1,910 research outputs found
Study of adhesion and cohesion in vacuum Final report
Vacuum metal-metal bonding tests to determine conditions of accidental adhesion of spacecraft structural material
Study of adhesion and cohesion in vacuum summary report 1 jul. 1963 - 30 jun. 1964
Adhesion and cohesion of metal couples in vacuum chambe
A Pilot Randomized Controlled Trial of a Holistic Needs Assessment Questionnaire in a Supportive and Palliative Care Service
Context.
At present, there is no widely used systematic, evidence-based holistic approach to assessment of patients’ supportive and palliative care needs.
Objectives
To determine whether the use of a holistic needs assessment questionnaire, SPARC, will lead to improved health care outcomes for patients referred to a palliative care service.
Methods
This was an open, pragmatic, randomized controlled trial. Patients (N=182) referred to the palliative care service were randomized to receive SPARC at baseline (n=87) or after a period of two weeks (waiting list control n=95). Primary outcome measure: difference in score between MYCAW patient-nominated concern 1 on the patient self-scoring visual analogue scale at baseline and the two-week follow-up. Secondary outcomes: difference in scores in the MYCAW, EQ-5D, and PEI scores at weeks 2, 4 and 6.
Results
There was a significant association between change in MYCAW score and whether the patients were in the intervention or control group (χ2trend = 5.51; df = 1; P = 0.019). A higher proportion of patients in the control group had an improvement in MYCAW score from baseline to week 2: Control: 34 of 70 (48.6%) vs. Intervention: 19 of 66 (28.8%). There were no significant differences (no detectable effect) between the control and intervention groups in the scores for EQ5D and PEI at 2-, 4-, or 6-week follow-up.
Conclusion
This trial result identifies a potential negative effect of SPARC in specialist palliative care services, raising questions that standardized holistic needs assessment questionnaires may be counterproductive if not integrated with a clinical assessment that informs the care plan
Study of adhesion and cohesion in vacuum fifth quarterly report, 1 oct. 1964 - 1 jan. 1965
Adhesion and cohesion tests under static loading conditions in vacuum - aluminum and titanium alloys and copper bondin
Development and manufacture of printable next-generation gel polymer ionic liquid electrolyte for Zn/MnO\u3csub\u3e2\u3c/sub\u3e batteries
While much energy storage research focuses on the performance of individual components, such as the electrolyte or a single electrode, few investigate the electrochemical system as a whole. This research reports on the design, composition, and performance of a Zn/MnO2 battery as affected by the manufacturing method and next-generation gel polymer electrolyte composed of the ionic liquid [BMIM][Otf], ZnOtf salt, and PVDF-HFP polymer binder. Materials and manufacturing tests are discussed with a focus on water concentration, surface features as produced by printing processes, and the effect of including a gel polymer phase. Cells produced for this research generated open circuit voltages from 1.0 to 1.3 V. A dry [BMIM][Otf] electrolyte was found to have 87.3 ppm of H2O, while an electrolyte produced in ambient conditions contained 12400 ppm of H2O. Cells produced in a dry, Ar environment had an average discharge capacity of 0.0137 mAh/cm2, while one produced in an ambient environment exhibited a discharge capacity at 0.05 mAh/cm2. Surface features varied significantly by printing method, where a doctor blade produced the most consistent features. The preliminary results herein suggest that water, surface roughness, and the gel polymer play important roles in affecting the performance of printed energy storage
Preventing Running Injuries Using a Pre-Running Exercise Program (PREP): A Pilot Study
Hypothesis: An 8 week supervised PREP implemented prior to a 5k running program will reduce the incidence of RRI\u27s among novice runners training for a 5k below the previously published incidence rates
Bacteremia After Prophylaxis II
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141639/1/jper0371.pd
Translating clinicians' beliefs into implementation interventions (TRACII) : a protocol for an intervention modeling experiment to change clinicians' intentions to implement evidence-based practice
Background: Biomedical research constantly produces new findings, but these are not routinely incorporated into health care practice. Currently, a range of interventions to promote the uptake of emerging evidence are available. While their effectiveness has been tested in pragmatic trials, these do not form a basis from which to generalise to routine care settings. Implementation research is the scientific study of methods to promote the uptake of research findings, and hence to reduce inappropriate care. As clinical practice is a form of human behaviour, theories of human behaviour that have proved to be useful in other settings offer a basis for developing a scientific rationale for the choice of interventions. Aims: The aims of this protocol are 1) to develop interventions to change beliefs that have already been identified as antecedents to antibiotic prescribing for sore throats, and 2) to experimentally evaluate these interventions to identify those that have the largest impact on behavioural intention and behavioural simulation.
Design: The clinical focus for this work will be the management of uncomplicated sore throat in general practice. Symptoms of upper respiratory tract infections are common presenting features in primary care. They are frequently treated with antibiotics, and research evidence is clear that antibiotic treatment offers little or no benefit to otherwise healthy adult patients.
Reducing antibiotic prescribing in the community by the "prudent" use of antibiotics is seen as one way to slow the rise in antibiotic resistance, and appears safe, at least in children. However, our understanding of how to do this is limited. Participants will be general medical practitioners. Two theory-based interventions will be designed to address the discriminant beliefs in the prescribing of antibiotics for sore throat, using empirically derived resources. The interventions will be evaluated in a 2 × 2 factorial randomised controlled trial delivered in a postal questionnaire survey. Two outcome measures will be assessed: behavioural intention and behavioural simulation.This study is funded by the European Commission Research Directorate as part of a multi-partner program: Research Based Education and Quality Improvement (ReBEQI): A Framework and tools to develop effective quality improvement programs in European healthcare. (Proposal No: QLRT-2001-00657)
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