A survey of validity and utility of electronic patient records in a general practice

Objective: To develop methods of measuring the validity and utility of electronic patient records in general practice. Design: A survey of the main functional areas of a practice and use of independent criteria to measure the validity of the practice database. Setting: A fully computerised general practice in Skipton, north Yorkshire. Subjects: The records of all registered practice patients. Main outcome measures: Validity of the main functional areas of the practice clinical system. Measures of the completeness, accuracy, validity, and utility of the morbidity data for 15 clinical diagnoses using recognised diagnostic standards to confirm diagnoses and identify further cases. Development of a method and statistical toolkit to validate clinical databases in general practice. Results: The practice electronic patient records were valid, complete, and accurate for prescribed items (99.7%), consultations (98.1%), laboratory tests (100%), hospital episodes (100%), and childhood immunisations (97%). The morbidity data for 15 clinical diagnoses were complete (mean sensitivity=87%) and accurate (mean positive predictive value=96%). The presence of the Read codes for the 15 diagnoses was strongly indicative of the true presence of those conditions (mean likelihood ratio=3917). New interpretations of descriptive statistics are described that can be used to estimate both the number of true cases that are unrecorded and quantify the benefits of validating a clinical database for coded entries. Conclusion: This study has developed a method and toolkit for measuring the validity and utility of general practice electronic patient records

Fabrication process of a high temperature polymer matrix engine duct

The process that was used in the molding of an advanced composite outer by-pass duct planned for the F404 engine is discussed. This duct was developed as a potential replacement for the existing titanium duct in order to reduce both the weight and cost of the duct. The composite duct is now going into the manufacturing technology portion of the program. The duct is fabricated using graphite cloth impregnated with the PMR-15 matrix system

Optical and electrical measurements on UV sensitive photodiodes

The optical and electrical characteristics of the various types of photodiodes potentially useful for UV radiometers were studied. It was concluded that both GaAsP and GaP photodiodes have advantages over silicon photodiodes in terms of spectral response and UV stability. Both GaAsP and GaP have excellent electrical characteristics for low frequency radiometers, although their high capacitance could be inconvenient for high frequency applications. GaAsP is particularly good with respect to dynamic range

Features controlling the early stages of creep deformation of Waspaloy

A model has been presented for describing primary and second stage creep. General equations were derived for the amount and time of primary creep. It was shown how the model can be used to extrapolate creep data. Applicability of the model was demonstrated for Waspaloy with gamma prime particle sizes from 75 - 1000 A creep tested in the temperature range 1000 - 1400 F (538 - 760 C). Equations were developed showing the dependence of creep parameters on dislocation mechanism, gamma prime volume fraction and size

Segmentation ART: A Neural Network for Word Recognition from Continuous Speech

The Segmentation ATIT (Adaptive Resonance Theory) network for word recognition from a continuous speech stream is introduced. An input sequeuce represents phonemes detected at a preproccesing stage. Segmentation ATIT is trained rapidly, and uses a fast-learning fuzzy ART modules, top-down expectation, and a spatial representation of temporal order. The network performs on-line identification of word boundaries, correcting an initial hypothesis if subsequent phonemes are incompatible with a previous partition. Simulations show that the system's segmentation perfonnance is comparable to that of TRACE, and the ability to segment a number of difficult phrases is also demonstrated.National Science Foundation (NSF-IRI-94-01659); Office of Naval Research (N00014-95-1-0409, N00014-95-1-0G57

The effect of stirring on the heterogeneous nucleation of water and of clathrates of tetrahydrofuran/water mixtures

The statistics of liquid-to-crystal nucleation are measured for both water and for clathrate-forming mixtures of tetrahydrofuran (THF) and water using an automatic lag time apparatus (ALTA). We measure the nucleation temperature using this apparatus in which a single sample is repeatedly cooled, nucleated and thawed. The effect of stirring on nucleation has been evaluated numerically and is discussed. We find that stirring of the solution makes no difference to the nucleation temperature of a given solution in a given tube.Comment: 4 pages, 4 figure

Critical velocity ionisation in substellar atmospheres

The observation of radio, X-ray and Hα emission from substellar objects indicates the presence of plasma regions and associated high-energy processes in their surrounding envelopes. This paper numerically simulates and characterises Critical Velocity Ionisation, a potential ionisation process, that can efficiently generate plasma as a result of neutral gas flows interacting with seed magnetized plasmas. By coupling a Gas-MHD interactions code (to simulate the ionisation mechanism) with a substellar global circulation model (to provide the required gas flows) we quantify the spatial extent of the resulting plasma regions, their degree of ionisation and their lifetime for a typical substellar atmosphere. It is found that the typical average ionisation fraction reached at equilibrium (where the ionisation and recombination rates are equal and opposite) ranges from 10-5 to 10-8, at pressures between 10-1 and 10-3 bar, with a trend of increasing ionisation fraction with decreasing atmospheric pressure. The ionisation fractions reached as a result of Critical Velocity Ionisation are sufficient to allow magnetic fields to couple to gas flows in the atmosphere

Vestibular-induced vomiting after vestibulocerebellar lesions

Vestibular stimulation, by sinusoidal electrical polarization of the labyrinths of decerebrate cats which can produce vomiting and related activity which resembles motion sickness was examined. The symptoms include panting, salivation, swallowing, and retching as well as vomiting. These symptoms can be produced in cats with lesions of the posterior cerebellar vermis. It is suggested that a transcerebellar pathway from the vestibular apparatus through the nodulus and uvula to the vomiting center is not essential for vestibular induced vomiting and the occurrence of many symptoms of motion