The National Health Insurance Bill: Responses and options for the Portfolio Committee on Health

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The effect of trepanning speed of laser drilled acute angled cooling holes on the high temperature low cycle corrosion fatigue performance of CMSX-4 at 850 °C

The effect of laser trepanning speed and, as a result, recast layer thickness on the high temperature corrosion fatigue behaviour of CMSX-4 superalloy acute angled holes was investigated. The experimental test results show that an increasing laser drilling speed caused a reduction in corrosion fatigue life by 35–50% at 850 °C, under low cycle fatigue regime. This reduction was found to correlate directly with the recast layer thickness and surface anomalies within the recast layer produced during the laser drilling process. Corrosion had a smaller effect on the overall life of the laser drilled specimens under the conditions tested. The results presented show that laser trepanning speed is influential in limiting the life performance of laser drilled components in service

The Competition Commission Health Market Inquiry Report: An overview and key imperatives

The Competition Commission’s Health Market Inquiry (HMI) is the most systematic and comprehensive investigation carried out into the South African private health sector. The recommendations as set out in the HMI Final Report merit extensive discussion and debate, as they could – if implemented – have far-reaching consequences for the future of the healthcare system. The objective of this article is to contribute to this discussion by providing an overview of the key findings and recommendations of the HMI and highlighting the resultant key imperatives at this critical juncture of policy development

Online on-board Optimization of Cutting Parameter for Energy Efficient CNC Milling

Energy efficiency is one of the main drivers for achieving sustainable manufacturing. Advances in machine tool design have reduced the energy consumption of such equipment, but still machine tools remain one of the most energy demanding equipment in a workshop. This study presents a novel approach aimed to improve the energy efficiency of machine tools through the online optimization of cutting conditions. The study is based on an industrial CNC controller with smart algorithms optimizing the cutting parameters to reduce the overall machining time while at the same time minimizing the peak energy consumption

Burkholderia cepacia complex and limited cutaneous vasculitis in patients with cystic fibrosis : a case series

There is a high association of reactive skin presentations, mainly limited cutaneous vasculitis in patients with cystic fibrosis and Burkholderia cepcia complex chronic infection. This may be due to raised levels of circulating inflammatory mediators.Publisher PDFPeer reviewe

First-principle study of excitonic self-trapping in diamond

We present a first-principles study of excitonic self-trapping in diamond. Our calculation provides evidence for self-trapping of the 1s core exciton and gives a coherent interpretation of recent experimental X-ray absorption and emission data. Self-trapping does not occur in the case of a single valence exciton. We predict, however, that self-trapping should occur in the case of a valence biexciton. This process is accompanied by a large local relaxation of the lattice which could be observed experimentally.Comment: 12 pages, RevTex file, 3 Postscript figure

A mixed methods and triangulation model for increasing the accuracy of adherence and sexual behaviour data: the Microbicides Development Programme.

Background: The collection of accurate data on adherence and sexual behaviour is crucial in microbicide (and other HIV-related) research. In the absence of a "gold standard" the collection of such data relies largely on participant self-reporting. After reviewing available methods, this paper describes a mixed method/triangulation model for generating more accurate data on adherence and sexual behaviour in a multi-centre vaginal microbicide clinical trial. In a companion paper some of the results from this model are presented [1].Methodology/Principal Findings: Data were collected from a random subsample of 725 women (7.7% of the trial population) using structured interviews, coital diaries, in-depth interviews, counting returned gel applicators, focus group discussions, and ethnography. The core of the model was a customised, semi-structured in-depth interview. There were two levels of triangulation: first, discrepancies between data from the questionnaires, diaries, in-depth interviews and applicator returns were identified, discussed with participants and, to a large extent, resolved; second, results from individual participants were related to more general data emerging from the focus group discussions and ethnography. A democratic and equitable collaboration between clinical trialists and qualitative social scientists facilitated the success of the model, as did the preparatory studies preceding the trial. The process revealed some of the underlying assumptions and routinised practices in "clinical trial culture" that are potentially detrimental to the collection of accurate data, as well as some of the shortcomings of large qualitative studies, and pointed to some potential solutions.Conclusions/Significance: The integration of qualitative social science and the use of mixed methods and triangulation in clinical trials are feasible, and can reveal (and resolve) inaccuracies in data on adherence and sensitive behaviours, as well as illuminating aspects of "trial culture" that may also affect data accuracy

Chromosome 11q13.5 variant associated with childhood eczema:an effect supplementary to filaggrin mutations

BackgroundAtopic eczema is a common inflammatory skin disease with multifactorial etiology. The genetic basis is incompletely understood; however, loss of function mutations in the filaggrin gene (FLG) are the most significant and widely replicated genetic risk factor reported to date. The first genome-wide association study in atopic eczema recently identified 2 novel genetic variants in association with eczema susceptibility: a single nucleotide polymorphism on chromosome 11q13.5 (rs7927894) and a single nucleotide polymorphism (rs877776) within the gene encoding hornerin on chromosome 1q21.ObjectiveTo test the association of these 2 novel variants with pediatric eczema and to investigate their interaction with FLG null mutations.MethodsCase-control study to investigate the association of rs7927894, rs877776 and the 4 most prevalent FLG null mutations with moderate-severe eczema in 511 Irish pediatric cases and 1000 Irish controls. Comprehensive testing for interaction between each of the loci was also performed.ResultsThe association between rs7927894 and atopic eczema was replicated in this population (P = .0025, χ2 test; odds ratio, 1.27; 95% CI, 1.09-1.49). The 4 most common FLG null variants were strongly associated with atopic eczema (P = 1.26 × 10−50; combined odds ratio, 5.81; 95% CI, 4.51-7.49). Interestingly, the rs7927894 association was independent of the well-established FLG risk alleles and may be multiplicative in its effect. There was no significant association between rs877776 and pediatric eczema in this study.ConclusionSingle nucleotide polymorphism rs7927894 appears to mark a genuine eczema susceptibility locus that will require further elucidation through fine mapping and functional analysis

Investigation into the effects of salt chemistry and SO2 on the crack initiation of CMSX-4 in static loading conditions

Although evidence exists of the potential impact of stress, co-incident with corrosive environments at high temperature, for single crystal turbine blades, the mechanism responsible is not fully understood. This work explores the effect of CaSO4, Na2SO4 and sea salt on the scale formation and crack initiation of CMSX-4 at 550°C in 50 ppm of SO2 and synthetic air under a static stress of 800 MPa. The cross-sectional analysis showed that the CaSO4 and the Na2SO4 salted specimens did not undergo a significant degree of corrosion degradation and no cracks were detected after 400 hours of exposure. However, sea salt caused significant degradation to the scale and cracks were detected by X-ray CT scanning after 400 hours of exposure. The findings from this study suggests that the sulfation of chlorine containing species in sea salt led to the formation, vaporisation and re-oxidation of metal chlorides and this mechanism was found to play a key role in the formation of a non-protective scale. An active oxidation mechanism has been proposed to interpret the results. In conclusion, it is hypothesized that due to the synergistic effect of stress and the formation of a non-protective scale, fast diffusion paths for sulfur, oxygen and chlorine ingress were formed. Further work is currently being undertaken to understand the effect of these species on the local embrittlement of CMSX-4 that ultimately led to the initiation of cracks in the specimen