996 research outputs found

    Evaluation of Captured Water Column Technology for Advanced Ultrasonic Sizing Techniques

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    Ultrasonic (UT) inspection of aircraft engine parts has traditionally been conducted in an immersion water tank. However, experience has shown that the immersion tank is usually large, awkward, and tedious to work with. An alternative method which does not require immersion would increase the time efficiency of the UT inspection. One such method would be to use a captured water column coupling system, which closely approximates the immersion method and eliminates the need for a large immersion tank. The tank would be replaced by a trough or water collection tray to collect the water produced by the low water flow of the captured water column

    A Real-Time Ultrasonic Imaging System (ARIS) for Manual Inspection of Aircraft Composite Structures

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    Inspection of aircraft composite structures at field site facilities (air bases) is routinely performed using manual ultrasonic testing (UT) techniques. Using these techniques, the examiner detects and sizes defects such as disbonds and delaminations by monitoring and interpreting A-scan waveform signals on a UT instrument display screen. Manual probe manipula- tion permits maximum scanning flexibility and optimization of the ultrasonic signal response by the examiner using manual motions not possible with mechanized scanners. However, the examiner also must be responsible for instrument calibration, signal interpretation, documentation of inspection results, and completeness of coverage. The data reviewer must be able to validate instrument calibration and completeness of coverage, confirm signal interpretation, and compare current UT results to those obtained during previous inspections

    Vygotsky in English: What Still Needs to Be Done

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    At present readers of English have still limited access to Vygotsky’s writings. Existing translations are marred by mistakes and outright falsifications. Analyses of Vygotsky’s work tend to downplay the collaborative and experimental nature of his research. Several suggestions are made to improve this situation. New translations are certainly needed and new analyses should pay attention to the contextual nature of Vygotsky’s thinking and research practice

    Willingness to participate in a randomized trial comparing catheters to fistulas for vascular access in incident hemodialysis patients: an international survey of nephrologists

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    BACKGROUND: Current guidelines favor fistulas over catheters as vascular access. Yet, the observational literature comparing fistulas to catheters has important limitations and biases that may be difficult to overcome in the absence of randomization. However, it is not clear if physicians would be willing to participate in a clinical trial comparing fistulas to catheters. OBJECTIVES: We also sought to elicit participants' opinions on willingness to participate in a future trial regarding catheters and fistulas. DESIGN: We created a three-part survey consisting of 19 questions. We collected demographic information, respondents' knowledge of the vascular access literature, appropriateness of current guideline recommendations, and their willingness to participate in a future trial. SETTING: Participants were recruited from Canada, Europe, Australia, and New Zealand. PARTICIPANTS: Participants include physicians and trainees who are involved in the care of end-stage renal disease patients requiring vascular access. MEASUREMENTS: Descriptive statistics were used to describe baseline characteristics of respondents according to geographic location. We used logistic regression to model willingness to participate in a future trial. METHODS: We surveyed nephrologists from Canada, Europe, Australia, and New Zealand to assess their willingness to participate in a randomized trial comparing fistulas to catheters in incident hemodialysis patients. RESULTS: Our results show that in Canada, 86 % of respondents were willing to participate in a trial (32 % in all patients; 54 % only in patients at high risk of primary failure). In Europe and Australia/New Zealand, the willingness to participate in a trial that included all patients was lower (28 % in Europe; 25 % in Australia/New Zealand), as was a trial that included patients at high risk of primary failure (38 % in Europe; 39 % in Australia/New Zealand). Nephrologists who have been in practice for a few years, saw a larger volume of patients, or self-identified as experts in vascular access literature were more likely to participate in a trial. LIMITATIONS: Survey distribution was limited to vascular access experts in participating European countries and ultimately led to a discrepancy in numbers of European to non-European respondents overall. Canadian views are likely over-represented in the overall outcomes. CONCLUSIONS: Our survey results suggest that nephrologists believe there is equipoise surrounding the optimal vascular access strategy and that a randomized controlled study should be undertaken, but restricted to those individuals with a high risk of primary fistula failure

    Whole brain resting-state analysis reveals decreased functional connectivity in major depression

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    Recently, both increases and decreases in resting-state functional connectivity have been found in major depression. However, these studies only assessed functional connectivity within a specific network or between a few regions of interest, while comorbidity and use of medication was not always controlled for. Therefore, the aim of the current study was to investigate whole-brain functional connectivity, unbiased by a priori definition of regions or networks of interest, in medication-free depressive patients without comorbidity. We analyzed resting-state fMRI data of 19 medication-free patients with a recent diagnosis of major depression (within six months before inclusion) and no comorbidity, and 19 age- and gender-matched controls. Independent component analysis was employed on the concatenated data sets of all participants. Thirteen functionally relevant networks were identified, describing the entire study sample. Next, individual representations of the networks were created using a dual regression method. Statistical inference was subsequently done on these spatial maps using voxelwise permutation tests. Abnormal functional connectivity was found within three resting-state networks in depression: 1) decreased bilateral amygdala and left anterior insula connectivity in an affective network, 2) reduced connectivity of the left frontal pole in a network associated with attention and working memory, and 3) decreased bilateral lingual gyrus connectivity within ventromedial visual regions. None of these effects were associated with symptom severity or grey matter density. We found abnormal resting-state functional connectivity not previously associated with major depression, which might relate to abnormal affect regulation and mild cognitive deficits, both associated with the symptomatology of the disorder
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