1,647 research outputs found
Adhesives for laminating polyimide insulated flat conductor cable
Polymer adhesive laminates polyimide-film flat conductor cable. It is obtained by reacting an appropriate diamine with a dianhydride. The adhesive has also been used in the lamination of copper to copper for the preparation of multilayer circuit boards
Economic Analysis of Children's Surgical Care in Low- and Middle-Income Countries: A Systematic Review and Analysis.
BackgroundUnderstanding the economic value of health interventions is essential for policy makers to make informed resource allocation decisions. The objective of this systematic review was to summarize available information on the economic impact of children's surgical care in low- and middle-income countries (LMICs).MethodsWe searched MEDLINE (Pubmed), Embase, and Web of Science for relevant articles published between Jan. 1996 and Jan. 2015. We summarized reported cost information for individual interventions by country, including all costs, disability weights, health outcome measurements (most commonly disability-adjusted life years [DALYs] averted) and cost-effectiveness ratios (CERs). We calculated median CER as well as societal economic benefits (using a human capital approach) by procedure group across all studies. The methodological quality of each article was assessed using the Drummond checklist and the overall quality of evidence was summarized using a scale adapted from the Agency for Healthcare Research and Quality.FindingsWe identified 86 articles that met inclusion criteria, spanning 36 groups of surgical interventions. The procedure group with the lowest median CER was inguinal hernia repair (58,977). We found a wide range of study quality, with only 35% of studies having a Drummond score ≥ 7.InterpretationOur findings show that many areas of children's surgical care are extremely cost-effective in LMICs, provide substantial societal benefits, and are an appropriate target for enhanced investment. Several areas, including inguinal hernia repair, trichiasis surgery, cleft lip and palate repair, circumcision, congenital heart surgery and orthopedic procedures, should be considered "Essential Pediatric Surgical Procedures" as they offer considerable economic value. However, there are major gaps in existing research quality and methodology which limit our current understanding of the economic value of surgical care
The Dynamics of Radiative Shock Waves: Linear and Nonlinear Evolution
The stability properties of one-dimensional radiative shocks with a power-law
cooling function of the form are the main
subject of this work. The linear analysis originally presented by Chevalier &
Imamura, is thoroughfully reviewed for several values of the cooling index
and higher overtone modes. Consistently with previous results, it is
shown that the spectrum of the linear operator consists in a series of modes
with increasing oscillation frequency. For each mode a critical value of the
cooling index, , can be defined so that modes with are unstable, while modes with
are stable. The perturbative analysis is complemented by several numerical
simulations to follow the time-dependent evolution of the system for different
values of . Particular attention is given to the comparison between
numerical and analytical results (during the early phases of the evolution) and
to the role played by different boundary conditions. It is shown that an
appropriate treatment of the lower boundary yields results that closely follow
the predicted linear behavior. During the nonlinear regime, the shock
oscillations saturate at a finite amplitude and tend to a quasi-periodic cycle.
The modes of oscillations during this phase do not necessarily coincide with
those predicted by linear theory, but may be accounted for by mode-mode
coupling.Comment: 33 pages, 12 figures, accepted for publication on the Astrophysical
Journa
Discovery of a large and bright bow shock nebula associated with low mass X-ray binary SAX J1712.6-3739
In a multiwavelength program dedicated to identifying optical counterparts of
faint persistent X-ray sources in the Galactic Bulge, we find an accurate X-ray
position of SAX J1712.6-3739 through Chandra observations, and discover its
faint optical counterpart using our data from EFOSC2 on the ESO 3.6m telescope.
We find this source to be a highly extincted neutron star LMXB with blue
optical colours. We serendipitously discover a relatively bright and large bow
shock shaped nebula in our deep narrowband H alpha imaging, most likely
associated with the X-ray binary. A nebula like this has never been observed
before in association with a LMXB, and as such provides a unique laboratory to
study the energetics of accretion and jets. We put forward different models to
explain the possible ways the LMXB may form this nebulosity, and outline how
they can be confirmed observationally.Comment: Accepted for publication in MNRAS-Letters; 5 pages, 4 figures, 2
tables. Quality of figure 2 downgraded because of arXiv file size limit
Anomalous HI kinematics in Centaurus A: evidence for jet-induced star formation
We present new 21-cm HI observations performed with ATCA of the large HI
filament located about 15 kpc NE from the centre of Centaurus A and discovered
by Schiminovich et al.(1994). This HI cloud is situated (in projection) near
the radio jet of Centaurus A, as well as near a large filament of ionised gas
of high excitation and turbulent velocities and near regions with young stars.
The higher velocity and spatial resolution of the new data reveals that, apart
from the smooth velocity gradient corresponding to the overall rotation of the
cloud around Centaurus A, HI with anomalous velocities of about 100 km/s is
present at the southern tip of this cloud. This is interpreted as evidence for
an ongoing interaction between the radio jet and the HI cloud. Gas stripped
from the HI cloud gives rise to the large filament of ionised gas and the star
formation regions that are found downstream from the location of the
interaction. The implied flow velocities are very similar to the observed
anomalous HI velocities. Given the amount of HI with anomalous kinematics and
the current star formation rate, the efficiency of jet-induced star formation
is at most of the order of a percent.Comment: Accepted for publication in A&A, 7 pages, 4 figures. The full paper
with high resolution images can be downloaded from
http://www.astron.nl/~morganti/Papers/cena.paper.pd
Knee joint neuromuscular activation performance during muscle damage and superimposed fatigue
This study examined the concurrent effects of exercise-induced muscle damage and superimposed acute fatigue on the neuromuscular activation performance of the knee flexors of nine males (age: 26.7 ± 6.1yrs; height 1.81 ± 0.05m; body mass 81.2 ± 11.7kg [mean ± SD]). Measures were obtained during three experimental conditions: (i) FAT-EEVID, involving acute fatiguing exercise performed on each assessment occasion plus a single episode of eccentric exercise performed on the first occasion and after the fatigue trial; (ii) FAT, involving the fatiguing exercise only and; (iii) CON consisting of no exercise. Assessments were performed prior to (pre) and at lh, 24h, 48h, 72h, and 168h relative to the eccentric exercise. Repeated-measures ANOVAs showed that muscle damage within the FAT-EEVID condition elicited reductions of up to 38%, 24%) and 65%> in volitional peak force, electromechanical delay and rate of force development compared to baseline and controls, respectively (F[io, 80] = 2.3 to 4.6; p to 30.7%>) following acute fatigue (Fp; i6] = 4.3 to 9.1; p ; Fp, iq = 3.9; p <0.05). The safeguarding of evoked muscle activation capability despite compromised volitional performance might reveal aspects of capabilities for emergency and protective responses during episodes of fatigue and antecedent muscle damaging exercise
The serological responses to acute exercise in humans reduce cancer cell growth in vitro: A systematic review and meta‐analysis
We systematically reviewed and meta‐analyzed the effects of acute exercise‐conditioned serum on cancer cell growth in vitro. Five literature databases were systematically searched for studies that measured cancer cell growth after exposure to human sera obtained before and immediately after an acute bout of exercise. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were pooled using a three‐level random‐effects model. Meta‐regressions were also performed with participant age and disease status, exercise type, cell line TP53 status, and serum incubation time entered as covariates. Seven studies met the inclusion criteria encompassing a total of 21 effect estimates and 98 participants. Exercise‐conditioned serum significantly reduced cancer cell growth compared with preexercise serum (SMD = −1.23, 95% CI: −1.96 to −0.50; p = .002; I2 = 75.1%). The weighted mean reduction as a percentage of preexercise values was 8.6%. The overall treatment effect and magnitude of heterogeneity were not statistically influenced by any covariate. There were concerns regarding the risk of bias within individual studies and Egger's test of the intercept showed evidence of small study effects (β = −3.6, p = .004). These findings provide in vitro evidence that the transient serological responses to acute exercises reduce cancer cell growth, although many questions remain regarding the underlying mechanistic pathways and potential effect modifiers. To strengthen this evidence‐base, future studies should seek to reduce the risk of bias by using more rigorous experimental designs, and consider using 3D cell culture models to better replicate in vivo tumor conditions. PROSPERO registration: CRD42020161333
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