1,009 research outputs found
Troubleshooting and rectifying structural mechanics problems –- applied mechanics in industry
This paper outlines the general process of troubleshooting and rectifying unexpected structural mechanics problems in industrial plant and infrastructure. Typically the process includes the combination and correlation of site measurements (strain, vibration), and computational simulations (finite element analysis, computational fluid dynamics) to identify root cause sources and guide redesign and rectification means. Details of typical site installations are outlined, including mining machinery, gas pipelines, railway lines, manufacturing plant and ships. Four case studies are included, ranging from resin manufacturing tubular agitators suffering vortex induced resonance, ore grinding mills needing better access manhole design, mine dump trucks, and ship shafting issues
A short note on early Cambrian palaeomagnetism from Normandy, France
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72870/1/j.1365-246X.1982.tb06975.x.pd
Fallow deer (Dama dama dama) management in Roman South-East Britain
This paper presents new carbon, nitrogen and sulphur isotope data for European fallow deer (Dama dama dama) in Roman Britain and discusses results in light of evidence from classical texts, landscape archaeology, zooarchaeology and the limited available samples of metric data. The new isotope data presented here are from Fishbourne Roman Palace (Sussex), two sites on the Isle of Thanet (Kent) and a further two sites in London. In spite of small sample sizes the data make an important contribution to the very limited corpus of scientific research on the species and provide new resolution to the nature of fallow deer movement and management in Roman Britain
Cancer Trial Impact:Understanding implementation of the SCOT trial findings at a national level
Aims:
The Short Course Oncology Treatment (SCOT) trial indicated that 3 months of adjuvant doublet chemotherapy was non-inferior to 6 months of treatment for patients with colorectal cancer, with considerably less toxicity. The SCOT trial results were disseminated in June 2017. The aim of this study was to understand if SCOT trial findings were implemented in Scotland.
Materials and methods:
A retrospective analysis was carried out on a dataset derived from a source population of 5.4 million people. Eligible patients were those with stage II or III colorectal cancer who received adjuvant chemotherapy. Logistic regression was applied to understand the extent of practice change to a 3-month adjuvant chemotherapy duration after the SCOT trial results were disseminated. Interrupted time series analysis was used to visualise differences in prescribing trends before and after June 2017 for the overall cohort, and by SCOT trial eligibility.
Results:
In total, 2310 patients were included in the study; 1957 and 353 treated pre- and post-June 2017, respectively. The median treatment duration decreased from 21 weeks (interquartile range 14–24) prior to June 2017 to 12 weeks (interquartile range 12–21 weeks) after June 2017 (P < 0.001). The proportion of patients receiving over 3 months of adjuvant treatment decreased from 75% to 42% (P < 0.001). This change was most noticeable for patients who met the SCOT trial eligibility criteria, and specifically for those with low-risk stage III disease and those treated with capecitabine and oxaliplatin (CAPOX). Although practice change occurred in all locations, there were differences between regions that could be explained by pre-SCOT trial prescribing trends.
Discussion:
A significant change in chemotherapy prescribing occurred after dissemination of the SCOT trial results. National, real-world data can be used to capture the extent of implementation of clinical trial results. In this case, implementation was aligned with clinical trial subgroup findings. This type of analysis could be conducted to evaluate the impact of other clinical trials
Social causes and outcomes of Acute Transient Psychotic Disorder: a review of recent evidence
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