Cobalt improves nickel hydroxide electrodes for batteries

Positive nickel hydroxide electrodes containing 20 mole percent of cobalt hydroxide are more efficient than when impregnated to the same degree by weight with nickel hydroxide alone. Charge-acceptance and oxygen-evolution tests indicate cobalt electrodes are more efficient than plain positive nickel hydroxide electrodes at all rates of charge

Effects of Glutamate and γ-Aminobutyric Acid on Spontaneously Active Intraocular Spinal Cord Graft Neurons

Pieces of fetal rat lumbar spinal cord were transplanted into the anterior eye chamber of adult rat hosts. At least seven months later, extracellular single-unit recordings of spontaneously active graft neurons were made prior to and during the superfusion of either glutamate or γ-aminobutyric acid (GABA). Superfusion of glutamate produced an increase (five cells), decrease (three cells), or had no effect (two cells) on the firing rate of neurons tested. Superfusion of GABA decreased the firing rate of all twelve neurons tested, while superfusion of the GABA receptor antagonist bicuculline increased the firing rates of all eight neurons tested. The latency and magnitude of the responses to glutamate and GABA were not related to depth of the recording electrode below the graft surface. Together, these data suggest that the intraocular spinal cord graft is suitable for the in vivo study of GABA and glutamate neuropharmacology

Interest in bariatric surgery among obese patients with obstructive sleep apnea

BACKGROUND: Standard obstructive sleep apnea (OSA) therapies are poorly tolerated. Bariatric surgery is a potential alternative but the level of interest in this intervention among OSA patients is unknown. OBJECTIVES: Determine the proportion of OSA patients who would be interested in bariatric surgery. SETTING: Sleep clinics, United States. METHODS: Consecutive adult patients with untreated severe OSA and a body mass index of 35-45 kg/m2 were approached. Patients at low perioperative risk and no urgent indication for OSA treatment were invited to a separate informational visit about bariatric surgery as primary treatment for OSA. RESULTS: Of 767 eligible patients, 230 (30.0%) were not at low perioperative risk, 49 (6.4%) had drowsy driving, and 16 (2.1%) had no insurance coverage for bariatric surgery. Of the remaining 482 patients, over one third (35.5%) were interested in bariatric surgery. Surgical interest was 47.2% in women versus 27.6% in men (

What Automated Planning Can Do for Business Process Management

Business Process Management (BPM) is a central element of today organizations. Despite over the years its main focus has been the support of processes in highly controlled domains, nowadays many domains of interest to the BPM community are characterized by ever-changing requirements, unpredictable environments and increasing amounts of data that influence the execution of process instances. Under such dynamic conditions, BPM systems must increase their level of automation to provide the reactivity and flexibility necessary for process management. On the other hand, the Artificial Intelligence (AI) community has concentrated its efforts on investigating dynamic domains that involve active control of computational entities and physical devices (e.g., robots, software agents, etc.). In this context, Automated Planning, which is one of the oldest areas in AI, is conceived as a model-based approach to synthesize autonomous behaviours in automated way from a model. In this paper, we discuss how automated planning techniques can be leveraged to enable new levels of automation and support for business processing, and we show some concrete examples of their successful application to the different stages of the BPM life cycle

Feasibility of determining Pu-239 environmental and occupational levels in urinary excretion by fission track analysis

The results of bioassay programs for detecting human exposure to plutonium are currently playing a role that they were never intended or prepared to fulfill. With little resistance or support from the scientific community, the regulatory community established exposure limits for plutonium burdens based largely on imprecise inference of causes and effects; thus, to an extent, incomplete data and analysis formed the basis for most existing bioassay programs. At the time these early programs were developed, they were used only to determine the occupational exposure to radiation workers and populations unintentionally exposed to occupational levels during open air testing. The results from these programs are now used in litigation to determine cause, negligence and responsibility for health problems associated with the populations surrounding facilities that store, handle and process nuclear materials. As this role is beyond the scope of most bioassay programs` designs, concern for the use of existing bioassay programs in this manner is rising. It is imperative that defendable, scientifically-based, more sensitive techniques be researched and developed to measure the presence of Plutonium (Pu), which in turn can be used to establish and predict the health effects of a minimal Pu exposure. Currently, estimates to predict systemic deposition using urinalysis data are several times greater than the exposure levels measured by autopsy. The scientific research conducted in this study can serve to narrow this discrepancy and provide the regulatory community with a more reliable basis for establishing regulatory exposure limits and accurately predicting systemic deposition. Furthermore, this research and the continued development of more sophisticated detection techniques can serve to dispel general public concern over the possibility of radiation exposure from ongoing site remediation and closure efforts

The Shape and Figure Rotation of NGC 2915's Dark Halo

NGC 2915 is a blue compact dwarf galaxy with a very extended HI disk showing a short central bar and extended spiral arms, both reaching far beyond the optical component. We use Tremaine & Weinberg (1984) method to measure the pattern speed of the bar from HI radio synthesis data. Our measurements yield a pattern speed of 0.21+/-0.06 km/s/arcsec (8.0+/-2.4 km/s/kpc for D=5.3 Mpc), in disagreement with the general view that corotation in barred disks lies just outside the end of the bar, but consistent with recent models of barred galaxies with dense dark matter halos. Our adopted bar semi-length puts corotation at more than 1.7 bar radii. The existence of the pattern is also problematic. Because NGC 2915 is isolated, interactions cannot account for the structure observed in the HI disk. We also demonstrate that the low observed disk surface density and the location of the pseudo-rings make it unlikely that swing amplification or bar-driven spiral arms could explain the bar and spiral pattern. Based on the similarity of the dark matter and HI surface density profiles, we discuss the possibility of dark matter distributed in a disk and following closely the HI distribution. The disk then becomes unstable and can naturally form a bar and spiral pattern. However, this explanation is hard to reconcile with some properties of NGC 2915. We also consider the effect of a massive and extended triaxial dark matter halo with a rotating figure. The existence of such halos is supported by CDM simulations showing strongly triaxial dark halos with slow figure rotation. The observed structure of the HI disk can then arise through forcing by the rotating triaxial figure. We associate the measured pattern speed in NGC 2915 with the figure rotation of its dark halo.Comment: 37 pages, including 8 figures and 2 tables (AASTeX, aaspp4.sty). Fig.1 and 2 available as jpg. Accepted for publication in The Astronomical Journal. Online manuscript with PostScript figures available at: http://www.strw.leidenuniv.nl/~bureau/pub_list.htm

Full endoscopic versus open discectomy for sciatica:randomised controlled non-inferiority trial

OBJECTIVE: To assess whether percutaneous transforaminal endoscopic discectomy (PTED) is non-inferior to conventional open microdiscectomy in reduction of leg pain caused by lumbar disc herniation. DESIGN: Multicentre randomised controlled trial with non-inferiority design. SETTING: Four hospitals in the Netherlands. PARTICIPANTS: 613 patients aged 18-70 years with at least six weeks of radiating leg pain caused by lumbar disc herniation. The trial included a predetermined set of 125 patients receiving PTED who were the learning curve cases performed by surgeons who did not do PTED before the trial. INTERVENTIONS: PTED (n=179) compared with open microdiscectomy (n=309). MAIN OUTCOME MEASURES: The primary outcome was self-reported leg pain measured by a 0-100 visual analogue scale at 12 months, assuming a non-inferiority margin of 5.0. Secondary outcomes included complications, reoperations, self-reported functional status as measured with the Oswestry Disability Index, visual analogue scale for back pain, health related quality of life, and self-perceived recovery. Outcomes were measured until one year after surgery and were longitudinally analysed according to the intention-to-treat principle. Patients belonging to the PTED learning curve were omitted from the primary analyses. RESULTS: At 12 months, patients who were randomised to PTED had a statistically significantly lower visual analogue scale score for leg pain (median 7.0, interquartile range 1.0-30.0) compared with patients randomised to open microdiscectomy (16.0, 2.0-53.5) (between group difference of 7.1, 95% confidence interval 2.8 to 11.3). Blood loss was less, length of hospital admission was shorter, and timing of postoperative mobilisation was earlier in the PTED group than in the open microdiscectomy group. Secondary patient reported outcomes such as the Oswestry Disability Index, visual analogue scale for back pain, health related quality of life, and self-perceived recovery, were similarly in favour of PTED. Within one year, nine (5%) in the PTED group compared with 14 (6%) in the open microdiscectomy group had repeated surgery. Per protocol analysis and sensitivity analyses including the patients of the learning curve resulted in similar outcomes to the primary analysis. CONCLUSIONS: PTED was non-inferior to open microdiscectomy in reduction of leg pain. PTED resulted in more favourable results for self-reported leg pain, back pain, functional status, quality of life, and recovery. These differences, however, were small and may not reach clinical relevance. PTED can be considered as an effective alternative to open microdiscectomy in treating sciatica. TRIAL REGISTRATION: NCT02602093ClinicalTrials.gov NCT02602093

Bridging the gap between business processes and IoT

© 2020 ACM. This paper discusses a novel way of making business processes and Internet of Things (IoT) work together. Indeed each suffers from many limitations that the other could help address them and vice versa. On the one hand, business processes are known for capturing organizations\u27 best practices when satisfying users\u27 demands but do not have the capabilities of controlling the physical surrounding that comprises millions of devices/things. On the other hand, IoT is known for provisioning contextualized services to users thanks to millions of devices/things but does not have the capabilities of making these devices/things collaborate. The paper presents a framework to support the collaboration of business processes and IoT. This collaboration is exemplified with 2 types of processes referred as thing-Aware processes (TaP) and process-of-Things (PoT). A system illustrating the development of PoT is presented in the paper as well

Improving the Manchester Triage System for pediatric emergency care: an international multicenter study

OBJECTIVE:To validate use of the Manchester triage system in paediatric emergency care. DESIGN: Prospective observational study. SETTING: Emergency departments of a university hospital and a teaching hospital in the Netherlands, 2006-7. PARTICIPANTS: 17,600 children (aged <16) visiting an emergency department over 13 months (university hospital) and seven months (teaching hospital). INTERVENTION: Nurses triaged 16,735/17,600 patients (95%) using a computerised Manchester triage system, which calculated urgency levels from the selection of discriminators embedded in flowcharts for presenting problems. Nurses over-ruled the urgency level in 1714 (10%) children, who were excluded from analysis. Complete data for the reference standard were unavailable in 1467 (9%) children leaving 13,554 patients for analysis. MAIN OUTCOME MEASURES: Urgency according to the Manchester triage system compared with a predefined and independently assessed reference standard for five urgency levels. This reference standard was based on a combination of vital signs at presentation, potentially life threatening conditions, diagnostic resources, therapeutic interventions, and follow-up. Sensitivity, specificity, and likelihood ratios for high urgency (immediate and very urgent) and 95% confidence intervals for subgroups based on age, use of flowcharts, and discriminators. RESULTS: The Manchester urgency level agreed with the reference standard in 4582 of 13,554 (34%) children; 7311 (54%) were over-triaged and 1661 (12%) under-triaged. The likelihood ratio was 3.0 (95% confidence interval 2.8 to 3.2) for high urgency and 0.5 (0.4 to 0.5) for low urgency; though the likelihood ratios were lower for those presenting with a medical problem (2.3 (2.2 to 2.5) v 12.0 (7.8 to 18.0) for trauma) and in younger children (2.4 (1.9 to 2.9) at 0-2 months [corrected] v 5.4 (4.5 to 6.5) at 8-16 years). CONCLUSIONS: The Manchester triage system has moderate validity in paediatric emergency care. It errs on the safe side, with much more over-triage than under-triage compared with an independent reference standard for urgency. Triage of patients with a medical problem or in younger children is particularly difficult