78 research outputs found
Investigation of battery active nickel oxides First quarterly report
X-ray diffraction patterns of nickel-cadmium battery electrodes and stabilization of nickel oxides and hydroxide
An investigation of the nickel oxide electrode
Optimum concentration of cobalt doping of nickel oxide electrodes and structural studies of electrod
Cobalt improves nickel hydroxide electrodes for batteries
Positive nickel hydroxide electrodes containing 20 mole percent of cobalt hydroxide are more efficient than when impregnated to the same degree by weight with nickel hydroxide alone. Charge-acceptance and oxygen-evolution tests indicate cobalt electrodes are more efficient than plain positive nickel hydroxide electrodes at all rates of charge
Investigation of battery active nickel oxides Final report
Identification and characterization of battery active compound structures formed on nickel oxide electrode during charging and dischargin
Sinter of uniform, predictable, blemish-free nickel plaque for large aerospace nickel cadmium cells
A series of nickel slurry compositions were tested. Important slurry parameters were found to be the nature of the binder, a pore former and the method of mixing. A slow roll mixing which is non-turbulent successfully eliminated entrapped air so that bubbles and pockets were avoided in the sinter. A slurry applicator was developed which enabled an equal quantity of slurry to be applied to both sides of the grid. Sintering in a furnace having a graded atmosphere characteristic, ranging from oxidizing to strongly reducing, improved adhesion of porous sinter to grid and resulted in a uniform welding of nickel particles to each other throughout the plaque. Sintering was carried out in a horizontal furnace having three heating zones and 16 heating control circuits. Tests used for plaque evaluation include (1) appearance, (2) grid location and adhesion, (3) mechanical strength, (4) thickness, (5) weight per unit area, (6) void volume per unit area, (7) surface area and (8) electrical resistance. Plaque material was impregnated using Heliotek proprietary processes and 100 AH cells were fabricated
Investigation of battery active nickel oxides Fourth quarterly report
Electrochemical analysis of battery active sintered nickel oxides - oxidation state, stand and temperature effect, and charge retentio
Investigation of battery active nickel oxides Third quarterly report
X-ray diffraction of sintered nickel oxide charged electrode, structural effect of initial stand at various temperatures, and comparison with cobalt doped positive
Validity of the Manchester Triage System in emergency care: A prospective observational study.
OBJECTIVES:
To determine the validity of the Manchester Triage System (MTS) in emergency care for the general population of patients attending the emergency department, for children and elderly, and for commonly used MTS flowcharts and discriminators across three different emergency care settings.
METHODS:
This was a prospective observational study in three European emergency departments. All consecutive patients attending the emergency department during a 1-year study period (2010-2012) were included. Validity of the MTS was assessed by comparing MTS urgency as determined by triage nurses with patient urgency according to a predefined 3-category reference standard as proxy for true patient urgency.
RESULTS:
288,663 patients were included in the analysis. Sensitivity of the MTS in the three hospitals ranged from 0.47 (95%CI 0.44-0.49) to 0.87 (95%CI 0.85-0.90), and specificity from 0.84 (95%CI 0.84-0.84) to 0.94 (95%CI 0.94-0.94) for the triage of adult patients. In children, sensitivity ranged from 0.65 (95%CI 0.61-0.70) to 0.83 (95%CI 0.79-0.87), and specificity from 0.83 (95%CI 0.82-0.83) to 0.89 (95%CI 0.88-0.90). The diagnostic odds ratio ranged from 13.5 (95%CI 12.1-15.0) to 35.3 (95%CI 28.4-43.9) in adults and from 9.8 (95%CI 6.7-14.5) to 23.8 (95%CI 17.7-32.0) in children, and was lowest in the youngest patients in 2 out of 3 settings and in the oldest patients in all settings. Performance varied considerably between the different emergency departments.
CONCLUSIONS:
Validity of the MTS in emergency care is moderate to good, with lowest performance in the young and elderly patients. Future studies on the validity of triage systems should be restricted to large, multicenter studies to define modifications and improve generalizability of the findings.info:eu-repo/semantics/publishedVersio
Improving the Manchester Triage System for pediatric emergency care: an international multicenter study
OBJECTIVE:To validate use of the Manchester triage system in paediatric emergency care.
DESIGN:
Prospective observational study.
SETTING:
Emergency departments of a university hospital and a teaching hospital in the Netherlands, 2006-7.
PARTICIPANTS:
17,600 children (aged <16) visiting an emergency department over 13 months (university hospital) and seven months (teaching hospital).
INTERVENTION:
Nurses triaged 16,735/17,600 patients (95%) using a computerised Manchester triage system, which calculated urgency levels from the selection of discriminators embedded in flowcharts for presenting problems. Nurses over-ruled the urgency level in 1714 (10%) children, who were excluded from analysis. Complete data for the reference standard were unavailable in 1467 (9%) children leaving 13,554 patients for analysis.
MAIN OUTCOME MEASURES:
Urgency according to the Manchester triage system compared with a predefined and independently assessed reference standard for five urgency levels. This reference standard was based on a combination of vital signs at presentation, potentially life threatening conditions, diagnostic resources, therapeutic interventions, and follow-up. Sensitivity, specificity, and likelihood ratios for high urgency (immediate and very urgent) and 95% confidence intervals for subgroups based on age, use of flowcharts, and discriminators.
RESULTS:
The Manchester urgency level agreed with the reference standard in 4582 of 13,554 (34%) children; 7311 (54%) were over-triaged and 1661 (12%) under-triaged. The likelihood ratio was 3.0 (95% confidence interval 2.8 to 3.2) for high urgency and 0.5 (0.4 to 0.5) for low urgency; though the likelihood ratios were lower for those presenting with a medical problem (2.3 (2.2 to 2.5) v 12.0 (7.8 to 18.0) for trauma) and in younger children (2.4 (1.9 to 2.9) at 0-2 months [corrected] v 5.4 (4.5 to 6.5) at 8-16 years).
CONCLUSIONS:
The Manchester triage system has moderate validity in paediatric emergency care. It errs on the safe side, with much more over-triage than under-triage compared with an independent reference standard for urgency. Triage of patients with a medical problem or in younger children is particularly difficult
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