3,690 research outputs found

    Temperatures in cold rooms

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    Thermal Modeling in Polymer Extrusion

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    In this paper we consider thermal effects of polymer flows through a cylindrical die. First, we derive a model for the oscillatory behavior of polymer flow in an extruder given a functional relation between the pressure and flow rate. A simple isothermal but temperature dependent model is constructed to find this relation. Unfortunately, the model is shown to be invalid in the physical regime of interest. We present several arguments to suggest that the isothermal assumption is reasonable but that a more detailed understanding of the small-scale molecular dynamics near the boundary may be required. Second, we show that a simplified model for thermoflow multiplicity in a cooled tube is inconsistent, when the stationary non-Newtonian flow is assumed to be incompressible without radial pressure gradients and without radial velocity. This inconsistency can be removed by allowing for weak compressibility effects in the down-steam area

    Wehrmacht et prostitution

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    Reliability of functional outcome measures in adults with neurofibromatosis 1

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    Objectives: To determine intra-rater and inter-rater reliability of functional outcome measures in adults with neurofibromatosis 1 (NF1) and to ascertain how closely objective and subjective measures align. Methods: Forty-nine ambulant adults with NF1 aged 16 years and over were included in this observational study. Median age 31 years (range 16-66), 29 females, 20 males. Participants were video-recorded or photographed performing four functional outcome measures. Four raters from the Neurofibromatosis centre multi-disciplinary team independently scored the measures to determine inter-rater reliability. One rater scored the measures a second time on a separate occasion to determine intra-rater reliability. The measures evaluated were the functional reach, timed up and go, ten metre walk and a modified nine-hole peg tests. Participants also completed a disease specific quality of life questionnaire (INF1-QOL). Results: Inter-rater reliability and intra-rater reliability scores (intra-class coefficient, ICC) were similar for each outcome measure. Excellent rater agreement (ICC r ≥ 0.9) was found for the functional reach, timed up and go and the 10 metre walk tests. Rater agreement was good for the modified 9-hole peg test; ICC r= 0.75 for intra-rater reliability and 0.76 for inter-rater reliability. The timed up and go and the 10 metre walk tests correlated highly with perceived mobility challenges in the quality of life questionnaire (INF1-QOL). Conclusions: The functional reach, timed up and go and 10 metre walk tests are potentially useful outcome measures for monitoring NF1 treatment and will be assessed for validity and reliability in future multi-centre studies

    Coherent excitation of the singlet-triplet mixed 1s4f state of helium

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    In this paper, we present a detailed theoretical description for the coherent electron-impact excitation, the subsequent time evolution, and the cascading decay process of the singlet-triplet mixed 1s4f state of helium. The excitation amplitude and phase of each sublevel of this state are related to measurable coincidence intensities and polarizations of the emitted photons. It is found that the intensity and polarization of the emitted photons are time modulated due to the singlet and triplet mixing in the 1s4f state

    Quality Assurance in Emergency Medicine - A Caribbean Perspective

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    Purpose – Emergency medicine is a new specialty in the Caribbean. With the development of specialist training over the past 20 years, the issues of quality assurance and governance have become more prominent. The purpose of this paper is to explore the successes and challenges of implementing systems of quality assurance in this unique environment, highlighting issues peculiar to the Caribbean setting. Design/methodology/approach – This paper is a review of current practice in the emergency departments (ED) of the four major teaching hospitals of the University of the West Indies. Information was gathered through interviews with key stakeholders (including the respective ED residency directors, senior residents and senior nursing and administrative staff), review of departmental protocols and guidelines and reviews of current published and unpublished literature. Findings – Examples of good practice were identified in all six components of the clinical governance framework (clinical audit, clinical effectiveness, research and development, openness, risk management and education and training). Challenges to implementation of quality management included an underdeveloped quality culture, inadequate data collection, poor incentives for improvement and high external pressures, including staff shortages, departmental crowding and lack of public empowerment. Originality/value – This is the first published work on clinical governance and quality assurance in emergency medicine in the Caribbean. This paper gives an insight into the unique opportunities and challenges in the area of quality management and clinical governance in the developing world, and suggests ways forward with regard to more effective implementation of quality initiatives in under-resourced jurisdictions
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