759 research outputs found
NPD, Design and Management for SME's
International, peer reviewed conference with published proceedingsIt is generally acknowledged that small and medium sized enterprises (SME’s) contribute significantly to a country’s economic performance. It is also generally acknowledged that it can be problematic to provide effective, public sector research, development and innovation support for SME’s given their size and diversity. It is also considered that vertical cooperation with customers and suppliers is more effective in new product development (NPD) for SME’s than horizontal co-operation with research institutions and government agencies. This paper discusses how higher education institutions (HEI’s) engaged in design research, can effectively support SME’s in NPD by actively participating in the design process whilst simultaneously working with SME’s to facilitate the development of knowledge networks local to specific SME’s, by acting as an intermediary. A number of design support schemes and specific SME, NPD projects undertaken by the author are used to advocate a participatory intermediation role for HEI’s in supporting NPD for SME’s
Reply to the Letter to the Editor on ‘Severe hepatic sinusoidal obstruction and oxaliplatin-based chemotherapy in patients with metastatic colorectal cancer: a real entity?', by M. Sebagh, M. Plasse, F. Lévi & R. Adam (Ann Oncol 2005; 16: 331)
Effects of rf Current on Spin Transfer Torque Induced Dynamics
The impact of radiofrequency (rf) currents on the direct current (dc) driven
switching dynamics in current-perpendicular-to-plane nanoscale spin valves is
demonstrated. The rf currents dramatically alter the dc driven free layer
magnetization reversal dynamics as well as the dc switching level. This occurs
when the frequency of the rf current is tuned to a frequency range around the
dc driven magnetization precession frequencies. For these frequencies,
interactions between the dc driven precession and the injected rf induce
frequency locking and frequency pulling effects that lead to a measurable
dependence of the critical switching current on the frequency of the injected
rf. Based on macrospin simulations, including dc as well as rf spin torque
currents, we explain the origin of the observed effects.Comment: 5 pages, 4 figure
Optimising the management of vaginal discharge syndrome in Bulgaria: cost effectiveness of four clinical algorithms with risk assessment
OBJECTIVES: To evaluate the performance and cost effectiveness of the WHO recommendations of incorporating risk-assessment scores and population prevalence of Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) into vaginal discharge syndrome (VDS) algorithms. METHODS: Non-pregnant women presenting with VDS were recruited at a non-governmental sexual health clinic in Sofia, Bulgaria. NG and CT were diagnosed by PCR and vaginal infections by microscopy. Risk factors for NG/CT were identified in multivariable analysis. Four algorithms based on different combinations of behavioural factors, clinical findings and vaginal microscopy were developed. Performance of each algorithm was evaluated for detecting vaginal and cervical infections separately. Cost effectiveness was based on cost per patient treated and cost per case correctly treated. Sensitivity analysis explored the influence of NG/CT prevalence on cost effectiveness. RESULTS: 60% (252/420) of women had genital infections, with 9.5% (40/423) having NG/CT. Factors associated with NG/CT included new and multiple sexual partners in the past 3 months, symptomatic partner, childlessness and >or=10 polymorphonuclear cells per field on vaginal microscopy. For NG/CT detection, the algorithm that relied solely on behavioural risk factors was less sensitive but more specific than those that included speculum examination or microscopy but had higher correct-treatment rate and lower over-treatment rates. The cost per true case treated using a combination of risk factors, speculum examination and microscopy was euro 24.08. A halving and tripling of NG/CT prevalence would have approximately the inverse impact on the cost-effectiveness estimates. CONCLUSIONS: Management of NG/CT in Bulgaria was improved by the use of a syndromic approach that included risk scores. Approaches that did not rely on microscopy lost sensitivity but were more cost effective
Electron optics with magnetic vector potential barriers in graphene
An analysis of electron transport in graphene is presented in the presence of
various arrangement of delta-function like magnetic barriers. The motion
through one such barrier gives an unusual non specular refraction leading to
asymmetric transmission. The symmetry is restored by putting two such barriers
in opposite direction side by side. Periodic arrangements of such barriers can
be used as Bragg reflectors whose reflectivity has been calculated using a
transfer matrix formalism. Such Bragg reflectors can be used to make resonant
cavities. We also analyze the associated band structure for the case of
infinite periodic structures.Comment: Significant revision and added figure
Electrical Switching Dynamics in Circular and Rectangular Ge2Sb2Te5 Nanopillar Phase Change Memory Devices
We have measured the critical phase change conditions induced by electrical
pulses in Ge2Sb2Te5 nanopillar phase change memory devices by constructing a
comprehensive resistance map as a function of pulse parameters (width,
amplitude and trailing edge). Our measurements reveal that the heating scheme
and the details of the contact geometry play the dominant role in determining
the final phase composition of the device such that a non-uniform heating
scheme promotes partial amorphization/crystallization for a wide range of pulse
parameters enabling multiple resistance levels for data storage applications.
Furthermore we find that fluctuations in the snap-back voltage and set/reset
resistances in repeated switching experiments are related to the details of the
current distribution such that a uniform current injection geometry (i.e.
circular contact) favors more reproducible switching parameters. This shows
that possible geometrical defects in nanoscale phase change memory devices may
play an essential role in the performance of the smallest possible devices
through modification of the exact current distribution in the active
chalcogenide layer. We present a three-dimensional finite element model of the
electro-thermal physics to provide insights into the underlying physical
mechanisms of the switching dynamics as well as to quantitatively account for
the scaling behaviour of the switching currents in both circular and
rectangular contact geometries. The calculated temporal evolution of the heat
distribution within the pulse duration shows distinct features in rectangular
contacts providing evidence for locally hot spots at the sharp corners of the
current injection site due to current crowding effects leading to the observed
behaviour
Understanding demand for higher quality sanitation in peri-urban Lusaka, Zambia through stated and revealed preference analysis.
Poor peri-urban sanitation is a significant public health problem, likely to become more important as the world rapidly urbanizes. However, little is known about the role of consumer demand in increasing peri-urban sanitation quality, especially for tenants using shared sanitation as only their rental choices can be observed in the market. We analyzed data on existing housing markets collected between 9 Jun and 6 Jul 2017 using the Hedonic Pricing Method (HPM) to capture the percentage of rent attributable to sanitation quality (n = 933). We also conducted discrete choice experiments (DCEs) to obtain willingness to pay (WTP) estimates for specific sanitation components (n = 1087), and explored the implications by estimating the proportion of plots for which improved sanitation quality would generate a higher return on investment for landlords than building a place for an additional tenant to live. The HPM attributed 18% of rental prices to sanitation (∼US2.20 more rent per month for flushing toilets on plots with running water and 1.04). Solid doors and flushing toilets had higher rent increase to cost ratios than other ways landlords commonly invested in their plots, especially as the number of tenant households on a plot increased. DCEs yielded estimates generally consistent with and better specified than HPM and may be useful to estimate demand in other settings. Interventions leveraging landlords' profit motives could lead to significant improvements in peri-urban sanitation quality, reduced diarrheal disease transmission, and increased well-being without subsidies or infrastructure investments by government or NGOs
Importance of histological tumor response assessment in predicting the outcome in patients with colorectal liver metastases treated with neo-adjuvant chemotherapy followed by liver surgery
Background: The purpose of the study was to characterize histological response to chemotherapy of hepatic colorectal metastases (HCRM), evaluate efficacy of different chemotherapies on histological response, and determine whether tumor regression grading (TRG) of HCRM predicts clinical outcome. Patients and methods: TRG was evaluated on 525 HCRM surgically resected from 181 patients, 112 pretreated with chemotherapy. Disease-free survival (DFS) and overall survival (OS) were correlated to TRG. Results: Tumor regression was characterized by fibrosis overgrowing on tumor cells, decreased necrosis, and tumor glands (if present) at the periphery of HCRM. With irinotecan/5-fluorouracil (5-FU), major (MjHR), partial (PHR), and no (NHR) histological tumor regression were observed in 17%, 13%, and 70% of patients, respectively. With oxaliplatin/5-FU, MjHR, PHR, and NHR were observed in 37%, 45%, and 18% of patients, respectively. Five patients, treated with oxaliplatin, had complete response in all their metastases. MjHR was associated with an improved 3-year DFS compared with PHR or NHR. MjHR and PHR were associated with an improved 5-year OS compared with NHR. Conclusion: Histological tumor regression of HCRM to chemotherapy corresponds to fibrosis overgrowth and not to increase of necrosis. TRG should be considered when evaluating efficacy of chemotherapy for HCRM. Histological tumor regression was most common among oxaliplatin-treated patients and associated with better clinical outcom
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