6,255 research outputs found

    A cohort study of duplex Doppler examinations of the carotid artery in primary open angle glaucoma

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    Objectives To explore the possibility of pathological change in the common carotid artery at the bifurcation and in the internal carotid artery beyond the bifurcation which could contribute to a reduced diastolic pressure as observed in primary open angle glaucoma. Design Duplex ultrasonic examinations of carotid bifurcations were conducted on 80 patients. Carotid artery defects were allocated into three types: no demonstrable flow defects, internal carotid artery abnormalities and disease in the carotid bulb. Setting Bristol Royal Infirmary Vascular Laboratory. Participants Eighty patients (mean age 69.6 years) providing a total of 160 sides to the analysis. Main outcome measures An estimated central retinal artery pressure, intraocular pressure and field loss were recorded for each side measured. Results Doppler investigations revealed significant levels of pathological change in the internal carotid distinct from changes at the carotid bulb. The disease revealed in the internal carotid artery was significantly associated with intraocular pressure (p = 0.032), with an effect small to medium in magnitude. The Q2 measure, derived from mean arterial pressure and intraocular pressure, was also substantively associated with disease in the internal carotid artery. Both intraocular pressure and the Q2 measure effectively discriminated between groups, with field loss providing rather less discriminating capability. There was a strong trend towards a higher intraocular pressures and a greater visual field loss with internal carotid artery disease. Conclusions Pathological changes in the extra cranial carotid artery in primary open angle glaucoma exceed those in the arteries classified as normal. The presence of disease specifically in the internal carotid artery emphasised the need for a mechanism for the evaluation of the internal carotid apart from the carotid bulb. A basis for clarifying the presence of an ischaemic zone is proposed

    Moving ahead with RDA

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    A PowerPoint presentation given at the British Columbia Library Association Conference on April 8, 2011. The presentation reviews the progress made toward implementation of RDA, the new cataloguing content standrd for resource description. Early results from the formal testing which took place in the United States are shared. Resources for training are provided and examples of RDA records are discussed

    Moving ahead with RDA

    Get PDF
    A PowerPoint presentation given at the British Columbia Library Association Conference on April 8, 2011. The presentation reviews the progress made toward implementation of RDA, the new cataloguing content standrd for resource description. Early results from the formal testing which took place in the United States are shared. Resources for training are provided and examples of RDA records are discussed

    Consistent services throughout the week for acute medical care.

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    Cockade breccia: Product of mineralisation along dilational faults

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    Cockade breccias are a type of fault fills in which individual clasts are completely surrounded by concentric layers of cement. They occur particularly in low-temperature near-surface hydrothermal veins. At least six mechanisms have been proposed for the formation of cockade breccia-like textures, but only two – repeated rotation-accretion, and partial metasomatic replacement of clast minerals – have been supported by detailed evidence. A typical example of cockade breccia from the Gower Peninsula (South Wales) shows clear evidence for the rotation-accretion mechanism: in particular, overgrown breakage points in cement layers – where cockades were previously touching each other – and rotated geopetal infills of haematitic sediment. Based on the available evidence, it is proposed that cockade textures result from low rates of cement growth compared to high rates of dilational fault slip. Seven criteria are given for the correct identification of cockade breccias.This is the author's accepted manuscript and will be under embargo until publication. The final version is available from Elsevier in the Journal of Structural Geology at http://www.sciencedirect.com/science/article/pii/S0191814114001989

    A systematic approach to atomicity decomposition in Event-B

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    Event-B is a state-based formal method that supports a refinement process in which an abstract model is elaborated towards an implementation in a step-wise manner. One weakness of Event-B is that control flow between events is typically modelled implicitly via variables and event guards. While this fits well with Event-B refinement, it can make models involving sequencing of events more difficult to specify and understand than if control flow was explicitly specified. New events may be introduced in Event-B refinement and these are often used to decompose the atomicity of an abstract event into a series of steps. A second weakness of Event-B is that there is no explicit link between such new events that represent a step in the decomposition of atomicity and the abstract event to which they contribute. To address these weaknesses, atomicity decomposition diagrams support the explicit modelling of control flow and refinement relationships for new events. In previous work,the atomicity decomposition approach has been evaluated manually in the development of two large case studies, a multi media protocol and a spacecraft sub-system. The evaluation results helped us to develop a systematic definition of the atomicity decomposition approach, and to develop a tool supporting the approach. In this paper we outline this systematic definition of the approach, the tool that supports it and evaluate the contribution that the tool makes

    Freight distribution in urban areas: a method to select the most important loading and unloading areas and a survey tool to investigate related demand patterns

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    Abstract Cities all around the world are observing increasing levels of urban freight activities owing to the growth of internet shopping combined to the traditional distribution to shops, creating additional problems in terms of congestions and environmental impacts. This study, developed within the European Project SUITS framework, aims at showing how Local Authorities can effectively observe freight flows from the demand side. This led to the design, implementation and testing of a spatial cluster analysis approach to understand which are the most important loading/unloading parking spots in an urban setting by processing the GPS traces of a fleet of logistic vehicles. Later field activities should focus on these important areas to maximize the efficiency of the survey. A survey of retailers and shops in such areas to observe delivering activities is then proposed. The whole process, namely the spatial analysis and the field survey, was then tested to the real case of an Italian city (Turin) to assess the potentiality of the methods. The methodology proposed can give useful insights to Local Authorities on a way of monitoring the freight distribution patterns at the more disaggregated individual loading/unloading area

    Freight distribution in urban areas: a method to select the most important loading and unloading areas and a survey tool to investigate related demand patterns

    Get PDF
    Cities all around the world are observing increasing levels of urban freight activities owing to the growth of internet shopping combined to the traditional distribution to shops, creating additional problems in terms of congestions and environmental impacts. This study, developed within the European Project SUITS framework, aims at showing how Local Authorities can effectively observe freight flows from the demand side. This led to the design, implementation and testing of a spatial cluster analysis approach to understand which are the most important loading/unloading parking spots in an urban setting by processing the GPS traces of a fleet of logistic vehicles. Later field activities should focus on these important areas to maximize the efficiency of the survey. A survey of retailers and shops in such areas to observe delivering activities is then proposed. The whole process, namely the spatial analysis and the field survey, was then tested to the real case of an Italian city (Turin) to assess the potentiality of the methods. The methodology proposed can give useful insights to Local Authorities on a way of monitoring the freight distribution patterns at the more disaggregated individual loading/unloading area

    ‘I wouldn't start from here’: Finding a way in CRM projects

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