7,150 research outputs found
Stability and dynamics of rotating dielectrophoretic equilibria
Design of dielectrophoretic liquid orientation and expulsion systems for zero gravity environments with maximum electromechanical effects of imposed electric fiel
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Application of Design of Experiments to Extrusion Freeform Fabrication (EFF) of Functional Ceramic Prototypes
Extrusion Freeform Fabrication (EFF) is an adaptation of the Stratasys Fused Deposition
Modeling (FDM) process for the Solid Freeform Fabrication (SFF) of functional ceramic
prototypes. It is a complex process involving many process variables, including parameters that
are operation, machine, materials, and geometry specific. A Taguchi factorial Design of
Experiments (DOE) technique was utilized to study the effects of machine specific process
parameters as well as their interactions based on the mechanical and physical properties of
sintered ceramics specimens. Post-processing software was developed to control and modify these
parameters. This software interface wasdesigned to mimic the Quicksliceâ„¢ interface for setting
motion parameters based upon the material and the operation. The results of this investigation
provided useful information for the experimental analysis of the machine specific process
parameters. Suitable parameters were selected for the EFF process for fabricating representative
ceramic prototypes. With the optimized parameters, complicated parts were successfully
fabricated using both Kyocera SN282 and Starck M-11 silicon nitride powders.Mechanical Engineerin
Ultrasonic locating devices for central venous cannulation: meta-analysis
OBJECTIVES: To assess the evidence for the clinical
effectiveness of ultrasound guided central venous
cannulation.
DATA SOURCES: 15 electronic bibliographic databases,
covering biomedical, science, social science, health
economics, and grey literature.
DESIGN: Systematic review and meta-analysis of
randomised controlled trials.
POPULATIONS: Patients scheduled for central venous
access.
INTERVENTION REVIEWED: Guidance using real time two
dimensional ultrasonography or Doppler needles and
probes compared with the anatomical landmark
method of cannulation.
DATA EXTRACTION: Risk of failed catheter placement
(primary outcome), risk of complications from
placement, risk of failure on first attempt at
placement, number of attempts to successful
catheterisation, and time (seconds) to successful
catheterisation.
DATA SYNTHESIS: 18 trials (1646 participants) were
identified. Compared with the landmark method, real
time two dimensional ultrasound guidance for
cannulating the internal jugular vein in adults was
associated with a significantly lower failure rate both
overall (relative risk 0.14, 95% confidence interval
0.06 to 0.33) and on the first attempt (0.59, 0.39 to
0.88). Limited evidence favoured two dimensional
ultrasound guidance for subclavian vein and femoral
vein procedures in adults (0.14, 0.04 to 0.57 and 0.29,
0.07 to 1.21, respectively). Three studies in infants
confirmed a higher success rate with two dimensional
ultrasonography for internal jugular procedures (0.15,
0.03 to 0.64). Doppler guided cannulation of the
internal jugular vein in adults was more successful
than the landmark method (0.39, 0.17 to 0.92), but the
landmark method was more successful for subclavian
vein procedures (1.48, 1.03 to 2.14). No significant
difference was found between these techniques for
cannulation of the internal jugular vein in infants. An
indirect comparison of relative risks suggested that
two dimensional ultrasonography would be more
successful than Doppler guidance for subclavian vein
procedures in adults (0.09, 0.02 to 0.38).
CONCLUSIONS: Evidence supports the use of two
dimensional ultrasonography for central venous
cannulation
The Inherent Disadvantage of the Presidential Party in Midterm Congressional Elections
The almost inevitable midterm election loss suffered by the president's congressional party still lacks a complete explanation. It is argued here that the policy positions of the president help shape voters' perceptions of the positions of congressional candidates. Because the president implements policies before the midterm campaign begins, and because he has goals apart from winning seats in Congress, his party's candidates are at a disadvantage, relative to their opponents, in communicating the most favorable positions possible to their voters. This model of the midterm campaign not only explains midterm losses, but also accounts for rare failures of this phenomenon, as occurred in 1934
Stability of the dystrophin rod domain fold: evidence for nested repeating units
An examination of fragments of the human dystrophin rod domain, corresponding to a single structural repeating unit, showed that a critical chain length, defined with a precision of one residue at the C-terminal end, is required for formation of the native tertiary fold. We report here that extending the chain by six residues beyond this minimum results in a large increase in conformational stability. This is not related to a change in association state of the polypeptide. The results support the conjecture that successive repeating units in the rod domain of the spectrinlike proteins form a nested structure, in which the N-terminal part of the three-helix bundle of one repeat packs into the overlapping structure of the preceding repeat. This would be expected to affect functional characteristics related to flexibility of the dystrophin rod domain
The prevalence of medical reasons for non-participation in the Scottish breast and bowel cancer screening programmes
Objective: Increasing uptake of cancer screening is a priority for health systems internationally, however, some patients may not attend because they are undergoing active treatment for the cancer of interest or have other medical reasons that mean participation would be inappropriate. This study aims to quantify the proportion of non-participants who have a medical reason for not attending cancer screening.<p></p>
Methods: Medical reasons for not participating in breast and bowel screening were defined a priori on the basis of a literature review and expert opinion. The notes of 700 patients at two GP practices in Scotland were reviewed, to ascertain the prevalence of medical reasons amongst non-participants. Simple proportions and confidence intervals were calculated.<p></p>
Results: 17.4% of breast and 2.3% of bowel screening non-participants had a medical reason to not participate. The two most common reasons were previous breast cancer follow up (8.86%) and recent mammogram (6.57%).<p></p>
Conclusion: These patients may not benefit from screening while also being distressed by receiving an invitation. This issue also makes accurate monitoring and target-setting for improving uptake difficult. Further work is needed to estimate robustly the extent to which medical reasons account for screening non-participation in a larger population.<p></p>
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