910 research outputs found
The Life of Portland Cement
Perhaps just a word in explanation of the title of this paper will not be amiss. We speak of Portland Cement as possessing life. We do this because the duration of its existence as Portland Cement is measurable. In contradistinction we might speak of a material such as the Sioux Falls Quartzite as being dead, since no appreciable change takes place in the body of this Quartzite, all of the elements of the Quartzite being practically at a state of rest and resisting all disintegration by the ordinary weathering agencies. Perhaps our distinction may be somewhat arbitrary and we cheerfully invite helpful criticism
Recommended from our members
Analytic provenance for sensemaking: A research agenda
Sensemaking is a process of finding meaning from information that often involves activities such as information foraging and hypothesis generation. It can be valuable to maintain a history of the data and reasoning involved. This history, commonly known as provenance information, can be a resource for 'reflection-in-action'' during analysis, supporting collaboration between analysts, and can help trace data quality and uncertainty through the analysis process. Currently, there is limited work on utilizing analytic provenance, which captures the interactive data exploration and human reasoning process, to support sensemaking. This article presents and extends the research challenges discussed in a IEEE VIS 2014 workshop on this topic to provide an agenda for sensemaking analytic provenance
Value of individual surgeon performance metrics as quality assurance measures in oesophagogastric cancer surgery
Background
Surgeonâlevel operative mortality is widely seen as a measure of quality after gastric and oesophageal resection. This study aimed to evaluate this alongside a compoundâlevel outcome analysis.
Methods
Consecutive patients who underwent treatment including surgery delivered by a multidisciplinary team, which included seven specialist surgeons, were studied. The primary outcome was death within 30âdays of surgery; secondary outcomes were anastomotic leak, ClavienâDindo morbidity score, lymph node harvest, circumferential resection margin (CRM) status, diseaseâfree (DFS), and overall (OS) survival.
Results
The median number of annual resections per surgeon was 10 (range 5â25), compared with 14 (5â25) for joint consultant teams (P = 0·855). The median annual surgeonâlevel mortality rate was 0 (0â9) per cent versus an overall network annual operative mortality rate of 1·8 (0â3·7) per cent. Joint consultant team procedures were associated with fewer operative deaths (0·5 per cent versus 3·4 per cent at surgeon level; P = 0·027). The median surgeon anastomotic leak rate was 12·4 (range 9â20) per cent (P = 0·625 versus the whole surgical range), overall morbidity 46·5 (31â60) per cent (P = 0·066), lymph node harvest 16 (9â29) (Pâ<â0·001), CRM positivity 32·0 (16â46) per cent (P = 0·003), 5âyear DFS rate 44·8 (29â60) per cent and OS rate 46·5 (35â53) per cent. No designated metrics were independently associated with DFS or OS in multivariable analysis.
Conclusion
Annual surgeonâlevel metrics demonstrated wide variations (fivefold), but these performance metrics were not associated with survival
Coâproduction of health and social science research with vulnerable children and young people: A rapid review
Background
The term âcare-experiencedâ refers to anyone who is currently in care or has been in care at any stage in their life. A complex interplay of factors leads to care-experienced children and young people (CECYP) experiencing poorer oral health and access to dental care than their peers. A rapid review of the co-production of health and social care research with vulnerable children and young people (CYP) was carried out to inform the development of a co-produced research project exploring the oral health behaviours and access to dental services of CECYP. Here, âco-productionâ refers to the involvement of CYP in the planning or conduct of research with explicit roles in which they generate ideas, evidence and research outputs.
Aim
To learn how to meaningfully involve vulnerable CYP in the co-production of health and social science research.
Objectives
To identify: Different approaches to facilitating the engagement of vulnerable CYP in co-production of health and social science research; different activities carried out in such approaches, challenges to engaging vulnerable CYP in co-production of health and social science research and ways to overcome them and areas of best practice in relation to research co-production with vulnerable CYP.
Search Strategy
A rapid review of peer-reviewed articles was conducted in six databases (MEDLINE, Embase, SocINDEX, CINAHL, PsycINFO and Web of Science) and grey literature to identify studies that engaged vulnerable CYP in co-approaches to health and social research.
Main Results
Of 1394 documents identified in the search, 40 were included and analysed. A number of different approaches to co-production were used in the studies. The CYP was involved in a range of activities, chiefly the development of data collection tools, data collection and dissemination. Individual challenges for CYP and researchers, practical and institutional factors and ethical considerations impacted the success of co-production.
Discussion and Conclusion
Co-production of health and social science with vulnerable CYP presents challenges to researchers and CYP calling for all to demonstrate reflexivity and awareness of biases, strengths and limitations. Used appropriately and well, co-production offers benefits to researchers and CYP and can contribute to research that reflects the needs of vulnerable CYP. Adherence to the key principles of inclusion, safeguarding, respect and well-being facilitates this approach.
Patient and Public Contribution
Members of our patient and public involvement and stakeholder groups contributed to the interpretation of the review findings. This manuscript was written together with a young care leaver, Skye Boswell, who is one of the authors. She contributed to the preparation of the manuscript, reviewing the findings and their interpretation
Access to Dental Care for Children and Young People in Care and Care Leavers: A Global Scoping Review
Aims: This scoping review aimed to explore three research questions: 1. What is the dental care access for children and young people (CYP) in care and care leavers? 2. What factors influence CYP in care and care leaversâ access to dental care? 3. What pathways have been developed to improve access to oral health care for CYP in care and care leavers? Methods: Five databases (Ovid MEDLINE, Ovid Embase, CINAHL, SocINDEX and Dentistry and Oral Sciences Source) and grey literature sources were systematically searched. Articles relating to CYP in care or care leavers aged 0â25 years old, published up to January 2023 were included. Abstracts, posters and publications not in the English language were excluded. The data relating to dental care access were analysed using thematic analysis. Results: The search identified 942 articles, of which 247 were excluded as duplicates. A review of the titles and abstracts yielded 149 studies. Thirty-eight were eligible for inclusion in the review: thirty-three peer-reviewed articles, one PhD thesis and four grey literature sources. All papers were published from very high or medium Human Development Index countries. The studies indicate that despite having higher treatment needs, CYP in care and care leavers experience greater difficulty in accessing dental services than those not care-experienced. Organisational, psycho-social and logistical factors influence their access to dental care. Their experience of dental care may be impacted by adverse childhood events. Pathways to dental care have been developed, but little is known of their impact on access. There are very few studies that include care leavers. The voices of care-experienced CYP are missing from dental access research. Conclusions: care-experienced CYP are disadvantaged in their access to dental care, and there are significant barriers to their treatment needs being met
The Effect of Arc Proximity on Hydrothermal Activity Along Spreading Centers: New Evidence From the Mariana Back Arc (12.7°N-18.3°N)
Back-arc spreading centers (BASCs) form a distinct class of ocean spreading ridges distinguished by steep along-axis gradients in spreading rate and by additional magma supplied through subduction. These characteristics can affect the population and distribution of hydrothermal activity on BASCs compared to mid-ocean ridges (MORs). To investigate this hypothesis, we comprehensively explored 600 km of the southern half of the Mariana BASC. We used water column mapping and seafloor imaging to identify 19 active vent sites, an increase of 13 over the current listing in the InterRidge Database (IRDB), on the bathymetric highs of 7 of the 11 segments. We identified both high and low (i.e., characterized by a weak or negligible particle plume) temperature discharge occurring on segment types spanning dominantly magmatic to dominantly tectonic. Active sites are concentrated on the two southernmost segments, where distance to the adjacent arc is shortest (48 mm/yr), and tectonic extension is pervasive. Re-examination of hydrothermal data from other BASCs supports the generalization that hydrothermal site density increases on segments <90 km from an adjacent arc. Although exploration quality varies greatly among BASCs, present data suggest that, for a given spreading rate, the mean spatial density of hydrothermal activity varies little between MORs and BASCs. The present global database, however, may be misleading. On both BASCs and MORs, the spatial density of hydrothermal sites mapped by high-quality water-column surveys is 2â7 times greater than predicted by the existing IRDB trend of site density versus spreading rate
The Reed-Stanton press rig for the generation of reproducible fingermarks : towards a standardised methodology for fingermark research
In the search for better or new methods/techniques to visualise fingermarks or to analyse them exploiting their chemical content, fingermarks inter-variability may hinder the assessment of the method effectiveness. Variability is due to changes in the chemical composition of the fingermarks between different donors and within the same donor, as well as to differential contact time, pressure and angle. When validating a method or comparing it with existing ones, it is not always possible to account for this type of variability. One way to compensate for these issues is to employ, in the early stages of the method development, a device generating reproducible fingermarks. Here the authors present their take on such device, as well as quantitatively describing its performance and benefits against the manual production of marks. Finally a short application is illustrated for the use of this device, at the method developmental stages, in an emerging area of fingerprinting research concerning the retrieval of chemical intelligence from fingermarks
Accuracy and repeatability of wrist joint angles in boxing using an electromagnetic tracking system
© 2019, The Author(s). The hand-wrist region is reported as the most common injury site in boxing. Boxers are at risk due to the amount of wrist motions when impacting training equipment or their opponents, yet we know relatively little about these motions. This paper describes a new method for quantifying wrist motion in boxing using an electromagnetic tracking system. Surrogate testing procedure utilising a polyamide hand and forearm shape, and in vivo testing procedure utilising 29 elite boxers, were used to assess the accuracy and repeatability of the system. 2D kinematic analysis was used to calculate wrist angles using photogrammetry, whilst the data from the electromagnetic tracking system was processed with visual 3D software. The electromagnetic tracking system agreed with the video-based system (paired t tests) in both the surrogate ( 0.9). In the punch testing, for both repeated jab and hook shots, the electromagnetic tracking system showed good reliability (ICCs > 0.8) and substantial reliability (ICCs > 0.6) for flexionâextension and radial-ulnar deviation angles, respectively. The results indicate that wrist kinematics during punching activities can be measured using an electromagnetic tracking system
Researchers Rapidly Respond to Submarine Activity at Loihi Volcano, Hawaii
The largest swarm of earthquakes ever observed at a Hawaiian volcano occurred at Loihi Seamount during July and early August 1996. The earthquake activity formed a large summit pit crater similar to those observed at Kilauea, and hydrothermal activity led to the formation of intense hydrothermal plumes in the ocean surrounding the summit.
To investigate this event, the Rapid Response Cruise (RRC) was dispatched to Loihi in early August and two previously planned LONO cruises (named for a Hawaiian warrior god) sailed in September and October on the R/V Kaimikai-O-Kanaloa. Calm weather and a newly refurbished ship provided excellent opportunities for documenting the volcanic, hydrothermal plume, vent, and biological activities associated with the earthquake swarm
- âŠ