method to fabricate the nanoporous alumina on a flat and curved surface of an aluminum [Al] foil at room temperature [RT]. We fabricate the nanopores to grow on a hemisphere curved surface and characterize their behavior along the normal vectors of the hemisphere curve. In a conventional DCA approach, the structures of branched nanopores were grown on a photolithography-and-etched low-curvature curved surface with large interpore distances. However, a high-curvature hemisphere curved surface can be obtained by the HPA technique. Such a curved surface by HPA is intrinsically induced by the high-resistivity impurities in the aluminum foil and leads to branching and bending of nanopore growth via the electric field mechanism rather than the interpore distance in conventional approaches. It is noted that by the HPA technique, the Joule heat during the RT process has been significantly suppressed globally on the material, and nanopores have been grown along the normal vectors of a hemisphere curve. The curvature is much larger than that in other literatures due to different fabrication methods. In theory, the number of nanopores on the hemisphere surface is two times of the conventional flat plane, which is potentially useful for photocatalyst or other applications

    Kinetic roughening of ion-sputtered Pd(001) surface: Beyond the Kuramoto-Sivashinsky model

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    The kinetic roughening of Ar+ ion-sputtered Pd(001) surface was investigated. The facet formation on the sputtered surface was studied by tracing the extradiffraction peaks or satellites around the diffraction peaks corresponding to the sample surface. The morphological evolution of the sputtered Pd(001) surface was also investigated by an scanning tunneling microscopy (STM). It was shown that the nanoscale adatom islands form and grow with increasing sputter time.open313

    Increased postvoid residual volume after measuring the isovolumetric bladder pressure using the noninvasive condom catheter method

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    OBJECTIVE: To test, in an ongoing noninvasive longitudinal study in healthy men, whether the condom catheter method (a noninvasive urodynamic test to assess bladder function and bladder outlet obstruction) inhibits bladder function and whether this affects the reliability of the measured isovolumetric bladder pressure (P(ves.iso)). SUBJECTS AND METHODS: Subjects (754, aged 40-79 years) voided three times, i.e. one free void and two condom measurements. The postvoid residual volume (PVR) was measured after each void using transabdominal ultrasonography. The statistical significance of differences was tested using Wilcoxon rank test and the Mann-Whitney U-test. RESULTS: After free voiding the median (interquartile range) PVR was 18 (37) mL, and independent of the amount of fluid intake. In a subgroup of volunteers, when the free void was done last, the PVR was no different (P = 0.25), suggesting that the bladder did not become exhausted during the protocol. The PVR after two subsequent condom measurements was significantly higher than after free voiding, at 45 (78) and 57 (88) (both P < 0.05), independent of the number of interruptions in voiding. After supplementary fluid intake before the condom measurements, the PVR was double that with a normal fluid intake (P = 0.03). The median P(ves.iso) was 3 cmH(2)O higher in the second condom measurement than in the first (P < 0.05), although this small difference was not clinically relevant. CONCLUSIONS: The condom measurement is associated with a significantly higher PVR, partly caused by supplementary fluid intake. This effect was only temporary and did not affect the measured P(ves.iso)

    In verbis, vinum? Relating themes in an open-ended writing task to alcohol behaviors

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    Alcohol's function as a regulator of emotions has long been denoted in figures of speech, most famously 'in vino, veritas' (in wine,truth). In contrast, we ask whether an individual's alcohol-related behaviors can be inferred from the words they use to write about alcohol. Participants completed an open-ended essay as part of a survey on alcohol attitudes and behaviors. We used a computerized technique, the Meaning Extraction Method, to summarize the responses into thematic tropes, and correlated these with quantitative measurements of demographics, attitudes and behaviors. Participants were recruited using a random population postal survey in the U.K (n=1229). Principal components analysis identified co-occurring words to locate themes in the responses. Seven themes were identified that corresponded to both negative and positive aspects of alcohol consumption ranging from concern for the influence of alcohol on others (e.g., children and family) to participants' own enjoyment of alcohol (e.g., social drinking). Significant correlations suggested a relationship between the essay responses and individual consumption patterns and attitudes. This study therefore examines how individuals in UK drinking cultures commonly construe alcohol consumption in their own words
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