Strengthening African Union for African Integration: An African ...

African Journals Online (AJOL)

Toshiba

to secure African continent, speed up development process, and strengthen our survival ... Regional integration generally involves a somewhat complex web of cooperation ... networking of various government institutions to provide and shape.

Network meta-analysis of disconnected networks: How dangerous are random baseline treatment effects?

Science.gov (United States)

Béliveau, Audrey; Goring, Sarah; Platt, Robert W; Gustafson, Paul

2017-12-01

In network meta-analysis, the use of fixed baseline treatment effects (a priori independent) in a contrast-based approach is regularly preferred to the use of random baseline treatment effects (a priori dependent). That is because, often, there is not a need to model baseline treatment effects, which carry the risk of model misspecification. However, in disconnected networks, fixed baseline treatment effects do not work (unless extra assumptions are made), as there is not enough information in the data to update the prior distribution on the contrasts between disconnected treatments. In this paper, we investigate to what extent the use of random baseline treatment effects is dangerous in disconnected networks. We take 2 publicly available datasets of connected networks and disconnect them in multiple ways. We then compare the results of treatment comparisons obtained from a Bayesian contrast-based analysis of each disconnected network using random normally distributed and exchangeable baseline treatment effects to those obtained from a Bayesian contrast-based analysis of their initial connected network using fixed baseline treatment effects. For the 2 datasets considered, we found that the use of random baseline treatment effects in disconnected networks was appropriate. Because those datasets were not cherry-picked, there should be other disconnected networks that would benefit from being analyzed using random baseline treatment effects. However, there is also a risk for the normality and exchangeability assumption to be inappropriate in other datasets even though we have not observed this situation in our case study. We provide code, so other datasets can be investigated. Copyright © 2017 John Wiley & Sons, Ltd.

Treatment with a barrier-strengthening moisturizer prevents relapse of hand-eczema. An open, randomized, prospective, parallel group study.

Science.gov (United States)

Lodén, Marie; Wirén, Karin; Smerud, Knut; Meland, Nils; Hønnås, Helge; Mørk, Gro; Lützow-Holm, Claus; Funk, Jörgen; Meding, Birgitta

2010-11-01

Hand eczema influences the quality of life. Management strategies include the use of moisturizers. In the present study the time to relapse of eczema during treatment with a barrier-strengthening moisturizer (5% urea) was compared with no treatment (no medical or non-medicated preparations) in 53 randomized patients with successfully treated hand eczema. The median time to relapse was 20 days in the moisturizer group compared with 2 days in the no treatment group (p = 0.04). Eczema relapsed in 90% of the patients within 26 weeks. No difference in severity was noted between the groups at relapse. Dermatology Life Quality Index (DLQI) increased significantly in both groups; from 4.7 to 7.1 in the moisturizer group and from 4.1 to 7.8 in the no treatment group (p < 0.01) at the time of relapse. Hence, the application of moisturizers seems to prolong the disease-free interval in patients with controlled hand eczema. Whether the data is applic-able to moisturizers without barrier-strengthening properties remains to be elucidated.

Strengthening think tank networks | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

Several new collaborative networks have emerged as a result. The degree of formality and type of institutional membership of these networks has varied, as have the drivers behind their creation. What is common between them is the ... Foro Social de Deuda Externa y Desarrollo de Honduras. Institution Country. Honduras.

Strengthened glass for high average power laser applications

International Nuclear Information System (INIS)

Cerqua, K.A.; Lindquist, A.; Jacobs, S.D.; Lambropoulos, J.

1987-01-01

Recent advancements in high repetition rate and high average power laser systems have put increasing demands on the development of improved solid state laser materials with high thermal loading capabilities. The authors have developed a process for strengthening a commercially available Nd doped phosphate glass utilizing an ion-exchange process. Results of thermal loading fracture tests on moderate size (160 x 15 x 8 mm) glass slabs have shown a 6-fold improvement in power loading capabilities for strengthened samples over unstrengthened slabs. Fractographic analysis of post-fracture samples has given insight into the mechanism of fracture in both unstrengthened and strengthened samples. Additional stress analysis calculations have supported these findings. In addition to processing the glass' surface during strengthening in a manner which preserves its post-treatment optical quality, the authors have developed an in-house optical fabrication technique utilizing acid polishing to minimize subsurface damage in samples prior to exchange treatment. Finally, extension of the strengthening process to alternate geometries of laser glass has produced encouraging results, which may expand the potential or strengthened glass in laser systems, making it an exciting prospect for many applications

The crumbling or strengthening of social capital? The economic crisis’ impact on social networks and interpersonal trust in Slovenia

Directory of Open Access Journals (Sweden)

Hajdeja Iglič

2014-12-01

Full Text Available The economic crisis is bringing uncertainty, change, worries and distress into the everyday lives of people, which has an effect on the level and form of social capital. The literature offers two opposing arguments regarding the impact of shocks and material uncertainty on social capital. The first one emphasises the instrumental nature of interpersonal relations and claims that the increased need for mutual help and support that arises during crisis periods strengthens social networks. In contrast, the second argument brings forward the problem of a social networks overload, which threatens to break them up during crises. More importantly, interpersonal dependence can lead to the closing off of social responsibility and solidarity into narrow family networks, thus reducing social capital among social groups and in society in general. In this paper, we empirically confront these two arguments in the context of the econo- mic crisis of 2008 in Slovenia. We compare the characteristics of social networks and interpersonal trust before the crisis with those measured several years after it began.

Responsible and Sustainable Tourism : Strengthening Small-Scale ...

International Development Research Centre (IDRC) Digital Library (Canada)

Responsible and Sustainable Tourism : Strengthening Small-Scale ... to work with the Costa Rican association of small and medium tourism enterprises of the ... as the hub of a network of small service providers operating within the model. ... marketing and outreach, distance learning, and the integration of services that are ...

Mechanical behavior and strengthening mechanisms in ultrafine grain precipitation-strengthened aluminum alloy

International Nuclear Information System (INIS)

Ma, Kaka; Wen, Haiming; Hu, Tao; Topping, Troy D.; Isheim, Dieter; Seidman, David N.; Lavernia, Enrique J.; Schoenung, Julie M.

2014-01-01

To provide insight into the relationships between precipitation phenomena, grain size and mechanical behavior in a complex precipitation-strengthened alloy system, Al 7075 alloy, a commonly used aluminum alloy, was selected as a model system in the present study. Ultrafine-grained (UFG) bulk materials were fabricated through cryomilling, degassing, hot isostatic pressing and extrusion, followed by a subsequent heat treatment. The mechanical behavior and microstructure of the materials were analyzed and compared directly to the coarse-grained (CG) counterpart. Three-dimensional atom-probe tomography was utilized to investigate the intermetallic precipitates and oxide dispersoids formed in the as-extruded UFG material. UFG 7075 exhibits higher strength than the CG 7075 alloy for each equivalent condition. After a T6 temper, the yield strength (YS) and ultimate tensile strength (UTS) of UFG 7075 achieved 734 and 774 MPa, respectively, which are ∼120 MPa higher than those of the CG equivalent. The strength of as-extruded UFG 7075 (YS: 583 MPa, UTS: 631 MPa) is even higher than that of commercial 7075-T6. More importantly, the strengthening mechanisms in each material were established quantitatively for the first time for this complex precipitation-strengthened system, accounting for grain-boundary, dislocation, solid-solution, precipitation and oxide dispersoid strengthening contributions. Grain-boundary strengthening was the predominant mechanism in as-extruded UFG 7075, contributing a strength increment estimated to be 242 MPa, whereas Orowan precipitation strengthening was predominant in the as-extruded CG 7075 (∼102 MPa) and in the T6-tempered materials, and was estimated to contribute 472 and 414 MPa for CG-T6 and UFG-T6, respectively

Application of social network analysis in the assessment of organization infrastructure for service delivery: a three district case study from post-conflict northern Uganda.

Science.gov (United States)

Ssengooba, Freddie; Kawooya, Vincent; Namakula, Justine; Fustukian, Suzanne

2017-10-01

In post-conflict settings, service coverage indices are unlikely to be sustained if health systems are built on weak and unstable inter-organization networks-here referred to as infrastructure. The objective of this study was to assess the inter-organization infrastructure that supports the provision of selected health services in the reconstruction phase after conflict in northern Uganda. Applied social network analysis was used to establish the structure, size and function among organizations supporting the provision of (1) HIV treatment, (2) maternal delivery services and (3) workforce strengthening. Overall, 87 organizations were identified from 48 respondent organizations in the three post-conflict districts in northern Uganda. A two-stage snowball approach was used starting with service provider organizations in each district. Data included a list of organizations and their key attributes related to the provision of each service for the year 2012-13. The findings show that inter-organization networks are mostly focused on HIV treatment and least for workforce strengthening. The networks for HIV treatment and maternal services were about 3-4 times denser relative to the network for workforce strengthening. The network for HIV treatment accounted for 69-81% of the aggregated network in Gulu and Kitgum districts. In contrast, the network for workforce strengthening contributed the least (6% and 10%) in these two districts. Likewise, the networks supporting a young district (Amuru) was under invested with few organizations and sparse connections. Overall, organizations exhibited a broad range of functional roles in supporting HIV treatment compared to other services in the study. Basic information about the inter-organization setup (infrastructure)-can contribute to knowledge for building organization networks in more equitable ways. More connected organizations can be leveraged for faster communication and resource flow to boost the delivery of health services

Strengthening Radiation Protection Infrastructures in Africa: Towards Establishing Effective and Sustainable Co-operations and Networks

International Nuclear Information System (INIS)

2010-09-01

The third African IRPA 2010 conference on Strengthening Radiation Protection Infrastructures in Africa: Towards Establishing Effective and Sustainable Co-operations and Networks. IAEA's role in radiation protection with focus in Africa. The controlling of exposure to indoor Radon. And Measure of activities and calculation of effective dose of indoor 222 Rn in some dwelling and enclosed areas in Africa - capacity building for radiation protection. It had also address Patient Radiation Protection in Radiotherapy, challenges for advancing medical physic globally, Heath effects and medical applications of non-ionizing radiation, nuclear safety and radiation protection consideration in the design of research and development. The International radiation protection association (IRPA) 2010-2011 strategic plan that address among other issues educations and training activities (2000-2020) and the current UNSCLEAR activities

IDRC-GDN: A Strengthened Partnership for Research Capacity ...

International Development Research Centre (IDRC) Digital Library (Canada)

IDRC-GDN: A Strengthened Partnership for Research Capacity Building. This project provides core funding to the Global Development Network (GDN) over three years. GDN supports social science researchers in developing and transition countries. Its core mission is to enhance policy-relevant research capacity by ...

Strengthening foodborne disease surveillance in the WHO African

African Journals Online (AJOL)

OMS

2012-06-04

Jun 4, 2012 ... region including acute aflatoxicosis in Kenya in 2004 and bromide poisoning in ... Global Food Infections Network (GFN), has been supporting countries to strengthen ... The surveillance system uses standard case definitions for classifying .... Figure 4: Participating countries and training sites for foodborne.

Social play among juvenile wild Japanese macaques (Macaca fuscata) strengthens their social bonds.

Science.gov (United States)

Shimada, Masaki; Sueur, Cédric

2018-01-01

Social play and grooming are typical affiliative interactions for many primate species, and are thought to have similar biological functions. However, grooming increases with age, whereas social play decreases. We proposed the hypothesis that both social grooming and social play in juveniles strengthen their social bonds in daily activities. We carried out field research on the social relationships among juvenile wild Japanese macaques in a troop in Kinkazan, Miyagi Prefecture, Japan, from fall 2007 to spring 2008 to investigate this hypothesis. We evaluated three relationships among juveniles, play indices (PI), grooming indices (GI), and 3-m-proximity indices (3mI) of each dyad (i.e., interacting pair), and compared these social networks based on the matrices of the indices. The play and grooming networks were correlated with the association network throughout the two research periods. The multiple network level measurements of the play network, but not the grooming network, resembled those of the association network. Using a causal step approach, we showed that social play and grooming interactions in fall seem to predict associations in the following spring, controlling for the PI and GI matrix in spring, respectively. Social play and grooming for each juvenile were negatively correlated. The results partially support our predictions; therefore, the hypothesis that the biological function of social play among immature Japanese macaques is to strengthen their social bonds in the near future and develop their social life appears to be correct. For juvenile macaques, social play, rather than grooming, functions as an important social mechanism to strengthen affiliative relationships. © 2017 Wiley Periodicals, Inc.

Strengthening systems for communicable disease surveillance: creating a laboratory network in Rwanda

Directory of Open Access Journals (Sweden)

Ndihokubwayo Jean B

2011-06-01

Full Text Available Abstract Background The recent emergence of a novel strain of influenza virus with pandemic potential underscores the need for quality surveillance and laboratory services to contribute to the timely detection and confirmation of public health threats. To provide a framework for strengthening disease surveillance and response capacities in African countries, the World Health Organization Regional Headquarters for Africa (AFRO developed Integrated Disease Surveillance and Response (IDSR aimed at improving national surveillance and laboratory systems. IDSR emphasizes the linkage of information provided by public health laboratories to the selection of relevant, appropriate and effective public health responses to disease outbreaks. Methods We reviewed the development of Rwanda's National Reference Laboratory (NRL to understand essential structures involved in creating a national public health laboratory network. We reviewed documents describing the NRL's organization and record of test results, conducted site visits, and interviewed health staff in the Ministry of Health and in partner agencies. Findings were developed by organizing thematic categories and grouping examples within them. We purposefully sought to identify success factors as well as challenges inherent in developing a national public health laboratory system. Results Among the identified success factors were: a structured governing framework for public health surveillance; political commitment to promote leadership for stronger laboratory capacities in Rwanda; defined roles and responsibilities for each level; coordinated approaches between technical and funding partners; collaboration with external laboratories; and use of performance results in advocacy with national stakeholders. Major challenges involved general infrastructure, human resources, and budgetary constraints. Conclusions Rwanda's experience with collaborative partnerships contributed to creation of a functional

The Strengthening Families Initiative and Child Care Quality Improvement: How Strengthening Families Influenced Change in Child Care Programs in One State

Science.gov (United States)

Douglass, Anne; Klerman, Lorraine

2012-01-01

Research Findings: This study investigated how the Strengthening Families through Early Care and Education initiative in Illinois (SFI) influenced change in 4 child care programs. Findings indicate that SFI influenced quality improvements through 4 primary pathways: (a) Learning Networks, (b) the quality of training, (c) the engagement of program…

Small Grants Program : Strengthening ICTD Research Capacity in ...

International Development Research Centre (IDRC) Digital Library (Canada)

On the one hand, ICTs can provide access to tools and content to improve economic conditions, strengthen social networks, democratize the flow of information, and reduce risk to citizens from pandemics and natural disasters. On the other hand, ICTs can be used to engage in exclusionary or criminal practices, or contribute ...

Strengthening from Nb-rich clusters in a Nb-microalloyed steel

International Nuclear Information System (INIS)

Xie, Kelvin Y.; Zheng, Tianxiao; Cairney, Julie M.; Kaul, Harold; Williams, James G.; Barbaro, Frank J.; Killmore, Chris R.; Ringer, Simon P.

2012-01-01

We demonstrate that a Nb-microalloyed ultra-thin cast strip steel can be strengthened substantially without compromising ductility by performing a simple heat treatment at 700 °C for 4 min. The strengthening was attributed to a fine dispersion of Nb-rich solute atom clusters. These clusters had an average size of ∼60 atoms at peak hardness and resembled Guinier–Preston zones in Al–Cu alloys. The application of the Ashby–Orowan equation indicates that these clusters are potent strengthening agents when compared to conventional Nb(C,N) precipitation strengthening.

Evolution and strengthening of the Calabrian Regional Seismic Network during the Pollino sequence

Science.gov (United States)

D'Alessandro, Antonino; Gervasi, Anna; Guerra, Ignazio

2013-04-01

In the last three years the Calabria-Lucania border area is affected by an intense seismic activity generated by the activation of geological structures which be seat of clusters of microearthquakes, with energy release sufficient to be felt and to generate alarm and bother. Besides to the historical memory of the inhabitants of Mormanno (the town most affected of macroseismic effects) there are some historical documents that indicate the occurrence of a similar seismic crisis in 1888. A more recent seismic sequence, the first monitored by seismic instruments, occurred in 1973-1974. In the last case, the activity started in early 2010 and is still ongoing. The two shocks of ML = 4.3 and 5.0 and the the very long time duration differs this crisis from the previous ones. Given this background, in 1981 was installed at Mormanno a seismic station (MMN) belonging to Regional Seismic Network of the University of Calabria (RSRC), now also a station of the Italian National Seismic Network of the Istituto Nazionale di Geofisica Vulcanolgia (INSN-INGV). This seismic station made it possible to follow the evolution of seismicity in this area and in particular the progressive increase in seismic activity started in 2010. Since 2010, some 3D stand-alone, was installed by the University of Calabria. Further stations of INGV were installed in November 2011 after a sharp increase of the energy release and subsequently by the INGV and the GeoForschungsZentrum (Potsdam) after the main shock of the whole sequence. Seismic networks are powerful tools for understanding active tectonic processes in a monitored seismically active region. However, the optimal monitoring of a seismic region requires the assessment of the seismic network capabilities to identify seismogenic areas that are not adequately covered and to quantify measures that will allow the network improvement. In this paper we examine in detail the evolution and the strengthening of the RSRC in the last years analyzing the

Legacy of Polio—Use of India’s Social Mobilization Network for Strengthening of the Universal Immunization Program in India

Science.gov (United States)

Deutsch, Nicole; Singh, Vivek; Curtis, Rod; Siddique, Anisur Rahman

2017-01-01

Abstract The Social Mobilization Network (SMNet) has been lauded as one of the most successsful community engagement strategies in public health for its role in polio elimination in India. The UNICEF-managed SMNet was created as a strategy to eradicate polio by engaging >7000 frontline social mobilizers to advocate for vaccination in some of the most underserved, marginalized, and at-risk communities in India. This network focused initially on generating demand for polio vaccination but later expanded its messaging to promote routine immunization and other health and sanitation interventions related to maternal and children’s health. As an impact of the network’s interventions, in collaboration with other eradication efforts, these high-risk pockets witnessed an increase in full routine immunization coverage. The experience of the SMNet offers lessons for health-system strengthening for social mobilization and promoting positive health behaviors for other priority health programs like the Universal Immunization Program. PMID:28838190

Strengthening of Zircaloy-4 with Oxide Particles by Surface Treatment using Laser Beam

Energy Technology Data Exchange (ETDEWEB)

Jung, Yang Il; Park, Jung Hwan; Park, Dong Jun; Kim, Hyun Gil; Yang, Jae Ho; Koo, Yang Hyun [KAERI, Daejeon (Korea, Republic of)

2016-05-15

Accident tolerant fuel (ATF) cladding is being developed globally after the Fukushima accident with the demands for the nuclear fuel having higher safety at normal operation conditions as well as even in a severe accident conditions. Korea Atomic Energy Research Institute (KAERI) is one of the leading organizations for developing ATF claddings. One concept is to form an oxidation-resistant layer on Zr cladding surface. The other is to increase high-temperature mechanical strength of Zr tube. High-power laser beam was exposed on the zirconium surface previously coated by oxides. Various oxides such as Y{sub 2}O{sub 3}, CeO{sub 2}, Gd{sub 2}O{sub 3}, Er{sub 2}O{sub 3} were used for the ODS treatment. In this study, the effect of strengthening by the ODS treatment was investigated. The oxide particles of Y{sub 2}O{sub 3} were dispersed well in the Zr matrix at the surface region.

Equity in Health and Health Financing: Building and Strengthening ...

International Development Research Centre (IDRC) Digital Library (Canada)

Equity in Health and Health Financing: Building and Strengthening Developing Country Networks. Equity in health is a pressing global concern. Disparities in health status and access to health care within and across countries are both a cause and a consequence of social inequality. Access to health services continues to ...

Heroin assisted treatment and research networks

DEFF Research Database (Denmark)

Houborg, Esben; Munksgaard, Rasmus

2015-01-01

Purpose – The purpose of this paper is to map research communities related to heroin-assisted treatment (HAT) and the scientific network they are part of to determine their structure and content. Design/methodology/approach – Co-authorship as the basis for conducting social network analysis....... In total, 11 research communities were constructed with different scientific content. HAT research communities are closely connected to medical, psychiatric, and epidemiological research and very loosely connected to social research. Originality/value – The first mapping of the collaborative network HAT...... researchers using social network methodology...

Evaluating the performance of skewed prestressed concrete bridge after strengthening

Science.gov (United States)

Naser, Ali Fadhil; Zonglin, Wang

2013-06-01

The objectives of this paper are to explain the application of repairing and strengthening methods on the damaged members of the bridge structure, to analyze the static and dynamic structural response under static and dynamic loads after strengthening, and to evaluate the structural performance after application of strengthening method. The repairing and strengthening methods which are used in this study include treatment of the cracks, thickening the web of box girder along the bridge length and adding internal pre-stressing tendons in the thickening web, and construct reinforced concrete cross beams (diaphragms) between two box girders. The results of theoretical analysis of static and dynamic structural responses after strengthening show that the tensile stresses are decreased and become less than the allowable limit values in the codes. The values of vertical deflection are decreased after strengthening. The values of natural frequencies after strengthening are increased, indicating that the strengthening method is effective to reduce the vibration of the bridge structure. Therefore, the strengthening methods are effective to improve the bearing capacity and elastic working state of the bridge structure and to increase the service life of the bridge structure.

Strengthening Mechanisms in Microtruss Metals

Science.gov (United States)

Ng, Evelyn K.

Microtrusses are hybrid materials composed of a three-dimensional array of struts capable of efficiently transmitting an externally applied load. The strut connectivity of microtrusses enables them to behave in a stretch-dominated fashion, allowing higher specific strength and stiffness values to be reached than conventional metal foams. While much attention has been given to the optimization of microtruss architectures, little attention has been given to the strengthening mechanisms inside the materials that make up this architecture. This thesis examines strengthening mechanisms in aluminum alloy and copper alloy microtruss systems with and without a reinforcing structural coating. C11000 microtrusses were stretch-bend fabricated for the first time; varying internal truss angles were selected in order to study the accumulating effects of plastic deformation and it was found that the mechanical performance was significantly enhanced in the presence of work hardening with the peak strength increasing by a factor of three. The C11000 microtrusses could also be significantly reinforced with sleeves of electrodeposited nanocrystalline Ni-53wt%Fe. It was found that the strength increase from work hardening and electrodeposition were additive over the range of structures considered. The AA2024 system allowed the contribution of work hardening, precipitation hardening, and hard anodizing to be considered as interacting strengthening mechanisms. Because of the lower formability of AA2024 compared to C11000, several different perforation geometries in the starting sheet were considered in order to more effectively distribute the plastic strain during stretch-bend fabrication. A T8 condition was selected over a T6 condition because it was shown that the plastic deformation induced during the final step was sufficient to enhance precipitation kinetics allowing higher strengths to be reached, while at the same time eliminating one annealing treatment. When hard anodizing

Using Social Network Analysis as a Method to Assess and Strengthen Participation in Health Promotion Programs in Vulnerable Areas.

Science.gov (United States)

Hindhede, Anette Lykke; Aagaard-Hansen, Jens

2017-03-01

This article provides an example of the application of social network analysis method to assess community participation thereby strengthening planning and implementation of health promotion programming. Community health promotion often takes the form of services that reach out to or are located within communities. The concept of community reflects the idea that people's behavior and well-being are influenced by interaction with others, and here, health promotion requires participation and local leadership to facilitate transmission and uptake of interventions for the overall community to achieve social change. However, considerable uncertainty exists over exact levels of participation in these interventions. The article draws on a mixed methods research within a community development project in a vulnerable neighborhood of a town in Denmark. It presents a detailed analysis of the way in which social network analysis can be used as a tool to display participation and nonparticipation in community development and health promotion activities, to help identify capacities and assets, mobilize resources, and finally to evaluate the achievements. The article concludes that identification of interpersonal ties among people who know one another well as well as more tenuous relationships in networks can be used by community development workers to foster greater cohesion and cooperation within an area.

Influence of initial thermomechanical treatment on high temperature properties of laves phase strengthened ferritic steels

International Nuclear Information System (INIS)

Talik, Michal

2016-01-01

The aim of this work was to design 17 wt%Cr Laves phase strengthened HiperFer (High performance Ferrite) steels and evaluate their properties. This class of steel is supposed to be used in Advanced Ultra Super Critical power plants. Such cycles exhibit higher efficiency and are environmentally friendly, but improved materials with high resistance to reside/steam oxidation and sufficient creep strength are required. The work focused on the characterization of creep properties of 17Cr2.5W0.5Nb0.25Si heat resistant steel. Small batches of steels with nominal compositions of 17Cr3W0.5Nb0.25Si and 17Cr3W0.9Nb0.25Si were used to analyze the influence of chemical composition on the precipitation behaviour in comparison to 17Cr2.5W0.5Nb0.25Si steel. Creep strength of HiperFer steels is ensured by ne dispersion of thermodynamically stable Laves phase particles, while maintaining high corrosion resistance by a relatively high chromium content. Design of HiperFer steels was accomplished by thermodynamic modeling (Thermocalc) with the main tasks of elimination of the unwelcome brittle (Fe,Cr)-σ phase and maximization of the content of the strengthening C14 Fe_2Nb type Laves phase particles. Long term annealing experiments of all HiperFer steels were performed at 650 C in order to evaluate the role of chemical composition and initial thermo-mechanical treatment state on precipitation behaviour. Laves phase particles formed quickly after few hours and the size of precipitates did not change significantly within 1,000 hours. The observed development of Laves phase particles was compared with thermodynamical calculations (TC-Prisma). The creep properties of 17Cr2.5W0.5Nb0.25Si steel in different initial thermo-mechanical treatment states were tested at 650 C. The influence of different cold rolling procedures, and heat treatments was investigated. Increased cold rolling deformation had a positive effect resulting not only from work hardening, but from the acceleration of Laves

Functional brain networks associated with cognitive control, cocaine dependence, and treatment outcome.

Science.gov (United States)

Worhunsky, Patrick D; Stevens, Michael C; Carroll, Kathleen M; Rounsaville, Bruce J; Calhoun, Vince D; Pearlson, Godfrey D; Potenza, Marc N

2013-06-01

Individuals with cocaine dependence often evidence poor cognitive control. The purpose of this exploratory study was to investigate networks of functional connectivity underlying cognitive control in cocaine dependence and examine the relationship of the networks to the disorder and its treatment. Independent component analysis (ICA) was applied to fMRI data to investigate if regional activations underlying cognitive control processes operate in functional networks, and whether these networks relate to performance and treatment outcome measures in cocaine dependence. Twenty patients completed a Stroop task during fMRI prior to entering outpatient treatment and were compared to 20 control participants. ICA identified five distinct functional networks related to cognitive control interference events. Cocaine-dependent patients displayed differences in performance-related recruitment of three networks. Reduced involvement of a "top-down" fronto-cingular network contributing to conflict monitoring correlated with better treatment retention. Greater engagement of two "bottom-up" subcortical and ventral prefrontal networks related to cue-elicited motivational processing correlated with abstinence during treatment. The identification of subcortical networks linked to cocaine abstinence and cortical networks to treatment retention suggests that specific circuits may represent important, complementary targets in treatment development for cocaine dependence. 2013 APA, all rights reserved

Feasibility Analysis of Developing Cross-border Network Education in China

Science.gov (United States)

Lan, Jun

In the era of economic globalization, strengthen of international cooperation on network education is a general trend. Although China has not made commitments about the market access and national treatment of cross-border supply in Schedule of Specific Commitments on Services, the basic conditions of network education development in China have been met. The Chinese government should formulate strategies for the development of cross-border network education and take relevant measures to implement them. In the near future, the carrying out of cross-border network education in China will become an irreversible trend, and will possess broad prospect with the advance of globalization of Chinese education.

Initial Semantics for Strengthened Signatures

Directory of Open Access Journals (Sweden)

André Hirschowitz

2012-02-01

Full Text Available We give a new general definition of arity, yielding the companion notions of signature and associated syntax. This setting is modular in the sense requested by Ghani and Uustalu: merging two extensions of syntax corresponds to building an amalgamated sum. These signatures are too general in the sense that we are not able to prove the existence of an associated syntax in this general context. So we have to select arities and signatures for which there exists the desired initial monad. For this, we follow a track opened by Matthes and Uustalu: we introduce a notion of strengthened arity and prove that the corresponding signatures have initial semantics (i.e. associated syntax. Our strengthened arities admit colimits, which allows the treatment of the λ-calculus with explicit substitution.

Strengthening of Shear Walls

DEFF Research Database (Denmark)

Hansen, Christian Skodborg

The theory for concrete structures strengthened with fiber reinforced polymer materials has been developing for approximately two decades, and there are at the present time numerous guidelines covering strengthening of many commonly encountered structural building elements. Strengthening of in...... that describes a unit width strip of a strengthened disk. The unit width strip is named a strengthened concrete tension member and contains a single tensile crack and four debonding cracks. Analysis of the member results in closed form expressions for the load-crack opening relationship. Further analysis...... of the response, results in the ability to determine and characterize the two-way crack propagation, i.e. the relationship between tensile cracking in the concrete and interface debonding between strengthening and concrete. Using the load-crack opening relationship from the strengthened concrete tension member...

Wireless local network architecture for Naval medical treatment facilities

OpenAIRE

Deason, Russell C.

2004-01-01

Approved for public release; distribution is unlimited In today's Navy Medicine, an approach towards wireless networks is coming into view. The idea of developing and deploying workable Wireless Local Area Networks (WLAN) throughout Naval hospitals is but just a few years down the road. Currently Naval Medical Treatment Facilities (MTF) are using wired Local Area Networks (LANs) throughout the infrastructure of each facility. Civilian hospitals and other medical treatment facilities have b...

Social networks and treatment adherence among Latino offenders with mental illness.

Science.gov (United States)

Eno Louden, Jennifer; Manchak, Sarah M

2018-02-01

Mental health treatment adherence is often required for offenders with mental illness supervised on probation and parole. However, research on offenders with mental illness has largely overlooked cultural and ethnic responsivity factors that may affect adherence to treatment. Latinos are a quickly growing subgroup of offenders whose social networks differ in meaningful ways from European Americans' (e.g., size, composition, centrality of family). Social networks are known to relate to both clinical and criminal justice outcomes for offenders with mental illness, and there are features of nonoffender Latinos' social networks that suggest that findings distilled from work with non-Latino offenders may not apply to them. The present study examined the social networks of 86 Latino probationers with serious mental illness to (a) describe the size and composition of these networks and (b) to determine which factors of social networks are related to treatment adherence. The authors found that Latino offenders' social networks are small (∼6 individuals), consisting primarily of family and professionals such as treatment providers and probation officers. Supportive relationships with nonprofessionals and treatment providers was related to lower likelihood of missing treatment appointments, whereas social control and pressure from family and friends to attend treatment was not related to treatment adherence. Findings are discussed within the context of improved practices for community corrections and mental health agencies in working with Latino offenders with mental illness. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

The democratizing impact of governance networks

DEFF Research Database (Denmark)

Sørensen, Eva; Torfing, Jacob

2018-01-01

impact of governance networks. It claims that the initial celebration of the pluralization of public governance and the subsequent call for a democratic anchorage of governance networks should give way to a new concern for how governance networks can strengthen and democratize political leadership. Tying......Initially, governance networks were intended as tools for making public governance more effective. Yet, scholars have argued that governance networks also have the potential to democratize public governance. This article provides an overview of theoretical arguments pertaining to the democratizing...... political leadership to networked processes of collaborative governance fosters ‘interactive political leadership’. The article presents theoretical arguments in support of interactive political leadership, and provides an illustrative case study of a recent attempt to strengthen political leadership...

Personal networks of women in residential and outpatient substance abuse treatment.

Science.gov (United States)

Kim, HyunSoo; Tracy, Elizabeth; Brown, Suzanne; Jun, MinKyoung; Park, Hyunyong; Min, Meeyoung; McCarty, Chris

This study compared compositional, social support, and structural characteristics of personal networks among women in residential (RT) and intensive outpatient (IOP) substance abuse treatment. The study sample included 377 women from inner-city substance use disorder treatment facilities. Respondents were asked about 25 personal network members known within the past 6 months, characteristics of each (relationship, substance use, types of support), and relationships between each network member. Differences between RT women and IOP women in personal network characteristics were identified using Chi-square and t -tests. Compared to IOP women, RT women had more substance users in their networks, more network members with whom they had used substances and fewer network members who provided social support. These findings suggest that women in residential treatment have specific network characteristics, not experienced by women in IOP, which may make them more vulnerable to relapse; they may therefore require interventions that target these specific network characteristics in order to reduce their vulnerability to relapse.

Targeted Memory Reactivation during Sleep Adaptively Promotes the Strengthening or Weakening of Overlapping Memories.

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Oyarzún, Javiera P; Morís, Joaquín; Luque, David; de Diego-Balaguer, Ruth; Fuentemilla, Lluís

2017-08-09

System memory consolidation is conceptualized as an active process whereby newly encoded memory representations are strengthened through selective memory reactivation during sleep. However, our learning experience is highly overlapping in content (i.e., shares common elements), and memories of these events are organized in an intricate network of overlapping associated events. It remains to be explored whether and how selective memory reactivation during sleep has an impact on these overlapping memories acquired during awake time. Here, we test in a group of adult women and men the prediction that selective memory reactivation during sleep entails the reactivation of associated events and that this may lead the brain to adaptively regulate whether these associated memories are strengthened or pruned from memory networks on the basis of their relative associative strength with the shared element. Our findings demonstrate the existence of efficient regulatory neural mechanisms governing how complex memory networks are shaped during sleep as a function of their associative memory strength. SIGNIFICANCE STATEMENT Numerous studies have demonstrated that system memory consolidation is an active, selective, and sleep-dependent process in which only subsets of new memories become stabilized through their reactivation. However, the learning experience is highly overlapping in content and thus events are encoded in an intricate network of related memories. It remains to be explored whether and how memory reactivation has an impact on overlapping memories acquired during awake time. Here, we show that sleep memory reactivation promotes strengthening and weakening of overlapping memories based on their associative memory strength. These results suggest the existence of an efficient regulatory neural mechanism that avoids the formation of cluttered memory representation of multiple events and promotes stabilization of complex memory networks. Copyright © 2017 the authors 0270-6474/17/377748-11$15.00/0.

A social network analysis of treatment discoveries in cancer.

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Athanasios Tsalatsanis

2011-03-01

Full Text Available Controlled clinical trials are widely considered to be the vehicle to treatment discovery in cancer that leads to significant improvements in health outcomes including an increase in life expectancy. We have previously shown that the pattern of therapeutic discovery in randomized controlled trials (RCTs can be described by a power law distribution. However, the mechanism generating this pattern is unknown. Here, we propose an explanation in terms of the social relations between researchers in RCTs. We use social network analysis to study the impact of interactions between RCTs on treatment success. Our dataset consists of 280 phase III RCTs conducted by the NCI from 1955 to 2006. The RCT networks are formed through trial interactions formed i at random, ii based on common characteristics, or iii based on treatment success. We analyze treatment success in terms of survival hazard ratio as a function of the network structures. Our results show that the discovery process displays power law if there are preferential interactions between trials that may stem from researchers' tendency to interact selectively with established and successful peers. Furthermore, the RCT networks are "small worlds": trials are connected through a small number of ties, yet there is much clustering among subsets of trials. We also find that treatment success (improved survival is proportional to the network centrality measures of closeness and betweenness. Negative correlation exists between survival and the extent to which trials operate within a limited scope of information. Finally, the trials testing curative treatments in solid tumors showed the highest centrality and the most influential group was the ECOG. We conclude that the chances of discovering life-saving treatments are directly related to the richness of social interactions between researchers inherent in a preferential interaction model.

Intrinsic brain networks normalize with treatment in pediatric complex regional pain syndrome

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Becerra, Lino; Sava, Simona; Simons, Laura E.; Drosos, Athena M.; Sethna, Navil; Berde, Charles; Lebel, Alyssa A.; Borsook, David

2014-01-01

Pediatric complex regional pain syndrome (P-CRPS) offers a unique model of chronic neuropathic pain as it either resolves spontaneously or through therapeutic interventions in most patients. Here we evaluated brain changes in well-characterized children and adolescents with P-CRPS by measuring resting state networks before and following a brief (median = 3 weeks) but intensive physical and psychological treatment program, and compared them to matched healthy controls. Differences in intrinsic brain networks were observed in P-CRPS compared to controls before treatment (disease state) with the most prominent differences in the fronto-parietal, salience, default mode, central executive, and sensorimotor networks. Following treatment, behavioral measures demonstrated a reduction of symptoms and improvement of physical state (pain levels and motor functioning). Correlation of network connectivities with spontaneous pain measures pre- and post-treatment indicated concomitant reductions in connectivity in salience, central executive, default mode and sensorimotor networks (treatment effects). These results suggest a rapid alteration in global brain networks with treatment and provide a venue to assess brain changes in CRPS pre- and post-treatment, and to evaluate therapeutic effects. PMID:25379449

Intrinsic brain networks normalize with treatment in pediatric complex regional pain syndrome

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Lino Becerra

2014-01-01

Full Text Available Pediatric complex regional pain syndrome (P-CRPS offers a unique model of chronic neuropathic pain as it either resolves spontaneously or through therapeutic interventions in most patients. Here we evaluated brain changes in well-characterized children and adolescents with P-CRPS by measuring resting state networks before and following a brief (median = 3 weeks but intensive physical and psychological treatment program, and compared them to matched healthy controls. Differences in intrinsic brain networks were observed in P-CRPS compared to controls before treatment (disease state with the most prominent differences in the fronto-parietal, salience, default mode, central executive, and sensorimotor networks. Following treatment, behavioral measures demonstrated a reduction of symptoms and improvement of physical state (pain levels and motor functioning. Correlation of network connectivities with spontaneous pain measures pre- and post-treatment indicated concomitant reductions in connectivity in salience, central executive, default mode and sensorimotor networks (treatment effects. These results suggest a rapid alteration in global brain networks with treatment and provide a venue to assess brain changes in CRPS pre- and post-treatment, and to evaluate therapeutic effects.

Strengthening rural Latinos' civic engagement for health: The Voceros de Salud project.

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López-Cevallos, Daniel; Dierwechter, Tatiana; Volkmann, Kelly; Patton-López, Megan

2013-11-01

This article describes the Latino Health Ambassadors Network (Voceros de Salud ) project created to support and mobilize Latino community leaders to address health inequalities in a rural Oregon county. Voceros de Salud is discussed as a model that other rural communities may implement towards strengthening Latino civic engagement for health.

Dislocation Strengthening without Ductility Trade-off in Metastable Austenitic Steels

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Liu, Jiabin; Jin, Yongbin; Fang, Xiaoyang; Chen, Chenxu; Feng, Qiong; Liu, Xiaowei; Chen, Yuzeng; Suo, Tao; Zhao, Feng; Huang, Tianlin; Wang, Hongtao; Wang, Xi; Fang, Youtong; Wei, Yujie; Meng, Liang; Lu, Jian; Yang, Wei

2016-10-01

Strength and ductility are mutually exclusive if they are manifested as consequence of the coupling between strengthening and toughening mechanisms. One notable example is dislocation strengthening in metals, which invariably leads to reduced ductility. However, this trend is averted in metastable austenitic steels. A one-step thermal mechanical treatment (TMT), i.e. hot rolling, can effectively enhance the yielding strength of the metastable austenitic steel from 322 ± 18 MPa to 675 ± 15 MPa, while retaining both the formability and hardenability. It is noted that no boundaries are introduced in the optimized TMT process and all strengthening effect originates from dislocations with inherited thermal stability. The success of this method relies on the decoupled strengthening and toughening mechanisms in metastable austenitic steels, in which yield strength is controlled by initial dislocation density while ductility is retained by the capability to nucleate new dislocations to carry plastic deformation. Especially, the simplicity in processing enables scaling and industrial applications to meet the challenging requirements of emissions reduction. On the other hand, the complexity in the underlying mechanism of dislocation strengthening in this case may shed light on a different route of material strengthening by stimulating dislocation activities, rather than impeding motion of dislocations.

[Strengthening of social participation of Turkish seniors].

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Fietz, Jennifer; Stupp, Barbara

2018-05-04

Traditional municipal services are not successful at reaching Turkish seniors. Compared to native Germans Turkish seniors have a lower social participation. Do native language groups hosted by a German organization promote the social participation of Turkish seniors? How does social participation take place in the ZWAR networks (between work and retirement; a project to strengthen social participation of seniors) and which factors promote or reduce social participation? Qualitative structuring content analysis of two group discussions, which were based on guided interviews. The social participation of Turkish-speaking seniors was strengthened on three levels: (1) through regular meetings of the Turkish ethnic group social relationships were promoted and German language skills and other skills were improved. Through mutual sharing and understanding of the stressors specific to migration, emotional support was provided. The sharing of mutual cultural and linguistic backgrounds created a sense of community and meetings were perceived as an antidote to migrants' exhausting lives in German society. (2) At the organizational level, participation was promoted through extensive group events. Regardless of their cultural background all participants identified as equal ZWAR members. The ZWAR project functioned as an umbrella organization for participation in the intercultural context. (3) Participation in community events created contacts with community stakeholders and fostered volunteer work. Hence, participants were able to use their skills, and therefore broaden their horizons. Turkish ZWAR networks promoted the social participation of members because integration with their ethnic group reduced access barriers, broadened members' scopes of action, and created new opportunities for participation.

Preventive Treatments of Iron Deficiency Anaemia in Pregnancy: A Review of Their Effectiveness and Implications for Health System Strengthening

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Kayode O. Osungbade

2012-01-01

Full Text Available Objectives. We conducted a review of effectiveness of preventive treatments of iron deficiency anaemia in pregnancy in developing countries and highlighted their constraints as well as interventions required to strengthen the health services. Methods. Literature from Pubmed (MEDLINE, AJOL, Google Scholar, and Cochrane database was reviewed. Results. Evidence-based preventive treatment options for iron deficiency anaemia in pregnancy include prophylaxis iron supplements and food fortification with iron. Evidence abounds on their effectiveness in reducing the prevalence of iron deficiency anaemia in pregnancy. However, these prospects are threatened by side effects of iron supplements, low utilization of maternal health service in developing countries, partial implementation of preventive treatments, and weak infrastructure and political commitment to implement mass fortification of local staple foods by national governments. Conclusion. Sustainability of effectiveness of preventive treatments of iron deficiency anaemia in pregnancy could be achieved if the identified threats are adequately addressed.

A Review on Strengthening Steel Beams Using FRP under Fatigue

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Mohamed Kamruzzaman

2014-01-01

Full Text Available In recent decades, the application of fibre-reinforced polymer (FRP composites for strengthening structural elements has become an efficient option to meet the increased cyclic loads or repair due to corrosion or fatigue cracking. Hence, the objective of this study is to explore the existing FRP reinforcing techniques to care for fatigue damaged structural steel elements. This study covers the surface treatment techniques, adhesive curing, and support conditions under cyclic loading including fatigue performance, crack propagation, and failure modes with finite element (FE simulation of the steel bridge girders and structural elements. FRP strengthening composites delay initial cracking, reduce the crack growth rate, extend the fatigue life, and decrease the stiffness decay with residual deflection. Prestressed carbon fibre-reinforced polymer (CFRP is the best strengthening option. End anchorage prevents debonding of the CRRP strips at the beam ends by reducing the local interfacial shear and peel stresses. Hybrid-joint, nanoadhesive, and carbon-flex can also be attractive for strengthening systems.

A review on strengthening steel beams using FRP under fatigue.

Science.gov (United States)

Kamruzzaman, Mohamed; Jumaat, Mohd Zamin; Sulong, N H Ramli; Islam, A B M Saiful

2014-01-01

In recent decades, the application of fibre-reinforced polymer (FRP) composites for strengthening structural elements has become an efficient option to meet the increased cyclic loads or repair due to corrosion or fatigue cracking. Hence, the objective of this study is to explore the existing FRP reinforcing techniques to care for fatigue damaged structural steel elements. This study covers the surface treatment techniques, adhesive curing, and support conditions under cyclic loading including fatigue performance, crack propagation, and failure modes with finite element (FE) simulation of the steel bridge girders and structural elements. FRP strengthening composites delay initial cracking, reduce the crack growth rate, extend the fatigue life, and decrease the stiffness decay with residual deflection. Prestressed carbon fibre-reinforced polymer (CFRP) is the best strengthening option. End anchorage prevents debonding of the CRRP strips at the beam ends by reducing the local interfacial shear and peel stresses. Hybrid-joint, nanoadhesive, and carbon-flex can also be attractive for strengthening systems.

A Review on Strengthening Steel Beams Using FRP under Fatigue

Science.gov (United States)

Jumaat, Mohd Zamin; Ramli Sulong, N. H.

2014-01-01

In recent decades, the application of fibre-reinforced polymer (FRP) composites for strengthening structural elements has become an efficient option to meet the increased cyclic loads or repair due to corrosion or fatigue cracking. Hence, the objective of this study is to explore the existing FRP reinforcing techniques to care for fatigue damaged structural steel elements. This study covers the surface treatment techniques, adhesive curing, and support conditions under cyclic loading including fatigue performance, crack propagation, and failure modes with finite element (FE) simulation of the steel bridge girders and structural elements. FRP strengthening composites delay initial cracking, reduce the crack growth rate, extend the fatigue life, and decrease the stiffness decay with residual deflection. Prestressed carbon fibre-reinforced polymer (CFRP) is the best strengthening option. End anchorage prevents debonding of the CRRP strips at the beam ends by reducing the local interfacial shear and peel stresses. Hybrid-joint, nanoadhesive, and carbon-flex can also be attractive for strengthening systems. PMID:25243221

Network Coding for Hop-by-Hop Communication Enhancement in Multi-hop Networks

DEFF Research Database (Denmark)

Pahlevani, Peyman; Khamfroush, Hana; Roetter, Daniel Enrique Lucani

2016-01-01

In our recent study, we introduced the PlayNCool protocol that increases the throughput of the wireless networks by enabling a helper node to strengthen the communication link between two neighboring nodes and using random linear network coding. This paper focuses on design and implementation adv...

Moving forward on strengthening and sustaining National Immunization Technical Advisory Groups (NITAGs) globally: Recommendations from the 2nd global NITAG network meeting.

Science.gov (United States)

MacDonald, Noni E; Duclos, Philippe; Wichmann, Ole; Henaff, Louise; Harnden, Anthony; Alshammary, Aisha; Tijerino, Roberto Arroba; Hall, Madeline; Sacarlal, Jahit; Singh, Rupa Rajbhandari

2017-12-15

National Immunization Technical Advisory Groups (NITAGs) provide independent, evidence-informed advice to assist their governments in immunization policy formation. This is complex work and many NITAGs face challenges in fulfilling their roles. Inter-country NITAG collaboration opportunities have the potential to enhance NITAG function and grow the quality of recommendations. Hence the many requests for formation of a network linking NITAGs together so they can learn from each other. The first Global NITAG Network (GNN) meeting, held in 2016, led to a push to launch the GNN and grow the network. At the second GNN meeting, held June 28-29, 2017 in Berlin, the GNN was formally inaugurated. Participants discussed GNN governance, reflected on the April 2017 Strategic Advisory Group of Experts (SAGE) on Immunization conclusions concerning strengthening of NITAGs and also shared NITAG experiences in evaluation and inter-country collaborations and independence. They also discussed the role of Regional Technical Advisory Groups on Immunization (RTAGs) and regional networks. A number of issues were raised including NITAGs and communications, dissemination of recommendations and vaccine implementation as well as implications of off-label recommendations. Participants were alerted to immunization evidence assessment sites and value of sharing of resources. They also discussed potential GNN funding opportunities, developed an action plan for 2017-18 and selected a Steering Committee to help move the GNN forward. All participants agreed on the importance of the GNN and the value in attracting more countries to join the GNN. Copyright © 2017.

Optimization model for the design of distributed wastewater treatment networks

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Ibrić Nidret

2012-01-01

Full Text Available In this paper we address the synthesis problem of distributed wastewater networks using mathematical programming approach based on the superstructure optimization. We present a generalized superstructure and optimization model for the design of the distributed wastewater treatment networks. The superstructure includes splitters, treatment units, mixers, with all feasible interconnections including water recirculation. Based on the superstructure the optimization model is presented. The optimization model is given as a nonlinear programming (NLP problem where the objective function can be defined to minimize the total amount of wastewater treated in treatment operations or to minimize the total treatment costs. The NLP model is extended to a mixed integer nonlinear programming (MINLP problem where binary variables are used for the selection of the wastewater treatment technologies. The bounds for all flowrates and concentrations in the wastewater network are specified as general equations. The proposed models are solved using the global optimization solvers (BARON and LINDOGlobal. The application of the proposed models is illustrated on the two wastewater network problems of different complexity. First one is formulated as the NLP and the second one as the MINLP. For the second one the parametric and structural optimization is performed at the same time where optimal flowrates, concentrations as well as optimal technologies for the wastewater treatment are selected. Using the proposed model both problems are solved to global optimality.

Strategy of Strengthening Social Capital of Farmer Group in Agricultural Development

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Galih Mukti Annas Wibisono

2016-06-01

Full Text Available In the village, the agricultural development is not certainly oriented to the economic aspect. The social intervention is very important and very helpful for the citizens and the development of the agricultural itself. The purpose of this research is to analyze the social existence, the social influence, and also the systematic strategy that can strengthen the society in developing the agriculture. The method used in this research is the qualitative analysis with phenomenology approach. The qualitative analysis is conducted by the direct observation in the field and in-depth interviews with the respondents that are selected by the purposive sampling. The result shows that a society has formed the farmer organization to have mutual coordination among the members. However, there are some problems that occur on this organization. The values and norms begin to fade and have become the major problem. Another problem is the sense of trust among the citizens and the unoptimal social network utilization. The conclusion is, the Analytic Network Process (ANP shows that to make a progress of agricultural development, they need to strengthen the social relationship among the citizens to face all the problems that may occur.

A Good Friend’: The Role of Peer Networks in Juvenile Treatment Courts

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Pamela Linden

2009-03-01

Full Text Available A primary goal of Juvenile Treatment Courts is participant abstention from the use of alcohol and drugs. The present paper seeks to understand the role of social networks in participant abstention by examining the accounts of peer interactions of 37 current and former youth participants in New York State. This qualitative study found that while severing deviant network ties were involved in abstention in some cases, the dominant theme was the perceived protective role of emotionally close, albeit drug using, peers in supporting abstention. Although most cognitively based adolescent chemical abuse treatment programs explore the role of social networks in youth chemical use and abuse, the findings that youth in Juvenile Treatment Court programs have continued exposure to drugs and alcohol through interaction with their social networks suggest that social network interactions also enter into the discourse taking place within Juvenile Treatment Court settings.

Social networking sites: an adjunctive treatment modality for psychological problems.

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Menon, Indu S; Sharma, Manoj Kumar; Chandra, Prabha S; Thennarasu, K

2014-07-01

Social networking is seen as a way to enhance social support and feeling of well-being. The present work explores the potentials of social networking sites as an adjunctive treatment modality for initiating treatment contact as well as for managing psychological problems. Interview schedule, Facebook intensity questionnaire were administered on 28 subjects with a combination of 18 males and 10 females. They were taken from the in-patient and out-patient psychiatry setting of the hospital. Facebook was the most popular sites and used to seek emotional support on the basis of the frequent updates of emotional content that users put in their profile; reconciliations, escape from the problems or to manage the loneliness; getting information about illness and its treatment and interaction with experts and also manifested as problematic use. It has implications for developing social networking based adjunctive treatment modality for psychological problems.

Do learning collaboratives strengthen communication? A comparison of organizational team communication networks over time.

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Bunger, Alicia C; Lengnick-Hall, Rebecca

Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested. The aim of this study was to explore change in communication patterns within teams from children's mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks. A pretest-posttest design compared communication among 135 participants from 21 organizational teams at the start and end of a learning collaborative. At both time points, participants were asked to list the members of their team and rate the frequency of communication with each along a 7-point Likert scale. Several individual, pair-wise, and team level communication network metrics were calculated and compared over time. At the individual level, participants reported communicating with more team members by the end of the learning collaborative. Cross-hierarchical communication did not change. At the team level, these changes manifested differently depending on team size. In large teams, communication frequency increased, and networks grew denser and slightly less centralized. In small teams, communication frequency declined, growing more sparse and centralized. Results suggest that team communication patterns change minimally but evolve differently depending on size. Learning collaboratives may be more helpful for enhancing communication among larger teams; thus, managers might consider selecting and sending larger staff teams to learning collaboratives. This study highlights key future

Identifying changes in the support networks of end-of-life carers using social network analysis.

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Leonard, Rosemary; Horsfall, Debbie; Noonan, Kerrie

2015-06-01

End-of-life caring is often associated with reduced social networks for both the dying person and for the carer. However, those adopting a community participation and development approach, see the potential for the expansion and strengthening of networks. This paper uses Knox, Savage and Harvey's definitions of three generations social network analysis to analyse the caring networks of people with a terminal illness who are being cared for at home and identifies changes in these caring networks that occurred over the period of caring. Participatory network mapping of initial and current networks was used in nine focus groups. The analysis used key concepts from social network analysis (size, density, transitivity, betweenness and local clustering) together with qualitative analyses of the group's reflections on the maps. The results showed an increase in the size of the networks and that ties between the original members of the network strengthened. The qualitative data revealed the importance between core and peripheral network members and the diverse contributions of the network members. The research supports the value of third generation social network analysis and the potential for end-of-life caring to build social capital. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

The social support and social network characteristics of smokers in methadone maintenance treatment.

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de Dios, Marcel Alejandro; Stanton, Cassandra A; Caviness, Celeste M; Niaura, Raymond; Stein, Michael

2013-01-01

Previous studies have shown social support and social network variables to be important factors in smoking cessation treatment. Tobacco use is highly prevalent among individuals in methadone maintenance treatment (MMT). However, smoking cessation treatment outcomes in this vulnerable subpopulation have been poor and social support and social network variables may contribute. The current study examined the social support and social network characteristics of 151 MMT smokers involved in a randomized clinical trial of smoking cessation treatments. Participants were 50% women and 78% Caucasian. A high proportion (57%) of MMT smokers had spouses or partners who smoke and over two-thirds of households (68.5%) included at least one smoker. Our sample was characterized by relatively small social networks, but high levels of general social support and quitting support. The number of cigarettes per day was found to be positively associated with the number of smokers in the social network (r = .239, p social support and social networks of smokers in MMT.

Strengthening the Indonesia's Health Policy Network to Promote ...

International Development Research Centre (IDRC) Digital Library (Canada)

organizing training for researchers; - holding national workshops for researchers and policymakers; - helping members organize forums on locally relevant issues; and - publishing and disseminating research findings. The project will share research results on the network's website and in reports, policy briefs, and articles in ...

Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa

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Pasche Sonja

2010-03-01

Full Text Available Abstract Background Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factors associated with treatment completion among poor, disadvantaged communities in developing countries. This study aimed to address this gap by exploring client-level factors associated with treatment completion among poor communities in South Africa. Methods Secondary data analysis was conducted on cross-sectional survey data collected from 434 persons residing in poor communities in Cape Town, South Africa who had accessed substance abuse treatment in 2006. Results Multiple regression analyses revealed that therapeutic alliance, treatment perceptions, abstinence-specific social support, and depression were significant partial predictors of treatment completion. Conclusions Findings suggest that treatment completion rates of individuals from poor South African communities can be enhanced by i improving perceptions of substance abuse treatment through introducing quality improvement initiatives into substance abuse services, ii strengthening clients' abstinence-oriented social networks and, iii strengthening the counselor-client therapeutic alliance.

Re-thinking global health sector efforts for HIV and tuberculosis epidemic control: promoting integration of programme activities within a strengthened health system.

Science.gov (United States)

Maher, Dermot

2010-07-05

The global financial crisis threatens global health, particularly exacerbating diseases of inequality, e.g. HIV/AIDS, and diseases of poverty, e.g. tuberculosis. The aim of this paper is to reconsider established practices and policies for HIV and tuberculosis epidemic control, aiming at delivering better results and value for money. This may be achieved by promoting greater integration of HIV and tuberculosis control programme activities within a strengthened health system. HIV and tuberculosis share many similarities in terms of their disease burden and the recommended stratagems for their control. HIV and tuberculosis programmes implement similar sorts of control activities, e.g. case finding and treatment, which depend for success on generic health system issues, including vital registration, drug procurement and supply, laboratory network, human resources, and financing. However, the current health system approach to HIV and tuberculosis control often involves separate specialised services. Despite some recent progress, collaboration between the programmes remains inadequate, progress in obtaining synergies has been slow, and results remain far below those needed to achieve universal access to key interventions. A fundamental re-think of the current strategic approach involves promoting integrated delivery of HIV and tuberculosis programme activities as part of strengthened general health services: epidemiological surveillance, programme monitoring and evaluation, community awareness of health-seeking behavior, risk behaviour modification, infection control, treatment scale-up (first-line treatment regimens), drug-resistance surveillance, containing and countering drug-resistance (second-line treatment regimens), research and development, global advocacy and global partnership. Health agencies should review policies and progress in HIV and tuberculosis epidemic control, learn mutual lessons for policy development and scaling up interventions, and identify ways

Re-thinking global health sector efforts for HIV and tuberculosis epidemic control: promoting integration of programme activities within a strengthened health system

Directory of Open Access Journals (Sweden)

Maher Dermot

2010-07-01

Full Text Available Abstract Background The global financial crisis threatens global health, particularly exacerbating diseases of inequality, e.g. HIV/AIDS, and diseases of poverty, e.g. tuberculosis. The aim of this paper is to reconsider established practices and policies for HIV and tuberculosis epidemic control, aiming at delivering better results and value for money. This may be achieved by promoting greater integration of HIV and tuberculosis control programme activities within a strengthened health system. Discussion HIV and tuberculosis share many similarities in terms of their disease burden and the recommended stratagems for their control. HIV and tuberculosis programmes implement similar sorts of control activities, e.g. case finding and treatment, which depend for success on generic health system issues, including vital registration, drug procurement and supply, laboratory network, human resources, and financing. However, the current health system approach to HIV and tuberculosis control often involves separate specialised services. Despite some recent progress, collaboration between the programmes remains inadequate, progress in obtaining synergies has been slow, and results remain far below those needed to achieve universal access to key interventions. A fundamental re-think of the current strategic approach involves promoting integrated delivery of HIV and tuberculosis programme activities as part of strengthened general health services: epidemiological surveillance, programme monitoring and evaluation, community awareness of health-seeking behavior, risk behaviour modification, infection control, treatment scale-up (first-line treatment regimens, drug-resistance surveillance, containing and countering drug-resistance (second-line treatment regimens, research and development, global advocacy and global partnership. Health agencies should review policies and progress in HIV and tuberculosis epidemic control, learn mutual lessons for policy

Network and social support in family care of children with diabetes.

Science.gov (United States)

Pennafort, Viviane Peixoto Dos Santos; Queiroz, Maria Veraci Oliveira; Nascimento, Lucila Castanheira; Guedes, Maria Vilani Cavalcante

2016-01-01

to understand the influence of network and social support in the care of a child with type 1 diabetes. qualitative study, with assumptions of ethnonursing, conducted in a reference service specialized in the treatment of diabetes, in 2014, in the city of Fortaleza, state of Ceará, Brazil. Twenty-six members of the family and their respective school children participated in the study. The process of collection and analysis followed the observation-participation-reflection model. the analytical categories showed that the social network in the care of children with diabetes helped sharing of information and experiences, moments of relaxation and aid in the acquisition of supplies for treatment, with positive repercussions in the family context, generating well-being and confidence in the care of children with diabetes. the cultural care provided by nurses strengthens the network and social support because it encourages autonomy in the promotion of the quality of life of children with type 1 diabetes and their families.

Up-scaling Strategies for Strengthening of Women's Land Rights

DEFF Research Database (Denmark)

Haldrup, Karin

2008-01-01

The paper presents proposals on strategies of up-scaling based on the concepts of gendered land tools, described in the ‘Gender Mechanism' document by the Global Land Tool Network (GLTN, 2006). The 23 priority land tools selected by GLTN are discusses, in view of how the existing land tools best ...... can be applied in a global quest for strengthening women's land tenure security and access to land. It is argued that the GLTN concept of gendering land tools is about building gender-sensitive processes of upgrading land tenure security....

Sensitivity of the Positive and Negative Syndrome Scale (PANSS) in Detecting Treatment Effects via Network Analysis.

Science.gov (United States)

Esfahlani, Farnaz Zamani; Sayama, Hiroki; Visser, Katherine Frost; Strauss, Gregory P

2017-12-01

Objective: The Positive and Negative Syndrome Scale is a primary outcome measure in clinical trials examining the efficacy of antipsychotic medications. Although the Positive and Negative Syndrome Scale has demonstrated sensitivity as a measure of treatment change in studies using traditional univariate statistical approaches, its sensitivity to detecting network-level changes in dynamic relationships among symptoms has yet to be demonstrated using more sophisticated multivariate analyses. In the current study, we examined the sensitivity of the Positive and Negative Syndrome Scale to detecting antipsychotic treatment effects as revealed through network analysis. Design: Participants included 1,049 individuals diagnosed with psychotic disorders from the Phase I portion of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study. Of these participants, 733 were clinically determined to be treatment-responsive and 316 were found to be treatment-resistant. Item level data from the Positive and Negative Syndrome Scale were submitted to network analysis, and macroscopic, mesoscopic, and microscopic network properties were evaluated for the treatment-responsive and treatment-resistant groups at baseline and post-phase I antipsychotic treatment. Results: Network analysis indicated that treatment-responsive patients had more densely connected symptom networks after antipsychotic treatment than did treatment-responsive patients at baseline, and that symptom centralities increased following treatment. In contrast, symptom networks of treatment-resistant patients behaved more randomly before and after treatment. Conclusions: These results suggest that the Positive and Negative Syndrome Scale is sensitive to detecting treatment effects as revealed through network analysis. Its findings also provide compelling new evidence that strongly interconnected symptom networks confer an overall greater probability of treatment responsiveness in patients with

Polio Eradication Initiative (PEI) contribution in strengthening public health laboratories systems in the African region.

Science.gov (United States)

Gumede, Nicksy; Coulibaly, Sheick Oumar; Yahaya, Ali Ahmed; Ndihokubwayo, Jean-Bosco; Nsubuga, Peter; Okeibunor, Joseph; Dosseh, Annick; Salla, Mbaye; Mihigo, Richard; Mkanda, Pascal; Byabamazima, Charles

2016-10-10

The laboratory has always played a very critical role in diagnosis of the diseases. The success of any disease programme is based on a functional laboratory network. Health laboratory services are an integral component of the health system. Efficiency and effectiveness of both clinical and public health functions including surveillance, diagnosis, prevention, treatment, research and health promotion are influenced by reliable laboratory services. The establishment of the African Regional polio laboratory for the Polio Eradication Initiative (PEI) has contributed in supporting countries in their efforts to strengthen laboratory capacity. On the eve of the closing of the program, we have shown through this article, examples of this contribution in two countries of the African region: Côte d'Ivoire and the Democratic Republic of Congo. Descriptive studies were carried out in Côte d'Ivoire (RCI) and Democratic Republic of Congo (DRC) from October to December 2014. Questionnaires and self-administered and in-depth interviews and group discussions as well as records and observation were used to collect information during laboratory visits and assessments. The PEI financial support allows to maintain the majority of the 14 (DRC) and 12 (RCI) staff involved in the polio laboratory as full or in part time members. Through laboratory technical staff training supported by the PEI, skills and knowledge were gained to reinforce laboratories capacity and performance in quality laboratory functioning, processes and techniques such as cell culture. In the same way, infrastructure was improved and equipment provided. General laboratory quality standards, including the entire laboratory key elements was improved through the PEI accreditation process. The Polio Eradication Initiative (PEI) is a good example of contribution in strengthening public health laboratories systems in the African region. It has established strong Polio Laboratory network that contributed to the

Preloading Effect on Strengthening Efficiency of RC Beams Strengthened with Non- and Pretensioned NSM Strips

Directory of Open Access Journals (Sweden)

Renata Kotynia

2018-02-01

Full Text Available The near surface mounted (NSM technique has been shown to be one of the most promising methods for upgrading reinforced concrete (RC structures. Many tests carried out on RC members strengthened in flexure with NSM fiber-reinforced polymer (FRP systems have demonstrated greater strengthening efficiency than the use of externally-bonded (EB FRP laminates. Strengthening with simultaneous pretensioning of the FRP results in improvements in the serviceability limit state (SLS conditions, including the increased cracking moment and decreased deflections. The objective of the reported experimental program, which consisted of two series of RC beams strengthened in flexure with NSM CFRP strips, was to investigate the influence of a number of parameters on the strengthening efficiency. The test program focused on an analysis of the effects of preloading on the strengthening efficiency which has been investigated very rarely despite being one of the most important parameters to be taken into account in strengthening design. Two preloading levels were considered: the beam self-weight only, which corresponded to stresses on the internal longitudinal reinforcement of 25% and 14% of the yield stress (depending on a steel reinforcement ratio, and the self-weight with the additional superimposed load, corresponding to 60% of the yield strength of the unstrengthened beam and a deflection equal to the allowable deflection at the SLS. The influence of the longitudinal steel reinforcement ratio was also considered in this study. To reflect the variability seen in existing structures, test specimens were varied by using different steel bar diameters. Finally, the impact of the composite reinforcement ratio and the number of pretensioned FRP strips was considered. Specimens were divided into two series based on their strengthening configuration: series “A” were strengthened with one pretensioned and two non-pretensioned carbon FRP (CFRP strips, while series �

Strengthening a consolidated memory: the key role of the reconsolidation process.

Science.gov (United States)

Forcato, Cecilia; Fernandez, Rodrigo S; Pedreira, María E

2014-01-01

The reconsolidation hypothesis posits that the presentation of a specific cue, previously associated with a life event, makes the stored memory pass from a stable to a reactivated state. In this state, memory is again labile and susceptible to different agents, which may either damage or improve the original memory. Such susceptibility decreases over time and leads to a re-stabilization phase known as reconsolidation process. This process has been assigned two biological roles: memory updating, which suggests that destabilization of the original memory allows the integration of new information into the background of the original memory; and memory strengthening, which postulates that the labilization-reconsolidation process strengthens the original memory. The aim of this review is to analyze the strengthening as an improvement obtained only by triggering such process without any other treatment. In our lab, we have demonstrated that when triggering the labilization-reconsolidation process at least once the original memory becomes strengthened and increases its persistence. We have also shown that repeated labilization-reconsolidation processes strengthened the original memory by enlarging its precision, and said reinforced memories were more resistant to interference. Finally, we have shown that the strengthening function is not operative in older memories. We present and discuss both our findings and those of others, trying to reveal the central role of reconsolidation in the modification of stored information. Copyright © 2014 Elsevier Ltd. All rights reserved.

Evaluation and scoring of radiotherapy treatment plans using an artificial neural network

International Nuclear Information System (INIS)

Willoughby, Twyla R.; Starkschall, George; Janjan, Nora A.; Rosen, Isaac I.

1996-01-01

Purpose: The objective of this work was to demonstrate the feasibility of using an artificial neural network to predict the clinical evaluation of radiotherapy treatment plans. Methods and Materials: Approximately 150 treatment plans were developed for 16 patients who received external-beam radiotherapy for soft-tissue sarcomas of the lower extremity. Plans were assigned a figure of merit by a radiation oncologist using a five-point rating scale. Plan scoring was performed by a single physician to ensure consistency in rating. Dose-volume information extracted from a training set of 511 treatment plans on 14 patients was correlated to the physician-generated figure of merit using an artificial neural network. The neural network was tested with a test set of 19 treatment plans on two patients whose plans were not used in the training of the neural net. Results: Physician scoring of treatment plans was consistent to within one point on the rating scale 88% of the time. The neural net reproduced the physician scores in the training set to within one point approximately 90% of the time. It reproduced the physician scores in the test set to within one point approximately 83% of the time. Conclusions: An artificial neural network can be trained to generate a score for a treatment plan that can be correlated to a clinically-based figure of merit. The accuracy of the neural net in scoring plans compares well with the reproducibility of the clinical scoring. The system of radiotherapy treatment plan evaluation using an artificial neural network demonstrates promise as a method for generating a clinically relevant figure of merit

An information technology framework for strengthening telehealthcare service delivery.

Science.gov (United States)

Chen, Li-Chin; Chen, Chi-Wen; Weng, Yung-Ching; Shang, Rung-Ji; Yu, Hui-Chu; Chung, Yufang; Lai, Feipei

2012-10-01

Telehealthcare has been used to provide healthcare service, and information technology infrastructure appears to be essential while providing telehealthcare service. Insufficiencies have been identified, such as lack of integration, need of accommodation of diverse biometric sensors, and accessing diverse networks as different houses have varying facilities, which challenge the promotion of telehealthcare. This study designs an information technology framework to strengthen telehealthcare delivery. The proposed framework consists of a system architecture design and a network transmission design. The aim of the framework is to integrate data from existing information systems, to adopt medical informatics standards, to integrate diverse biometric sensors, and to provide different data transmission networks to support a patient's house network despite the facilities. The proposed framework has been evaluated with a case study of two telehealthcare programs, with and without the adoption of the framework. The proposed framework facilitates the functionality of the program and enables steady patient enrollments. The overall patient participations are increased, and the patient outcomes appear positive. The attitudes toward the service and self-improvement also are positive. The findings of this study add up to the construction of a telehealthcare system. Implementing the proposed framework further assists the functionality of the service and enhances the availability of the service and patient acceptances.

A new ultrahigh-strength stainless steel strengthened by various coexisting nanoprecipitates

Energy Technology Data Exchange (ETDEWEB)

Xu, W., E-mail: w.xu@m2i.nl [Materials Innovation Institute M2i, Kluyverweg 1, 2629 HS, Delft (Netherlands)] [Novel Aerospace Materials (NovAM) Group, Faculty of Aerospace Engineering, Delft University of Technology, Kluyverweg 1, 2629 HS, Delft (Netherlands); Rivera-Diaz-del-Castillo, P.E.J. [Novel Aerospace Materials (NovAM) Group, Faculty of Aerospace Engineering, Delft University of Technology, Kluyverweg 1, 2629 HS, Delft (Netherlands); Yan, W.; Yang, K. [Institute of Metal Research, Chinese Academy of Sciences, 72 Wenhua Road, Shenyang 110016 (China); San Martin, D. [Materalia Group, Department of Physical Metallurgy, Centro Nacional de Investigaciones Metalurgicas (CENIM-CSIC), Av. Gregorio del Amo 8, 28040 Madrid (Spain); Kestens, L.A.I. [Department of Materials Science and Engineering, Ghent University, Technologiepark 903, 9052 Gent (Belgium); Zwaag, S. van der [Novel Aerospace Materials (NovAM) Group, Faculty of Aerospace Engineering, Delft University of Technology, Kluyverweg 1, 2629 HS, Delft (Netherlands)

2010-06-15

A general computational alloy design approach based on thermodynamic and physical metallurgical principles and coupled with a genetic optimization scheme is presented. The model is applied to develop a new ultrahigh-strength maraging stainless steel. The alloy composition and heat treatment parameters are integrally optimized so as to achieve microstructures of fully lath martensite matrix strengthened by multiple precipitates of MC carbides, Cu particles and Ni{sub 3}Ti intermetallics. The combined mechanical properties, corrosion resistance and identification of actual strengthening precipitates in the experimental prototype produced on the basic of the model predictions provide a strong justification for the alloy design approach.

A new ultrahigh-strength stainless steel strengthened by various coexisting nanoprecipitates

International Nuclear Information System (INIS)

Xu, W.; Rivera-Diaz-del-Castillo, P.E.J.; Yan, W.; Yang, K.; San Martin, D.; Kestens, L.A.I.; Zwaag, S. van der

2010-01-01

A general computational alloy design approach based on thermodynamic and physical metallurgical principles and coupled with a genetic optimization scheme is presented. The model is applied to develop a new ultrahigh-strength maraging stainless steel. The alloy composition and heat treatment parameters are integrally optimized so as to achieve microstructures of fully lath martensite matrix strengthened by multiple precipitates of MC carbides, Cu particles and Ni 3 Ti intermetallics. The combined mechanical properties, corrosion resistance and identification of actual strengthening precipitates in the experimental prototype produced on the basic of the model predictions provide a strong justification for the alloy design approach.

Structural Behavioral Study on the General Aviation Network Based on Complex Network

Science.gov (United States)

Zhang, Liang; Lu, Na

2017-12-01

The general aviation system is an open and dissipative system with complex structures and behavioral features. This paper has established the system model and network model for general aviation. We have analyzed integral attributes and individual attributes by applying the complex network theory and concluded that the general aviation network has influential enterprise factors and node relations. We have checked whether the network has small world effect, scale-free property and network centrality property which a complex network should have by applying degree distribution of functions and proved that the general aviation network system is a complex network. Therefore, we propose to achieve the evolution process of the general aviation industrial chain to collaborative innovation cluster of advanced-form industries by strengthening network multiplication effect, stimulating innovation performance and spanning the structural hole path.

Visualizing the flow of evidence in network meta-analysis and characterizing mixed treatment comparisons.

Science.gov (United States)

König, Jochem; Krahn, Ulrike; Binder, Harald

2013-12-30

Network meta-analysis techniques allow for pooling evidence from different studies with only partially overlapping designs for getting a broader basis for decision support. The results are network-based effect estimates that take indirect evidence into account for all pairs of treatments. The results critically depend on homogeneity and consistency assumptions, which are sometimes difficult to investigate. To support such evaluation, we propose a display of the flow of evidence and introduce new measures that characterize the structure of a mixed treatment comparison. Specifically, a linear fixed effects model for network meta-analysis is considered, where the network estimates for two treatments are linear combinations of direct effect estimates comparing these or other treatments. The linear coefficients can be seen as the generalization of weights known from classical meta-analysis. We summarize properties of these coefficients and display them as a weighted directed acyclic graph, representing the flow of evidence. Furthermore, measures are introduced that quantify the direct evidence proportion, the mean path length, and the minimal parallelism of mixed treatment comparisons. The graphical display and the measures are illustrated for two published network meta-analyses. In these applications, the proposed methods are seen to render transparent the process of data pooling in mixed treatment comparisons. They can be expected to be more generally useful for guiding and facilitating the validity assessment in network meta-analysis. Copyright © 2013 John Wiley & Sons, Ltd.

Influence of preliminary deformation and phase strengthening on γ reversible α transformation kinetics in cerium under pressure

International Nuclear Information System (INIS)

Larionov, L.V.; Livshits, L.D.; Peresada, G.I.; AN SSSR, Moscow. Inst. Fiziki Zemli)

1985-01-01

Using the methods of piezo- and resistometry the influence of preliminary plastic deformation, phase transformation induced strengthening and heat treatment on kinetics of γ reversible α transformation in cerium is studied. It is shown, that the used methods of preliminary treatment of sample material do not change pressure value of γ → α and α →γ transformation initiation and do not affect hysteresis value, but affect considerably its kinetics. Preliminary plastic deformation and structural strengthening increase the average formation rate of a new phase. According to the data of tensile tests, structural strengthening, apprearing as a result of one cycle of γ → α → γ transformation, increases cerium strength characteristics 6y 30-50% with simultaneous decrease in plasticity. Metallographic studies confirm martensitic character of γ → α → γ transformations in cerium

Dynamic capabilities and network benefits

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Helge Svare

2017-01-01

Full Text Available The number of publicly funded initiatives to establish or strengthen networks and clusters, in order to enhance innovation, has been increasing. Returns on such investments vary, and the aim of this study is to explore to what extent the variation in benefits for firms participating in networks or clusters can be explained by their dynamic capabilities (DC. Based on survey data from five Norwegian networks, the results suggest that firms with higher DC are more successful in harvesting the potential benefits of being member of a network.

Functional Brain Networks Associated with Cognitive Control, Cocaine Dependence and Treatment Outcome

OpenAIRE

Worhunsky, Patrick D.; Stevens, Michael C.; Carroll, Kathleen M.; Rounsaville, Bruce J.; Calhoun, Vince D.; Pearlson, Godfrey D.; Potenza, Marc N.

2012-01-01

Individuals with cocaine dependence often evidence poor cognitive control. The purpose of this exploratory study was to investigate networks of functional connectivity underlying cognitive control in cocaine dependence and examine the relationship of the networks to the disorder and its treatment. Independent component analysis (ICA) was applied to fMRI data to investigate if regional activations underlying cognitive control processes operate in functional networks, and whether these networks...

Comparing new treatments for idiopathic pulmonary fibrosis--a network meta-analysis.

LENUS (Irish Health Repository)

Loveman, Emma

2015-01-01

The treatment landscape for idiopathic pulmonary fibrosis, a devastating lung disease, is changing. To investigate the effectiveness of treatments for idiopathic pulmonary fibrosis we undertook a systematic review, network meta-analysis and indirect comparison.

EFFECTS OF KINESIOTAPING ALONG WITH QUADRICEPS STRENGTHENING EXERCISES ON PAIN, JOINT RANGE OF MOTION AND FUNCTIONAL ACTIVITIES OF KNEE IN SUBJECTS WITH PATELLOFEMORAL OSTEOARTHRITIS

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M. Harshitha

2014-08-01

Full Text Available Background: Patello femoral Osteoarthritis is the most common degenerative disease in older age group, causing pain, physical disability, and decreased quality of life.As many treatment options available, kinesiotaping is an efficacious treatment for management of pain & disability in patellofemoral joint osteoarthritis. Previous studies have shown that kinesiotaping as well as quadriceps strengthening significantly yields functional benefits. But there is lack of evidence revealing combined effectiveness & effects of kinesiotaping along with quadriceps strengthening in subjects with patellofemoral joint osteoarthritis. Methods: 30 subjects with symptoms of patellofemoral osteoarthritis fulfilled the inclusion criteria were randomly assigned into 2 groups of 15 in each group. Taping along with quadriceps strengthening program is compared to the quadriceps strengthening program alone. Pain were measured by Visual Analogue Scale (VAS, knee ROM were measured by Goniometer, Functional status were measured by Western Ontario McMaster Universities index (WOMAC, score. Measurements were taken pre & post intervention. Results: The results indicated that kinesiotaping along with quadriceps strengthening exercises showed there was statistically significant improvement in pain (<0.05, knee ROM (<0.05 and functional activities (<0.05 after 6 weeks compared to quadriceps strengthening alone. Conclusion: Subjects with kinesiotaping along with quadriceps strengthening showed significant improvement in reducing pain, in improving ROM & functional activities at the end of 6th week treatment when compared to subjects with patellofemoral osteoarthritis underwent quadriceps strengthening exercises alone.

Effect of eccentric isokinetic strengthening in the rehabilitation of patients with knee osteoarthritis: Isogo, a randomized trial

Science.gov (United States)

2014-01-01

Background Femorotibial knee osteoarthritis is associated with muscle weakness in the lower limbs, particularly in the quadriceps, which results in disease progression. The interest of having muscular strengthening as part of the therapeutic arsenal for the medical treatment of knee osteoarthritis is now well established. The functional disability induced by knee osteoarthritis manifests itself principally when walking, notably downhill, during which the muscles are called upon to contract eccentrically. We can therefore think that eccentric muscular strengthening could bring a functional benefit that is superior to concentric muscular strengthening. Methods/Design This is a prospective, randomized, bicenter, parallel-group, international study. Eighty patients aged from 40 to 75 years old, suffering from medical-stage knee osteoarthritis, will undertake 6 weeks of isokinetic muscular strengthening. Randomization determines the mode of muscular strengthening: either exclusively eccentric or exclusively concentric. The principal objective is to demonstrate the superiority of the improvement in the quadriceps isokinetic torque after isokinetic muscular strengthening by the eccentric mode compared to the concentric mode. The following parameters are also evaluated: the variations in the level of pain, the parameters of walking (maximum speed over 10 and 200 meters, analysis on a computerized Gaitrite™ treadmill), static equilibrium (on a FUSYO™ force platform), and the functional status of the patient using the Western Ontario and MacMaster Universities osteoarthritis index (WOMAC) questionnaire after the strengthening period and at 6 months. Discussion A better knowledge of the most effective mode of muscular strengthening is needed to optimize the functional benefits to the patients. In case of superiority in terms of efficacy of the eccentric mode, the latter could be given priority in the rehabilitation treatment of knee osteoarthritis patients. Trial

Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study

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Fábio Renovato França

2010-01-01

Full Text Available OBJECTIVE: To contrast the efficacy of two exercise programs, segmental stabilization and strengthening of abdominal and trunk muscles, on pain, functional disability, and activation of the transversus abdominis muscle (TrA, in individuals with chronic low back pain. DESIGN: Our sample consisted of 30 individuals, randomly assigned to one of two treatment groups: segmental stabilization, where exercises focused on the TrA and lumbar multifidus muscles, and superficial strengthening, where exercises focused on the rectus abdominis, abdominus obliquus internus, abdominus obliquus externus, and erector spinae. Groups were examined to discovere whether the exercises created contrasts regarding pain (visual analogical scale and McGill pain questionnaire, functional disability (Oswestry disability questionnaire, and TrA muscle activation capacity (Pressure Biofeedback Unit = PBU. The program lasted 6 weeks, and 30-minute sessions occurred twice a week. Analysis of variance was used for inter- and intra-group comparisons. The significance level was established at 5%. RESULTS: As compared to baseline, both treatments were effective in relieving pain and improving disability (p<0.001. Those in the segmental stabilization group had significant gains for all variables when compared to the ST group (p<0.001, including TrA activation, where relative gains were 48.3% and -5.1%, respectively. CONCLUSION: Both techniques lessened pain and reduced disability. Segmental stabilization is superior to superficial strengthening for all variables. Superficial strengthening does not improve TrA activation capacity.

Surface strengthening using a self-protective diffusion paste and its application for ballistic protection of steel plates

International Nuclear Information System (INIS)

Lou, D.C.; Solberg, J.K.; Borvik, T.

2009-01-01

This paper deals with surface strengthening of steel plates using a self-protective diffusion paste. During the surface strengthening process, a paste containing carbon, boron or similar is applied on the steel surface. In addition to serving as a source for the various diffusion ingredients, the paste protects the steel against contact with the environment, so no packing or gas protection is necessary. Thus, the handling is in general very simple, and the surface strengthening process can be performed in a conventional air furnace. The method provides the same type of surface strengthening that is obtained by more conventional methods. In this work, the main focus will be surface strengthening by carburizing, but also boronizing and boronizing followed by carburizing have been tested out. The methods have been applied to increase the ballistic resistance of the low-strength carbon steel NVE36 (with nominal yield stress of 355 MPa) against impacts from small-arms bullets. An empirical model combining diffusion depth, heat-treatment temperature and soaking time was established on the basis of a series of experimental data. By means of this equation, the various heat-treatment parameters can be predicted when others are chosen. Ballistic perforation tests using 7.62 mm APM2 bullets showed that the low-strength carbon steel after surface strengthening obtained a ballistic limit higher than that of Hardox 400, which is a wear steel with a yield stress of about 1200 MPa.

Influence networks among substance abuse treatment clinics: implications for the dissemination of innovations.

Science.gov (United States)

Johnson, Kimberly; Quanbeck, Andrew; Maus, Adam; Gustafson, David H; Dearing, James W

2015-09-01

Understanding influence networks among substance abuse treatment clinics may speed the diffusion of innovations. The purpose of this study was to describe influence networks in Massachusetts, Michigan, New York, Oregon, and Washington and test two expectations, using social network analysis: (1) Social network measures can identify influential clinics; and (2) Within a network, some weakly connected clinics access out-of-network sources of innovative evidence-based practices and can spread these innovations through the network. A survey of 201 clinics in a parent study on quality improvement provided the data. Network measures and sociograms were obtained from adjacency matrixes created by UCINet. We used regression analysis to determine whether network status relates to clinics' adopting innovations. Findings suggest that influential clinics can be identified and that loosely linked clinics were likely to join the study sooner than more influential clinics but were not more likely to have improved outcomes than other organizations. Findings identify the structure of influence networks for SUD treatment organizations and have mixed results on how those structures impacted diffusion of the intervention under study. Further study is necessary to test whether use of knowledge of the network structure will have an effect on the pace and breadth of dissemination of innovations.

Powder-metallurgy superalloy strengthened by a secondary gamma phase.

Science.gov (United States)

Kotval, P. S.

1971-01-01

Description of experiments in which prealloyed powders of superalloy compositions were consolidated by extrusion after the strengthening by precipitation of a body-centered tetragonal gamma secondary Ni3 Ta phase. Thin foil electron microscopy showed that the mechanical properties of the resultant powder-metallurgy product were correlated with its microstructure. The product exhibited high strength at 1200 F without loss of ductility, after thermomechanical treatment and aging.

Educational Research Network for West and Central Africa ...

International Development Research Centre (IDRC) Digital Library (Canada)

This grant will assist the Educational Research Network for West and Central Africa (ERNWACA) by providing funding for succession planning, recruiting a regional coordinator (to be based in Mali) and strengthening the Network's capacity to mobilize resources with a view to long-term sustainability.

Proliferation Networks and Financing

International Nuclear Information System (INIS)

Gruselle, Bruno

2007-01-01

The objective of this study is to propose practical solutions aimed at completing and strengthening the existing arrangement for the control of nuclear proliferation through a control of financial as well as material or immaterial flows. In a first part, the author proposes a systemic analysis of networks of suppliers and demanders. He notably evokes the Khan's network and the Iraqi acquisition network during the 1993-2001 period. He also proposes a modelling of proliferation networks (supplier networks and acquisition networks) and of their interactions. In a second part, the author examines possible means and policies aimed at neutralising proliferation networks: organisation, adaptation and improvement of intelligence tools in front of proliferation networks, and means, limitations and perspectives of network neutralisation. He also briefly addresses the possibility of military action to contain proliferation flows

Topological Origin of the Network Dilation Anomaly in Ion-Exchanged Glasses

Science.gov (United States)

Wang, Mengyi; Smedskjaer, Morten M.; Mauro, John C.; Sant, Gaurav; Bauchy, Mathieu

2017-11-01

Ion exchange is commonly used to strengthen oxide glasses. However, the resulting stuffed glasses usually do not reach the molar volume of as-melted glasses of similar composition—a phenomenon known as the network dilation anomaly. This behavior seriously limits the potential for the chemical strengthening of glasses and its origin remains one of the mysteries of glass science. Here, based on molecular dynamics simulations of sodium silicate glasses coupled with topological constraint theory, we show that the topology of the atomic network controls the extent of ion-exchange-induced dilation. We demonstrate that isostatic glasses do not show any network dilation anomaly. This is found to arise from the combined absence of floppy modes of deformation and internal eigenstress in isostatic atomic networks.

A study of Female Sex worker’s sub-network on STI treatment seeking behavior in Chennai City: A Social Network Approach

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Kabilan Annadurai

2017-09-01

Full Text Available Background: Female Sex workers (FSW are having high-risk sexual behavior with multiple partners and the periodical sexually transmitted infection screening is determined by various factors. Aims & Objectives: To explore the presence of sub-networks of FSWs and to identify the trends in information flow on Sexually Transmitted Infection (STI treatment seeking behavior by using social network analysis (SNA. Material & Methods: This was a community-based cross-sectional study and exponential snowball sampling method is used to identify 420 FSWs. Structured questionnaire was used to measure information flow and sub-network characteristics of social relationship, Information & Treatment seeking for STI and Sexual practice. Results: Study has listed 94 sub-networks. Here, Sexual practice (Sub-group 28 has highest number of subnetworks compared to other three subnetworks of Social Relationship (Sub-group 25, information on STI (Sub-group 23 and Treatment seeking for STI (Sub-group18. Similarly, other Centrality measures like Triad and Dyad are higher (Each 4 sub-group in sexual practice domain and this is absent in rest of the three domains. Further, treatment seeking for STI has low Clique (Sub-group 17 compared to other domains. This shows high information flow is present in Sexual Practice compare to treatment seeking for STI (CC-0.986, P-0.000. Among the sub typology home based and street based FSWs are well connected, well informed and most influential than other sub-typology. Conclusion: SNA reaches more number of HRGs with less resource. Therefore, SNA could be cost effective to mapping the sub-network and visualize the information path for STI treatment seeking behavior

Information and Networks in Asia and Sub-Saharan Africa ...

International Development Research Centre (IDRC) Digital Library (Canada)

Information and Networks in Asia and Sub-Saharan Africa: Strengthening Research Capacity ... credible, high-quality evidence on the influence of digital initiatives in the areas of ... use of digital information networks and economic growth, democratic reform, and increased educational opportunities in developing countries.

Foot muscles strengthener

Directory of Open Access Journals (Sweden)

Boris T. Glavač

2012-04-01

Full Text Available Previous experience in the correction of flat feet consisted of the use of insoles for shoes and exercises with toys, balls, rollers, inclined planes, etc. A device for strengthening foot muscles is designed for the correction of flat feet in children and, as its name suggests, for strengthening foot muscles in adults. The device is made of wood and metal, with a mechanism and technical solutions, enabling the implementation of specific exercises to activate muscles responsible for the formation of the foot arch. It is suitable for home use with controlled load quantities since it has calibrated springs. The device is patented with the Intellectual Property Office, Republic of Serbia, as a petty patent.

Identity and Professional Networking.

Science.gov (United States)

Raj, Medha; Fast, Nathanael J; Fisher, Oliver

2017-06-01

Despite evidence that large professional networks afford a host of financial and professional benefits, people vary in how motivated they are to build such networks. To help explain this variance, the present article moves beyond a rational self-interest account to examine the possibility that identity shapes individuals' intentions to network. Study 1 established a positive association between viewing professional networking as identity-congruent and the tendency to prioritize strengthening and expanding one's professional network. Study 2 revealed that manipulating the salience of the self affects networking intentions, but only among those high in networking identity-congruence. Study 3 further established causality by experimentally manipulating identity-congruence to increase networking intentions. Study 4 examined whether identity or self-interest is a better predictor of networking intentions, providing support for the former. These findings indicate that identity influences the networks people develop. Implications for research on the self, identity-based motivation, and professional networking are discussed.

Treatment of Latent Tuberculosis Infection: An Updated Network Meta-analysis

OpenAIRE

Zenner, D.; Beer, N.; Harris, R. J.; Lipman, M. C.; Stagg, H. R.; van der Werf, M. J.

2017-01-01

Background: Treatment of latent tuberculosis infection (LTBI) is an important component of tuberculosis (TB) control, and this study updates a previous network meta-analysis of the best LTBI treatment options to inform public health action and programmatic management of LTBI. Purpose: To evaluate the comparative efficacy and harms of LTBI treatment regimens aimed at preventing active TB among adults and children. Data Sources: PubMed, Embase, and Web of Science from indexing ...

Strengthening Dairy Cooperative through National Development of Livestock Region

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Priyono

2016-02-01

Full Text Available Establishment of dairy cattle development region needs to be conducted in accordance with the national dairy industry development plan. Dairy cattle regions have been designed and equipped with infrastructure supplies, supporting facilities, technologies, finance, processing, marketing, institutional and human resources. Dairy cooperative is one of the marketing channels of milk and milk products which have strategic roles to support the national dairy industry. Collaborations between dairy cooperatives and smallholder farmers within a district region have to be done based on agricultural ecosystems, agribusiness system, integrated farming and participatory approach. This may improve dairy cooperatives as an independent and competitive institution. Strengthening dairy cooperatives in national region dairy cattle was carried out through institutional inventory and dairy cooperatives performance; requirement of capital access, market and networks as well as education and managerial training; certification and accreditation feasibility analysis and information and technology utilization. Establishment of emerging dairy cooperatives towards small and micro enterprises is carried out by directing them to establish cooperatives which have legal certainty and business development opportunities. The impact of strengthening dairy cooperative may support dairy cattle development through increase population and milk production. Sustainable dairy cattle development needs to be supported by regional and national government policies.

Network and adaptive sampling

CERN Document Server

Chaudhuri, Arijit

2014-01-01

Combining the two statistical techniques of network sampling and adaptive sampling, this book illustrates the advantages of using them in tandem to effectively capture sparsely located elements in unknown pockets. It shows how network sampling is a reliable guide in capturing inaccessible entities through linked auxiliaries. The text also explores how adaptive sampling is strengthened in information content through subsidiary sampling with devices to mitigate unmanageable expanding sample sizes. Empirical data illustrates the applicability of both methods.

Strategic Networking in the Technical HEI‘s of the Baltic Sea Region

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Justas Nugaras

2012-12-01

Full Text Available This paper presents the results of the empirical research of the networking of Technical Higher Education Institutions (HEI‘S of the Baltic Sea region. The research was conducted in order to understand how the Social Network Analysis (SNA and network mapping methods could help to strengthen institution’s strategic perspective through networking. The author analyse the interaction phenomena in the Higher education sector; its’ impact for networking of institutions and for the network itself; the role of the position in the networks; abilities to strengthen the node’s perception of the network for the strategizing purposes. The research was based on the SNA of the Erasmus programme student mobility data. The results of the research cover the implications of aspects of the network centrality, clustering and ego networks let to identify the node’s position in the network, and to understand surrounding network. The research disclosed that the SNA could be applied in supporting the strategizing process by: increasing of understanding of embedded networks, having more realistic network picture, also could be used as supplement evaluation and development planning method for the relationships portfolio management for HEI’s.

Oxide dispersion-strengthened ferritic alloys

International Nuclear Information System (INIS)

Asbroeck, P. van.

1976-10-01

The publication gives the available data on the DTO2 dispersion-strengthened ferritic alloy developed at C.E.N./S.C.K. Mol, Belgium. DTO2 is a Fe-Cr-Mo ferritic alloy, strengthened by addition of titanium oxide and of titanium leading to the formation of Chi phase. It was developed for use as canning material for fast breeder reactors. (author)

Strengthening the Feeling of Identity and Self-esteem Through Group Music and Imagery

DEFF Research Database (Denmark)

Pedersen, Inge Nygaard

than 4 in the years 2008-2010. I will present two case studies concerning two of the participants taking part in these group experiences. Focus will be on developments in the self-reported problem area of `strengthening the feeling of identity and self-esteem", which both clients shose among different...... understanding). I will present selected excerpts of the client´s processes such as the music they listen to, mandalas, narratives and their closing self reported outcome of the treatment. I will relate this to the theory model and show how strengthening of the feeling of identity and self-esteem through Group...

Elements for harnessing participatory action research to strengthen health managers' capacity: a critical interpretative synthesis.

Science.gov (United States)

Tetui, Moses; Zulu, Joseph Mumba; Hurtig, Anna-Karin; Ekirapa-Kiracho, Elizabeth; Kiwanuka, Suzanne N; Coe, Anna-Britt

2018-04-19

Health managers play a key role in ensuring that health services are responsive to the needs of the population. Participatory action research (PAR) is one of the approaches that have been used to strengthen managers' capacity. However, collated knowledge on elements for harnessing PAR to strengthen managers' capacity is missing. This paper bridges this gap by reviewing existing literature on the subject matter. A critical interpretive synthesis method was used to interrogate eight selected articles. These articles reported the use of PAR to strengthen health managers' capacity. The critical interpretive synthesis method's approach to analysis guided the synthesis. Here, the authors interpretively made connections and linkages between different elements identified in the literature. Finally, the Atun et al. (Heal Pol Plann, 25:104-111, 2010) framework on integration was used to model the elements synthesised in the literature into five main domains. Five elements with intricate bi-directional interactions were identified in the literature reviewed. These included a shared purpose, skilled facilitation and psychological safety, activity integration into organisational procedures, organisational support, and external supportive monitoring. A shared purpose of the managers' capacity strengthening initiative created commitment and motivation to learn. This purpose was built upon a set of facilitation skills that included promoting participation, self-efficacy and reflection, thereby creating a safe psychological space within which the managers interacted and learnt from each other and their actions. Additionally, an integrated intervention strengthened local capacity and harnessed organisational support for learning. Finally, supportive monitoring from external partners, such as researchers, ensured quality, building of local capacity and professional safety networks essential for continued learning. The five elements identified in this synthesis provide a basis upon

The moderating role of social networks in the relationship between alcohol consumption and treatment utilization for alcohol-related problems

Science.gov (United States)

Mowbray, Orion

2014-01-01

Many individuals wait until alcohol use becomes severe before treatment is sought. However, social networks, or the number of social groups an individual belongs to, may play a moderating role in this relationship. Logistic regression examined the interaction of alcohol consumption and social networks as a predictor of treatment utilization while adjusting for sociodemographic and clinical variables among 1,433 lifetime alcohol-dependent respondents from wave 2 of the National Epidemiologic Survey on Alcohol Related Conditions (NESARC). Results showed that social networks moderate the relationship between alcohol consumption and treatment utilization such that for individuals with few network ties, the relationship between alcohol consumption and treatment utilization was diminished, compared to the relationship between alcohol consumption and treatment utilization for individuals with many network ties. Findings offer insight into how social networks, at times, can influence individuals to pursue treatment, while at other times, influence individuals to stay out of treatment, or seek treatment substitutes. PMID:24462223

STRENGTHENING THE ROLE OF ISLAMIC PAWNSHOP IN ISLAMIC FINANCING FOR MSMES: ANP APPROACH

Directory of Open Access Journals (Sweden)

Lydia Edgina

2017-06-01

Full Text Available Objectives: aims to strengthen the role of Islamic pawnshop in financing for Micro Small & Medium EnterprisesMethods: analytic network process (ANP approachResults: the main problem of Islamic pawnshop in expansion was its internal. The most priority was on socialization through promotion and advertisement. The appropriate strategy to be executed was marketing strategy to expand Ar-Rum product (financing for MSMEs through sales marketing.Conclusion: the considered action was massive socialization to the societies using effective and efficient marketing strategy.

EFFICACY OF CYRIAX PHYSIOTHERAPY VERSUS ECCENTRIC STRENGTHENING AND STRETCHING EXERCISES IN CHRONIC LATERAL EPICONDYLITIS PATIENTS

Directory of Open Access Journals (Sweden)

Madhusmita Koch

2015-10-01

Full Text Available Background: Lateral Epicondylitis is the most common lesion of the elbow, affecting the tendinous origin of the wrist extensors. Although conservative treatment of this condition has been the subject of numerous studies, there is no agreement as to the most effective management strategy. Therefore, this study was designed to compare the efficacy of Cyriax physiotherapy Versus Eccentric Strengthening and Stretching exercises in reducing the pain and improving the grip strength and functional status of the affected extremity in chronic lateral epicondylitis. Method: An experimental study design, 60 subjects meeting the inclusion criteria were selected for the study and were randomly assigned into two groups: Group A (N=30 received Cyriax Physiotherapy and Group B(N=30 received Eccentric strengthening and static stretching of Extensor Carpi Radialis Brevis. Low Level Laser Therapy was a common treatment for both the groups. After 4 weeks of treatment, assessment was performed using Visual Analogue Scale (VAS, Hand Held Dynamometer (HHD and Patient Rated Tennis Elbow Evaluation Questionnaire (PRTEE at 0 week and at the end of 4 weeks. Results: Data analysis revealed that there is no statistically significant difference between the groups in VAS, HHD and PRTEE scores i.e. average improvement post treatment in both the groups are equal, but within group comparisons showed significant improvements in both the groups. Conclusion: The efficacy of Cyriax Physiotherapy is equal to Eccentric Strengthening and Stretching Exercises in chronic lateral epicondylitis.

Importance of Public-Private Partnerships: Strengthening Laboratory Medicine Systems and Clinical Practice in Africa.

Science.gov (United States)

Shrivastava, Ritu; Gadde, Renuka; Nkengasong, John N

2016-04-15

After the launch of the US President's Emergency Plan for AIDS Relief in 2003, it became evident that inadequate laboratory systems and services would severely limit the scale-up of human immunodeficiency virus infection prevention, care, and treatment programs. Thus, the Office of the US Global AIDS Coordinator, Centers for Disease Control and Prevention, and Becton, Dickinson and Company developed a public-private partnership (PPP). Between October 2007 and July 2012, the PPP combined the competencies of the public and private sectors to boost sustainable laboratory systems and develop workforce skills in 4 African countries. Key accomplishments of the initiative include measurable and scalable outcomes to strengthen national capacities to build technical skills, develop sample referral networks, map disease prevalence, support evidence-based health programming, and drive continuous quality improvement in laboratories. This report details lessons learned from our experience and a series of recommendations on how to achieve successful PPPs. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

The Talloires Network: A Global Coalition of Engaged Universities

Science.gov (United States)

Hollister, Robert M.; Pollock, John P.; Gearan, Mark; Reid, Janice; Stroud, Susan; Babcock, Elizabeth

2012-01-01

This article describes and analyzes the origins, work to date, and future of the Talloires Network, an international association of institutions committed to strengthening the civic roles and social responsibilities of higher education. Included are reflections on the network's strategies for advancing civic engagement in higher education…

A research capacity strengthening project for infectious diseases in Honduras: experience and lessons learned

Directory of Open Access Journals (Sweden)

Ana Lourdes Sanchez

2013-08-01

Full Text Available Background: In Honduras, research capacity strengthening (RCS has not received sufficient attention, but an increase in research competencies would enable local scientists to advance knowledge and contribute to national priorities, including the Millennium Development Goals (MDGs. Objective: This project aimed at strengthening research capacity in infectious diseases in Honduras, focusing on the School of Microbiology of the National Autonomous University of Honduras (UNAH. The primary objective was the creation of a research-based graduate program for the continued training of researchers. Parallel objectives included institutional strengthening and the facilitation of partnerships and networks. Methods: Based on a multi-stakeholder consultation, an RCS workplan was designed and undertaken from 2007 to 2012. Due to unexpected adverse circumstances, the first 2 years were heavily dedicated to implementing the project's flagship, an MSc program in infectious and zoonotic diseases (MEIZ. In addition, infrastructure improvements and demand-driven continuing education opportunities were facilitated; biosafety and research ethics knowledge and practices were enhanced, and networks fostering collaborative work were created or expanded. Results: The project coincided with the peak of UNAH's radical administrative reform and an unprecedented constitutional crisis. Challenges notwithstanding, in September 2009, MEIZ admitted the first cohort of students, all of whom undertook MDG-related projects graduating successfully by 2012. Importantly, MEIZ has been helpful in expanding the School of Microbiology's traditional etiology-based, disciplinary model to infectious disease teaching and research. By fulfilling its objectives, the project contributed to a stronger research culture upholding safety and ethical values at the university. Conclusions: The resources and strategic vision afforded by the project enhanced UNAH's overall research capacity and its

A research capacity strengthening project for infectious diseases in Honduras: experience and lessons learned

Science.gov (United States)

Sanchez, Ana Lourdes; Canales, Maritza; Enriquez, Lourdes; Bottazzi, Maria Elena; Zelaya, Ada Argentina; Espinoza, Vilma Esther; Fontecha, Gustavo Adolfo

2013-01-01

Background In Honduras, research capacity strengthening (RCS) has not received sufficient attention, but an increase in research competencies would enable local scientists to advance knowledge and contribute to national priorities, including the Millennium Development Goals (MDGs). Objective This project aimed at strengthening research capacity in infectious diseases in Honduras, focusing on the School of Microbiology of the National Autonomous University of Honduras (UNAH). The primary objective was the creation of a research-based graduate program for the continued training of researchers. Parallel objectives included institutional strengthening and the facilitation of partnerships and networks. Methods Based on a multi-stakeholder consultation, an RCS workplan was designed and undertaken from 2007 to 2012. Due to unexpected adverse circumstances, the first 2 years were heavily dedicated to implementing the project's flagship, an MSc program in infectious and zoonotic diseases (MEIZ). In addition, infrastructure improvements and demand-driven continuing education opportunities were facilitated; biosafety and research ethics knowledge and practices were enhanced, and networks fostering collaborative work were created or expanded. Results The project coincided with the peak of UNAH's radical administrative reform and an unprecedented constitutional crisis. Challenges notwithstanding, in September 2009, MEIZ admitted the first cohort of students, all of whom undertook MDG-related projects graduating successfully by 2012. Importantly, MEIZ has been helpful in expanding the School of Microbiology's traditional etiology-based, disciplinary model to infectious disease teaching and research. By fulfilling its objectives, the project contributed to a stronger research culture upholding safety and ethical values at the university. Conclusions The resources and strategic vision afforded by the project enhanced UNAH's overall research capacity and its potential contribution

A research capacity strengthening project for infectious diseases in Honduras: experience and lessons learned.

Science.gov (United States)

Sanchez, Ana Lourdes; Canales, Maritza; Enriquez, Lourdes; Bottazzi, Maria Elena; Zelaya, Ada Argentina; Espinoza, Vilma Esther; Fontecha, Gustavo Adolfo

2013-08-07

In Honduras, research capacity strengthening (RCS) has not received sufficient attention, but an increase in research competencies would enable local scientists to advance knowledge and contribute to national priorities, including the Millennium Development Goals (MDGs). This project aimed at strengthening research capacity in infectious diseases in Honduras, focusing on the School of Microbiology of the National Autonomous University of Honduras (UNAH). The primary objective was the creation of a research-based graduate program for the continued training of researchers. Parallel objectives included institutional strengthening and the facilitation of partnerships and networks. Based on a multi-stakeholder consultation, an RCS workplan was designed and undertaken from 2007 to 2012. Due to unexpected adverse circumstances, the first 2 years were heavily dedicated to implementing the project's flagship, an MSc program in infectious and zoonotic diseases (MEIZ). In addition, infrastructure improvements and demand-driven continuing education opportunities were facilitated; biosafety and research ethics knowledge and practices were enhanced, and networks fostering collaborative work were created or expanded. The project coincided with the peak of UNAH's radical administrative reform and an unprecedented constitutional crisis. Challenges notwithstanding, in September 2009, MEIZ admitted the first cohort of students, all of whom undertook MDG-related projects graduating successfully by 2012. Importantly, MEIZ has been helpful in expanding the School of Microbiology's traditional etiology-based, disciplinary model to infectious disease teaching and research. By fulfilling its objectives, the project contributed to a stronger research culture upholding safety and ethical values at the university. The resources and strategic vision afforded by the project enhanced UNAH's overall research capacity and its potential contribution to the MDGs. Furthermore, increased research

Intragranular cellular segregation network structure strengthening 316L stainless steel prepared by selective laser melting

Energy Technology Data Exchange (ETDEWEB)

Zhong, Yuan; Liu, Leifeng [Department of Materials and Environmental Chemistry, Arrhenius Laboratory, Stockholm University, 10691 Stockholm (Sweden); Wikman, Stefan [Fusion for Energy, Torres Diagonal Litoral B3, Josep Pla 2, 08019 Barcelona (Spain); Cui, Daqing [Department of Materials and Environmental Chemistry, Arrhenius Laboratory, Stockholm University, 10691 Stockholm (Sweden); Shen, Zhijian, E-mail: shen@mmk.su.se [Department of Materials and Environmental Chemistry, Arrhenius Laboratory, Stockholm University, 10691 Stockholm (Sweden)

2016-03-15

A feasibility study was performed to fabricate ITER In-Vessel components by Selective Laser Melting (SLM) supported by Fusion for Energy (F4E). Almost fully dense 316L stainless steel (SS316L) components were prepared from gas-atomized powder and with optimized SLM processing parameters. Tensile tests and Charpy-V tests were carried out at 22 °C and 250 °C and the results showed that SLM SS316L fulfill the RCC-MR code. Microstructure characterization reveals the presence of hierarchical macro-, micro- and nano-structures in as-built samples that were very different from SS316L microstructures prepared by other established methods. The formation of a characteristic intragranular cellular segregation network microstructure appears to contribute to the increase of yield strength without losing ductility. Silicon oxide nano-inclusions were formed during the SLM process that generated a micro-hardness fluctuation in the building direction. The combined influence of a cellular microstructure and the nano-inclusions constraints the size of ductile dimples to nano-scale. The crack propagation is hindered by a pinning effect that improves the defect-tolerance of the SLM SS316L. This work proves that it was possible to manufacture SS316L with properties suitable for ITER First Wall panels. Further studies on irradiation properties of SLM SS316L and manufacturing of larger real-size components are needed. - Highlights: • The mechanical properties of SS316L made by selective laser melting fulfill RCC-MR. • SLM SS316L consists hierarchical structures of high heterogeneity. • Silicon rich oxide nano-inclusions are formed unexpectedly during SLM process. • Cellular structure and oxide nano-inclusions strengthen SLM SS316L.

Strengthening mechanisms and deformation behavior of cryomilled Al–Cu–Mg–Ag alloy

Energy Technology Data Exchange (ETDEWEB)

Kurmanaeva, Lilia, E-mail: lkurmanaeva@ucdavis.com [Department of Chemical Engineering & Materials Science, University of California, Davis, One Shields Avenue, Davis, CA 95616 (United States); Topping, Troy D. [Department of Chemical Engineering & Materials Science, University of California, Davis, One Shields Avenue, Davis, CA 95616 (United States); California State University, Sacramento, 6000 J Street, Sacramento, CA 95819 (United States); Wen, Haiming; Sugahara, Haruka; Yang, Hanry; Zhang, Dalong; Schoenung, Julie M.; Lavernia, Enrique J. [Department of Chemical Engineering & Materials Science, University of California, Davis, One Shields Avenue, Davis, CA 95616 (United States)

2015-05-25

Highlights: • Ultra-fine and coarse grained Al–Cu–Mg–Ag alloy samples were processed by methods of powder metallurgy. • Despite thermal exposure during consolidation,cryomilled materials retain an ultra-fine grained structure due to the presence of nano-dispersoids at grain boundaries. • Cryomilling results in a change in precipitation kinetics, due to the depletion of Mg atoms at the grain interiors and segregation of Mg, Cu and Ag atoms at grain boundaries. • Dominant deformation mechanisms in cryomilled samples were grain boundary strengthening and dispersion strengthening from oxides and nitrides. - Abstract: In the last decade, the commercially available heat-treatable aluminum alloy (AA) 2139 (Al–Cu–Mg–Ag) has generated interest within the aerospace and defense communities because of its high strength and damage tolerance as compared to those of other AA 2XXX alloys. In this work we investigate the possibility of enhancing the performance of AA 2139 via a nanostructuring approach involving the consolidation of cryomilled powders. For comparison purposes, two types of feedstock powders (cryomilled and unmilled, gas-atomized powder), were consolidated via dual mode dynamic forging. Our results show that, following heat treatment (HT), the strength of the cryomilled material increases in the range of ∼25% to ∼200% relative to that of the unmilled counterparts, depending on specific processing parameters. We present microstructural data, including grain size and precipitate chemistry, to provide insight into the underlying strengthening mechanisms. Vickers microhardess tests are used to evaluate peak heat treatments, and tensile testing is performed to characterize mechanical behavior. The kinetics of precipitation, strengthening mechanisms and deformation behavior are discussed. It is proposed that the combination of elemental segregation with the presence of oxides along grain boundaries, both facilitated by enhanced diffusion paths, are

Industrial wastewater treatment network based on recycling and rerouting strategies for retrofit design schemes

DEFF Research Database (Denmark)

Sueviriyapan, Natthapong; Suriyapraphadilok, Uthaiporn; Siemanond, Kitipat

2015-01-01

a generic model-based synthesis and design framework for retrofit wastewater treatment networks (WWTN) of an existing industrial process. The developed approach is suitable for grassroots and retrofit systems and adaptable to a wide range of wastewater treatment problems. A sequential solution procedure...... is employed to solve a network superstructure-based optimization problem formulated as Mixed Integer Linear and/or Non-Linear Programming (MILP/MINLP). Data from a petroleum refinery effluent treatment plant together with special design constraints are employed to formulate different design schemes based...... for the future development of the existing wastewater treatment process....

Research on Information Network Ethics%信息网络的伦理学研究

Institute of Scientific and Technical Information of China (English)

张福学

2002-01-01

This article analyzes the types and sources of network ethics problems; puts forward 4 basic principles and 6 pairs of contradictions in building up network ethics and points out that strengthening the network moraliity education is the basis for building up network ethics.

Strengthening CRTD-A's Organizational and Program Capacity ...

International Development Research Centre (IDRC) Digital Library (Canada)

Strengthening CRTD-A's Organizational and Program Capacity (Lebanon) ... Women's Rights and Citizenship framework; to strengthen and rationalize its institutional ... IDRC “unpacks women's empowerment” at McGill University Conference.

Functional network architecture predicts psychologically mediated analgesia related to treatment in chronic knee pain patients.

Science.gov (United States)

Hashmi, Javeria Ali; Kong, Jian; Spaeth, Rosa; Khan, Sheraz; Kaptchuk, Ted J; Gollub, Randy L

2014-03-12

Placebo analgesia is an indicator of how efficiently the brain translates psychological signals conveyed by a treatment procedure into pain relief. It has been demonstrated that functional connectivity between distributed brain regions predicts placebo analgesia in chronic back pain patients. Greater network efficiency in baseline brain networks may allow better information transfer and facilitate adaptive physiological responses to psychological aspects of treatment. Here, we theorized that topological network alignments in resting state scans predict psychologically conditioned analgesic responses to acupuncture treatment in chronic knee osteoarthritis pain patients (n = 45). Analgesia was induced by building positive expectations toward acupuncture treatment with verbal suggestion and heat pain conditioning on a test site of the arm. This procedure induced significantly more analgesia after sham or real acupuncture on the test site than in a control site. The psychologically conditioned analgesia was invariant to sham versus real treatment. Efficiency of information transfer within local networks calculated with graph-theoretic measures (local efficiency and clustering coefficients) significantly predicted conditioned analgesia. Clustering coefficients in regions associated with memory, motivation, and pain modulation were closely involved in predicting analgesia. Moreover, women showed higher clustering coefficients and marginally greater pain reduction than men. Overall, analgesic response to placebo cues can be predicted from a priori resting state data by observing local network topology. Such low-cost synchronizations may represent preparatory resources that facilitate subsequent performance of brain circuits in responding to adaptive environmental cues. This suggests a potential utility of network measures in predicting placebo response for clinical use.

[Strengthening primary health care: a strategy to maximize coordination of care].

Science.gov (United States)

de Almeida, Patty Fidelis; Fausto, Márcia Cristina Rodrigues; Giovanella, Lígia

2011-02-01

To describe and analyze the actions developed in four large cities to strengthen the family health strategy (FHS) in Brazil. Case studies were carried out in Aracaju, Belo Horizonte, Florianópolis, and Vitória based on semi-structured interviews with health care managers. In addition, a cross-sectional study was conducted with questionnaires administered to a sample of FHS workers and services users. Actions needed to strengthen primary health care services were identified in all four cities. These include increasing the number of services offered at the primary health care level, removing barriers to access, restructuring primary services as the entry point to the health care system, enhancing problem-solving capacity (diagnostic and therapeutic support and networking between health units to organize the work process, training, and supervision), as well as improving articulation between surveillance and care actions. The cities studied have gained solid experience in the reorganization of the health care model based on a strengthening of health primary care and of the capacity to undertake the role of health care coordinator. However, to make the primary care level the customary entry point and first choice for users, additional actions are required to balance supplier-induced and consumer-driven demands. Consumer driven demand is the biggest challenge for the organization of teamwork processes. Support for and recognition of FHS as a basis for primary health care is still an issue. Initiatives to make FHS better known to the population, health care professionals at all levels, and civil society organizations are still needed.

Analysis of Strengthening Mechanisms in an Artificially Aged Ultrafine Grain 6061 Aluminum Alloy

Directory of Open Access Journals (Sweden)

Mohammad Reza Rezaei

2017-12-01

Full Text Available The current study adopted a quantitative approach to investigating the mechanical properties, and their relationship to the microstructural features, of precipitation-strengthened 6061 aluminum alloy processed through accumulative roll bonding (ARB and aging heat treatment.  To serve this purpose, the contributions of different strengthening mechanisms including grain refinement, precipitation, dislocation and solid-solution strengthening to the yield strength of five-cycle ARB samples processed under pre-aged (ARBed and aged (ARBed+Aged conditions were examined and compared. Microstructural characterizations were performed on the samples through the transmission electron microscope (TEM and X-ray diffraction (XRD. Also, the mechanical properties of the samples were investigated through the tensile test. The obtained results showed that an equiaxed ultrafine grain structure with nano-sized precipitates was created in the both ARBed and ARBed+Aged samples. The grain refinement was the predominant strengthening mechanism which was estimated to contribute 151 and 226 MPa to the ARBed and ARBed+Aged samples, respectively, while the dislocation and Orowan strengthening mechanisms were ranked second with regard to their contributions to the ARBed and ARBed+Aged samples, respectively. The overall yield strength, calculated through the root mean square summation method, was found to be in good agreement with the experimentally determined yield strength. It was also found that the presence of non-shearable precipitates, which interfered with the movement of the dislocations, would be effective for the simultaneous improvement of the strength and ductility of the ARBed+Agedsample .

Strengthening of RC bridge slabs using CFRP sheets

Directory of Open Access Journals (Sweden)

Fahmy A. Fathelbab

2014-12-01

Full Text Available Many old structures became structurally insufficient to carry the new loading conditions requirements. Moreover, they suffer from structural degradation, reinforcement steel bars corrosion, bad weather conditions…etc. Many official authorities in several countries had recognized many old bridges and buildings as structurally deficient by today’s standards. Due to these reasons, structural strengthening became an essential requirement and different strengthening techniques appeared in market. Fiber Reinforced Polymer (FRP strengthening techniques established a good position among all other techniques, giving excellent structural results, low time required and moderate cost compared with the other techniques. The main purpose of this research is to study analytically the strengthening of a reinforced concrete bridge slabs due to excessive loads, using externally bonded FRP sheets technique. A commercial finite element program ANSYS was used to perform a structural linear and non-linear analysis for strengthened slab models using several schemes of FRP sheets. A parametric study was performed to evaluate analytically the effect of changing both FRP stiffness and FRP schemes in strengthening RC slabs. Comparing the results with control slab (reinforced concrete slab without strengthening it is obvious that attaching FRP sheets to the RC slab increases its capacity and enhances the ductility/toughness.

Linear programming based on neural networks for radiotherapy treatment planning

International Nuclear Information System (INIS)

Xingen Wu; Limin Luo

2000-01-01

In this paper, we propose a neural network model for linear programming that is designed to optimize radiotherapy treatment planning (RTP). This kind of neural network can be easily implemented by using a kind of 'neural' electronic system in order to obtain an optimization solution in real time. We first give an introduction to the RTP problem and construct a non-constraint objective function for the neural network model. We adopt a gradient algorithm to minimize the objective function and design the structure of the neural network for RTP. Compared to traditional linear programming methods, this neural network model can reduce the time needed for convergence, the size of problems (i.e., the number of variables to be searched) and the number of extra slack and surplus variables needed. We obtained a set of optimized beam weights that result in a better dose distribution as compared to that obtained using the simplex algorithm under the same initial condition. The example presented in this paper shows that this model is feasible in three-dimensional RTP. (author)

Building Virtual Watersheds: A Global Opportunity to Strengthen Resource Management and Conservation

Science.gov (United States)

Benda, Lee; Miller, Daniel; Barquin, Jose; McCleary, Richard; Cai, TiJiu; Ji, Y.

2016-03-01

Modern land-use planning and conservation strategies at landscape to country scales worldwide require complete and accurate digital representations of river networks, encompassing all channels including the smallest headwaters. The digital river networks, integrated with widely available digital elevation models, also need to have analytical capabilities to support resource management and conservation, including attributing river segments with key stream and watershed data, characterizing topography to identify landforms, discretizing land uses at scales necessary to identify human-environment interactions, and connecting channels downstream and upstream, and to terrestrial environments. We investigate the completeness and analytical capabilities of national to regional scale digital river networks that are available in five countries: Canada, China, Russia, Spain, and United States using actual resource management and conservation projects involving 12 university, agency, and NGO organizations. In addition, we review one pan-European and one global digital river network. Based on our analysis, we conclude that the majority of the regional, national, and global scale digital river networks in our sample lack in network completeness, analytical capabilities or both. To address this limitation, we outline a general framework to build as complete as possible digital river networks and to integrate them with available digital elevation models to create robust analytical capabilities (e.g., virtual watersheds). We believe this presents a global opportunity for in-country agencies, or international players, to support creation of virtual watersheds to increase environmental problem solving, broaden access to the watershed sciences, and strengthen resource management and conservation in countries worldwide.

Social Network Facebook in News: Comparisiion of Space Dedicated to Social Network Facebook ads its Content in Czech Media in the Years 2009 and 2011

OpenAIRE

Bezdíčková, Andrea

2012-01-01

Diploma thesis "Social Network Facebook in News: Comparison of Space Dedicated to Social Network Facebook and its Content in Czech Media in the Years 2009 and 2011", is dedicated to the way of use and citation of social network Facebook in the selected news media. The paper summarizes the establishment and strengthening of online media, particularly the phenomenon of social networks on the example of social network Facebook, and their influence on the transformation of the media sector, news ...

Strengthening effect of nano-scale precipitates in a die-cast Mg–4Al–5.6Sm–0.3Mn alloy

Energy Technology Data Exchange (ETDEWEB)

Yang, Qiang [State Key Laboratory of Rare Earth Resource Utilization, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022 (China); Bu, Fanqiang [State Key Laboratory of Rare Earth Resource Utilization, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022 (China); University of Chinese Academy of Sciences, Beijing 100049 (China); Qiu, Xin [State Key Laboratory of Rare Earth Resource Utilization, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022 (China); Yangzhou Hongfu Aluminium Co. Ltd, Yangzhou 100049 (China); Li, Yangde; Li, Weirong [E-ande Scientific & Technology Co. Ltd, Dongguan 523000 (China); Sun, Wei [State Key Laboratory of Rare Earth Resource Utilization, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022 (China); Liu, Xiaojuan, E-mail: lxjuan@ciac.ac.cn [State Key Laboratory of Rare Earth Resource Utilization, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022 (China); Meng, Jian, E-mail: jmeng@ciac.jl.cn [State Key Laboratory of Rare Earth Resource Utilization, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022 (China)

2016-04-25

In this paper we report a quantitative study of the age-hardening in the high-pressure die-cast Mg–4Al−5.6Sm−0.3Mn alloy. The results indicate that a number of nano-scale spherical precipitates identified as Al{sub 3}Sm using high-angle annular dark-field scanning transmission electron microscopy, precipitated in Mg matrix after aging at 150–225 °C, with no obvious changes on grain sizes, intermetallic phases formed during solidification, and dislocation densities. From the existing strengthening theory equations in which some lacking parameters were taken from the first-principles density functional theory (DFT) calculations, a quantitative insight into the strengthening mechanisms of the nano-scale precipitate was formulated. The results are in reasonable agreement with the experimental values, and the operative mechanism of precipitation strengthening was revealed as Orowan dislocation bypassing. - Highlights: • The yield strength of Mg–Al–Sm alloy was improved by aging treatment. • A number of nano-scale precipitates formed in matrix after aging treatments. • The nanoscale precipitate was confirmed as Al{sub 3}Sm based on the data of HAADF-STEM study. • The strengthening mechanisms of the nano-scale precipitate were quantitatively formulated. • The operative mechanism of precipitate strengthening is Orowan dislocation bypassing.

Numerical Investigation of Masonry Strengthened with Composites

Directory of Open Access Journals (Sweden)

Giancarlo Ramaglia

2018-03-01

Full Text Available In this work, two main fiber strengthening systems typically applied in masonry structures have been investigated: composites made of basalt and hemp fibers, coupled with inorganic matrix. Starting from the experimental results on composites, the out-of-plane behavior of the strengthened masonry was assessed according to several numerical analyses. In a first step, the ultimate behavior was assessed in terms of P (axial load-M (bending moment domain (i.e., failure surface, changing several mechanical parameters. In order to assess the ductility capacity of the strengthened masonry elements, the P-M domain was estimated starting from the bending moment-curvature diagrams. Key information about the impact of several mechanical parameters on both the capacity and the ductility was considered. Furthermore, the numerical analyses allow the assessment of the efficiency of the strengthening system, changing the main mechanical properties. Basalt fibers had lower efficiency when applied to weak masonry. In this case, the elastic properties of the masonry did not influence the structural behavior under a no tension assumption for the masonry. Conversely, their impact became non-negligible, especially for higher values of the compressive strength of the masonry. The stress-strain curve used to model the composite impacted the flexural strength. Natural fibers provided similar outcomes, but a first difference regards the higher mechanical compatibility of the strengthening system with the substrate. In this case, the ultimate condition is due to the failure mode of the composite. The stress-strain curves used to model the strengthening system are crucial in the ductility estimation of the strengthened masonry. However, the behavior of the composite strongly influences the curvature ductility in the case of higher compressive strength for masonry. The numerical results discussed in this paper provide the base to develop normalized capacity models able to

Combining epidemiological and genetic networks signifies the importance of early treatment in HIV-1 transmission.

Science.gov (United States)

Zarrabi, Narges; Prosperi, Mattia; Belleman, Robert G; Colafigli, Manuela; De Luca, Andrea; Sloot, Peter M A

2012-01-01

Inferring disease transmission networks is important in epidemiology in order to understand and prevent the spread of infectious diseases. Reconstruction of the infection transmission networks requires insight into viral genome data as well as social interactions. For the HIV-1 epidemic, current research either uses genetic information of patients' virus to infer the past infection events or uses statistics of sexual interactions to model the network structure of viral spreading. Methods for a reliable reconstruction of HIV-1 transmission dynamics, taking into account both molecular and societal data are still lacking. The aim of this study is to combine information from both genetic and epidemiological scales to characterize and analyse a transmission network of the HIV-1 epidemic in central Italy.We introduce a novel filter-reduction method to build a network of HIV infected patients based on their social and treatment information. The network is then combined with a genetic network, to infer a hypothetical infection transmission network. We apply this method to a cohort study of HIV-1 infected patients in central Italy and find that patients who are highly connected in the network have longer untreated infection periods. We also find that the network structures for homosexual males and heterosexual populations are heterogeneous, consisting of a majority of 'peripheral nodes' that have only a few sexual interactions and a minority of 'hub nodes' that have many sexual interactions. Inferring HIV-1 transmission networks using this novel combined approach reveals remarkable correlations between high out-degree individuals and longer untreated infection periods. These findings signify the importance of early treatment and support the potential benefit of wide population screening, management of early diagnoses and anticipated antiretroviral treatment to prevent viral transmission and spread. The approach presented here for reconstructing HIV-1 transmission networks

Stochastic synchronization in finite size spiking networks

Science.gov (United States)

Doiron, Brent; Rinzel, John; Reyes, Alex

2006-09-01

We study a stochastic synchronization of spiking activity in feedforward networks of integrate-and-fire model neurons. A stochastic mean field analysis shows that synchronization occurs only when the network size is sufficiently small. This gives evidence that the dynamics, and hence processing, of finite size populations can be drastically different from that observed in the infinite size limit. Our results agree with experimentally observed synchrony in cortical networks, and further strengthen the link between synchrony and propagation in cortical systems.

Precipitation Strengthenable NiTiPd High Temperature Shape Memory Alloys

Science.gov (United States)

Bigelow, Glen; Garg, Anita; Benafan, Othmane; Noebe, Ronald; Gaydosh, Darrell; Padula, Santo, II

2017-01-01

In binary NiTi alloys, it has long been known that Ni-rich alloys can be heat treated to produce precipitates which both strengthen the matrix against dislocations and improve the behavior of the material under thermal and mechanical cycling. Within recent years, the same effect has been observed in Ni-rich NiTiHf high temperature shape memory alloys and heat treatment regimens have been defined which will reliably produce improved properties. In NiTiPd alloys, precipitation has also been observed, but studies are still underway to define reliable heat treatments and compositions which will provide a balance of strengthening and good thermomechanical properties. For this study, a series of NiTi-32 at.Pd alloys was produced to determine the effect of changing nickeltitanium content on the transformation behavior and heat treatability of the material. Samples were aged at temperatures between 350C and 450C for times up to 100 hours. Actuation type behavior was evaluated using uniaxial constant force thermal cycling (UCFTC) to determine the effect of composition and aging on the material behavior. TEMSEM was used to evaluate the microstructure and determine the types of precipitates formed. The correlation between composition, heat treat, microstructure, and thermomechanical behavior will be addressed and discussed.

Sleep On It: How Snoozing Strengthens Memories

Science.gov (United States)

... Special Issues Subscribe April 2013 Print this issue Sleep On It How Snoozing Strengthens Memories Send us ... the best way to remember it is to sleep on it. That’s because sleeping helps strengthen memories ...

The local-regional networks of radiation protection experts: a necessary tool to strengthen

International Nuclear Information System (INIS)

Barbey, P.; Boirie, G.; Barret, Ch.; Barrey, N.

2008-01-01

After having recalled the evolution of the legal framework concerning radioprotection and the origin, role and training of the radiation protection experts (PCR in French for Personne Competente en Radioprotection), the author describes the difficulties faced by a PCR on a daily basis. Then, he outlines the interest of a development of local-regional networks between these professionals to promote information transmission and exchange, knowledge updating and so on, and even also to break the isolation of the PCR. He indicates the main objectives of these networks and evokes perspectives, notably after the professional meetings which have been and still are organized twice a year. Two additional and short papers briefly describe the life of one of these networks (the APCRAP, Association des personnes competentes en radioprotection de l'Assistance Publique, association of radiation protection experts belonging to public care services) and briefly present the objectives of the south-western network

Questionable assumptions hampered interpretation of a network meta-analysis of primary care depression treatments.

Science.gov (United States)

Linde, Klaus; Rücker, Gerta; Schneider, Antonius; Kriston, Levente

2016-03-01

We aimed to evaluate the underlying assumptions of a network meta-analysis investigating which depression treatment works best in primary care and to highlight challenges and pitfalls of interpretation under consideration of these assumptions. We reviewed 100 randomized trials investigating pharmacologic and psychological treatments for primary care patients with depression. Network meta-analysis was carried out within a frequentist framework using response to treatment as outcome measure. Transitivity was assessed by epidemiologic judgment based on theoretical and empirical investigation of the distribution of trial characteristics across comparisons. Homogeneity and consistency were investigated by decomposing the Q statistic. There were important clinical and statistically significant differences between "pure" drug trials comparing pharmacologic substances with each other or placebo (63 trials) and trials including a psychological treatment arm (37 trials). Overall network meta-analysis produced results well comparable with separate meta-analyses of drug trials and psychological trials. Although the homogeneity and consistency assumptions were mostly met, we considered the transitivity assumption unjustifiable. An exchange of experience between reviewers and, if possible, some guidance on how reviewers addressing important clinical questions can proceed in situations where important assumptions for valid network meta-analysis are not met would be desirable. Copyright © 2016 Elsevier Inc. All rights reserved.

Strengthening of defected beam–column joints using CFRP

Directory of Open Access Journals (Sweden)

Mohamed H. Mahmoud

2014-01-01

Full Text Available This paper presents an experimental study for the structural performance of reinforced concrete (RC exterior beam–column joints rehabilitated using carbon-fiber-reinforced polymer (CFRP. The present experimental program consists of testing 10 half-scale specimens divided into three groups covering three possible defects in addition to an adequately detailed control specimen. The considered defects include the absence of the transverse reinforcement within the joint core, insufficient bond length for the beam main reinforcement and inadequate spliced implanted column on the joint. Three different strengthening schemes were used to rehabilitate the defected beam–column joints including externally bonded CFRP strips and sheets in addition to near surface mounted (NSM CFRP strips. The failure criteria including ultimate capacity, mode of failure, initial stiffness, ductility and the developed ultimate strain in the reinforcing steel and CFRP were considered and compared for each group for the control and the CFRP-strengthened specimens. The test results showed that the proposed CFRP strengthening configurations represented the best choice for strengthening the first two defects from the viewpoint of the studied failure criteria. On the other hand, the results of the third group showed that strengthening the joint using NSM strip technique enabled the specimen to outperform the structural performance of the control specimen while strengthening the joints using externally bonded CFRP strips and sheets failed to restore the strengthened joints capacity.

Strengthening of defected beam-column joints using CFRP.

Science.gov (United States)

Mahmoud, Mohamed H; Afefy, Hamdy M; Kassem, Nesreen M; Fawzy, Tarek M

2014-01-01

This paper presents an experimental study for the structural performance of reinforced concrete (RC) exterior beam-column joints rehabilitated using carbon-fiber-reinforced polymer (CFRP). The present experimental program consists of testing 10 half-scale specimens divided into three groups covering three possible defects in addition to an adequately detailed control specimen. The considered defects include the absence of the transverse reinforcement within the joint core, insufficient bond length for the beam main reinforcement and inadequate spliced implanted column on the joint. Three different strengthening schemes were used to rehabilitate the defected beam-column joints including externally bonded CFRP strips and sheets in addition to near surface mounted (NSM) CFRP strips. The failure criteria including ultimate capacity, mode of failure, initial stiffness, ductility and the developed ultimate strain in the reinforcing steel and CFRP were considered and compared for each group for the control and the CFRP-strengthened specimens. The test results showed that the proposed CFRP strengthening configurations represented the best choice for strengthening the first two defects from the viewpoint of the studied failure criteria. On the other hand, the results of the third group showed that strengthening the joint using NSM strip technique enabled the specimen to outperform the structural performance of the control specimen while strengthening the joints using externally bonded CFRP strips and sheets failed to restore the strengthened joints capacity.

Network Analysis of Acupuncture Points Used in the Treatment of Low Back Pain

Directory of Open Access Journals (Sweden)

Soon-Ho Lee

2013-01-01

Full Text Available Background. The appropriate selection of acupoints is fundamental to obtain a therapeutic effect from clinical acupuncture. Objective. Using a network analysis method, we investigated the acupoints that are combined to treat low back pain (LBP. Methods. To analyze the patterns of the combinations of acupoints, we used acupoint information from clinical trials to calculate the modified mutual information (MI value, integrated these data, and visualized the network. Results. Based on the highest MI values, we found two different types of acupoint pairs used in the treatment of LBP: pairs of distant acupoints and pairs of local acupoints. Using modular analysis, we found that three acupoint modules were applied in the treatment of LBP: local acupoints, distant acupoints along the meridian, and distant acupoints based on the symptom differentiations. Conclusion. Using the modified MI technique, we provide a systematic framework for the acupoint combination network, and reveal how the technique of acupoint combination is used in the treatment of LBP. Application of this knowledge in acupuncture research may help clarify the mechanisms underlying acupuncture treatment at the systems level, bridging the gap between traditional medicine and modern science.

Pretreatment of Woven Jute FRP Composite and Its Use in Strengthening of Reinforced Concrete Beams in Flexure

Directory of Open Access Journals (Sweden)

Tara Sen

2013-01-01

Full Text Available Environmental awareness motivates researchers worldwide to perform studies of natural fibre reinforced polymer composites, as they come with many advantages and are primarily sustainable. The present study aims at evaluating the mechanical characteristics of natural woven jute fibre reinforced polymer (FRP composite subjected to three different pretreatments, alkali, benzyl chloride, and lastly heat treatment. It was concluded that heat treatment is one of the most suitable treatment methods for enhancing mechanical properties of jute FRP. Durability studies on Jute FRP pertaining to some common environmental conditions were also carried out such as effect of normal water and thermal aging on the tensile strength of jute FRP followed by fire flow test. The heat treated woven jute FRP composites were subsequently used for flexural strengthening of reinforced concrete beams in full and strip wrapping configurations. The study includes the effect of flexural strengthening provided by woven jute FRP, study of different failure modes, load deflection behavior, effect on the first crack load, and ultimate flexural strength of concrete beams strengthened using woven jute FRP subjected to bending loads. The study concludes that woven jute FRP is a suitable material which can be used for flexural upgradation of reinforced concrete beams.

Mobile Social Network in a Cultural Context

DEFF Research Database (Denmark)

Liu, Jun

2010-01-01

, and mobile phone rumours, this study observes that mobile social networks are a way that Chinese people cultivate, maintain and strengthen their guanxi networks. Embedding the reliability of guanxi, the message spreading via mobile communication always enjoys high credibility, while mutual obligation...... of mobile social network in China therefore emanate not only from Information and Communication Technologies, but also from the socio-cultural source - guanxi - deeply rooted in Chinese society.......the chapter “Mobile Social Network in a Cultural Context” examines the guanxi-embedded mobile social network in China. By focusing on three concrete case studies with 56 in-depth interviews, including New Year text message greetings, mobile social networks for job allocations among migrant workers...

The Political Activity in the Network Environment

Directory of Open Access Journals (Sweden)

Марианна Юрьевна Павлютенкова

2015-12-01

Full Text Available The rapid development and deep penetration into all areas of modern society of information and communication technologies significantly increase the role of network interactions. Network structures represented primarily social networks, embedded in the public policy process and became one of the key political actors. Online communities take the form of public policy, where the formation of public opinion and political decision-making plays the main role. Networking environment opens up new opportunities for the opposition and protest movements, civic participation, and control of public policy in general. The article gives an insight on the political aspects of social networking, concludes on the trend formation and network's strengthening of the political activity in a wide distribution of e-networking and e-communications.

2: Local area networks as a multiprocessor treatment planning system

International Nuclear Information System (INIS)

Neblett, D.L.; Hogan, S.E.

1987-01-01

The creation of a local area network (LAN) of interconnected computers provides an environment of multi computer processors that adds a new dimension to treatment planning. A LAN system provides the opportunity to have two or more computers working on the plan in parallel. With high speed interprocessor transfer, events such as the time consuming task of correcting several individual beams for contours and inhomogeneities can be performed simultaneously; thus, effectively creating a parallel multiprocessor treatment planning system

Chiropractic manipulative therapy of the thoracic spine in combination with stretch and strengthening exercises, in improving postural kyphosis in woman

Directory of Open Access Journals (Sweden)

Kim C. Branco

2016-10-01

Method: A randomised study design with thirty female participants between the ages of twenty and  thirty nine was selected. Group 1 (n = 10 received chiropractic spinal manipulative therapy to the thoracic spine. Group 2 (n = 10 received chiropractic spinal manipulative therapy to the thoracic spine as well as stretch and strengthening exercises i.e. stretching the pectoralis major muscles and strengthening the rhomboid, middle and inferior trapezius muscles. Group 3 (n = 10 received stretch and strengthening exercises. The stretch and strengthening exercises were performed in the consultation rooms to ensure that the participants were complying with the treatment and doing the exercises properly. The study consisted of seven consultations for Group 1 (they received treatment once a week for six weeks and for Groups 2 and 3 there were nineteen consultations (they received three treatments a week for six weeks. Objective data was recorded at the beginning of the first, fourth and seventh consultations for Group 1, and the first, tenth and nineteenth consultations for Groups 2 and 3. On the seventh consultation (for Group 1 and nineteenth consultation for Groups 2 and 3, only data collection was done. Objective data were obtained by using the Flexicurve® Ruler measurements for the angle of kyphosis. Visual analysis was done by taking lateral (sagittal view photographs at the beginning of the initial and final consultations. Results: Statistical analysis revealed significant statistical changes for the intragroup results for all three groups. No significant statistical difference was found between the groups for the inter-group analysis. Conclusion: The study showed that all three treatment protocols for Groups 1, 2, and 3 were effective. However, Group 1 had not shown a great improvement in their postural kyphosis, Group 3 had shown a relatively good improvement in their posture, while Group 2 had shown the best results with regards to improvement of the

Significance of dislocations in the mechanism of Hadfield cast steel strengthening

International Nuclear Information System (INIS)

Stradomski, Z.; Morgiel, J.; Olszewski, J.

1999-01-01

The paper presents the results of microstructural examination of the adfield cast steel (L120G13 according to Polish Standards) strengthened by explosion method, which is an attractive alternative of the surface treatment of metal materials regarding its technological, economical and organizational aspects. The presented results have been obtained by means of qualitative and quantitative analysis of thin foils taken at different distances from the material surface being strengthened by single, double or triple detonation of 3 mm thick charges of explosive. The high pressure, order of 18 GPa, causes significant changes in dislocation structure of the austenite matrix. The strengthening of Hadfield cast steel during explosion is based on the increase of the dislocation density by several times as related to the supersaturated state and on the creation of dislocation bands consisting of short, densely tangled dislocations. Plastic deformation mechanisms i. e., slip lines and micro-twins, are definitively of minor importance. It has been also proved by means of the nuclear resonance method that the explosion do not cause changes in distribution of carbon atoms in the nearest neighbourhood of Fe atoms and that austenite is not transformed into the α-martensite or the hexagonal ε-phase. (author)

Independent and Interactive Effects of Neighborhood Disadvantage and Social Network Characteristics on Problem Drinking after Treatment.

Science.gov (United States)

Mericle, Amy A; Kaskutas, Lee A; Polcin, Doug L; Karriker-Jaffe, Katherine J

2018-01-01

Socioecological approaches to public health problems like addiction emphasize the importance of person-environment interactions. Neighborhood and social network characteristics may influence the likelihood of relapse among individuals in recovery, but these factors have been understudied, particularly with respect to conceptualizing social network characteristics as moderators of neighborhood disadvantage. Drawing from a larger prospective study of individuals recruited from outpatient treatment (N=451) and interviewed 1, 3, 5, and 7 years later, the aim of this study was to examine the independent and interactive effects of neighborhood and social network characteristics on continued problem drinking after treatment. Models using generalized estimating equations controlling for demographic and other risk factors found the number of heavy drinkers in one's network increases risk of relapse, with the effects being significantly stronger among those living in disadvantaged neighborhoods than among those in non-disadvantaged neighborhoods. No independent effects were found for neighborhood disadvantage or for the number of network members supporting reduced drinking. Future research is needed to examine potential protective factors in neighborhoods which may offset socioeconomic disadvantage as well as to investigate the functions that network members serve in helping to improve long-term treatment outcomes.

On the Measures to Strengthen the Global Nuclear Safety Regime

International Nuclear Information System (INIS)

Hussein, A.Z.

2008-01-01

The fundamental safety objective to protect people and the environment from harmful effects of ionizing radiation applies to all circumstances that give rise to radiation risks. The intent and purpose of safety principles are to be applicable throughout the entire lifetime of all facilities and activities - existing and new utilized for peaceful purposes, and to protective actions to reduce radiation risks. Now as the nuclear option is being revisited in many places, a variety of stake holders will seek participation in such decisions. Nuclear and radiological accidents occurred wide world have served to arouse public concern. The development of here-and-now media capabilities have created an awareness that may not have previously existed. Improvement in educational systems and the development of the internet have made technical information and expertise available to individuals and locations that were previously without them. The core of the Global Nuclear Safety Regime (INSAG Series No.21) for nuclear installations are the activities undertaken by each state to ensure the safety and security of the nuclear installations within its jurisdiction. National efforts can be strengthened by: intergovernmental organizations, multinational networks among operators, multinational networks among regulators, multinational networks among scientists, the international nuclear industry, and the stake holders (public, news media, NGO's) that are engaged in Nuclear Safety. All of these efforts should be harnessed to enhance the achievement of safety

Timber Elements: Traditional and Modern Strengthening Techniques

Directory of Open Access Journals (Sweden)

Raluca Hohan

2010-01-01

Full Text Available The main idea of this paper is to analyse the means for the rehabilitation of our cultural heritage timber structures. Several methods together with their application techniques are described, and also, the reasons for what these strengthening operations become imminent at a point. First of all, the necessity of the timber structural elements strengthening is explained through a short presentation of the factors which are degrading the material. Then, certain precautions and strengthening procedures are presented, all involving the usage of traditional materials like wood, metal, or concrete, and of modern materials like fiber reinforced polymeric composite.

The basis for the strengthening of safeguards

International Nuclear Information System (INIS)

Goldschmidt, P.

1999-01-01

For the past 30 years, the International Atomic Energy Agency's safeguards system has contributed to the international non-proliferation regime, by providing, inter alia, assurances regarding the peaceful uses of declared nuclear material. However, the discovery of a clandestine nuclear weapons programme in Iraq in 1991 drew world-wide attention to the need to strengthen the system to address the absence of undeclared nuclear material and activities. Efforts to strengthen the IAEA's safeguards system began in 1991 and culminated in 1997 when the IAEA's Board of Governors approved a Model Protocol Additional to IAEA Safeguards Agreements which greatly expands the legal basis and scope of IAEA safeguards. Within this strengthened system it is expected that the IAEA be able to provide assurance not only of the absence of diversion of declared nuclear material but also on the absence of undeclared nuclear material and activities. This is to be done within a safeguards system that uses an optimal combination of all safeguards measures available, thereby achieving maximum effectiveness and efficiency within the available resources. This paper will summarize the evolution of the safeguards system, describe strengthened safeguards, report on the status of implementing the strengthening measures, and outline plans for integrating all available safeguards measures. (author)

Strengthening quitter self-identity: An experimental study.

Science.gov (United States)

Meijer, Eline; Gebhardt, Winifred A; van Laar, Colette; van den Putte, Bas; Evers, Andrea W M

2018-06-10

Smoking-related self-identity processes are important for smoking cessation. We examined whether quitter self-identity (i.e. identification with quitting smoking) could be strengthened through a writing exercise, and whether expected social support for quitting, manipulated through vignettes, could facilitate identification with quitting. Participants (N = 339 daily smokers) were randomly assigned to a 2 (identity: strengthened quitter self-identity vs. control) × 3 (social support: present vs. absent vs. neutral control) between-participants design. The main outcome was post-test quitter self-identity. Post-test quitter self-identity was not strengthened successfully. Only a small and marginally significant intervention effect was found on quitter self-identity, which did not generalise to positively influence quit-intention or behaviour. The social support manipulation did not facilitate quitter self-identity. Secondary content analyses showed that quitter self-identity was strengthened among participants who linked quitting smoking to their lifestyle, wanted to become quitters for health reasons, and whose reasons for becoming quitters included approach of positive aspects of quitting, but not among participants who linked quitter self-identity to their self-perceptions. Results provide insight into the content of smokers' self-conceptualizations as quitters. Writing exercises should be improved and tested to eventually successfully strengthen quitter identities.

Network analysis of pediatric eating disorder symptoms in a treatment-seeking, transdiagnostic sample.

Science.gov (United States)

Goldschmidt, Andrea B; Crosby, Ross D; Cao, Li; Moessner, Markus; Forbush, Kelsie T; Accurso, Erin C; Le Grange, Daniel

2018-02-01

Classifying eating disorders in youth is challenging in light of developmental considerations and high rates of diagnostic migration. Understanding the transactional relationships among eating disorder symptoms, both across the transdiagnostic spectrum and within specific diagnostic categories, may clarify which core eating disorder symptoms contribute to, and maintain, eating-related psychopathology in youth. We utilized network analysis to investigate interrelationships among eating disorder symptoms in 636 treatment-seeking children and adolescents (90.3% female) ages 6-18 years (M age = 15.4 ± 2.2). An undirected, weighted network of eating disorder symptoms was created using behavioral and attitudinal items from the Eating Disorder Examination. Across diagnostic groups, symptoms reflecting appearance-related concerns (e.g., dissatisfaction with shape and weight) and dietary restraint (e.g., a desire to have an empty stomach) were most strongly associated with other eating disorder symptoms in the network. Binge eating and compensatory behaviors (e.g., self-induced vomiting) were strongly connected to one another but not to other symptoms in the network. Network connectivity was similar across anorexia nervosa, bulimia nervosa, and otherwise specified feeding or eating disorder subgroups. Among treatment-seeking children and adolescents, dietary restraint and shape- and weight-related concerns appear to play key roles in the psychopathology of eating disorders, supporting cognitive-behavioral theories of onset and maintenance. Similarities across diagnostic categories provide support for a transdiagnostic classification scheme. Clinical interventions should seek to disrupt these symptoms early in treatment to achieve maximal outcomes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Hypothalamus-Related Resting Brain Network Underlying Short-Term Acupuncture Treatment in Primary Hypertension

Directory of Open Access Journals (Sweden)

Hongyan Chen

2013-01-01

Full Text Available The present study attempted to explore modulated hypothalamus-seeded resting brain network underlying the cardiovascular system in primary hypertensive patients after short-term acupuncture treatment. Thirty right-handed patients (14 male were divided randomly into acupuncture and control groups. The acupuncture group received a continuous five-day acupuncture treatment and undertook three resting-state fMRI scans and 24-hour ambulatory blood pressure monitoring (ABPM as well as SF-36 questionnaires before, after, and one month after acupuncture treatment. The control group undertook fMRI scans and 24-hour ABPM. For verum acupuncture, average blood pressure (BP and heart rate (HR decreased after treatment but showed no statistical differences. There were no significant differences in BP and HR between the acupuncture and control groups. Notably, SF-36 indicated that bodily pain (P = 0.005 decreased and vitality (P = 0.036 increased after acupuncture compared to the baseline. The hypothalamus-related brain network showed increased functional connectivity with the medulla, brainstem, cerebellum, limbic system, thalamus, and frontal lobes. In conclusion, short-term acupuncture did not decrease BP significantly but appeared to improve body pain and vitality. Acupuncture may regulate the cardiovascular system through a complicated brain network from the cortical level, the hypothalamus, and the brainstem.

Cable strengthened arches

NARCIS (Netherlands)

Kamerling, M.W.

2013-01-01

The structural efficiency of arches, subjected to several variable loads, can be increased by strengthening these arches with cables. For these structures it can be necessary, especially in case the permanent load is small, to post-tension the cables to avoid any compression acting on the cables. A

Implementation of Motivational Interviewing in Substance Use Disorder Treatment: Research Network Participation and Organizational Compatibility.

Science.gov (United States)

Rieckmann, Traci R; Abraham, Amanda J; Bride, Brian E

Despite considerable empirical evidence that psychosocial interventions improve addiction treatment outcomes across populations, implementation remains problematic. A small body of research points to the importance of research network participation as a facilitator of implementation; however, studies examined limited numbers of evidence-based practices. To address this gap, the present study examined factors impacting implementation of motivational interviewing (MI). This study used data from a national sample of privately funded treatment programs (n = 345) and programs participating in the National Drug Abuse Treatment Clinical Trials Network (CTN) (n = 156). Data were collected via face-to-face interviews with program administrators and clinical directors (2007-2009). Analysis included bivariate t tests and chi-square tests to compare private and CTN programs, and multivariable logistic regression of MI implementation. A majority (68.0%) of treatment programs reported use of MI. Treatment programs participating in the CTN (88.9%) were significantly more likely to report use of MI compared with non-CTN programs (58.5%; P Motivational Interviewing Network of Trainers as compared with private programs (56.1%; P tool were more likely to use MI, whereas programs placing greater emphasis on confrontational group therapy were less likely to use MI. Findings suggest the critical role of research network participation, access to psychiatrists, and organizational compatibility in adoption and sustained use of MI.

Modeling of crack propagation in strengthened concrete disks

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Stang, Henrik

2013-01-01

Crack propagation in strengthened concrete disks is a problem that has not yet been addressed properly. To investigate it, a cracked half-infinite disk of concrete is strengthened with a linear elastic material bonded to the surface, and analyzed using two different finite element modeling...... instead of 3D calculations to predict the response of a structure and that it opens up for simpler evaluation of strengthened concrete structures using the finite element method....

Cracking of Beams Strengthened with Externally Bonded SRP Tapes

Science.gov (United States)

Krzywoń, Rafał

2017-10-01

Paper discusses strengthening efficiency of relatively new kind of SRP composite based on high strength steel wires. They are made of ultra-high strength steel primarily used in cords of car tires. Through advanced treatment, the mechanical properties of SRP steel are similar to other high carbon cold drawn steels used in construction industry. Strength significantly exceed 2000 MPa, there is no perfect plasticity at yield stress level. Almost linear stress-strain relationship makes SRP steel mechanical properties similar to carbon fibers. Also flexibility and weight ratio of the composite overlay is slightly worse than CFRP strip. Despite these advantages SRP is not as popular as other composites reinforced with fibers of high strength. This is due to the small number of studies of SRP behavior and applicability. Paper shows selected results of the laboratory test of beams strengthened with use of SRP and CFRP externally bonded overlays. Attention has been focused primarily on the phenomenon of cracking. Comparison include the cracking moment, crack width and spacing, coverage of crack zone. Despite the somewhat lower rigidity of SRP tapes, they have a much better adhesion to concrete, so that the crack width is comparable in almost the whole load range. The paper also includes an assessment of the common methods of checking the condition of cracking in relation to the tested SRP strengthening. The paper presents actual calculation procedures to determine the crack spacing and crack width. The discussed formulas are verified with results of provided laboratory tests.

Pre-optimization of radiotherapy treatment planning: an artificial neural network classification aided technique

International Nuclear Information System (INIS)

Hosseini-Ashrafi, M.E.; Bagherebadian, H.; Yahaqi, E.

1999-01-01

A method has been developed which, by using the geometric information from treatment sample cases, selects from a given data set an initial treatment plan as a step for treatment plan optimization. The method uses an artificial neural network (ANN) classification technique to select a best matching plan from the 'optimized' ANN database. Separate back-propagation ANN classifiers were trained using 50, 60 and 77 examples for three groups of treatment case classes (up to 21 examples from each class were used). The performance of the classifiers in selecting the correct treatment class was tested using the leave-one-out method; the networks were optimized with respect their architecture. For the three groups used in this study, successful classification fractions of 0.83, 0.98 and 0.93 were achieved by the optimized ANN classifiers. The automated response of the ANN may be used to arrive at a pre-plan where many treatment parameters may be identified and therefore a significant reduction in the steps required to arrive at the optimum plan may be achieved. Treatment planning 'experience' and also results from lengthy calculations may be used for training the ANN. (author)

Ion exchange for glass strengthening

International Nuclear Information System (INIS)

Gy, Rene

2008-01-01

This paper presents a short overview of silicate glass strengthening by exchange of alkali ions in a molten salt, below the glass transition temperature (chemical tempering). The physics of alkali inter-diffusion is briefly explained and the main parameters of the process, which control the glass reinforcement, are reviewed. Methods for characterizing the obtained residual stress state and the strengthening are described, along with the simplified modelling of the stress build-up. The fragmentation of chemically tempered glass is discussed. The concept of engineered stress profile glass is presented, and finally, the effect of glass and salt compositions is overviewed

Modeling Accessibility of Screening and Treatment Facilities for Older Adults using Transportation Networks.

Science.gov (United States)

Zhang, Qiuyi; Northridge, Mary E; Jin, Zhu; Metcalf, Sara S

2018-04-01

Increased lifespans and population growth have resulted in an older U.S. society that must reckon with the complex oral health needs that arise as adults age. Understanding accessibility to screening and treatment facilities for older adults is necessary in order to provide them with preventive and restorative services. This study uses an agent-based model to examine the accessibility of screening and treatment facilities via transportation networks for older adults living in the neighborhoods of northern Manhattan, New York City. Older adults are simulated as socioeconomically distinct agents who move along a GIS-based transportation network using transportation modes that mediate their access to screening and treatment facilities. This simulation model includes four types of mobile agents as a simplifying assumption: walk, by car, by bus, or by van (i.e., a form of transportation assistance for older adults). These mobile agents follow particular routes: older adults who travel by car, bus, and van follow street roads, whereas pedestrians follow walkways. The model enables the user to focus on one neighborhood at a time for analysis. The spatial dimension of an older adult's accessibility to screening and treatment facilities is simulated through the travel costs (indicated by travel time or distance) incurred in the GIS-based model environment, where lower travel costs to screening and treatment facilities imply better access. This model provides a framework for representing health-seeking behavior that is contextualized by a transportation network in a GIS environment.

Community Alternatives for Love and Limits (CALL: A community-based family strengthening multi-family intervention program to respond to adolescents at risk

Directory of Open Access Journals (Sweden)

David Wilkerson

2005-12-01

Full Text Available Family strengthening has become a source of growing interest, research, and program design in the fields of prevention and treatment for problems of youth delinquency, school failure, alcohol, tobacco and other drug abuse (ATOD. Despite many studies that illustrate the positive outcomes of family strengthening programs and family-focused interventions, their use in communities has not advanced commensurate with their promise. This article offers a rationale for why programming efforts should continue to be directed towards family strengthening efforts as opposed to youth-focused only interventions. In addition, a community-based, family-strengthening alternative is described that addresses issues of youth delinquency while reducing barriers associated with availability, accessibility, and cost.

Treatments for bulimia nervosa: a network meta-analysis.

Science.gov (United States)

Slade, Eric; Keeney, Edna; Mavranezouli, Ifigeneia; Dias, Sofia; Fou, Linyun; Stockton, Sarah; Saxon, Leanne; Waller, Glenn; Turner, Hannah; Serpell, Lucy; Fairburn, Christopher G; Kendall, Tim

2018-05-06

Bulimia nervosa (BN) is a severe eating disorder that can be managed using a variety of treatments including pharmacological, psychological, and combination treatments. We aimed to compare their effectiveness and to identify the most effective for the treatment of BN in adults. A search was conducted in Embase, Medline, PsycINFO, and Central from their inception to July 2016. Studies were included if they reported on treatments for adults who fulfilled diagnostic criteria for BN. Only randomised controlled trials (RCTs) that examined available psychological, pharmacological, or combination therapies licensed in the UK were included. We conducted a network meta-analysis (NMA) of RCTs. The outcome analysed was full remission at the end of treatment. We identified 21 eligible trials with 1828 participants involving 12 treatments, including wait list. The results of the NMA suggested that individual cognitive behavioural therapy (CBT) (specific to eating disorders) was most effective in achieving remission at the end of treatment compared with wait list (OR 3.89, 95% CrI 1.19-14.02), followed by guided cognitive behavioural self-help (OR 3.81, 95% CrI 1.51-10.90). Inconsistency checks did not identify any significant inconsistency between the direct and indirect evidence. The analysis suggested that the treatments that are most likely to achieve full remission are individual CBT (specific to eating disorders) and guided cognitive behavioural self-help, although no firm conclusions could be drawn due to the limited evidence base. There is a need for further research on the maintenance of treatment effects and the mediators of treatment outcome.

Influence on SME and microstructure in FeMnSiCrNi SMA for strengthening of austenite matrix

International Nuclear Information System (INIS)

Gu, N.; Lin, C.; Song, X.; Peng, H.; Yin, F.

2000-01-01

Influences of solution- and deformation-strengthening on SME and the microstructures of FeMnSiCrNi SMA were researched. SME and the training effect were both obviously improved when 0.3%C added into the alloy. It was observed that some thermo-induced martensites, distributing disorderly in the matrix, formed in the alloy without carbon, while in the alloy with carbon, more stress-induced martensites, distributing orderly in the matrix, were found, thus resulting in the better SME. As far as the treatment methods were concerned, one time deformation-strengthening could be better than training many times. The ε-martensites in the strengthened alloy appeared larger in amount, short plate in shape and distributed with nearly the same orientation, which is closely related to the better SME. (orig.)

Clinical observation on 96 cases of primary osteoporosis treated with kidney-tonifying and bone-strengthening mixture.

Science.gov (United States)

Mingyue, Wang; Ling, Gong; Bei, Xia; Junqing, Cao; Peiqing, Zhou; Jie, Hu

2005-06-01

To objectively evaluate the therapeutic effect and safety of Mixture for Nourishing Kidney and Strengthening Bone. Among 160 cases of osteoporosis under clinical observation, 96 patients in the treatment group were treated with Mixture for Nourishing Kidney and Strengthening Bone, 32 patients in the control group were given Shen Gu Capsule and 32 patients in the blank group were given no drug in half a year. Observation and determination were conducted on bone mineral density (BMD), clinical symptoms, bone gla protein (BGP), pyridinoline (PYD), estradiol (E2), testosterone (T), blood urea nitrogen (BUN), transaminase and routine test on blood and urine. The comprehensive effect in the treatment group was remarkably superior to that in the control group. The safe and reliable Chinese drug can enhance BMD, promote osteogenesis and inhibit bone absorption, hence treating osteoporosis with marked effect.

Microstructure characterization and strengthening mechanisms of oxide dispersion strengthened (ODS) Fe-9%Cr and Fe-14%Cr extruded bars

Science.gov (United States)

Chauhan, A.; Bergner, F.; Etienne, A.; Aktaa, J.; de Carlan, Y.; Heintze, C.; Litvinov, D.; Hernandez-Mayoral, M.; Oñorbe, E.; Radiguet, B.; Ulbricht, A.

2017-11-01

The collaborative study is focused on the relationship between microstructure and yield stress for an ODS Fe-9%Cr-based transformable alloy and an ODS Fe-14%Cr-based ferritic alloy. The contributions to the total room temperature yield stress arising from various strengthening mechanisms are addressed on the basis of a comprehensive description of the microstructures uncovered by means of transmission electron microscopy (TEM), electron backscatter diffraction (EBSD), small-angle neutron scattering (SANS) and atom probe tomography (APT). While these methods provide a high degree of complementarity, a reasonable agreement was found in cases of overlap of information. The derived set of microstructure parameters along with reported strengthening equations was used to calculate the room temperature yield stress. The estimates were critically compared with the measured yield stress for an extended set of alloys including data reported for Fe-Cr model alloys and steels thus covering one order of magnitude or more in grain size, dislocation density, particle density and yield stress. The comparison shows that particle strengthening, dislocation forest strengthening, and Hall-Petch strengthening are the major contributions and that a mixed superposition rule reproduces the measured yield stress within experimental scatter for the whole extended set of alloys. The wide variation of microstructures additionally underpins the conclusions and goes beyond previous work, in which one or few ODS steels and narrow microstructure variations were typically covered.

Physician social networks and variation in prostate cancer treatment in three cities.

Science.gov (United States)

Pollack, Craig Evan; Weissman, Gary; Bekelman, Justin; Liao, Kaijun; Armstrong, Katrina

2012-02-01

To examine whether physician social networks are associated with variation in treatment for men with localized prostate cancer. 2004-2005 Surveillance, Epidemiology and End Results-Medicare data from three cities. We identified the physicians who care for patients with prostate cancer and created physician networks for each city based on shared patients. Subgroups of urologists were defined as physicians with dense connections with one another via shared patients. Subgroups varied widely in their unadjusted rates of prostatectomy and the racial/ethnic and socioeconomic composition of their patients. There was an association between urologist subgroup and receipt of prostatectomy. In city A, four subgroups had significantly lower odds of prostatectomy compared with the subgroup with the highest rates of prostatectomy after adjusting for patient clinical and sociodemographic characteristics. Similarly, in cities B and C, subgroups had significantly lower odds of prostatectomy compared with the baseline. Using claims data to identify physician networks may provide an insight into the observed variation in treatment patterns for men with prostate cancer. © Health Research and Educational Trust.

Keeping their world together--meanings and actions created through network-focused nursing in teenager and young adult cancer care.

Science.gov (United States)

Olsen, Pia Riis; Harder, Ingegerd

2009-01-01

In the transition between dependent childhood and independent young adulthood, teenagers and young adults (TYAs) are extremely vulnerable when diagnosed with cancer and while undergoing treatment. Nurses working on a youth unit for patients aged 15 to 22 years developed a nursing program that aims at supporting these young patients and their significant others to maintain, establish, and strengthen their social network during the treatment period. This article presents a grounded theory study that explored how the network-focused program was perceived by TYAs with cancer and their significant others. A theoretical account is presented on the meanings and actions that the inherent processes and interactions created. Twelve TYAs and 19 significant others participated. Data were generated through interviews, observations, and informal conversations. Embracing the program and building strength were the 2 subcategories that linked to a core concept of keeping their world together. The findings show that nurses are in a unique position to enhance and support the efforts of these young patients and their significant others in connecting with the social network that extends beyond the family and includes the wider social network.

Contributions of Social Networking for Innovation

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Daniela Maria Cartoni

2013-04-01

Full Text Available This paper investigates the role of virtual social networks as a mechanism complementary to formal channels of technology transfer represented by ICT and by private centers of R & D in industry. The strengthening of Web 2.0 has provided the expansion of collaborative tools, in particular the social networks, with a strong influence on the spread of knowledge and innovation. To evaluate the potential of virtual networks, a survey had been conducted to identify and describe the characteristics of some of the major social networks used in Brazil (LinkedIn, Orkut and Twitter. Even this phenomenon is not mature, the study identified the potential and benefits of social networks as informal structures that help in generation of knowledge and innovation diffusion, as a field to be explored and developed.

Strengthening leadership as a catalyst for enhanced patient safety culture

DEFF Research Database (Denmark)

Kristensen, Solvejg; Christensen, Karl Bang; Jaquet, Annette

2016-01-01

OBJECTIVES: Current literature emphasises that clinical leaders are in a position to enable a culture of safety, and that the safety culture is a performance mediator with the potential to influence patient outcomes. This paper aims to investigate staff's perceptions of patient safety culture...... in a Danish psychiatric department before and after a leadership intervention. METHODS: A repeated cross-sectional experimental study by design was applied. In 2 surveys, healthcare staff were asked about their perceptions of the patient safety culture using the 7 patient safety culture dimensions...... in the Safety Attitudes Questionnaire. To broaden knowledge and strengthen leadership skills, a multicomponent programme consisting of academic input, exercises, reflections and discussions, networking, and action learning was implemented among the clinical area level leaders. RESULTS: In total, 358 and 325...

Multidirectional Networks of Government Transparency: A Preliminary Model

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Ahmad Subhan

2016-11-01

Full Text Available This article reviews some literature in theoretical level regarding two concepts: governance network and government transparency, in order to search for theoretical linkages and to build an alternative framework that can support the implementation of public disclosure. Transparency agenda has been implemented in various forms at international, national, and local level. Transparency application was also followed by Indonesia with the implementation of Public Information Disclosure Law since 2008. This enthusiasm is quite reasonable because transparency is believed to be one of the human rights principles; as well as a key to better governance, that can help democracy consolidation, prevent corruption, strengthen the legitimacy and improve efficiency. In order to maximize transparency, the government can use a network approach because of some changes at this time, such as democratization, decentralization, and liberalization has placed the government in a position where there is not one actor who manages the state power without stakeholder’s participation. In this context, the government needs to build synergies with other institutions in a reciprocal relationship with all stakeholders. Therefore, adopting the theory of government networks can be one of the strategies to strengthen government transparency. The findings of this article indicate that the government transparency application needs to develop networks in all directions: intragovernmental, intergovernmental and collaborative networks. These three types of network in contrast with the popular belief that government transparency is interpreted only as a procedural activity to outside parties. A preliminary model in this article gives an overview about the arena of government transparency with multi-directional networks more comprehensively.

Tensile and fracture characteristics of oxide dispersion strengthened Fe–12Cr produced by hot isostatic pressing

Energy Technology Data Exchange (ETDEWEB)

Castro, Vanessa de, E-mail: vanessa.decastro@uc3m.es [Departamento de Física, Universidad Carlos III de Madrid, Avda. de la Universidad 30, 28911 Leganés, Madrid (Spain); Garces-Usan, Jose Maria; Leguey, Teresa; Pareja, Ramiro [Departamento de Física, Universidad Carlos III de Madrid, Avda. de la Universidad 30, 28911 Leganés, Madrid (Spain)

2013-11-15

The mechanical characteristics of a model oxide dispersion strengthened (ODS) alloy with nominal composition Fe–12 wt%Cr–0.4 wt%Y{sub 2}O{sub 3} were investigated by means of microhardness measurements, tensile tests up to fracture in the temperature range of 298–973 K, and fracture surface analyses. A non-ODS Fe–12 wt%Cr alloy was also studied to assess the real capacity of the oxide dispersion for strengthening the alloy. The materials were produced by mechanical alloying followed by hot isostatic pressing consolidation and heat treatment at 1023 K. The strengthening effect of the oxide nanodispersion was effective at all temperatures studied, although the tensile strength converges towards the one obtained for the reference alloy at higher temperatures. Moreover, the ODS alloys failed prematurely at T < 673 K due to the presence of Y-rich inclusions, as seen in the fracture surface of these alloys.

Tensile and fracture characteristics of oxide dispersion strengthened Fe–12Cr produced by hot isostatic pressing

International Nuclear Information System (INIS)

Castro, Vanessa de; Garces-Usan, Jose Maria; Leguey, Teresa; Pareja, Ramiro

2013-01-01

The mechanical characteristics of a model oxide dispersion strengthened (ODS) alloy with nominal composition Fe–12 wt%Cr–0.4 wt%Y 2 O 3 were investigated by means of microhardness measurements, tensile tests up to fracture in the temperature range of 298–973 K, and fracture surface analyses. A non-ODS Fe–12 wt%Cr alloy was also studied to assess the real capacity of the oxide dispersion for strengthening the alloy. The materials were produced by mechanical alloying followed by hot isostatic pressing consolidation and heat treatment at 1023 K. The strengthening effect of the oxide nanodispersion was effective at all temperatures studied, although the tensile strength converges towards the one obtained for the reference alloy at higher temperatures. Moreover, the ODS alloys failed prematurely at T < 673 K due to the presence of Y-rich inclusions, as seen in the fracture surface of these alloys

Restoring large-scale brain networks in PTSD and related disorders: a proposal for neuroscientifically-informed treatment interventions

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Ruth A. Lanius

2015-03-01

Full Text Available Background: Three intrinsic connectivity networks in the brain, namely the central executive, salience, and default mode networks, have been identified as crucial to the understanding of higher cognitive functioning, and the functioning of these networks has been suggested to be impaired in psychopathology, including posttraumatic stress disorder (PTSD. Objective: 1 To describe three main large-scale networks of the human brain; 2 to discuss the functioning of these neural networks in PTSD and related symptoms; and 3 to offer hypotheses for neuroscientifically-informed interventions based on treating the abnormalities observed in these neural networks in PTSD and related disorders. Method: Literature relevant to this commentary was reviewed. Results: Increasing evidence for altered functioning of the central executive, salience, and default mode networks in PTSD has been demonstrated. We suggest that each network is associated with specific clinical symptoms observed in PTSD, including cognitive dysfunction (central executive network, increased and decreased arousal/interoception (salience network, and an altered sense of self (default mode network. Specific testable neuroscientifically-informed treatments aimed to restore each of these neural networks and related clinical dysfunction are proposed. Conclusions: Neuroscientifically-informed treatment interventions will be essential to future research agendas aimed at targeting specific PTSD and related symptoms.

DeepSurv: personalized treatment recommender system using a Cox proportional hazards deep neural network.

Science.gov (United States)

Katzman, Jared L; Shaham, Uri; Cloninger, Alexander; Bates, Jonathan; Jiang, Tingting; Kluger, Yuval

2018-02-26

Medical practitioners use survival models to explore and understand the relationships between patients' covariates (e.g. clinical and genetic features) and the effectiveness of various treatment options. Standard survival models like the linear Cox proportional hazards model require extensive feature engineering or prior medical knowledge to model treatment interaction at an individual level. While nonlinear survival methods, such as neural networks and survival forests, can inherently model these high-level interaction terms, they have yet to be shown as effective treatment recommender systems. We introduce DeepSurv, a Cox proportional hazards deep neural network and state-of-the-art survival method for modeling interactions between a patient's covariates and treatment effectiveness in order to provide personalized treatment recommendations. We perform a number of experiments training DeepSurv on simulated and real survival data. We demonstrate that DeepSurv performs as well as or better than other state-of-the-art survival models and validate that DeepSurv successfully models increasingly complex relationships between a patient's covariates and their risk of failure. We then show how DeepSurv models the relationship between a patient's features and effectiveness of different treatment options to show how DeepSurv can be used to provide individual treatment recommendations. Finally, we train DeepSurv on real clinical studies to demonstrate how it's personalized treatment recommendations would increase the survival time of a set of patients. The predictive and modeling capabilities of DeepSurv will enable medical researchers to use deep neural networks as a tool in their exploration, understanding, and prediction of the effects of a patient's characteristics on their risk of failure.

Strengthening MT6D Defenses with LXC-Based Honeypot Capabilities

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Dileep Basam

2016-01-01

Full Text Available Moving Target IPv6 Defense (MT6D imparts radio-frequency hopping behavior to IPv6 networks by having participating nodes periodically hop onto new addresses while giving up old addresses. Our previous research efforts implemented a solution to identify and acquire these old addresses that are being discarded by MT6D hosts on a local network besides being able to monitor and visualize the incoming traffic on these addresses. This was essentially equivalent to forming a darknet out of the discarded MT6D addresses, but the solution presented in the previous research effort did not include database integration for it to scale and be extended. This paper presents a solution with a new architecture that not only extends the previous solution in terms of automation and database integration but also demonstrates the ability to deploy a honeypot on a virtual LXC (Linux Container on-demand based on any interesting traffic pattern observed on a discarded address. The proposed architecture also allows an MT6D host to query the solution database for network activity on its relinquished addresses as a JavaScript Object Notation (JSON object. This allows an MT6D host to identify suspicious activity on its discarded addresses and strengthen the MT6D scheme parameters accordingly. We have built a proof-of-concept for the proposed solution and analyzed the solution’s feasibility and scalability.

Writing Strengthens Orthography and Alphabetic-Coding Strengthens Phonology in Learning to Read Chinese

NARCIS (Netherlands)

Guan, C.Q.; Liu, Y.; Chan, D.H.L.; Ye, F.F.; Perfetti, C.A.

2011-01-01

Learning to write words may strengthen orthographic representations and thus support word-specific recognition processes. This hypothesis applies especially to Chinese because its writing system encourages character-specific recognition that depends on accurate representation of orthographic form.

City personification as problem solving to strengthen the wholeness of the city: study case in Serui city, Papua

Science.gov (United States)

Hardine, Y. R. I.; Herlily

2018-03-01

Serui City in Papua Province has many unique characters and must be maintained for the sake of the continuity of its identity. However, this city still lacks the facility and depend on other areas. Accordingly, it becomes vulnerable. The wholeness of the city is not just by having strong character but also having strength regarding vitality. The loss of it can affect the character and even eliminate it. Cities and people have many similarities regarding character and vitality. Therefore, there is a chance to solve the problems in the city using the similar approach to treat the human. We called city personification methods as problem-solving to the city. It means that we treat the city as a human being so that the problem can be solved as the human’s treatment. The personification of this city is conducted because of the many treatments that have proven effective in humans and may also be powerful to manifest in city. The personification makes the design will only focus on the particular networks and not on the whole “body,” remain in the hope for strengthening (maintain and improve) the quality of wholeness (character and vitality) city which in this case is Serui.

STRENGTHENING OF A REINFORCED CONCRETE BRIDGE WITH PRESTRESSED STEEL WIRE ROPES

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Kexin Zhang

2017-10-01

Full Text Available This paper describes prestressed steel wire ropes as a way to strengthen a 20-year-old RC T-beam bridge. High strength, low relaxation steel wire ropes with minor radius, high tensile strain and good corrosion resistance were used in this reinforcement. The construction process for strengthening with prestressed steel wire ropes—including wire rope measuring, extruding anchor heads making, anchorage installing, tensioning steel wire ropes and pouring mortar was described. Ultimate bearing capacity of the bridge after strengthening was discussed based on the concrete structure theory. The flexural strength of RC T-beam bridges strengthened with prestressed steel wire ropes was governed by the failure of concrete crushing. To investigate effectiveness of the strengthening method, fielding-load tests were carried out before and after strengthening. The results of concrete strain and deflection show that the flexural strength and stiffness of the strengthened beam are improved. The crack width measurement also indicates that this technique could increase the durability of the bridge. Thus, this strengthened way with prestressed steel wire rope is feasible and effective.

Presence of Banks on Social Networks in Bosnia and Herzegovina

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Mabić Mirela

2017-09-01

Full Text Available Background: Social networks allow real-time interaction that enhances a bank’s ability to respond to customers in a timely, intuitive and personalized manner. By using social networks, banks can improve the understanding of their clients and bank’s products they need. Also, banks can enhance relations with clients and strengthen their brand through raising client loyalty.

Survey of the WHO-REMPAN network's capability for strengthening preparedness for radiological and nuclear emergencies

Energy Technology Data Exchange (ETDEWEB)

Kumagai, A [Takashi Nagai Memorial International Hibakusha Medical Centre, Nagasaki Univ. Hospital, Nagasaki (Japan); Carr, Z [Dept. of Public Health and Environment, Health Security and Environment Cluster, World Health Organization, Geneva (Switzerland); Akira, O [Takashi Nagai Memorial International Hibakusha Medical Centre, Nagasaki Univ. Hospital, Nagasaki (Japan); Christie, D [Dept. of Public Health and Environment, Health Security and Environment Cluster, World Health Organization, Geneva (Switzerland); Yamashita, S [Takashi Nagai Memorial International Hibakusha Medical Centre, Nagasaki Univ. Hospital, Nagasaki (Japan); Fukushima Medical Univ. (Japan)

2012-07-01

This paper investigates the capacity of the World Health Organization (WHO)-REMPAN network in responding to radiological incidents and nuclear emergencies. A survey developed by the WHO Secretariat and Nagasaki Univ. was sent to all 40 WHO-REMPAN collaborating centres and liaison institutes in order to verify the current situation of the network, identify needs and collect suggestions for future improvements. Most of the responding institutions said they were satisfied with the current status of the network. However, several responses to the survey indicate that better internal communication is needed, as well as a position document to specify the roles, rights and responsibilities of the network members. (authors)

Survey of the WHO-REMPAN network's capability for strengthening preparedness for radiological and nuclear emergencies

International Nuclear Information System (INIS)

Kumagai, A.; Carr, Z.; Akira, O.; Christie, D.; Yamashita, S.

2012-01-01

This paper investigates the capacity of the World Health Organization (WHO)-REMPAN network in responding to radiological incidents and nuclear emergencies. A survey developed by the WHO Secretariat and Nagasaki Univ. was sent to all 40 WHO-REMPAN collaborating centres and liaison institutes in order to verify the current situation of the network, identify needs and collect suggestions for future improvements. Most of the responding institutions said they were satisfied with the current status of the network. However, several responses to the survey indicate that better internal communication is needed, as well as a position document to specify the roles, rights and responsibilities of the network members. (authors)

The African Field Epidemiology Network-Networking for effective field epidemiology capacity building and service delivery

Science.gov (United States)

Gitta, Sheba Nakacubo; Mukanga, David; Babirye, Rebecca; Dahlke, Melissa; Tshimanga, Mufuta; Nsubuga, Peter

2011-01-01

Networks are a catalyst for promoting common goals and objectives of their membership. Public Health networks in Africa are crucial, because of the severe resource limitations that nations face in dealing with priority public health problems. For a long time, networks have existed on the continent and globally, but many of these are disease-specific with a narrow scope. The African Field Epidemiology Network (AFENET) is a public health network established in 2005 as a non-profit networking alliance of Field Epidemiology and Laboratory Training Programs (FELTPs) and Field Epidemiology Training Programs (FETPs) in Africa. AFENET is dedicated to helping ministries of health in Africa build strong, effective and sustainable programs and capacity to improve public health systems by partnering with global public health experts. The Network's goal is to strengthen field epidemiology and public health laboratory capacity to contribute effectively to addressing epidemics and other major public health problems in Africa. AFENET currently networks 12 FELTPs and FETPs in sub-Saharan Africa with operations in 20 countries. AFENET has a unique tripartite working relationship with government technocrats from human health and animal sectors, academicians from partner universities, and development partners, presenting the Network with a distinct vantage point. Through the Network, African nations are making strides in strengthening their health systems. Members are able to: leverage resources to support field epidemiology and public health laboratory training and service delivery notably in the area of outbreak investigation and response as well as disease surveillance; by-pass government bureaucracies that often hinder and frustrate development partners; and consolidate efforts of different partners channelled through the FELTPs by networking graduates through alumni associations and calling on them to offer technical support in various public health capacities as the need arises

Connecting Social Networks with Ecosystem Services for Watershed Governance: a Social-Ecological Network Perspective Highlights the Critical Role of Bridging Organizations

Directory of Open Access Journals (Sweden)

Kaitlyn J. Rathwell

2012-06-01

Full Text Available In many densely settled agricultural watersheds, water quality is a point of conflict between amenity and agricultural activities because of the varied demands and impacts on shared water resources. Successful governance of these watersheds requires coordination among different activities. Recent research has highlighted the role that social networks between management entities can play to facilitate cross-scale interaction in watershed governance. For example, bridging organizations can be positioned in social networks to bridge local initiatives done by single municipalities across whole watersheds. To better understand the role of social networks in social-ecological system dynamics, we combine a social network analysis of the water quality management networks held by local governments with a social-ecological analysis of variation in water management and ecosystem services across the Montérégie, an agricultural landscape near Montréal, Québec, Canada. We analyze municipal water management networks by using one-mode networks to represent direct collaboration between municipalities, and two-mode networks to capture how bridging organizations indirectly connect municipalities. We find that municipalities do not collaborate directly with one another but instead are connected via bridging organizations that span the water quality management network. We also discovered that more connected municipalities engaged in more water management activities. However, bridging organizations preferentially connected with municipalities that used more tourism related ecosystem services rather than those that used more agricultural ecosystem services. Many agricultural municipalities were relatively isolated, despite being the main producers of water quality problems. In combination, these findings suggest that further strengthening the water management network in the Montérégie will contribute to improving water quality in the region. However, such

A decision support system for pre-earthquake planning of lifeline networks

Energy Technology Data Exchange (ETDEWEB)

Liang, J.W. [Tianjin Univ. (China). Dept. of Civil Engineering

1996-12-01

This paper describes the frame of a decision support system for pre-earthquake planning of gas and water networks. The system is mainly based on the earthquake experiences and lessons from the 1976 Tangshan earthquake. The objective of the system is to offer countermeasures and help make decisions for seismic strengthening, remaking, and upgrading of gas and water networks.

Sensemaking in collaborative networks

DEFF Research Database (Denmark)

Peronard, Jean-Paul; Brix, Jacob

2018-01-01

be redesigned to strengthen the collaboration between companies. To enable this discussion we delve into the sensemaking literature and theory from loosely coupled systems. Our discussion leads to the development of the Balanced Activity System (BAS) model. The paper’s key contribution is the prescriptive BAS......The purpose of the study is to advance research on open business models as activity systems (Zott and Amit, 2010) in collaborative networks. We utilize Bradley’s (1995) theory of exchange behavior to discuss how new joint activities can be explored as well as how existing activities can...... model that can be used strategically in collaborative networks to redesign or create new joint activities....

Condition assessment and strengthening of residential units

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Tatheer Zahra

2014-01-01

Full Text Available About 40, ground plus one (G+1 residential units were designed using a hybrid structural framing system (RC frame and load bearing walls. A few months after the completion of the ground floor of the residential units, cracks appeared at several locations in the structure. Field and Laboratory testing was conducted to ascertain the in situ strength of concrete and steel reinforcement. The results of the experimental work were used in the analytical ETABS model for the structural stability calculations. The results indicated that residential units were marginally safe in the existing condition (completed ground floor, but the anticipated construction of the floor above the ground floor (G+1 could not be carried out as the strength of the structural system was inadequate. To increase the safety of existing ground floor and to provide the option of the construction of one floor above, rehabilitation and strengthening design was performed. The proposed strengthening design made use of welded wire fabric (WWF and carbon fibre reinforced polymer (CFRP laminates/sheets for the strengthening of walls, columns and slabs. The residential units will be strengthened in the near future.

Fatigue fracture of steel after mechanical and ultrasonic strengthening

International Nuclear Information System (INIS)

Stotskij, I.M.

1978-01-01

Fatigue fracture surfaces of samples after mechanical and ultrasonic strengthening have been studied metallographically and by electron fractography. Studied was the 40Kh steel hardened from 850 deg and then tempered at 180 deg or at 550 deg C. The ultrasound power was 25 kWt, the frequency was 20 kHz, the sample rotation velocity was 39.5 m/min. Mechanical and ultrasonic treatment was found to cause structural changes (formation of a white layer) and deformation of the material under the layer. The fatigue cracks were extending beyond the white layer; their propagation involved generation and coalescence of microcracks on account of segregation of carbides. It is concluded that mechanical and ultrasonic treatment should be used for increasing the fatigue strength of low and average strength materials rather than hardened or low-tempered ones

Self-flowing mortar for ferrocement in strengthening applications

Directory of Open Access Journals (Sweden)

Shamir Sakir

2016-09-01

Full Text Available Ferrocement technology is becoming more and more important nowadays for strengthening and retrofitting of concrete structures mainly due to its inherent strength properties. However, its labour intensive nature makes it undesirable for rapid strengthening works. In narrow spaces, strengthening with conventional ferrocement is very critical and also time consuming. Self-flowing mortar (SFM could be used with this technology to overcome these limitations. This article discusses the applicability of SFM in ferrocement technology. The aim of this study is to summarize available knowledge on SFM to make it feasible for optimization in different industrial applications.

Rethinking Social Network Assessment for Students with Intellectual Disabilities (ID) in Postsecondary Education

Science.gov (United States)

Eisenman, Laura T.; Farley-Ripple, Elizabeth; Culnane, Mary; Freedman, Brian

2013-01-01

Social networks of persons with intellectual disabilities (ID) have been characterized as smaller and less diverse than those of typical peers. Advocates have focused on strengthening those social networks by expanding circles of social support, protection, and friendship. As young adults with ID experience increasing levels of community…

Effect of horizontal reinforcement in strengthening of masonry members

International Nuclear Information System (INIS)

Farooq, S.H.; Ilyas, M.; Ggaffar, A.

2008-01-01

An experimental research program was undertaken to ascertain the effectiveness of a new technique for strengthening masonry wall panels using steel strips on compressive and shear strength enhancement. The experimental work includes eight wall panels, four each for compressive and shear strength evaluation. This work was the phase I of extensive research project which include testing of strengthened masonry wall panels under monotonic load (Phase-I), static cyclic load (Phase-2) and dynamic load (Phase-3). The wall panels were strengthened with different steel strip arrangements, which consist of single/double face application of coarse and fine steel strip mesh with reduced spacing of horizontal strips. This paper investigates only the effectiveness of horizontal steel strips on strength enhancement. Four masonry wall panels are considered in two groups and in each group, one wall was retrofitted with coarse steel mesh on single face and on second wall fine steel mesh was applied on one side. Furthermore, test results of strengthened specimens are also compared with the un-strengthened specimen (REFE). The mechanisms by which load was carried were observed, varying from the initial, uncracked state, and the final, fully cracked state. The results demonstrate a quite significant increase in the compressive and shear capacity of strengthened panels as compared to REFE-panel. However, increase in the compressive strength of fine mesh above that of coarse mesh is negligible. The technique/approach is found quite viable for strengthening of masonry walls, for rehabilitation of old deteriorated buildings and unreinforced masonry structures in seismic zones. (author)

The meaning and validation of social support networks for close family of persons with advanced cancer.

Science.gov (United States)

Sjolander, Catarina; Ahlstrom, Gerd

2012-09-17

To strengthen the mental well-being of close family of persons newly diagnosed as having cancer, it is necessary to acquire a greater understanding of their experiences of social support networks, so as to better assess what resources are available to them from such networks and what professional measures are required. The main aim of the present study was to explore the meaning of these networks for close family of adult persons in the early stage of treatment for advanced lung or gastrointestinal cancer. An additional aim was to validate the study's empirical findings by means of the Finfgeld-Connett conceptual model for social support. The intention was to investigate whether these findings were in accordance with previous research in nursing. Seventeen family members with a relative who 8-14 weeks earlier had been diagnosed as having lung or gastrointestinal cancer were interviewed. The data were subjected to qualitative latent content analysis and validated by means of identifying antecedents and critical attributes. The meaning or main attribute of the social support network was expressed by the theme Confirmation through togetherness, based on six subthemes covering emotional and, to a lesser extent, instrumental support. Confirmation through togetherness derived principally from information, understanding, encouragement, involvement and spiritual community. Three subthemes were identified as the antecedents to social support: Need of support, Desire for a deeper relationship with relatives, Network to turn to. Social support involves reciprocal exchange of verbal and non-verbal information provided mainly by lay persons. The study provides knowledge of the antecedents and attributes of social support networks, particularly from the perspective of close family of adult persons with advanced lung or gastrointestinal cancer. There is a need for measurement instruments that could encourage nurses and other health-care professionals to focus on family members

Intermetallic Strengthened Alumina-Forming Austenitic Steels for Energy Applications

Energy Technology Data Exchange (ETDEWEB)

Hu, Bin [Dartmouth College, Hanover, NH (United States); Baker, Ian [Dartmouth College, Hanover, NH (United States)

2016-03-31

In order to achieve energy conversion efficiencies of >50 % for steam turbines/boilers in power generation systems, the materials required must be strong, corrosion-resistant at high temperatures (>700°C), and economically viable. Austenitic steels strengthened with Laves phase and L1₂ precipitates, and alloyed with aluminum to improve oxidation resistance, are potential candidate materials for these applications. The creep resistance of these alloys is significantly improved through intermetallic strengthening (Laves-Fe₂Nb + L1₂-Ni₃Al precipitates) without harmful effects on oxidation resistance. Microstructural and microchemical analyses of the recently developed alumina-forming austenitic (AFA) steels (Fe-14Cr-32Ni-3Nb-3Al-2Ti-based) indicated they are strengthened by Ni₃Al(Ti) L1₂, NiAl B₂, Fe₂Nb Laves phase and MC carbide precipitates. Different thermomechanical treatments (TMTs) were performed on these stainless steels in an attempt to further improve their mechanical properties. The thermo-mechanical processing produced nanocrystalline grains in AFA alloys and dramatically increased their yield strength at room temperature. Unfortunately, the TMTs didn’t increase the yield strengths of AFA alloys at ≥700ºC. At these temperatures, dislocation climb is the dominant mechanism for deformation of TMT alloys according to strain rate jump tests. After the characterization of aged AFA alloys, we found that the largest strengthening effect from L1₂ precipitates can be obtained by aging for less than 24 h. The coarsening behavior of the L1₂ precipitates was not influenced by carbon and boron additions. Failure analysis and post-mortem TEM analysis were performed to study the creep failure mechanisms of these AFA steels after creep tests. Though the Laves and B2-NiAl phase precipitated along the boundaries can improve the creep properties, cracks were

Improving the engineering strength of heat strengthened glass

NARCIS (Netherlands)

Veer, F.A.; Rodichev, YM

2016-01-01

Although glass is increasingly used as a structural material, glass is not produced to strength standards, like steel and concrete. Of the three types of glass: annealed, heat strengthened and fully tempered, only heat strengthened glass has the properties to function as a safe structural material.

New concept of critical infrastructure strengthening

International Nuclear Information System (INIS)

Gazizov, Talgat R.; Orlov, Pavel E.; Zabolotsky, Alexander M.; Kuksenko, Sergey P.

2016-01-01

Strengthening of critical infrastructure is considered. Modal reservation of electronics is proposed as a new concept of the strengthening. The concept combines a widely used cold backup and a recently proposed modal filtration. It makes electronics reliable as well as protected against electromagnetic interference, especially the ultra-wide band pulses. New printed circuit board structure is suggested for implementation of the proposed concept. Results of simulation in time and frequency domains are presented for the suggested structures. Considerable attenuation of dangerous excitations shows that the new concept and structure are promising.

New concept of critical infrastructure strengthening

Energy Technology Data Exchange (ETDEWEB)

Gazizov, Talgat R.; Orlov, Pavel E.; Zabolotsky, Alexander M.; Kuksenko, Sergey P. [Tomsk State University of Control Systems and Radioelectronics, 634050, Lenin Ave., Tomsk (Russian Federation)

2016-06-08

Strengthening of critical infrastructure is considered. Modal reservation of electronics is proposed as a new concept of the strengthening. The concept combines a widely used cold backup and a recently proposed modal filtration. It makes electronics reliable as well as protected against electromagnetic interference, especially the ultra-wide band pulses. New printed circuit board structure is suggested for implementation of the proposed concept. Results of simulation in time and frequency domains are presented for the suggested structures. Considerable attenuation of dangerous excitations shows that the new concept and structure are promising.

Strengthening Masonry Arches with Lime-Based Mortar Composite

Directory of Open Access Journals (Sweden)

Valerio Alecci

2017-06-01

Full Text Available In recent decades, many strengthening interventions on masonry elements were performed by using fiber reinforced polymers (FRPs. These advanced materials proved to be effective to increase the load-carrying capacity of masonry elements and to improve their structural behavior, avoiding the most critical failure modes. Despite the advantages of this technique compared to more traditional methods, FRP systems have disadvantages related to their low resistance to high temperatures, impossibility of application on wet surfaces, low permeability, and poor compatibility with masonry supports. Therefore, composite materials made of a fiber textile embedded in an inorganic matrix were recently proposed as alternatives to FRPs for strengthening historic masonry constructions. These composite materials are easier to install, have higher resistance to high temperatures, and permit higher vapor permeability than FRPs. The inorganic matrix is frequently a cement-based mortar, and the composite materials made of a fiber textile embedded in a cement-based mortar are usually identified as FRCM (fabric reinforced cementitious matrix composites. More recently, the use of natural lime mortar as an inorganic matrix has been proposed as an alternative to cement-based mortars when historic compatibility with the substrate is strictly required, as in case of restoration of historic buildings. In this paper, the effectiveness of a fabric made of basalt fibers embedded in lime mortar matrix (Basalt-FRLM for the strengthening of masonry arches is investigated. An experimental investigation was performed on 1:2 scaled brick masonry arches strengthened at the extrados with a layer of Basalt-FRLM and tested under vertical load. The results obtained are compared with previous results obtained by the authors by testing masonry arches strengthened at their extrados with FRCM and FRP composites. This investigation highlights the effectiveness of Basalt-FRLM in increasing load

Strengthening of metallic alloys with nanometer-size oxide dispersions

Science.gov (United States)

Flinn, John E.; Kelly, Thomas F.

1999-01-01

Austenitic stainless steels and nickel-base alloys containing, by wt. %, 0.1 to 3.0% V, 0.01 to 0.08% C, 0.01 to 0.5% N, 0.05% max. each of Al and Ti, and 0.005 to 0.10% O, are strengthened and ductility retained by atomization of a metal melt under cover of an inert gas with added oxygen to form approximately 8 nanometer-size hollow oxides within the alloy grains and, when the alloy is aged, strengthened by precipitation of carbides and nitrides nucleated by the hollow oxides. Added strengthening is achieved by nitrogen solid solution strengthening and by the effect of solid oxides precipitated along and pinning grain boundaries to provide temperature-stabilization and refinement of the alloy grains.

Practical approaches to implementing facility wide equipment strengthening programs

International Nuclear Information System (INIS)

Kincaid, R.H.; Smietana, E.A.

1989-01-01

Equipment strengthening programs typically focus on components required to ensure operability of safety related equipment or to prevent the release of toxic substances. Survival of non-safety related equipment may also be crucial to ensure rapid recovery and minimize business interruption losses. Implementing a strengthening program for non-safety related equipment can be difficult due to the large amounts of equipment involved and limited budget availability. EQE has successfully implemented comprehensive equipment strengthening programs for a number of California corporations. Many of the lessons learned from these projects are applicable to DOE facilities. These include techniques for prioritizing equipment and three general methodologies for anchoring equipment. Pros and cons of each anchorage approach are presented along with typical equipment strengthening costs

Strengthening of metallic alloys with nanometer-size oxide dispersions

Science.gov (United States)

Flinn, J.E.; Kelly, T.F.

1999-06-01

Austenitic stainless steels and nickel-base alloys containing, by wt. %, 0.1 to 3.0% V, 0.01 to 0.08% C, 0.01 to 0.5% N, 0.05% max. each of Al and Ti, and 0.005 to 0.10% O, are strengthened and ductility retained by atomization of a metal melt under cover of an inert gas with added oxygen to form approximately 8 nanometer-size hollow oxides within the alloy grains and, when the alloy is aged, strengthened by precipitation of carbides and nitrides nucleated by the hollow oxides. Added strengthening is achieved by nitrogen solid solution strengthening and by the effect of solid oxides precipitated along and pinning grain boundaries to provide temperature-stabilization and refinement of the alloy grains. 20 figs.

Measuring the democratic anchorage of governance networks

DEFF Research Database (Denmark)

Fotel, Trine; Sørensen, Eva; Torfing, Jacob

There has been a growing debate about the democratic problems and potentials of governance networks among political scientists and public managers. While some claim that governance networks tend to undermine democracy, others argue that they have the potential to improve and strengthen democracy....... This debate is found wanting in two respects. First of all, there has been far too little discussion about what democracy means in relation to pluricentric governance networks. Second, the current debate builds on the assumption that it is possible to give a clear-cut answer to the question of the democratic...... problems and merits of governance networks. This assumption is highly questionable, and prevents a more nuanced assessment of the democratic performance of governance networks. As such, it diverts the focus of attention away from the fact that governance networks may be democratic in some respects...

The Security Research of Digital Library Network

Science.gov (United States)

Zhang, Xin; Song, Ding-Li; Yan, Shu

Digital library is a self-development needs for the modern library to meet the development requirements of the times, changing the way services and so on. digital library from the hardware, technology, management and other aspects to objective analysis of the factors of threats to digital library network security. We should face up the problems of digital library network security: digital library network hardware are "not hard", the technology of digital library is relatively lag, digital library management system is imperfect and other problems; the government should take active measures to ensure that the library funding, to enhance the level of network hardware, to upgrade LAN and prevention technology, to improve network control technology, network monitoring technology; to strengthen safety management concepts, to prefect the safety management system; and to improve the level of security management modernization for digital library.

Polycrystalline strengthening

DEFF Research Database (Denmark)

Hansen, Niels

1985-01-01

for the understanding of polycrystalline strengthening is obtained mainly from surface relief patterns and from bulk structures observed by transmission electron microscopy of thin foils. The results obtained by these methods are discussed and correlations are proposed. A number of features characterizing the deformed...... structure are summarized and the behavior of a number of metals and alloys is reviewed with emphasis on the structural changes in the interior of the grains and in the vicinity of the grain boundaries. The models for strain accommodation during deformation are discussed on the basis of the microstructures...

RC T beams strengthened to shear with carbon fiber composites

Directory of Open Access Journals (Sweden)

L. A. Spagnolo JR

Full Text Available This paper presents the experimental data of the behavior of reinforced concrete beams strengthened to shear with carbon fiber composites. The tests were composed of eight T beams, b w=15 cm, h=40 cm, flange width 40 cm, flange height 8 cm, and length 300 cm, divided into two series with the same longitudinal steel reinforcement and a reference beam without strengthening in each series. The beams had two types of arrangement of internal steel stirrups. The test variables were the internal and external geometric ratio of the transverse reinforcement and the mechanical ratio of carbon fiber composites stirrups. All the beams were loaded at two points. The strengthened beams were submitted to a preloading and the strengthening was applied to the cracked beam. All the beams were designed in order to guarantee shear failure, and the ultimate load of the strengthened beams was 36% to 54% greater than the reference beams. The Cracking Sliding Model applied to the strengthened beams was evaluated and showed good agreement with the experimental results.

Health information system strengthening and malaria elimination in Papua New Guinea.

Science.gov (United States)

Rosewell, Alexander; Makita, Leo; Muscatello, David; John, Lucy Ninmongo; Bieb, Sibauk; Hutton, Ross; Ramamurthy, Sundar; Shearman, Phil

2017-07-05

The objective of the study was to describe an m-health initiative to strengthen malaria surveillance in a 184-health facility, multi-province, project aimed at strengthening the National Health Information System (NHIS) in a country with fragmented malaria surveillance, striving towards enhanced control, pre-elimination. A remote-loading mobile application and secure online platform for health professionals was created to interface with the new system (eNHIS). A case-based malaria testing register was developed and integrated geo-coded households, villages and health facilities. A malaria programme management dashboard was created, with village-level malaria mapping tools, and statistical algorithms to identify malaria outbreaks. Since its inception in 2015, 160,750 malaria testing records, including village of residence, have been reported to the eNHIS. These case-based, geo-coded malaria data are 100% complete, with a median data entry delay of 9 days from the date of testing. The system maps malaria to the village level in near real-time as well as the availability of treatment and diagnostics to health facility level. Data aggregation, analysis, outbreak detection, and reporting are automated. The study demonstrates that using mobile technologies and GIS in the capture and reporting of NHIS data in Papua New Guinea provides timely, high quality, geo-coded, case-based malaria data required for malaria elimination. The health systems strengthening approach of integrating malaria information management into the eNHIS optimizes sustainability and provides enormous flexibility to cater for future malaria programme needs.

Effect of a surface oxide-dispersion-strengthened layer on mechanical strength of zircaloy-4 tubes

Directory of Open Access Journals (Sweden)

Yang-Il Jung

2018-03-01

Full Text Available An oxide-dispersion-strengthened (ODS layer was formed on Zircaloy-4 tubes by a laser beam scanning process to increase mechanical strength. Laser beam was used to scan the yttrium oxide (Y2O3–coated Zircaloy-4 tube to induce the penetration of Y2O3 particles into Zircaloy-4. Laser surface treatment resulted in the formation of an ODS layer as well as microstructural phase transformation at the surface of the tube. The mechanical strength of Zircaloy-4 increased with the formation of the ODS layer. The ring-tensile strength of Zircaloy-4 increased from 790 to 870 MPa at room temperature, from 500 to 575 MPa at 380°C, and from 385 to 470 MPa at 500°C. Strengthening became more effective as the test temperature increased. It was noted that brittle fracture occurred at room temperature, which was not observed at elevated temperatures. Resistance to dynamic high-temperature bursting improved. The burst temperature increased from 760 to 830°C at a heating rate of 5°C/s and internal pressure of 8.3 MPa. The burst opening was also smaller than those in fresh Zircaloy-4 tubes. This method is expected to enhance the safety of Zr fuel cladding tubes owing to the improvement of their mechanical properties. Keywords: Laser Surface Treatment, Microstructure, Oxide Dispersion Strengthened Alloy, Tensile Strength, Zirconium Alloy

Nanostructured thin film coatings with different strengthening effects

Directory of Open Access Journals (Sweden)

Panfilov Yury

2017-01-01

Full Text Available A number of articles on strengthening thin film coatings were analyzed and a lot of unusual strengthening effects, such as super high hardness and plasticity simultaneously, ultra low friction coefficient, high wear-resistance, curve rigidity increasing of drills with small diameter, associated with process formation of nanostructured coatings by the different thin film deposition methods were detected. Vacuum coater with RF magnetron sputtering system and ion-beam source and arc evaporator for nanostructured thin film coating manufacture are represented. Diamond Like Carbon and MoS2 thin film coatings, Ti, Al, Nb, Cr, nitride, carbide, and carbo-nitride thin film materials are described as strengthening coatings.

Structural improvement of strengthened deck panels with externally bonded plates

International Nuclear Information System (INIS)

Sim, Jongsung; Oh, Hongseob

2005-01-01

Concrete bridge decks require eventual replacement and rehabilitation due to decreasing load-carrying capacity. This paper compares different strengthening design procedures that improve the usability and structural performance of bridge decks. The failure characteristics of bridge decks strengthened with various materials such as carbon fiber sheet, glass fiber sheet, steel plate, and grid CFRP and GFRP are analyzed, and the theoretical load-carrying capacities are evaluated using traditional beam and yield line theory, and punching shear analysis. The strengthening materials increase the punching shear strength of the deck and change the failure mode of the strengthened panel

Using Patient Pathway Analysis to Design Patient-centered Referral Networks for Diagnosis and Treatment of Tuberculosis: The Case of the Philippines.

Science.gov (United States)

Garfin, Celine; Mantala, Mariquita; Yadav, Rajendra; Hanson, Christy L; Osberg, Mike; Hymoff, Aaron; Makayova, Julia

2017-11-06

Tuberculosis (TB) is the 8th leading cause of death in the Philippines. A recent prevalence survey found that there were nearly 70% more cases of tuberculosis than previously estimated. Given these new data, the National TB Program (NTP), operating through a decentralized health system, identified about 58% of the estimated new drug-sensitive (DS) TB patients in 2016. However, the NTP only identified and commenced treatment for around 17% of estimated new drug-resistant patients. In order to reach the remaining 42% of drug-sensitive patients and 83% of drug-resistant patients, it is necessary to develop a better understanding of where patients seek care. National and regional patient pathway analyses (PPAs) were undertaken using existing national survey and NTP data. The PPA assessed the alignment between patient care seeking and the availability of TB diagnostic and treatment services. Systemic referral networks from the community-level Barangay Health Stations (BHSs) to diagnostic facilities have enabled more efficient detection of drug-sensitive tuberculosis in the public sector. Approximately 36% of patients initiated care in the private sector, where there is limited coverage of appropriate diagnostic technologies. Important differences in the alignment between care seeking patterns and diagnostic and treatment availability were found between regions. The PPA identified opportunities for strengthening access to care for all forms of tuberculosis and for accelerating the time to diagnosis by aligning services to where patients initiate care. Geographic variations in care seeking may guide prioritization of some regions for intensified engagement with the private sector. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

Treatment of Latent Tuberculosis Infection: An Updated Network Meta-analysis.

Science.gov (United States)

Zenner, Dominik; Beer, Netta; Harris, Ross J; Lipman, Marc C; Stagg, Helen R; van der Werf, Marieke J

2017-08-15

Treatment of latent tuberculosis infection (LTBI) is an important component of tuberculosis (TB) control, and this study updates a previous network meta-analysis of the best LTBI treatment options to inform public health action and programmatic management of LTBI. To evaluate the comparative efficacy and harms of LTBI treatment regimens aimed at preventing active TB among adults and children. PubMed, Embase, and Web of Science from indexing to 8 May 2017; clinical trial registries; and conference abstracts. No language restrictions were applied. Randomized controlled trials that evaluated human LTBI treatments and recorded at least 1 of 2 prespecified end points (hepatotoxicity and prevention of active TB). 2 investigators independently extracted data from eligible studies and assessed study quality according to a standard protocol. The network meta-analysis of 8 new and 53 previously included studies showed that isoniazid regimens of 6 months (odds ratio [OR], 0.65 [95% credible interval {CrI}, 0.50 to 0.83]) or 12 to 72 months (OR, 0.50 [CrI, 0.41 to 0.62]), rifampicin-only regimens (OR, 0.41 [CrI, 0.19 to 0.85]), rifampicin-isoniazid regimens of 3 to 4 months (OR, 0.53 [CrI, 0.36 to 0.78]), rifampicin-isoniazid-pyrazinamide regimens (OR, 0.35 [CrI, 0.19 to 0.61]), and rifampicin-pyrazinamide regimens (OR, 0.53 [CrI, 0.33 to 0.84]) were efficacious compared with placebo. Evidence existed for efficacy of weekly rifapentine-isoniazid regimens compared with no treatment (OR, 0.36 [CrI, 0.18 to 0.73]). No conclusive evidence showed that HIV status altered treatment efficacy. Evidence was sparse for many comparisons and hepatotoxicity outcomes, and risk of bias was high or unknown for many studies. Evidence exists for the efficacy and safety of 6-month isoniazid monotherapy, rifampicin monotherapy, and combination therapies with 3 to 4 months of isoniazid and rifampicin. U.K. National Institute for Health Research. (PROSPERO: CRD42016037871).

Thermomechanical treatment of titanium alloys

International Nuclear Information System (INIS)

Khorev, A.K.

1979-01-01

The problems of the theory and practical application of thermomechanical treatment of titanium alloys are presented. On the basis of the systematic investigations developed are the methods of thermomechanical treatment of titanium alloys, established are the optimum procedures and produced are the bases of their industrial application with an account of alloy technological peculiarities and the procedure efficiency. It is found that those strengthening methods are more efficient at which the contribution of dispersion hardening prevails over the strengthening by phase hardening

Electron-microscopic investigations of dispersion-strengthened superalloys

International Nuclear Information System (INIS)

Schroeder, J.H.; Arzt, E.

1988-01-01

Oxide dispersion strengthened (ODS) superalloys possess a high creep strength up to temperatures above 1000 0 C. This is due to a fine dispersion of incoherent Y 2 O 3 particles in connection with a highly elongated grain structure. To investigate the production and properties of ODS alloys, the grain structure was studied and the shape and distribution of dispersoids were characterized after each of the various production steps. Because the interactions between lattice dislocations and dispersoids control the deformation behaviour at high temperatures, the dislocation-dispersoid configurations in crept specimens have been studied by a TEM stereo technique and under weak-beam conditions. It was possible to detect strain fields around the dispersoids using TEM. The results lead to an improved understanding of dispersion strengthening at high temperatures and provide guidelines for the optimum use of this strengthening mechanism. (orig.) [de

Laboratory equipment maintenance: a critical bottleneck for strengthening health systems in sub-Saharan Africa?

Science.gov (United States)

Fonjungo, Peter N; Kebede, Yenew; Messele, Tsehaynesh; Ayana, Gonfa; Tibesso, Gudeta; Abebe, Almaz; Nkengasong, John N; Kenyon, Thomas

2012-02-01

Properly functioning laboratory equipment is a critical component for strengthening health systems in developing countries. The laboratory can be an entry point to improve population health and care of individuals for targeted diseases - prevention, care, and treatment of TB, HIV/AIDS, and malaria, plus maternal and neonatal health - as well as those lacking specific attention and funding. We review the benefits and persistent challenges associated with sustaining laboratory equipment maintenance. We propose equipment management policies as well as a comprehensive equipment maintenance strategy that would involve equipment manufacturers and strengthen local capacity through pre-service training of biomedical engineers. Strong country leadership and commitment are needed to assure development and sustained implementation of policies and strategies for standardization of equipment, and regulation of its procurement, donation, disposal, and replacement.

Computational design of precipitation-strengthened titanium-nickel-based shape memory alloys

Science.gov (United States)

Bender, Matthew D.

composition. Biocompatibility is likely improved as Pd substitution of Ni alleviates concerns of Ni toxicity in TiNi alloys. The B2/L21 interphase misfit was calculated to facilitate the design of optimized alloys with low-misfit coherent precipitation strengthening, desired transformation temperatures and enhanced radiopacity absorption, within constraints of practical processing temperatures. Enhanced cyclic and thermal stability in this alloy was demonstrated through differential scanning calorimetry and compression testing, respectively, as indication of improved cyclic fatigue life. A proposed Ni20Pd30Ti46Al4 alloy with a 950°C solution treatment for 20 h and a 600°C aging for 4 h is predicted to provide high strength, a low 0.71% misfit, an A f transformation temperature of 10°C for desired superelastic behavior at body temperature, and a radiopacity absorption 142% greater than current TiNi alloys.

African Transitional Justice Research Network - Phase II | CRDI ...

International Development Research Centre (IDRC) Digital Library (Canada)

The African Transitional Justice Research Network (ATJRN) aims to strengthen the capacity of African researchers and civil society institutions to conduct effective human rights advocacy through the production of high-quality, locally based and targeted empirical research. Phase I of the project (102862) focused on creating ...

African Transitional Justice Research Network - Phase II | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

The African Transitional Justice Research Network (ATJRN) aims to strengthen the capacity of African researchers and civil society institutions to conduct effective human rights advocacy through the production of high-quality, locally based and targeted empirical research. Phase I of the project (102862) focused on creating ...

Surface neuromuscular electrical stimulation for quadriceps strengthening pre and post total knee replacement.

LENUS (Irish Health Repository)

Monaghan, Brenda

2010-01-01

Total knee replacement has been demonstrated to be one of the most successful procedures in the treatment of osteoarthritis. However quadriceps weakness and reductions in function are commonly reported following surgery. Recently Neuromuscular Electrical Stimulation (NMES) has been used as an adjunct to traditional strengthening programmes. This review considers the effectiveness of NMES as a means of increasing quadriceps strength in patients before and after total knee replacement.

Strengthening of Zircaloy-4 using Oxide Particles by Laser Beam Treatment

Energy Technology Data Exchange (ETDEWEB)

Jung, Yang-Il; Park, Dong-Jun; Park, Jung-Hwan; Park, Jeong-Yong; Kim, Hyun-Gil; Koo, Yang-Hyun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-10-15

Oxide particles such as Y{sub 2}O{sub 3} and CeO{sub 2} were dispersed homogeneously in a Zircaloy-4 plate surface using an LBS method. From the tensile test at 380 .deg. C, the strength of laser ODS alloying on the Zircaloy-4 sheet was increased more than 50% when compared to the initial state of the sheet, although the ODS alloyed layer was less than 20% of the specimen thickness. This technology showed a good opportunity to increase the strength without major changes in the substrates of zirconium-based alloys. Accident tolerant fuel (ATF) cladding is being developed globally after the Fukushima accident with the demands for the nuclear fuel having higher safety at normal operation conditions as well as even in a severe accident conditions. Korea Atomic Energy Research Institute (KAERI) is one of the leading organizations for developing ATF claddings. One concept is to form an oxidation-resistant layer on Zr cladding surface. The other is to increase high-temperature mechanical strength of Zr tube. The oxide dispersion strengthened (ODS) zirconium was proposed to increase the strength of the Zr-based alloy up to high temperatures.

A comparative network analysis of eating disorder psychopathology and co-occurring depression and anxiety symptoms before and after treatment.

Science.gov (United States)

Smith, Kathryn E; Mason, Tyler B; Crosby, Ross D; Cao, Li; Leonard, Rachel C; Wetterneck, Chad T; Smith, Brad E R; Farrell, Nicholas R; Riemann, Bradley C; Wonderlich, Stephen A; Moessner, Markus

2018-04-15

Network analysis is an emerging approach in the study of psychopathology, yet few applications have been seen in eating disorders (EDs). Furthermore, little research exists regarding changes in network strength after interventions. Therefore the present study examined the network structures of ED and co-occurring depression and anxiety symptoms before and after treatment for EDs. Participants from residential or partial hospital ED treatment programs (N = 446) completed assessments upon admission and discharge. Networks were estimated using regularized Graphical Gaussian Models using 38 items from the Eating Disorders Examination-Questionnaire, Quick Inventory of Depressive Symptomatology, and State-Trait Anxiety Inventory. ED symptoms with high centrality indices included a desire to lose weight, guilt about eating, shape overvaluation, and wanting an empty stomach, while restlessness, self-esteem, lack of energy, and feeling overwhelmed bridged ED to depression and anxiety symptoms. Comparisons between admission and discharge networks indicated the global network strength did not change significantly, though symptom severity decreased. Participants with denser networks at admission evidenced less change in ED symptomatology during treatment. Findings suggest that symptoms related to shape and weight concerns and guilt are central ED symptoms, while physical symptoms, self-esteem, and feeling overwhelmed are links that may underlie comorbidities in EDs. Results provided some support for the validity of network approaches, in that admission networks conveyed prognostic information. However, the lack of correspondence between symptom reduction and change in network strength indicates that future research is needed to examine network dynamics in the context of intervention and relapse prevention.

Structural Parameters and Strengthening Mechanisms in Cold-Drawn Pearlitic Steel Wires

DEFF Research Database (Denmark)

Zhang, Xiaodan; Godfrey, Andy; Huang, Xiaoxu

2012-01-01

Pearlitic steel wires have a nanoscale structure and a strength which can reach 5 GPa. In order to investigate strengthening mechanisms, structural parameters including interlamellar spacing, dislocation density and cementite decomposition, have been analyzed by transmission electron microscopy...... and high resolution electron microscopy in wires cold drawn up to a strain of 3.7. Three strengthening mechanisms, namely boundary strengthening, dislocation strengthening and solid solution hardening have been analyzed and good agreement has been found between the measured flow stress and the value...

An analysis of chemical ingredients network of Chinese herbal formulae for the treatment of coronary heart disease.

Directory of Open Access Journals (Sweden)

Fan Ding

Full Text Available As a complex system, the complicated interactions between chemical ingredients, as well as the potential rules of interactive associations among chemical ingredients of traditional Chinese herbal formulae are not yet fully understood by modern science. On the other hand, network analysis is emerging as a powerful approach focusing on processing complex interactive data. By employing network approach in selected Chinese herbal formulae for the treatment of coronary heart disease (CHD, this article aims to construct and analyze chemical ingredients network of herbal formulae, and provide candidate herbs, chemical constituents, and ingredient groups for further investigation. As a result, chemical ingredients network composed of 1588 ingredients from 36 herbs used in 8 core formulae for the treatment of CHD was produced based on combination associations in herbal formulae. In this network, 9 communities with relative dense internal connections are significantly associated with 14 kinds of chemical structures with P<0.001. Moreover, chemical structural fingerprints of network communities were detected, while specific centralities of chemical ingredients indicating different levels of importance in the network were also measured. Finally, several distinct herbs, chemical ingredients, and ingredient groups with essential position in the network or high centrality value are recommended for further pharmacology study in the context of new drug development.

Social Networks, Support, and Psychosocial Functioning among American Indian Women in Treatment

Science.gov (United States)

Chong, Jenny; Lopez, Darlene

2005-01-01

The relationship of social networks and social support to the psychosocial functioning (self-efficacy, self-esteem, anxiety, depression, and hostility) of 159 American Indian women undergoing residential substance abuse treatment at Native American Connections was assessed. Social support and active participation by clients' families during…

South-South cooperation as a mechanism to strengthen public ...

African Journals Online (AJOL)

South-South cooperation as a mechanism to strengthen public health services in Africa: ... PROMOTING ACCESS TO AFRICAN RESEARCH ... Implementation of new models of development cooperation have been on the increase ... health system strengthening, aid effectiveness, sustainable development goals, Africa ...

ESTIMATION OF SUBGRADE STRENGTHENING INFLUENCE USING SOILCEMENT ELEMENTS

Directory of Open Access Journals (Sweden)

V. D. Petrenko

2016-08-01

Full Text Available Purpose. The aim of this work is to identify dependencies and options to strengthen the roadbed and a weak base by grouting piles. Analysis of software package SCAD to assess the effect of the selected option of strengthening the construction of spatial subgrade models. Methodology. In this paper the method of calculation of the soil mass in the software package SCAD is considered, which is a universal accounting system of finite-element analysis of structures and is focused on solving problems of designing buildings and structures rather complex structure. The finite element method is among the most modern and effective methods for the calculation of structures for various purposes. In the simulation, we get a complete picture of the stress-strain state of the study area, as well as the value of the limit load, rainfall, and so on. The spatial model based on the finite element volume, to better address the real characteristics of the soil mass, meets all the geometric characteristics of size and natural subgrade and the top structure the path that has been adopted in Ukraine. Findings. It was found that the most effective option to strengthen the roadbed, when applying grouting piles at the base of the subgrade and body, is to strengthen the five piles. At the same time there is even strengthen the soil mass at the level of 25 … 30% of the entire depth. However, even with the strengthening of the only two piles at the base of the effect of the strengthening of 14.1%. Established equation is linear and describes the decrease in strain. Taking into account the results of the research can be concluded that the consolidation is proportional to the depth with any number of piles. The dependence of the strain on the number of piles adheres to a polynomial function. Strengthening the bases of the subgrade and body depth also occurs in proportion with any number of piles. Originality. Design scheme generation algorithm for the calculation of the

"It takes more than a fellowship program": reflections on capacity strengthening for health systems research in sub-Saharan Africa.

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Izugbara, Chimaraoke O; Kabiru, Caroline W; Amendah, Djesika; Dimbuene, Zacharie Tsala; Donfouet, Hermann Pythagore Pierre; Atake, Esso-Hanam; Ingabire, Marie-Gloriose; Maluka, Stephen; Mumah, Joyce N; Mwau, Matilu; Ndinya, Mollyne; Ngure, Kenneth; Sidze, Estelle M; Sossa, Charles; Soura, Abdramane; Ezeh, Alex C

2017-12-04

Sub-Saharan Africa (SSA) experiences an acute dearth of well-trained and skilled researchers. This dearth constrains the region's capacity to identify and address the root causes of its poor social, health, development, and other outcomes. Building sustainable research capacity in SSA requires, among other things, locally led and run initiatives that draw on existing regional capacities as well as mutually beneficial global collaborations. This paper describes a regional research capacity strengthening initiative-the African Doctoral Dissertation Research Fellowship (ADDRF) program. This Africa-based and African-led initiative has emerged as a practical and tested platform for producing and nurturing research leaders, strengthening university-wide systems for quality research training and productivity, and building a critical mass of highly-trained African scholars and researchers. The program deploys different interventions to ensure the success of fellows. These interventions include research methods and scientific writing workshops, research and reentry support grants, post-doctoral research support and placements, as well as grants for networking and scholarly conferences attendance. Across the region, ADDRF graduates are emerging as research leaders, showing signs of becoming the next generation of world-class researchers, and supporting the transformations of their home-institutions. While the contributions of the ADDRF program to research capacity strengthening in the region are significant, the sustainability of the initiative and other research and training fellowship programs on the continent requires significant investments from local sources and, especially, governments and the private sector in Africa. The ADDRF experience demonstrates that research capacity building in Africa is possible through innovative, multifaceted interventions that support graduate students to develop different critical capacities and transferable skills and build, expand, and

The need to strengthen the electricity market with a better network

International Nuclear Information System (INIS)

Morch, Stein

2002-01-01

Price regions in the Nordic electricity market has been common. The competition authorities, the electricity exchange and the other actors indicate the need for increased capacity of the network. A larger concentration of big, competing producers in the Nordic countries is not desirable. The current competition among bidders is satisfactory at a common price level. Under conditions of price regions it is essential that there is competition in the area, which has not always been the case

Behavior of masonry strengthened infilled reinforced concrete frames under in-plane load

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Lila M. Abdel-Hafez

2015-08-01

The ductility of infilled frame strengthened with ferrocement was the best of all strengthened frames, while strengthening with GFRP increases its ultimate load carrying capacity but reduces its ductility.

Success of Anomia Treatment in Aphasia Is Associated With Preserved Architecture of Global and Left Temporal Lobe Structural Networks.

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Bonilha, Leonardo; Gleichgerrcht, Ezequiel; Nesland, Travis; Rorden, Chris; Fridriksson, Julius

2016-03-01

Targeted speech therapy can lead to substantial naming improvement in some subjects with anomia following dominant-hemisphere stroke. We investigated whether treatment-induced improvement in naming is associated with poststroke preservation of structural neural network architecture. Twenty-four patients with poststroke chronic aphasia underwent 30 hours of speech therapy over a 2-week period and were assessed at baseline and after therapy. Whole brain maps of neural architecture were constructed from pretreatment diffusion tensor magnetic resonance imaging to derive measures of global brain network architecture (network small-worldness) and regional network influence (nodal betweenness centrality). Their relationship with naming recovery was evaluated with multiple linear regressions. Treatment-induced improvement in correct naming was associated with poststroke preservation of global network small worldness and of betweenness centrality in temporal lobe cortical regions. Together with baseline aphasia severity, these measures explained 78% of the variability in treatment response. Preservation of global and left temporal structural connectivity broadly explains the variability in treatment-related naming improvement in aphasia. These findings corroborate and expand on previous classical lesion-symptom mapping studies by elucidating some of the mechanisms by which brain damage may relate to treated aphasia recovery. Favorable naming outcomes may result from the intact connections between spared cortical areas that are functionally responsive to treatment. © The Author(s) 2015.

Tube manufacturing and characterization of oxide dispersion strengthened ferritic steels

International Nuclear Information System (INIS)

Ukai, Shigeharu; Mizuta, Shunji; Yoshitake, Tunemitsu; Okuda, Takanari; Fujiwara, Masayuki; Hagi, Shigeki; Kobayashi, Toshimi

2000-01-01

Oxide dispersion strengthened (ODS) ferritic steels have an advantage in radiation resistance and superior creep rupture strength at elevated temperature due to finely distributed Y 2 O 3 particles in the ferritic matrix. Using a basic composition of low activation ferritic steel (Fe-12Cr-2W-0.05C), cladding tube manufacturing by means of pilger mill rolling and subsequent recrystallization heat-treatment was conducted while varying titanium and yttria contents. The recrystallization heat-treatment, to soften the tubes hardened due to cold-rolling and to subsequently improve the degraded mechanical properties, was demonstrated to be effective in the course of tube manufacturing. For a titanium content of 0.3 wt% and yttria of 0.25 wt%, improvement of the creep rupture strength can be attained for the manufactured cladding tubes. The ductility is also adequately maintained

A genetic network model of cellular responses to lithium treatment and cocaine abuse in bipolar disorder

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Keller Benjamin J

2010-11-01

Full Text Available Abstract Background Lithium is an effective treatment for Bipolar Disorder (BD and significantly reduces suicide risk, though the molecular basis of lithium's effectiveness is not well understood. We seek to improve our understanding of this effectiveness by posing hypotheses based on new experimental data as well as published data, testing these hypotheses in silico, and posing new hypotheses for validation in future studies. We initially hypothesized a gene-by-environment interaction where lithium, acting as an environmental influence, impacts signal transduction pathways leading to differential expression of genes important in the etiology of BD mania. Results Using microarray and rt-QPCR assays, we identified candidate genes that are differentially expressed with lithium treatment. We used a systems biology approach to identify interactions among these candidate genes and develop a network of genes that interact with the differentially expressed candidates. Notably, we also identified cocaine as having a potential influence on the network, consistent with the observed high rate of comorbidity for BD and cocaine abuse. The resulting network represents a novel hypothesis on how multiple genetic influences on bipolar disorder are impacted by both lithium treatment and cocaine use. Testing this network for association with BD and related phenotypes, we find that it is significantly over-represented for genes that participate in signal transduction, consistent with our hypothesized-gene-by environment interaction. In addition, it models related pharmacogenomic, psychiatric, and chemical dependence phenotypes. Conclusions We offer a network model of gene-by-environment interaction associated with lithium's effectiveness in treating BD mania, as well as the observed high rate of comorbidity of BD and cocaine abuse. We identified drug targets within this network that represent immediate candidates for therapeutic drug testing. Posing novel

Efficacy and acceptability of acute treatments for persistent depressive disorder: a network meta-analysis.

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Kriston, Levente; von Wolff, Alessa; Westphal, Annika; Hölzel, Lars P; Härter, Martin

2014-08-01

We aimed to synthesize the available evidence on the relative efficacy and acceptability of specific treatments for persistent depressive disorder. We searched several databases up to January 2013 and included randomized controlled trials that compared acute pharmacological, psychotherapeutic, and combined interventions with each other or placebo. The outcome measures were the proportion of patients who responded to (efficacy) or dropped out from (acceptability) the allocated treatment. Data synthesis was performed with network meta-analysis. A network of 45 trials that tested 28 drugs included data from 5,806 and 5,348 patients concerning efficacy and acceptability, respectively. A second network of 15 trials that tested five psychotherapeutic and five combined interventions included data from 2,657 and 2,719 patients concerning efficacy and acceptability, respectively. Among sufficiently tested treatments, fluoxetine (odds ratio (OR) 2.94), paroxetine (3.79), sertraline (4.47), moclobemide (6.98), imipramine (4.53), ritanserin (2.35), amisulpride (5.63), and acetyl-l-carnitine (5.67) were significantly more effective than placebo. Pairwise comparisons showed advantages of moclobemide (2.38) and amisulpride (1.92) over fluoxetine. Sertraline (0.57) and amisulpride (0.53) showed a lower dropout rate than imipramine. Interpersonal psychotherapy with medication outperformed medication alone in chronic major depression but not in dysthymia. Evidence on cognitive behavioral analysis system of psychotherapy plus medication was partly inconclusive. Interpersonal psychotherapy was less effective than medication (0.48) and cognitive behavioral analysis system of psychotherapy (0.45). Several other treatments were tested in single studies. Several evidence-based acute pharmacological, psychotherapeutic, and combined treatments for persistent depressive disorder are available with significant differences between them. © 2014 Wiley Periodicals, Inc.

THE EFFECT OF ADDING SPECIFIC HIP STRENGTHENING EXERCISES TO CONVENTIONAL KNEE EXERCISES IN PATIENTS WITH PATELLO FEMORAL PAIN SYNDROME

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Raghav Monika

2016-02-01

Full Text Available Background: Patello femoral pain Syndrome is an over use injury and one of the commonest problems seen in adolescents who are physically active. Till date no study has been done comparing the effect of adding specific hip strengthening exercises (gluteus medius, gluteus maximus & lateral rotators to conventional exercises in patients with Patello femoral Pain Syndrome (PFPS while minimizing the effect of minimizing the activation of tensor fascia lata (TFL. Methods: 30 subjects were randomly allocated using convenience random sampling into 2 Groups Group A and Group B with 15 subjects in each group. Readings were taken for Numeric Pain Rating Scale (NPRS, Manual Muscle Testing (MMT for hip abductors, extensors and external rotators muscles quadriceps and hamstrings, and Anterior Knee Pain Scale (AKPS on baseline and at the end of 4th week. Results: Analysis of the data collected for NPRS, AKPS and MMT of Quadriceps, Hamstrings, Hip Abductors and Hip External Rotators of 30 subjects was done by statistical analysis tests using STATA and software version 11.2. Although improvement was seen in both the groups but group B improved better compared to group A. Conclusion: Group B treatment protocol i.e. Hip specific strengthening (gluteus medius and gluteus maximus in addition to conventional treatment in patients with patello-femoral pain syndrome, was found to be effective in reducing pain, improving functional status and increasing muscle strength than Group A treatment protocol i.e. Knee strengthening and stretching.

The strengthening mechanism of a nickel-based alloy after laser shock processing at high temperatures

International Nuclear Information System (INIS)

Li, Yinghong; Zhou, Liucheng; He, Weifeng; He, Guangyu; Wang, Xuede; Nie, Xiangfan; Wang, Bo; Luo, Sihai; Li, Yuqin

2013-01-01

We investigated the strengthening mechanism of laser shock processing (LSP) at high temperatures in the K417 nickel-based alloy. Using a laser-induced shock wave, residual compressive stresses and nanocrystals with a length of 30–200 nm and a thickness of 1 μm are produced on the surface of the nickel-based alloy K417. When the K417 alloy is subjected to heat treatment at 900 °C after LSP, most of the residual compressive stress relaxes while the microhardness retains good thermal stability; the nanocrystalline surface has not obviously grown after the 900 °C per 10 h heat treatment, which shows a comparatively good thermal stability. There are several reasons for the good thermal stability of the nanocrystalline surface, such as the low value of cold hardening of LSP, extreme high-density defects and the grain boundary pinning of an impure element. The results of the vibration fatigue experiments show that the fatigue strength of K417 alloy is enhanced and improved from 110 to 285 MPa after LSP. After the 900 °C per 10 h heat treatment, the fatigue strength is 225 MPa; the heat treatment has not significantly reduced the reinforcement effect. The feature of the LSP strengthening mechanism of nickel-based alloy at a high temperature is the co-working effect of the nanocrystalline surface and the residual compressive stress after thermal relaxation. (paper)

On the superposition of strengthening mechanisms in dispersion strengthened alloys and metal-matrix nanocomposites: Considerations of stress and energy

Science.gov (United States)

Ferguson, J. B.; Schultz, Benjamin F.; Venugopalan, Dev; Lopez, Hugo F.; Rohatgi, Pradeep K.; Cho, Kyu; Kim, Chang-Soo

2014-03-01

Yield strength improvement in dispersion strengthened alloys and nano particle-reinforced composites by well-known strengthening mechanisms such as solid solution, grain refinement, coherent and incoherent dispersed particles, and increased dislocation density resulting from work-hardening can all be described individually. However, there is no agreed upon description of how these mechanisms combine to determine the yield strength. In this work, we propose an analytical yield strength prediction model combining arithmetic and quadratic addition approaches based on the consideration of two types of yielding mechanisms; stress-activated and energy-activated. Using data available in the literature for materials of differing grain sizes, we consider the cases of solid solutions and coherent precipitates to show that they follow stress-activated behavior. Then, we applied our model with some empirical parameters to precipitationhardenable materials of various grain sizes in both coherent and incoherent precipitate conditions, which demonstrated that grain boundary and Orowan-strengthening can be treated as energy-activated mechanisms.

Psychotherapeutic Treatment for Anorexia Nervosa: A Systematic Review and Network Meta-Analysis

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Almut Zeeck

2018-05-01

Full Text Available Background: The aim of the study was a systematic review of studies evaluating psychotherapeutic treatment approaches in anorexia nervosa and to compare their efficacy. Weight gain was chosen as the primary outcome criterion. We also aimed to compare treatment effects according to service level (inpatient vs. outpatient and age group (adolescents vs. adults.Methods:The data bases PubMed, Cochrane Library, Web of Science, Cinahl, and PsychInfo were used for a systematic literature search (until Feb 2017. Search terms were adapted for data base, combining versions of the search terms anorexia, treat*/therap* and controlled trial. Studies were selected using pre-defined in- and exclusion criteria. Data were extracted by two independent coders using piloted forms. Network-meta-analyses were conducted on all RCTs. For a comparison of service levels and age groups, standard mean change (SMC statistics were used and naturalistic, non-randomized studies included.Results: Eighteen RCTs (trials on adults: 622 participants; trials on adolescents: 625 participants were included in the network meta-analysis. SMC analyses were conducted with 38 studies (1,164 participants. While family-based approaches dominate interventions for adolescents, individual psychotherapy dominates in adults. There was no superiority of a specific approach. Weight gains were more rapid in adolescents and inpatient treatment.Conclusions: Several specialized psychotherapeutic interventions have been developed and can be recommended for AN. However, adult and adolescent patients should be distinguished, as groups differ in terms of treatment approaches considered suitable as well as treatment response. Future trials should replicate previous findings and be multi-center trials with large sample sizes to allow for subgroup analyses. Patient assessment should include variables that can be considered relevant moderators of treatment outcome. It is desirable to explore adaptive treatment

Strengthening Leadership Competencies of Thai Secondary School Teachers

OpenAIRE

Chaiyot Wanutha; Kowat Tesaputa; Anan Sri-Ampai

2017-01-01

The research aimed 1) to investigate components and indicators of the leadership competencies of secondary school teachers, 2) to explore the existing situations and desirable situations of secondary school teachers’ leadership competencies, 3) to study the techniques to strengthen teachers’ leadership competencies, 4) to develop the teacher-leadership competencies strengthening program, and 5) to find out the results of implementing the program to improve the teacher’s ...

Squeeze strengthening of magnetorheological fluids using mixed mode operation

Science.gov (United States)

Becnel, A. C.; Sherman, S. G.; Hu, W.; Wereley, N. M.

2015-05-01

This research details a novel method of increasing the shear yield stress of magnetorheological fluids by combining shear and squeeze modes of operation to manipulate particle chain structures, so-called squeeze strengthening. Using a custom built Searle cell magnetorheometer, which is a model device emulating a rotary magnetorheological energy absorber (MREA), the contribution of squeeze strengthening to the total controllable yield force is experimentally investigated. Using an eccentric rotating inner cylinder, characterization data from large (1 mm) and small (0.25 mm) nominal gap geometries are compared to investigate the squeeze strengthening effect. Details of the experimental setup and method are presented, and a hybrid model is used to explain experimental trends. This study demonstrates that it is feasible, utilizing squeeze strengthening to increase yield stress, to either (1) design a rotary MREA of a given volume to achieve higher energy absorption density (energy absorbed normalized by active fluid volume), or (2) reduce the volume of a given rotary MREA to achieve the same energy absorption density.

Direct dorsal hippocampal-prelimbic cortex connections strengthen fear memories.

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Ye, Xiaojing; Kapeller-Libermann, Dana; Travaglia, Alessio; Inda, M Carmen; Alberini, Cristina M

2017-01-01

The ability to regulate the consolidation and strengthening of memories for threatening experiences is critical for mental health, and its dysregulation may lead to psychopathologies. Re-exposure to the context in which the threat was experienced can either increase or decrease fear response through distinct processes known, respectively, as reconsolidation or extinction. Using a context retrieval-dependent memory-enhancement model in rats, we report that memory strengthens through activation of direct projections from dorsal hippocampus to prelimbic (PL) cortex and activation of critical PL molecular mechanisms that are not required for extinction. Furthermore, while sustained PL brain-derived neurotrophic factor (BDNF) expression is required for memory consolidation, retrieval engages PL BDNF to regulate excitatory and inhibitory synaptic proteins neuroligin 1 and neuroligin 2, which promote memory strengthening while inhibiting extinction. Thus, context retrieval-mediated fear-memory enhancement results from a concerted action of mechanisms that strengthen memory through reconsolidation while suppressing extinction.

Comparison of neuromuscular and quadriceps strengthening exercise in the treatment of varus malaligned knees with medial knee osteoarthritis: a randomised controlled trial protocol

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Bennell Kim L

2011-12-01

Full Text Available Abstract Background Osteoarthritis of the knee involving predominantly the medial tibiofemoral compartment is common in older people, giving rise to pain and loss of function. Many people experience progressive worsening of the disease over time, particularly those with varus malalignment and increased medial knee joint load. Therefore, interventions that can reduce excessive medial knee loading may be beneficial in reducing the risk of structural progression. Traditional quadriceps strengthening can improve pain and function in people with knee osteoarthritis but does not appear to reduce medial knee load. A neuromuscular exercise program, emphasising optimal alignment of the trunk and lower limb joints relative to one another, as well as quality of movement performance, while dynamically and functionally strengthening the lower limb muscles, may be able to reduce medial knee load. Such a program may also be superior to traditional quadriceps strengthening with respect to improved pain and physical function because of the functional and dynamic nature. This randomised controlled trial will investigate the effect of a neuromuscular exercise program on medial knee joint loading, pain and function in individuals with medial knee joint osteoarthritis. We hypothesise that the neuromuscular program will reduce medial knee load as well as pain and functional limitations to a greater extent than a traditional quadriceps strengthening program. Methods/Design 100 people with medial knee pain, radiographic medial compartment osteoarthritis and varus malalignment will be recruited and randomly allocated to one of two 12-week exercise programs: quadriceps strengthening or neuromuscular exercise. Each program will involve 14 supervised exercise sessions with a physiotherapist plus four unsupervised sessions per week at home. The primary outcomes are medial knee load during walking (the peak external knee adduction moment from 3D gait analysis, pain, and self

Combating echinococcosis in China: strengthening the research and development.

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Qian, Men-Bao; Abela-Ridder, Bernadette; Wu, Wei-Ping; Zhou, Xiao-Nong

2017-11-21

Echinococcosis is a neglected zoonotic disease, causing great morbidity and mortality due to the wide distribution of its endemic areas. China holds a high percentage in the global burden of both cystic and alveolar echinococcosis. A national survey conducted between 2012 and 2016 showed that an estimated 50 million people are at risk of contracting the disease in western China, of whom about 0.17 million are cases with echinococcosis.Despite this, research and development on echinococcosis in China is greatly inadequate compared to that in other countries. In this paper, we argue that there is a need for more research and work to be conducted in China on echinococcosis, including researching techniques in regards to diagnosis, treatment, and vaccination, and developing products through technical transformation and piloting strategies to control and even elimination.However, great opportunities exist for China to strengthen the research and development on this disease through initiatives such as Health China 2030, the Belt and Road Initiative, the China-Africa cooperation, as well as through further cooperation between China and the World Health Organization. All of these can bring us closer to controlling echinococcosis in China as well as in other countries. One element of crucial importance will be the training and development of professionals, which can be strengthened through international cooperation.

Towards Rational Design Method for Strengthening of Concrete Structures by External Bonding

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Furuuchi H.

2012-01-01

Full Text Available Many infrastructures need to be repaired or strengthened due to various reasons, such as unexpected deterioration and changes in performance requirement. This paper presents the following recent achievements by the authors’ group on design method for flexural strengthening of concrete structures by external bonding; (i fracture characteristics of interface between substrate concrete and cementitious overlay, (ii crack spacing of flexural strengthened beams, which affects debonding strength, (iii strengths of intermediate crack (IC debonding and end peeling, (iv strength of concrete cover separation, and (v effectiveness of strengthening by external bonding. A unified approach for flexural strengthening by steel plate, fiber reinforced polymer lami¬nate and cementitious overlay, for both intermediate crack (IC debonding, including end peeling, and concrete cover separation is pre¬sented with consideration of crack spacing in the streng¬thened members. Appropriate interfacial rough¬¬¬ness to achieve efficient interface bond property is clari¬fied and the concept of effectiveness of strengthen¬ing is proposed for better strengthening design.

Bonding techniques for flexural strengthening of R.C. beams using CFRP laminates

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Alaa Morsy

2013-09-01

Full Text Available This paper presents an experimental study of an alternative method of attaching FRP laminates to reinforced concrete beams by the way of fasting steel rivets through the FRP laminate and concrete substrate. Five full scale R.C. beams were casted and strengthened in flexural using FRP laminate bonded with conventional epoxy and compared with other beams strengthened with FRP laminate and bonded with fastener “steel rivets” of 50 mm length and 10 mm diameter. Based on experimental evidence the beam strengthened with conventional bonding methods failed due to de-bonding with about 13% increase over the un-strengthened beam. On the other hand, the beams strengthened with FRP laminate and bonded by four steel fastener rivets only failed by de-bonding also but at higher flexural capacity with increase 19% over the un-strengthened beam.

Shear Strengthening of Concrete Structures with the use of mineral based composites

DEFF Research Database (Denmark)

Blanksvärd, Thomas; Täljsten, Björn; Carolin, Anders

2009-01-01

concrete (RC) beams strengthened in shear with the use of cementitious bonding agents and carbon fiber grids, denoted mineral based composites (MBC). In this study it is shown that the MBC system has a strengthening effect corresponding to that of strengthening systems using epoxy bonding agents and carbon...... for rehabilitation. In addition, more traffic and heavier loads lead to the need for upgrading. Existing externally bonded strengthening systems using FRP (fiber reinforced polymers) and epoxy as bonding agents have been proven to be a good approach to repair and strengthen concrete structures. However, the use...... fiber sheets. Different designs and material properties of the MBC system have been tested. An extensive monitoring set-up has been carried out using traditional strain gauges and photometric strain measurements to obtain strains in steel reinforcement, in FRP and strain fields on the strengthened...

Conducting Indirect-Treatment-Comparison and Network-Meta-Analysis Studies : Report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: Part 2

NARCIS (Netherlands)

Hoaglin, David C.; Hawkins, Neil; Jansen, Jeroen P.; Scott, David A.; Itzler, Robbin; Cappelleri, Joseph C.; Boersma, Cornelis; Thompson, David; Larholt, Kay M.; Diaz, Mireya; Barrett, Annabel

Evidence-based health care decision making requires comparison of all relevant competing interventions. In the absence of randomized controlled trials involving a direct comparison of all treatments of interest, indirect treatment comparisons and network meta-analysis provide useful evidence for

Conductivity enhancement of silver nanowire networks via simple electrolyte solution treatment and solvent washing

Science.gov (United States)

Gu, Jiahui; Wang, Xuelin; Chen, Hongtao; Yang, Shihua; Feng, Huanhuan; Ma, Xing; Ji, Hongjun; Wei, Jun; Li, Mingyu

2018-06-01

As a promising replacement material for indium tin oxide in flexible electronics, silver nanowires (AgNWs) usually need complicated post-treatment to reduce the high contact resistance across the intersections when used as transparent conductive films. In this work, a widely applicable nano-joining method for improving the overall conductivity of AgNW networks with different kinds of electrolyte solutions is presented. By treatment with an electrolyte solution with appropriate ionic strengths, the insulating surfactant layer (polyvinylpyrrolidone, PVP) on the AgNWs could be desorbed, and the AgNW network could be densified. The sheet resistance of the AgNW film on a glass slide is reduced by 60.9% (from 67.5 to 26.4 Ohm sq‑1) with a transmittance of 92.5%. High-resolution transmission electron microscopy analysis indicates that atomic diffusion occurs at the intersection of two AgNWs. Thus, metallurgical bonding on the nanometer scale is achieved across the junctions of the AgNWs, leading to a significant enhancement in the conductivity of the AgNW network.

The importance of strengthening competence and control beliefs in patients with psychosis to reduce treatment hindering self-stigmatization.

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Surmann, Marian; Gruchalla, Lara von; Falke, Sebastian; Maisch, Birgit; Uhlmann, Christina; Bock, Eva; Arolt, Volker; Lencer, Rebekka

2017-09-01

Different aspects of self-stigmatization represent barriers for recovery in patients with psychosis disorders. It is unclear whether addressing patient's competence and control beliefs could attenuate the extent of self-stigmatization. The major aim of this study was to identify predictors of self-stigmatization derived from competence and control beliefs in patients (N = 80). Sociodemographic characteristics, clinical variables, competence and control beliefs and self-stigmatization were assessed among 80 patients with psychosis disorders. The cross-sectional data was analyzed by correlation and regression analyses. Results indicate deficits in self-concept of own competences, i.e. the capability of acting in new, difficult or ambiguous situations, resulting in also impaired self-efficacy and relatively increased externality in patients compared to a general population sample. Subjective well-being under neuroleptics, trait-anxiety and defining oneself as religious were the most influential predictors of competence and control beliefs. A weaker self-concept of own competences was also revealed as the strongest predictor of overall high self-stigmatization. Our results stress the importance of orienting treatment strategies towards strengthening the self-concept of own competences in patients in order to reduce self-stigmatization and enhance resilience. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

Effects of Pilates and trunk strengthening exercises on health-related quality of life in women with chronic low back pain.

Science.gov (United States)

Kofotolis, Nikolaos; Kellis, Eleftherios; Vlachopoulos, Symeon P; Gouitas, Iraklis; Theodorakis, Yannis

2016-11-21

Pilates programs are widely used as a form of regular exercise in a broad range of populations investigating their effectiveness for chronic low back pain (CLBP) treatment. The aim of this study was to compare the effects of a Pilates program and a trunk strengthening exercise program on functional disability and health-related quality of life (HRQOL) in women with nonspecific CLBP. A total of 101 volunteer women with CLBP provided data with a 3-month follow-up. They were randomized to either a Pilates (n= 37), trunk strengthening exercise (n= 36) or a control group (n= 28), exercising for a period of 8 weeks, three times a week. Data were collected on HRQOL using the Short-Form 36 Health Survey (SF-36v2), and functional disability using the Roland Morris Disability Questionnaire prior to program initiation, mid-intervention, immediately after program termination, and three months post-intervention. The Pilates participants reported greater improvements on self-reported functional disability and HRQOL compared with participants in the trunk strengthening exercise and control groups (p Pilates group and to a lesser extent for the trunk strengthening exercise group. An 8-week Pilates program improved HRQOL and reduced functional disability more than either a trunk strengthening exercise program or controls among women with CLBP.

Heat Treatment of a Casting Element of a Through Clamp to Suspension of Electric Cables on Line Post Insulators

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Pezda J.

2016-09-01

Full Text Available Heat treatment of a casting elements poured from silumins belongs to technological processes aimed mainly at change of their mechanical properties in solid state, inducing predetermined structural changes, which are based on precipitation processes (structural strengthening of the material, being a derivative of temperature and duration of solutioning and ageing operations. The subject-matter of this paper is the issue concerning implementation of a heat treatment process, basing on selection of dispersion hardening parameters to assure improvement of technological quality in terms of mechanical properties of a clamping element of energy network suspension, poured from hypoeutectic silumin of the LM25 brand; performed on the basis of experimental research program with use of the ATD method, serving to determination of temperature range of solutioning and ageing treatments. The heat treatment performed in laboratory conditions on a component of energy network suspension has enabled increase of the tensile strength Rm and the hardness HB with about 60-70% comparing to the casting without the heat treatment, when the casting was solutioned at temperature 520 °C for 1 hour and aged at temperature 165 °C during 3 hours.

FRP strengthening of RC walls with openings

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Sas, Gabriel; Täljsten, Björn

2009-01-01

Strengthening reinforced concrete (RC) walls with openings using fibre reinforced polymers (FRP) has been experimentally proven to be a viable rehabilitation method. However, very few theoretical investigations are reported. In this paper two methods of analysis are presented. Since openings vary...... in size, the analysis of a strengthened wall can be divided into frame idealization method for large openings, and combined disk and frame analysis for smaller openings. The first method provides an easy to use tool in practical engineering, where the latter describes the principles of a ductile...

A pilot feasibility randomised controlled trial of an adjunct brief social network intervention in opiate substitution treatment services

OpenAIRE

Day, E.; Copello, A.; Seddon, J. L.; Christie, M.; Bamber, D.; Powell, C.; Bennett, C.; Akhtar, S.; George, S.; Ball, A.; Frew, E.; Goranitis, I.; Freemantle, N.

2018-01-01

BACKGROUND: Approximately 3% of people receiving opioid substitution therapy (OST) in the UK manage to achieve abstinence from prescribed and illicit drugs within three years of commencing treatment. Involvement of families and wider social networks in supporting psychological treatment may be an effective strategy in facilitating recovery, and this pilot study aimed to evaluate the impact of a social network-focused intervention for patients receiving OST. METHODS: A two-site...

Experimental Investigation on Strengthening of Bolted Connections in Transmission/Communication Towers

Science.gov (United States)

Balagopal, R.; Prasad Rao, N.; Rokade, R. P.; Umesha, P. K.

2018-02-01

Due to increase in demand for power supply and increase in bandwidth for communication industry, the existing transmission line (TL) and communication towers needs to be strengthened. The strengthening of existing tower is economical rather than installation of new towers due to constraints in acquisition of land. The size of conductors have to be increased or additional number of antenna needs to be installed in existing TL/communication tower respectively. The compression and tension capacity of members in the existing towers have to be increased to sustain the additional loads due to wind and self-weight of these components. The tension capacity enhancement of existing angle sections in live line condition without power shut-down is a challenging task. In the present study, the use of Glass Fiber Reinforced Plastic (GFRP) plate/angle sections is explored to strengthen existing bolted connections in TL/communication towers. Experimental investigation conducted at component level on strengthening of existing two types of single cover steel butt joint, one made of steel plate and another joint made of steel angle sections respectively. First series of experiment conducted on strengthening the connection using GFRP plate/cleat angle sections. The second series of strengthening experiment is conducted using steel plate/angle sections to replace GFRP sections. The load sharing behaviour of strengthened GFRP and steel section is compared and suitable recommendations are given.

Experimental Investigation on Strengthening of Bolted Connections in Transmission/Communication Towers

Science.gov (United States)

Balagopal, R.; Prasad Rao, N.; Rokade, R. P.; Umesha, P. K.

2018-06-01

Due to increase in demand for power supply and increase in bandwidth for communication industry, the existing transmission line (TL) and communication towers needs to be strengthened. The strengthening of existing tower is economical rather than installation of new towers due to constraints in acquisition of land. The size of conductors have to be increased or additional number of antenna needs to be installed in existing TL/communication tower respectively. The compression and tension capacity of members in the existing towers have to be increased to sustain the additional loads due to wind and self-weight of these components. The tension capacity enhancement of existing angle sections in live line condition without power shut-down is a challenging task. In the present study, the use of Glass Fiber Reinforced Plastic (GFRP) plate/angle sections is explored to strengthen existing bolted connections in TL/communication towers. Experimental investigation conducted at component level on strengthening of existing two types of single cover steel butt joint, one made of steel plate and another joint made of steel angle sections respectively. First series of experiment conducted on strengthening the connection using GFRP plate/cleat angle sections. The second series of strengthening experiment is conducted using steel plate/angle sections to replace GFRP sections. The load sharing behaviour of strengthened GFRP and steel section is compared and suitable recommendations are given.

FIRE PROTECTION OF TIMBER STRUCTURES STRENGTHENED WITH FRP MATERIALS

Directory of Open Access Journals (Sweden)

Radek Zigler

2015-12-01

Full Text Available Modern, progressive methods of structures’ strengthening based on the use of composite materials composed of high strength fibers (carbon, glass, aramid or basalt and matrices based on epoxy resins brings, among many indisputable advantages (low weight, high effectiveness, easy application etc. also some disadvantages. One of the major disadvantages is a low fire resistance of these materials due to the low glass transition temperature Tg of the resin used. Based on an extensive research of strengthening of historic structures with FRP materials [1], the article outlines possible approaches to this problem, especially while strengthening timber load- bearing structures of historic buildings.

Strengthening the sports data infrastructure

NARCIS (Netherlands)

Annet Tiessen-Raaphorst; Jos de Haan; with contributions from Remco van den Dool

2012-01-01

Original title: Versterking data-infrastructuur sport Sports research in the Netherlands has developed rapidly over the last ten years; strengthening the data infrastructure will facilitate its further growth in the future. Currently, however, there is no clear overall picture of the available

Optogenetic stimulation effectively enhances intrinsically generated network synchrony

Science.gov (United States)

El Hady, Ahmed; Afshar, Ghazaleh; Bröking, Kai; Schlüter, Oliver M.; Geisel, Theo; Stühmer, Walter; Wolf, Fred

2013-01-01

Synchronized bursting is found in many brain areas and has also been implicated in the pathophysiology of neuropsychiatric disorders such as epilepsy, Parkinson’s disease, and schizophrenia. Despite extensive studies of network burst synchronization, it is insufficiently understood how this type of network wide synchronization can be strengthened, reduced, or even abolished. We combined electrical recording using multi-electrode array with optical stimulation of cultured channelrhodopsin-2 transducted hippocampal neurons to study and manipulate network burst synchronization. We found low frequency photo-stimulation protocols that are sufficient to induce potentiation of network bursting, modifying bursting dynamics, and increasing interneuronal synchronization. Surprisingly, slowly fading-in light stimulation, which substantially delayed and reduced light-driven spiking, was at least as effective in reorganizing network dynamics as much stronger pulsed light stimulation. Our study shows that mild stimulation protocols that do not enforce particular activity patterns onto the network can be highly effective inducers of network-level plasticity. PMID:24155695

Optogenetic stimulation effectively enhances intrinsically generated network synchrony

Directory of Open Access Journals (Sweden)

Ahmed eEl Hady

2013-10-01

Full Text Available Synchronized bursting is found in many brain areas and has also been implicated in the pathophysiology of neuropsychiatric disorders such as epilepsy, Parkinson’s disease and schizophrenia. Despite extensive studies of network burst synchronization, it is insufficiently understood how this type of network wide synchronization can be strengthened, reduced or even abolished. We combined electrical recording using multi-electrode array with optical stimulation of cultured channelrhodopsin-2 transducted hippocampal neurons to study and manipulate network burst synchronization. We found low frequency photo-stimulation protocols that are sufficient to induce potentiation of network bursting, modifying bursting dynamics and increasing interneuronal synchronization. Surprisingly, slowly fading-in light stimulation, which substantially delayed and reduced light driven spiking, was at least as effective in reorganizing network dynamics as much stronger pulsed light stimulation. Our study shows that mild stimulation protocols that do not enforce particular activity patterns onto the network can be highly effective inducers of network-level plasticity.

Behaviour of Strengthened RC Frames with Eccentric Steel Braced Frames

Science.gov (United States)

Kamanli, Mehmet; Unal, Alptug

2017-10-01

After devastating earthquakes in recent years, strengthening of reinforced concrete buildings became an important research topic. Reinforced concrete buildings can be strengthened by steel braced frames. These steel braced frames may be made of concentrically or eccentrically indicated in Turkish Earthquake Code 2007. In this study pushover analysis of the 1/3 scaled 1 reinforced concrete frame and 1/3 scaled 4 strengthened reinforced concrete frames with internal eccentric steel braced frames were conducted by SAP2000 program. According to the results of the analyses conducted, load-displacement curves of the specimens were compared and evaluated. Adding eccentric steel braces to the bare frame decreased the story drift, and significantly increased strength, stiffness and energy dissipation capacity. In this strengthening method lateral load carrying capacity, stiffness and dissipated energy of the structure can be increased.

Rural Health Networks: How Network Analysis Can Inform Patient Care and Organizational Collaboration in a Rural Breast Cancer Screening Network.

Science.gov (United States)

Prusaczyk, Beth; Maki, Julia; Luke, Douglas A; Lobb, Rebecca

2018-04-15

Rural health networks have the potential to improve health care quality and access. Despite this, the use of network analysis to study rural health networks is limited. The purpose of this study was to use network analysis to understand how a network of rural breast cancer care providers deliver services and to demonstrate the value of this methodology in this research area. Leaders at 47 Federally Qualified Health Centers and Rural Health Clinics across 10 adjacent rural counties were asked where they refer patients for mammograms or breast biopsies. These clinics and the 22 referral providers that respondents named comprised the network. The network was analyzed graphically and statistically with exponential random graph modeling. Most (96%, n = 45) of the clinics and referral sites (95%, n = 21) are connected to each other. Two clinics of the same type were 62% less likely to refer patients to the same providers as 2 clinics of different types (OR = 0.38, 95% CI = 0.29-0.50). Clinics in the same county have approximately 8 times higher odds of referring patients to the same providers compared to clinics in different counties (OR = 7.80, CI = 4.57-13.31). This study found that geographic location of resources is an important factor in rural health care providers' referral decisions and demonstrated the usefulness of network analysis for understanding rural health networks. These results can be used to guide delivery of patient care and strengthen the network by building resources that take location into account. © 2018 National Rural Health Association.

Nitrogen-containing steels and thermomechanical treatment

International Nuclear Information System (INIS)

Kaputkina, L.; Prokoshkina, V.G.; Svyazhin, G.

2004-01-01

The strengthening of nitrogen-containing corrosion-resistant steels resulting from alloying and thermomechanical treatment have been investigated using X-ray diffraction analysis, light microscopy, hardness measurements and tensile testing. Combined data have been obtained for nitrogen interaction with alloying elements , peculiarities of deformed structure and short-range of nitrogen-containing steels of various structural classes. The higher nitrogen and total alloying element contents, the higher deformation strengthening. Prospects of use the steels with not high nitrogen content and methods of their thermomechanical strengthening are shown. High temperature thermomechanical treatment (HTMT) is very effective for obtaining high and thermally stable constructional strength of nitrogen-containing steels of all classes. The HTMT is most effective if used in a combination with dispersion hardening for aging steels or in the case of mechanically unstable austenitic steels. (author)

The meaning and validation of social support networks for close family of persons with advanced cancer

Directory of Open Access Journals (Sweden)

Sjolander Catarina

2012-09-01

Full Text Available Abstract Background To strengthen the mental well-being of close family of persons newly diagnosed as having cancer, it is necessary to acquire a greater understanding of their experiences of social support networks, so as to better assess what resources are available to them from such networks and what professional measures are required. The main aim of the present study was to explore the meaning of these networks for close family of adult persons in the early stage of treatment for advanced lung or gastrointestinal cancer. An additional aim was to validate the study’s empirical findings by means of the Finfgeld-Connett conceptual model for social support. The intention was to investigate whether these findings were in accordance with previous research in nursing. Methods Seventeen family members with a relative who 8–14 weeks earlier had been diagnosed as having lung or gastrointestinal cancer were interviewed. The data were subjected to qualitative latent content analysis and validated by means of identifying antecedents and critical attributes. Results The meaning or main attribute of the social support network was expressed by the theme Confirmation through togetherness, based on six subthemes covering emotional and, to a lesser extent, instrumental support. Confirmation through togetherness derived principally from information, understanding, encouragement, involvement and spiritual community. Three subthemes were identified as the antecedents to social support: Need of support, Desire for a deeper relationship with relatives, Network to turn to. Social support involves reciprocal exchange of verbal and non-verbal information provided mainly by lay persons. Conclusions The study provides knowledge of the antecedents and attributes of social support networks, particularly from the perspective of close family of adult persons with advanced lung or gastrointestinal cancer. There is a need for measurement instruments that could

Strengthening Nordic-Baltic Defense Capabilities

DEFF Research Database (Denmark)

Breitenbauch, Henrik Ø.

2014-01-01

and troubling challenge to the way international security has been structured in Europe since the end of the Cold War. While most of the existing defense cooperation with a view of strengthening defense capabilities has been carried out within the internationally renowned framework of NORDEFCO...

COMMUNICATION MANAGEMENT CRISIS IN SOCIAL NETWORKS

Directory of Open Access Journals (Sweden)

Ana Mª Enrique Jiménez

2013-04-01

Full Text Available It is often in the social networks where you detect the first signs of a potential crisis situation. Today, many companies decide to be present in social networks to communicate, listen and respond to their audiences openly with immediacy. A simple complaint is visible and propagates through the network in seconds, being capable of generating a negative impact on the corporate image of the organization. The same can happen to the contrary, ie, to praise the performance of a company, which may affect the creation or strengthening of the good reputation of the company. However, we know that this does not happen with the same intensity. In this paper we analyze the decisions and actions of two opposing companies, Nestlé and Panrico, in front of a possible crisis situation.

Microstructure and strengthening mechanisms in cold-drawn pearlitic steel wire

DEFF Research Database (Denmark)

Zhang, Xiaodan; Godfrey, Andy; Huang, Xiaoxu

2011-01-01

Strengthening mechanisms and strength–structure relationships have been analyzed in a cold-drawn pearlitic steel with a structural scale in the nanometer range and a flow stress of about 3.5GPa. The wires have been drawn up to a strain of 3.7 and the structures analyzed and quantified by transmis......Strengthening mechanisms and strength–structure relationships have been analyzed in a cold-drawn pearlitic steel with a structural scale in the nanometer range and a flow stress of about 3.5GPa. The wires have been drawn up to a strain of 3.7 and the structures analyzed and quantified...... by transmission electron microscopy and high resolution electron microscopy. The mechanical properties have been determined by tensile testing. It is found that the interlamellar spacing and the thickness of the cementite lamellae are reduced in accordance with the changes in wire diameter up to a strain of 2...... at the ferrite/cementite interface. Three strengthening mechanisms have been analyzed: (i) boundary strengthening, (ii) dislocation strengthening and (iii) solid solution hardening. The individual and combined contributions, based on an assumption of linear additivity, of these mechanisms to the wire strength...

Contribution of the Japan International Cooperation Agency health-related projects to health system strengthening.

Science.gov (United States)

Yuasa, Motoyuki; Yamaguchi, Yoshie; Imada, Mihoko

2013-09-22

The Japan International Cooperation Agency (JICA) has focused its attention on appraising health development assistance projects and redirecting efforts towards health system strengthening. This study aimed to describe the type of project and targets of interest, and assess the contribution of JICA health-related projects to strengthening health systems worldwide. We collected a web-based Project Design Matrix (PDM) of 105 JICA projects implemented between January 2005 and December 2009. We developed an analytical matrix based on the World Health Organization (WHO) health system framework to examine the PDM data and thereby assess the projects' contributions to health system strengthening. The majority of JICA projects had prioritized workforce development, and improvements in governance and service delivery. Conversely, there was little assistance for finance or medical product development. The vast majority (87.6%) of JICA projects addressed public health issues, for example programs to improve maternal and child health, and the prevention and treatment of infectious diseases such as AIDS, tuberculosis and malaria. Nearly 90% of JICA technical healthcare assistance directly focused on improving governance as the most critical means of accomplishing its goals. Our study confirmed that JICA projects met the goals of bilateral cooperation by developing workforce capacity and governance. Nevertheless, our findings suggest that JICA assistance could be used to support financial aspects of healthcare systems, which is an area of increasing concern. We also showed that the analytical matrix methodology is an effective means of examining the component of health system strengthening to which the activity and output of a project contributes. This may help policy makers and practitioners focus future projects on priority areas.

Behaviour of Strengthened RC Frames with Eccentric Steel Braced Frames

Directory of Open Access Journals (Sweden)

Kamanli Mehmet

2017-01-01

Full Text Available After devastating earthquakes in recent years, strengthening of reinforced concrete buildings became an important research topic. Reinforced concrete buildings can be strengthened by steel braced frames. These steel braced frames may be made of concentrically or eccentrically indicated in Turkish Earthquake Code 2007. In this study pushover analysis of the 1/3 scaled 1 reinforced concrete frame and 1/3 scaled 4 strengthened reinforced concrete frames with internal eccentric steel braced frames were conducted by SAP2000 program. According to the results of the analyses conducted, load-displacement curves of the specimens were compared and evaluated. Adding eccentric steel braces to the bare frame decreased the story drift, and significantly increased strength, stiffness and energy dissipation capacity. In this strengthening method lateral load carrying capacity, stiffness and dissipated energy of the structure can be increased.

Viewing engineering offshoring in a network perspective

DEFF Research Database (Denmark)

Hansen, Zaza Nadja Lee; Zhang, Yufeng; Ahmed-Kristensen, Saeema

2013-01-01

of how to effectively manage engineering offshoring activities in a context of global engineering networks. The main research question, therefore, is: “Can offshoring of engineering tasks be explained and managed using the concept of Global Engineering Networks (GEN)?” Effective approaches to handling...... of large multinational corporations in Denmark were carried out. Data gathering was mainly documentary studies and interviews. The main data analysis approaches were coding (Strauss and Corbin) and pattern-matching (Yin). The dataset was analysed using the GEN framework suggested by Zhang et al. and Zhang...... by extending the GEN framework to address complications within engineering offshoring. This strengthens both academic fields, and will be able to help engineering managers to develop appropriate engineering network configurations for offshore engineering operations....

Exploring pathways for building trust in vaccination and strengthening health system resilience

Directory of Open Access Journals (Sweden)

Sachiko Ozawa

2016-11-01

Full Text Available Abstract Background Trust is critical to generate and maintain demand for vaccines in low and middle income countries. However, there is little documentation on how health system insufficiencies affect trust in vaccination and the process of re-building trust once it has been compromised. We reflect on how disruptions to immunizations systems can affect trust in vaccination and can compromise vaccine utilization. We then explore key pathways for overcoming system vulnerabilities in order to restore trust, to strengthen the resilience of health systems and communities, and to promote vaccine utilization. Methods Utilizing secondary data and a review of the literature, we developed a causal loop diagram (CLD to map the determinants of building trust in immunizations. Using the CLD, we devised three scenarios to illustrate common vulnerabilities that compromise trust and pathways to strengthen trust and utilization of vaccines, specifically looking at weak health systems, harmful communication channels, and role of social capital. Spill-over effects, interactions and other dynamics in the CLD were then examined to assess leverage points to counter these vulnerabilities. Results Trust in vaccination arises from the interactions among experiences with the health system, the various forms of communication and social capital – both external and internal to communities. When experiencing system-wide shocks such as the case in Ebola-affected countries, distrust is reinforced by feedback between the health and immunization systems where distrust often lingers even after systems are restored and spills over beyond vaccination in the broader health system. Vaccine myths or anti-vaccine movements reinforce distrust. Social capital – the collective value of social networks of community members – plays a central role in increasing levels of trust. Conclusions Trust is important, yet underexplored, in the context of vaccine utilization. Using a CLD to

Mechanical properties of metastable austenitic steels, strengthened by hydroextruction and structural hardening

International Nuclear Information System (INIS)

Beresnev, B.I.; Georgieva, I.Ya.; Eshchenko, R.N.; Teplov, V.A.

1981-01-01

Different regimes of complex strengthening of steels of Fe-Ni-Mo-C system by phase hardening and plastic deformation by hydroextrusion are investigated. It is stated that the degree of strengthening depends on consequence of strengthening operations. Plastic deformation by hydroextrusion of steels stre--ngthened by phase hardening ensures increase of strength (Δσsub(0.2)=500 MPa) at high plasticity (delta=25%). Maximal values of strength properties can be achieved if hydroextrusion is conducted before and after thansverse α→γ-transformation [ru

Perspectives of addiction treatment providers

African Journals Online (AJOL)

Background. General practitioners are referring patients with codeine-related problems to specialist treatment facilities, but little is known about the addiction treatment providers, the kinds of treatment they provide, and whether training or other interventions are needed to strengthen this sector. Objectives. To investigate the ...

Reducing the pollution risk of pesticide using nano networks induced by irradiation and hydrothermal treatment.

Science.gov (United States)

Sun, Xiao; Liu, Zuojun; Zhang, Guilong; Qiu, Guannan; Zhong, Naiqin; Wu, Lifang; Cai, Dongqing; Wu, Zhengyan

2015-01-01

Traditional pesticides (TP) often do not adhere tightly to crop foliage. They can easily enter the surrounding environment through precipitation and volatilization. This can result in the pollution of the surrounding soil, water, and air. To reduce pesticide pollution, we developed a loss-control pesticide (LCP) by adding attapulgite with a nano networks structure fabricated using high energy electron beam (HEEB) irradiation and hydrothermal treatment to TP. HEEB irradiation effectively dispersed originally aggregated attapulgite through modified thermal, charge, and physical effects. Hydrothermal treatment further enhanced the dispersion of attapulgite to form nano porous networks via thermal and wet expansion effects, which are beneficial for pesticide binding. An LCP has improved retention on crop leaf surfaces. It has a higher adhesion capacity, reduced leaching and volatilization, and extended residual activity compared with the TP formulation. The treatment increases the residual activity of pesticides on crop foliage and decreases environmental pollution.

Strengthening method of concrete structure

Science.gov (United States)

Inge, Wewin; Audrey; Nugroho, Sofie; Njo, Helen

2018-03-01

Building extension in Indonesia is not favored, and not many people know the advantages of the method because architects and engineers tend to lack the knowledge and experience. The aim of this paper is to explain a method on how to strengthen a concrete building structure that people can use/learn as a better way to cut potential cost and save time. The strengthening method explained in this paper is steel jacketing, providing a case study of this method in the extension of a restaurant located in Medan, Indonesia. In this study, engineers calculated that the tensile stress of the existing RC column and beam is not strong enough to reinforce the building extension applied load. Therefore, the steel jacketing method can be applied to improve the column and beam strength and ductility. The result of the case study proves that this is one of the best methods for building extension applied in Indonesia.

Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial.

Science.gov (United States)

Bhadauria, Esha A; Gurudut, Peeyoosha

2017-08-01

The aim of the present study was to compare three different forms of exercises namely lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain (LBP) in terms of pain, range of motion, core strength and function. In this study, 44 subjects suffering from non-specific LBP for more than 3 months were randomly allocated into the lumbar stabilization group, the dynamic strengthening group, and the Pilates group. Ten sessions of exercises for 3 weeks were prescribed along with interferential current and hot moist pack. Pain was assessed by visual analog scale, functional affection by modified Oswestry Disability Questionnaire, range of motion by assessing lumbar flexion and extension by modified Schober test and core strength was assessed by pressure biofeedback on day 1 and day 10 of the treatment. There was reduction of pain, improvement in range of motion, functional ability and core strength in all the 3 exercise groups. The improvement was significantly greater in the lumbar stabilization group for all the outcome measures, when compared the posttreatment after 10th session. Pairwise comparison showed that there was greater reduction of disability in the Pilates group than the dynamic strengthening group. It was concluded that the lumbar stabilization is more superior compared to the dynamic strengthening and Pilates in chronic nonspecific LBP. However, long-term benefits need to be assessed and compared with prospective follow-up studies.

Paediatric European Network for Treatment of AIDS (PENTA) guidelines for treatment of paediatric HIV-1 infection 2015: optimizing health in preparation for adult life

NARCIS (Netherlands)

Bamford, A.; Turkova, A.; Lyall, H.; Foster, C.; Klein, N.; Bastiaans, D.; Burger, D.; Bernadi, S.; Butler, K.; Chiappini, E.; Clayden, P.; della Negra, M.; Giacomet, V.; Giaquinto, C.; Gibb, D.; Galli, L.; Hainaut, M.; Koros, M.; Marques, L.; Nastouli, E.; Niehues, T.; Noguera-Julian, A.; Rojo, P.; Rudin, C.; Scherpbier, H. J.; Tudor-Williams, G.; Welch, S. B.

2018-01-01

The 2015 Paediatric European Network for Treatment of AIDS (PENTA) guidelines provide practical recommendations on the management of HIV-1 infection in children in Europe and are an update to those published in 2009. Aims of treatment have progressed significantly over the last decade, moving far

Effects of Network Treatments on Perceptions of a Political Campaign Film: Can Rhetorical Criticism Make a Difference?

Science.gov (United States)

Simons, Herbert W.; And Others

1989-01-01

Compares three television networks' treatments of "A New Beginning" (a Reagan campaign film shown at the 1984 Republican National Convention) and examines the effects on viewers of one network's critical preview of the film. Assesses the uses and limitations of rhetorical criticism in television coverage of political campaigns. (SR)

Fracture mechanical analysis of strengthened concrete tension members with one crack

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Stang, Henrik

2012-01-01

A concrete tension member strengthened 2 with fiber reinforced polymer plates on two sides 3 is analyzed with non-linear fracture mechanics. The 4 analysis of the strengthened tension member incorpo5 rates cohesive properties for both concrete and inter6 face between concrete and strengthening...... the structural classification parameters, is inves13 tigated in a non-dimensional analysis, and found to 14 depend strongly on the ratio between interfacial and 15 concrete fracture energies....

Fostering Research Engagement in Partnership Schools: Networking and Value Creation

Science.gov (United States)

Cornelissen, Frank; McLellan, Ros W.; Schofield, Jan

2017-01-01

The call for teachers and schools to become more research-engaged is resonating stronger than ever with government efforts to improve research impact and educational quality in the United Kingdom (UK) and many other countries. In these endeavors strengthening the social network structure and collegial relationships that enable collaborative…

BIOMETRIC CRYPTOGRAPHY AND NETWORK AUTHENTICATION

Directory of Open Access Journals (Sweden)

Tonimir Kišasondi

2007-06-01

Full Text Available In this paper we will present some schemes for strengthening network authentification over insecure channels with biometric concepts or how to securely transfer or use biometric characteristics as cryptographic keys. We will show why some current authentification schemes are insufficient and we will present our concepts of biometric hashes and authentification that rely on unimodal and multimodal biometrics. Our concept can be applied on any biometric authentification scheme and is universal for all systems.

Modeling and characterization of strengthened concrete tension members

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Stang, Henrik

2011-01-01

The structural potential for cracking of externally strengthened concrete tension members, can be predicted with three parameters, describing the structural cracking potential based on fracture mechanical properties of the of concrete and interface between concrete and strengthening medium....... With these parameters, it is possible to design reinforcement and obtain a required cracking behavior of a given structure. Design recommendations for single and multiple cracking of the tension specimen are given in terms of fracture mechanical parameters, and a structural stiffness parameter....

Development of the strengthened safeguards system and the Additional Protocol

International Nuclear Information System (INIS)

Vidaurre-Henry, Jaime

2001-01-01

For the past 30 years, the IAEA's safeguards system has contributed to the international non-proliferation regime by providing, inter alia, assurances regarding the peaceful uses of declared nuclear material. However, the discovery of a clandestine nuclear weapons program in Iraq in 1991 drew world-wide attention to the need to strengthen the system to address the absence of undeclared nuclear material and activities. Efforts to strengthen the IAEA's safeguards system began in 1991 and culminated in 1997 when the IAEA's Board of Governors approved a Model Protocol Additional to IAEA Safeguards Agreements which greatly expands the legal basis and scope of IAEA safeguards. Within this strengthened system it is expected that the IAEA be able to provide assurance not only of the absence of diversion of declared nuclear material but also on the absence of undeclared nuclear material and activities. This is to be done within a safeguards system that uses an optimal combination of all safeguards measures available, thereby achieving maximum effectiveness and efficiency within the available resources. The paper summarizes the evolution of the safeguards system, describes strengthened safeguards, reports on the status of implementing the strengthening measures, and outlines plans for integrating all available safeguards measures. (author)

Famine Early Warning Systems Network (FEWS NET) Contributions to Strengthening Resilience and Sustainability for the East African Community

Science.gov (United States)

Budde, M. E.; Galu, G.; Funk, C. C.; Verdin, J. P.; Rowland, J.

2014-12-01

The Planning for Resilience in East Africa through Policy, Adaptation, Research, and Economic Development (PREPARED) is a multi-organizational project aimed at mainstreaming climate-resilient development planning and program implementation into the East African Community (EAC). The Famine Early Warning Systems Network (FEWS NET) has partnered with the PREPARED project to address three key development challenges for the EAC; 1) increasing resiliency to climate change, 2) managing trans-boundary freshwater biodiversity and conservation and 3) improving access to drinking water supply and sanitation services. USGS FEWS NET has been instrumental in the development of gridded climate data sets that are the fundamental building blocks for climate change adaptation studies in the region. Tools such as the Geospatial Climate Tool (GeoCLIM) have been developed to interpolate time-series grids of precipitation and temperature values from station observations and associated satellite imagery, elevation data, and other spatially continuous fields. The GeoCLIM tool also allows the identification of anomalies and assessments of both their frequency of occurrence and directional trends. A major effort has been put forth to build the capacities of local and regional institutions to use GeoCLIM to integrate their station data (which is not typically available to the public) into improved national and regional gridded climate data sets. In addition to the improvements and capacity building activities related to geospatial analysis tools, FEWS NET will assist in two other areas; 1) downscaling of climate change scenarios and 2) vulnerability impact assessments. FEWS NET will provide expertise in statistical downscaling of Global Climate Model output fields and work with regional institutions to assess results of other downscaling methods. Completion of a vulnerability impact assessment (VIA) involves the examination of sectoral consequences in identified climate "hot spots". FEWS NET

Flexure Behavior of Hybrid Continuous Deep Beam Strengthened by Carbon Fiber Reinforced Polymer

Directory of Open Access Journals (Sweden)

Hayder M.K.Al-Mutairee

2017-08-01

Full Text Available This study present an experimental investigation for overall flexure behavior of reinforced concrete continuous deep beams (RCCDB made of hybrid concrete, normal strength concrete (NSC and high strength concrete (HSC at different location and percentage. The experimental work includes testing of sixteen specimens of RCCDB under two points loads. The effects of HSC layer thickness and CFRP on strength of RCCDB had been studied. The experimental results showed that the strengthening of RCCDB by HSC layer from top is better than from bottom, where the increment in the ultimate flexural strength increased by (14,21,27% for top strengthening and (12,15,13% for bottom strengthening for (25,50,75% thickness of total depth of beam respectively. The optimal strengthening of RCCDB by HSC layer at top was of 25%. The results also proved that the strengthening of hybrid RCCDB by (10,15cm CFRP strip at the bottom for flexure gave increment in the ultimate strength by (32, 29% respectively, and the strengthening by CFRP strip for flexure at the bottom is better than at top for hybrid RCCDB. The shear strengthening of hybrid RCCDB increases the ultimate strength by 23.4% and 13.8% if the strengthening has O and U shape respectively

Dispersion strengthening

International Nuclear Information System (INIS)

Scattergood, R.O.; Das, E.S.P.

1976-01-01

Using digital computer-based methods, models for dispersion strengthening can now be developed which take into account many of the important effects that have been neglected in the past. In particular, the self interaction of a dislocation can be treated, and a computer simulation method was developed to determine the flow stress of a random distribution of circular, impenetrable obstacles, taking into account all such interactions. The flow stress values depended on the obstacle sizes and spacings, over and above the usual 1/L dependence where L is the average obstacle spacing. From an analysis of the results, it was found that the main effects of the self interactions can be captured in a line tension analogue in which the obstacles appear to be penetrable

Ab initio identified design principles of solid-solution strengthening in Al

International Nuclear Information System (INIS)

Ma Duancheng; Friák, Martin; Pezold, Johann von; Raabe, Dierk; Neugebauer, Jörg

2013-01-01

Solid-solution strengthening in six Al–X binary systems is investigated using first-principle methods. The volumetric mismatch parameter and the solubility enthalpy per solute were calculated. We derive three rules for designing solid-solution strengthened alloys: (i) the solubility enthalpy per solute is related to the volumetric mismatch by a power law; (ii) for each annealing temperature, there exists an optimal solute–volume mismatch to achieve maximum strength; and (iii) the strengthening potential of high volumetric mismatch solutes is severely limited by their low solubility. Our results thus show that the thermodynamic properties of the system (here Al–X alloys) set clear upper bounds to the achievable strengthening effects owing to the reduced solubility with increasing volume mismatch. (paper)

Strengthening the non proliferation regime: French views

International Nuclear Information System (INIS)

Delaune, P.

2013-01-01

3 main issues can be identified in the French policy concerning the backing of non proliferation: 1) responding resolutely to proliferation crises, 2) reinforcing substantive efforts to prevent and impede proliferation, and 3) strengthening the non-proliferation regime. The first issue is very important because combating proliferation is vital to the security of all. Concerning the second issue, France attaches particular importance to strengthening specific measures to prevent and check proliferation. Let me mention a few proposals that we put forward: exports need to be controlled more effectively, proliferation activities have to be criminalized, or the development of proliferation-resistant technologies should be supported. Concerning the third issue it means the strengthening of the non-proliferation regime, France proposes several means: -) aiming at the universalization of the additional protocol; -) ensuring that the Agency continues to have sufficient human, financial and technical resources to fulfill its verification mission effectively; -) encouraging the IAEA to make full use of the authority available to it; -) enhancing the use of information relevant to the delivery of the IAEA mandate; and -) sharing more accurate information concerning the breaches of commitments that happen. The paper is followed by the slides of the presentation. (A.C.)

The influence of resin flexural modulus on the magnitude of ceramic strengthening.

LENUS (Irish Health Repository)

Fleming, Garry J P

2012-07-01

The aim was to determine the magnitude of ceramic resin-strengthening with resin-based materials with varying flexural moduli using a regression technique to assess the theoretical strengthening at a \\'zero\\' resin-coating thickness. The hypothesis tested was that experimentally, increasing resin flexural modulus results in increased resin-strengthening observed at a theoretical \\'zero\\' resin-coating thickness.

Characterization of strengthening mechanism and hot deformation behavior of powder metallurgy molybdenum

International Nuclear Information System (INIS)

Xiao, Meili; Li, Fuguo; Xie, Hangfang; Wang, Yufeng

2012-01-01

Highlights: → Dynamic recrystallization of powder metallurgy molybdenum occurs in the temperature region (1200-1450 o C). → The value of strain hardening index n decreases along with the temperature rising. → The value of strain-rate sensitivity exponent m increases slowly at first and achieves a peak value at 1350 o C. → Deformation strengthening is the main strengthening mechanism at low temperature. → Rheological strengthening becomes the primary strengthening mechanism at high temperature. -- Abstract: The high-temperature deformation behavior of powder metallurgy molybdenum has been investigated based on a series of isothermal hot compression tests, which were carried out on a Gleeble-1500 thermal mechanical simulator in a wide range of temperatures (900-1450 o C) and strain rates (0.01-10 s -1 ). Through the research on the experimental stress-strain curves, it reveals that dynamic recrystallization softening effect of powder metallurgy molybdenum occurs in the temperature range from 1200 o C to 1450 o C, in which the flow stress is significantly sensitive to temperature. In comparison with the value of strain hardening index n which decreases along with the temperature rising, the value of strain-rate sensitivity exponent m does not change obviously; however, it increases slowly with the increasing of temperature at first and achieves a peak value at 1350 o C. Furthermore, relying on the comparison of mean value of n and m, it is suggested that deformation strengthening is the main strengthening mechanism at low temperature while the rheological strengthening changes into the primary strengthening mechanism at high temperature.

A pilot feasibility randomised controlled trial of an adjunct brief social network intervention in opiate substitution treatment services.

Science.gov (United States)

Day, Ed; Copello, Alex; Seddon, Jennifer L; Christie, Marilyn; Bamber, Deborah; Powell, Charlotte; Bennett, Carmel; Akhtar, Shabana; George, Sanju; Ball, Andrew; Frew, Emma; Goranitis, Ilias; Freemantle, Nick

2018-01-15

Approximately 3% of people receiving opioid substitution therapy (OST) in the UK manage to achieve abstinence from prescribed and illicit drugs within three years of commencing treatment. Involvement of families and wider social networks in supporting psychological treatment may be an effective strategy in facilitating recovery, and this pilot study aimed to evaluate the impact of a social network-focused intervention for patients receiving OST. A two-site, open feasibility trial randomised patients receiving OST for at least 12 months but still reporting illicit opiate use in the past 28 days to one of three treatments: 1) treatment as usual (TAU), 2) Brief Social Behaviour and Network Therapy (B-SBNT) + TAU, or 3) Personal Goal Setting (PGS) + TAU. The two active interventions consisted of 4 sessions. There were 3 aims: 1) test the feasibility of recruiting OST patients to a trial of B-SBNT, and following them up over 12 months; 2) test the feasibility of training clinicians to deliver B-SBNT; 3) test whether B-SBNT reduces heroin use 3 and 12 months after treatment, and to explore potential mediating factors. The primary outcome for aim 3 was number of days of heroin use in the past month, and a range of secondary outcome measures were specified in advance (level of drug dependence, mental health, social satisfaction, therapist rapport, treatment satisfaction, social network size and support). A total of 83 participants were randomised, and 70 (84%) were followed-up at 12 months. Fidelity analysis of showed that B-SBNT sessions were clearly distinguishable from PGS and TAU sessions, suggesting it was possible to train clinical staff to an adequate level of competence. No significant differences were found between the 3 intervention arms in the primary or secondary outcome measures. Attendance at psychosocial treatment intervention sessions was low across all three arms (44% overall). Patients receiving OST can be recruited into a trial of a social

How democratic are Networks?- A framework for Assessing the Democratic Effects of Networks

DEFF Research Database (Denmark)

Agger, Annika; Löfgren, Karl

: How can we assess the democratic effects of formal network mobilisation?  The article will present a tentative framework deriving criteria from both traditional democratic theory, as well as new theories on democratic governance and collaborative planning, which can be deployed for empirical studies......There has, since the end of the 1980s, been a growing interest in western democracies for formally involving citizens in various local planning activities through network governance. The overarching goal has been to increase efficiency in local planning. Equally, it has also been accompanied...... by an underlying idea of enhancing public participation and mobilising the citizens, thereby strengthening local democracy. Even though much is written about these initiatives, the actual democratic effects of these activities have been notably overlooked in the literature. Both among scholars, as well...

Network Structure, Diversity, and Proactive Resilience Building: a Response to Tompkins and Adger

Directory of Open Access Journals (Sweden)

Lenore Newman

2005-06-01

Full Text Available Although community social networks can build resilience, and thus, aid adaptation to unexpected environmental change (Tomkins and Adger 2004, not all social networks are created equal. Networks composed of a diversity of "bridging" links to a diverse web of resources and "bonding" links that build trust strengthen a community's ability to adapt to change, but networks composed only of "bonding" links can impose constraining social norms and foster group homophily, reducing resilience. Diversity fosters the resilience needed to adapt to unexpected change, and can also enlarge the ability to proactively make collective decisions that optimize future options.

Uranium mining and metallurgy library information service under the network environment

International Nuclear Information System (INIS)

Tang Lilei

2012-01-01

This paper analyzes the effect of the network environment on the uranium mining and metallurgy of the information service. Introduces some measures such as strengthening professional characteristic literature resources construction, changing the service mode, building up information navigation, deepening service, meet the individual needs of users, raising librarian's quality, promoting the co-construction and sharing of library information resources, and puts forward the development idea of uranium mining and metallurgy library information service under the network environment. (author)

Efficient control of epidemics spreading on networks: balance between treatment and recovery.

Science.gov (United States)

Oleś, Katarzyna; Gudowska-Nowak, Ewa; Kleczkowski, Adam

2013-01-01

We analyse two models describing disease transmission and control on regular and small-world networks. We use simulations to find a control strategy that minimizes the total cost of an outbreak, thus balancing the costs of disease against that of the preventive treatment. The models are similar in their epidemiological part, but differ in how the removed/recovered individuals are treated. The differences in models affect choice of the strategy only for very cheap treatment and slow spreading disease. However for the combinations of parameters that are important from the epidemiological perspective (high infectiousness and expensive treatment) the models give similar results. Moreover, even where the choice of the strategy is different, the total cost spent on controlling the epidemic is very similar for both models.

Strengthening Performance of PALF-Epoxy Composite Plate on Reinforced Concrete Beams

Science.gov (United States)

Chin, Siew C.; Tong, Foo S.; Doh, Shu I.; Gimbun, Jolius; Ong, Huey R.; Serigar, Januar P.

2018-03-01

This paper presents the effective strengthening potential of pineapple leaves fiber (PALF)-epoxy composite plate on reinforced concrete (RC) beam. At first the PALF is treated with alkali (NaOH) and its morphology is observed via scanning electron microscope (SEM). The composite plates made of PALF and epoxy with fiber loading ranging from 0.1 to 0.4 v/v was tested for its flexural behaviour. The composite was then used for external RC beam strengthening. The structural properties of RC beams were evaluated and all the beams were tested under four-point bending. It was found that the flexural strength increased as the fiber volume ratio increases. The maximum flexural strength (301.94 MPa) was obtained at the fiber volume ratio of 40%. The beam strengthened with PALF-epoxy composite plate has a 7% higher beam capacity compared to the control beam. Cracks formed at the edge of the plate of PALF-strengthened beams resulted in diagonal cracking. Result from this work shows that the PALF-epoxy composite plate has the potential to be used as external strengthening material for RC beam.

Self-efficacy and social networks after treatment for alcohol or drug dependence and major depression: disentangling person and time-level effects.

Science.gov (United States)

Worley, Matthew J; Trim, Ryan S; Tate, Susan R; Roesch, Scott C; Myers, Mark G; Brown, Sandra A

2014-12-01

Proximal personal and environmental factors typically predict outcomes of treatment for alcohol or drug dependence (AODD), but longitudinal treatment studies have rarely examined these factors in adults with co-occurring psychiatric disorders. In adults with AODD and major depression, the aims of this study were to: (a) disaggregate person-and time-level components of network substance use and self-efficacy, (b) examine their prospective effects on posttreatment alcohol/drug use, and (c) examine whether residential environment moderated relations between these proximal factors and substance use outcomes. Veterans (N = 201) enrolled in a trial of group psychotherapy for AODD and independent MDD completed assessments every 3 months during 1 year of posttreatment follow-up. Outcome variables were percent days drinking (PDD) and using drugs (PDDRG). Proximal variables included abstinence self-efficacy and social network drinking and drug use. Self-efficacy and network substance use at the person-level prospectively predicted PDD (ps effects of social networks predicted future PDD (ps social network effects (ps network and posttreatment drinking and drug use. Both individual differences and time-specific fluctuations in proximal targets of psychosocial interventions are related to posttreatment substance use in adults with co-occurring AODD and MDD. More structured environmental settings appear to alleviate risk associated with social network substance use, and may be especially advised for those who have greater difficulty altering social networks during outpatient treatment.

Epidemiological investigation of muscle-strengthening activities and cognitive function among older adults.

Science.gov (United States)

Loprinzi, Paul D

2016-06-01

Limited research has examined the association of muscle-strengthening activities and executive cognitive function among older adults, which was this study's purpose. Data from the 1999-2002 NHANES were employed (N = 2157; 60-85 years). Muscle-strengthening activities were assessed via self-report, with cognitive function assessed using the digit symbol substitution test. After adjusting for age, age-squared, gender, race-ethnicity, poverty level, body mass index, C-reactive protein, smoking, comorbid illness and physical activity, muscle-strengthening activities were significantly associated with cognitive function (βadjusted = 3.4; 95% CI: 1.7-5.1; P cognitive function score. In conclusion, muscle-strengthening activities are associated with executive cognitive function among older U.S. adults, underscoring the importance of promoting both aerobic exercise and muscle-strengthening activities to older adults. © The Author(s) 2016.

The IAEA/WHO network of Secondary Standard Dosimetry Laboratories. SSDL network charter

International Nuclear Information System (INIS)

1999-04-01

In 1976, the International Atomic Energy Agency (IAEA) together with the World Health Organization (WHO) established a Network of Secondary Standard Dosimetry Laboratories (SSDLs), known as the IAEA/WHO SSDL Network. This Network, through SSDLs designated by Member States, provides a direct linkage of national dosimetry standards to the international measurement system of standards traceable to the Bureau International des Poids et Mesures (BIPM), and the dissemination of S.I. quantities and units through the proper calibration of field instruments by the SSDLs. The Network has proved to be of value in improving national capabilities for instrument calibration and the awareness of better accuracy and traceability. Fifty-eight countries have nominated SSDLs for membership in the Network. Unfortunately, some of these SSDLs do not yet function as full members, perhaps because of some uncertainty as to their obligations concerning the Network. Consequently, the Scientific Committee which advises the Network Secretariat has recommended that a Charter be drawn up explaining the privileges, rights and duties of members in the Network which would strengthen their links to the international measurement system. In addition to the duties of members in the Network and the benefits that full members can receive, the Charter also describes how the Network functions and the scope of the work of the SSDLs. In producing this Charter, the advisory group has drawn heavily on the IAEA publication 'Secondary Standard Dosimetry Laboratories: Development and Trends' (1985) which summarizes the origin, development, status and prospects of the IAEA/WHO SSDL Network. The various appendices are effectively up-dates of different parts of this earlier publication, and the original drafting and reviewing bodies are given due recognition. The revisions take into account the experience the Agency has gained in coordinating the activities of the Network for more than 20 years

The IAEA/WHO network of Secondary Standard Dosimetry Laboratories. SSDL network charter

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-04-01

In 1976, the International Atomic Energy Agency (IAEA) together with the World Health Organization (WHO) established a Network of Secondary Standard Dosimetry Laboratories (SSDLs), known as the IAEA/WHO SSDL Network. This Network, through SSDLs designated by Member States, provides a direct linkage of national dosimetry standards to the international measurement system of standards traceable to the Bureau International des Poids et Mesures (BIPM), and the dissemination of S.I. quantities and units through the proper calibration of field instruments by the SSDLs. The Network has proved to be of value in improving national capabilities for instrument calibration and the awareness of better accuracy and traceability. Fifty-eight countries have nominated SSDLs for membership in the Network. Unfortunately, some of these SSDLs do not yet function as full members, perhaps because of some uncertainty as to their obligations concerning the Network. Consequently, the Scientific Committee which advises the Network Secretariat has recommended that a Charter be drawn up explaining the privileges, rights and duties of members in the Network which would strengthen their links to the international measurement system. In addition to the duties of members in the Network and the benefits that full members can receive, the Charter also describes how the Network functions and the scope of the work of the SSDLs. In producing this Charter, the advisory group has drawn heavily on the IAEA publication 'Secondary Standard Dosimetry Laboratories: Development and Trends' (1985) which summarizes the origin, development, status and prospects of the IAEA/WHO SSDL Network. The various appendices are effectively up-dates of different parts of this earlier publication, and the original drafting and reviewing bodies are given due recognition. The revisions take into account the experience the Agency has gained in coordinating the activities of the Network for more than 20 years.

Cardiovascular fitness strengthening using portable device.

Science.gov (United States)

Alqudah, Hamzah; Kai Cao; Tao Zhang; Haddad, Azzam; Su, Steven; Celler, Branko; Nguyen, Hung T

2016-08-01

The paper describes a reliable and valid Portable Exercise Monitoring system developed using TI eZ430-Chronos watch, which can control the exercise intensity through audio stimulation in order to increase the Cardiovascular fitness strengthening.

Improving Substance Abuse Treatment: The National Treatment Plan Initiative. Changing the Conversation.

Science.gov (United States)

Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Substance Abuse Treatment.

This report is the result of five expert panels and six regional public hearings around the country that focused on key persistent issues that have characterized discussions of substance abuse over the years: closing the treatment gap; reducing stigma and changing attitudes; improving and strengthening treatment systems; connecting services and…

Urban Networking vs. Smart City

Directory of Open Access Journals (Sweden)

Păuna Carmen Beatrice

2017-04-01

Full Text Available Taking into consideration that the development of strong partnerships involving local citizens, civil society, the local economy and the various levels of government is an indispensable element for an Integrated Sustainable Urban Development, our paper is focusing on the role of an appropriate urban networking in the relationship with the objectives of a smart city. In this context, the Romanian good practices - as Oradea city - are worth to mention. In compliance with Europe 2020 Strategy’s objectives there will be discussed the particularities of urban networking in order to strengthen the resilience of cities, and to ensure synergies amongst the investments supported by European Structural and Investment (ESI funds. According to economic literature the urban network is not a funding instrument but a way for cities to share feedback on the use of these new approaches. The estimated results of our research are related to the conclusion that the urban networks act as a forum for capacity building and exchange between the cities pioneering new techniques and developing integrated investments.

The end of life treatment of second generation mobile phone networks: Strategies to reduce the environmental impact

International Nuclear Information System (INIS)

Scharnhorst, Wolfram; Althaus, Hans-Joerg; Classen, Mischa; Jolliet, Olivier; Hilty, Lorenz M.

2005-01-01

A life cycle assessment was carried out based on a detailed life cycle inventory for a typical GSM 900 mobile phone network and related End of Life (EOL) treatment infrastructure. The environmental relevance of the three life cycle phases: production, use and EOL treatment was analysed using IMPACT2002+. The environmentally preferable EOL treatment alternative was identified on the basis of six previously developed EOL treatment scenarios. The results indicate that the environmental impacts attributable to the use phase dominate the environmental impacts incurred over the entire life cycle of the network. The impacts of the production phase are primarily attributable to the energy intensive manufacturing of printed wiring boards (PWB). The EOL phase dominates the impacts on ecosystem quality. In particular the long-term emissions of heavy metals have critical effects. Detailed analysis of the EOL phase shows that recycling of network materials in general leads to a two fold reduction of environmental impacts: in the EOL phase itself as well as by means of the avoided primary production of materials recovered in the EOL phase. An increase in the material quality of the secondary precious and rare materials leads to a significant reduction in the impacts on human health

Effectiveness of Strengthening Exercises for the Elderly with Low Back Pain to Improve Symptoms and Functions: A Systematic Review

Directory of Open Access Journals (Sweden)

Nor Azizah Ishak

2016-01-01

Full Text Available Objective. To determine the effect of strengthening exercises for older people with low back pain (LBP. Methods. This study is a systematic review of experimental study which evaluated the evidence regarding exercises for older people with LBP by using EBSCO Academic Search Premier, EBSCO EconLit, Science Direct, PUBMED, and PEDro from 2006 to 2016. Search strategy for each database was conducted by using keywords such as “low back pain”, “older people”, and “strengthening exercise”. Boolean operators were used to combine keywords and manual exclusion was conducted to verify studies which met the inclusion criteria. The articles reviewed were evaluated and critically appraised by using PEDro scale and SPSS version 20 was used to analyze the data. Results. Three articles were found regarding strengthening exercise for older people with LBP whereas one study was conducted on multicomponent exercise. The mean, standard deviation, and variance of the PEDro score of all the studies were 5.67, 2.33, and 1.528, respectively. Overall, the qualities of all studies reviewed were fair. Two articles showed significant results when compared to control group (p<0.05. Conclusions. Strengthening exercise is a beneficial treatment for older people with LBP in reducing pain intensity, disability, and improved functional performances.

Metro Optical Networks for Homeland Security

Science.gov (United States)

Bechtel, James H.

Metro optical networks provide an enticing opportunity for strengthening homeland security. Many existing and emerging fiber-optic networks can be adapted for enhanced security applications. Applications include airports, theme parks, sports venues, and border surveillance systems. Here real-time high-quality video and captured images can be collected, transported, processed, and stored for security applications. Video and data collection are important also at correctional facilities, courts, infrastructure (e.g., dams, bridges, railroads, reservoirs, power stations), and at military and other government locations. The scaling of DWDM-based networks allows vast amounts of data to be collected and transported including biometric features of individuals at security check points. Here applications will be discussed along with potential solutions and challenges. Examples of solutions to these problems are given. This includes a discussion of metropolitan aggregation platforms for voice, video, and data that are SONET compliant for use in SONET networks and the use of DWDM technology for scaling and transporting a variety of protocols. Element management software allows not only network status monitoring, but also provides optimized allocation of network resources through the use of optical switches or electrical cross connects.

The development of brain network architecture.

Science.gov (United States)

Wierenga, Lara M; van den Heuvel, Martijn P; van Dijk, Sarai; Rijks, Yvonne; de Reus, Marcel A; Durston, Sarah

2016-02-01

Brain connectivity shows protracted development throughout childhood and adolescence, and, as such, the topology of brain networks changes during this period. The complexity of these changes with development is reflected by regional differences in maturation. This study explored age-related changes in network topology and regional developmental patterns during childhood and adolescence. We acquired two sets of Diffusion Weighted Imaging-scans and anatomical T1-weighted scans. The first dataset included 85 typically developing individuals (53 males; 32 females), aged between 7 and 23 years and was acquired on a Philips Achieva 1.5 Tesla scanner. A second dataset (N = 38) was acquired on a different (but identical) 1.5 T scanner and was used for independent replication of our results. We reconstructed whole brain networks using tractography. We operationalized fiber tract development as changes in mean diffusivity and radial diffusivity with age. Most fibers showed maturational changes in mean and radial diffusivity values throughout childhood and adolescence, likely reflecting increasing white matter integrity. The largest age-related changes were observed in association fibers within and between the frontal and parietal lobes. Furthermore, there was a simultaneous age-related decrease in average path length (P maturational model where connections between unimodal regions strengthen in childhood, followed by connections from these unimodal regions to association regions, while adolescence is characterized by the strengthening of connections between association regions within the frontal and parietal cortex. Hum Brain Mapp 37:717-729, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

Strengthening of structurally damaged wide shallow RC beams using externally bonded CFRP plates

Directory of Open Access Journals (Sweden)

Rajeh A. Al-Zaid

Full Text Available Reinforced concrete wide shallow beams (WSBs are commonly used in the joist flooring systems. The structural behavior of WSBs strengthened with carbon fiber reinforced polymer (CFRP reinforcement was studied on isolated beams and as part of full-scale building. The effect of structural damage on the performance of WSBs flexurally strengthened with CFRP plates was investigated and presented in this paper. Eight full-scale WSBs were tested under four-point bending up to failure. Seven beams were strengthened with CFRP plates bonded to the soffit of the beams and one beam was unstrengthened serving as control. Prior to strengthening, the beams were subjected to different levels of damaging by preloading to 30-95% of the beams' flexural capacity. One beam was fully damaged by preloading to failure and repaired before strengthening by replacing the crushed concrete. The data showed that the pre-damaged strengthened beams exhibited ultimate capacities up to 8% lower than those of the undamaged strengthened beams. However, the load carrying capacities of pre-damaged strengthened beams were more than those predicted by ACI 440 design guide, fib Bulletin 14, and JSCE design recommendations. Both fib Bulletin 14 and JSCE design recommendations gave very conservative predictions with average ratios of experimental to predicted ultimate capacity of 2.02 and 2.35, respectively. More accurate predictions were obtained by ACI 440 design guide as the corresponding ratio was 1.24. These results indicate that strong confidence and reliability can be placed in applying CFRP strengthening to structurally damaged WSBs.

Interaction of acupuncture treatment and manipulation laterality modulated by the default mode network.

Science.gov (United States)

Niu, Xuan; Zhang, Ming; Liu, Zhenyu; Bai, Lijun; Sun, Chuanzhu; Wang, Shan; Wang, Xiaocui; Chen, Zhen; Chen, Hongyan; Tian, Jie

2017-01-01

Appropriate selection of ipsilateral or contralateral electroacupuncture (corresponding to the pain site) plays an important role in reaching its better curative effect; however, the involving brain mechanism still remains unclear. Compared with the heat pain model generally established in previous study, capsaicin pain model induces reversible cutaneous allodynia and is proved to be better simulating aspects of clinical nociceptive and neuropathic pain. In the current study, 24 subjects were randomly divided into two groups with a 2 × 2 factorial design: laterality (ipsi- or contralateral side, inter-subject) × treatment with counter-balanced at an interval of one week (verum and placebo electroacupuncture, within-subject). We observed subjective pain intensity and brain activations changes induced by capsaicin allodynia pain stimuli before and after electroacupuncture treatment at acupoint LI4 for 30 min. Analysis of variance results indicated that ipsilateral electroacupuncture treatment produced significant pain relief and wide brain signal suppressions in pain-related brain areas compared with contralateral electroacupuncture. We also found that verum electroacupuncture at either ipsi- or contralateral side to the pain site exhibited comparable significant magnitudes of analgesic effect. By contrast, placebo electroacupuncture elicited significant pain reductions only on the ipsilateral rather than contralateral side. It was inferred that placebo analgesia maybe attenuated on the region of the body (opposite to pain site) where attention was less focused, suggesting that analgesic effect of placebo electroacupuncture mainly rely on the motivation of its spatial-specific placebo responses via attention mechanism. This inference can be further supported by the evidence that the significant interaction effect of manipulation laterality and treatment was exclusively located within the default mode network, including the bilateral superior parietal

Plant strengtheners enhance parasitoid attraction to herbivore-damaged cotton via qualitative and quantitative changes in induced volatiles.

Science.gov (United States)

Sobhy, Islam S; Erb, Matthias; Turlings, Ted C J

2015-05-01

Herbivore-damaged plants release a blend of volatile organic compounds (VOCs) that differs from undamaged plants. These induced changes are known to attract the natural enemies of the herbivores and therefore are expected to be important determinants of the effectiveness of biological control in agriculture. One way of boosting this phenomenon is the application of plant strengtheners, which has been shown to enhance parasitoid attraction in maize. It is unclear whether this is also the case for other important crops. The plant strengtheners BTH [benzo (1,2,3) thiadiazole-7-carbothioic acid S-methyl ester] and laminarin were applied to cotton plants, and the effects on volatile releases and the attraction of three hymenopteran parasitoids, Cotesia marginiventris, Campoletis sonorensis and Microplitis rufiventris, were studied. After treated and untreated plants were induced by real or simulated caterpillar feeding, it was found that BTH treatment increased the attraction of the parasitoids, whereas laminarin had no significant effect. BTH treatment selectively increased the release of two homoterpenes and reduced the emission of indole, the latter of which had been shown to interfere with parasitoid attraction in earlier studies. Canonical variate analyses of the data show that the parasitoid responses were dependent on the quality rather than the quantity of volatile emission in this tritrophic interaction. Overall, these results strengthen the emerging paradigm that induction of plant defences with chemical elicitors such as BTH could provide a sustainable and environmentally friendly strategy for biological control of pests by enhancing the attractiveness of cultivated plants to natural enemies of insect herbivores. © 2014 Society of Chemical Industry.

77 FR 38017 - Regulation Strengthening Accountability of Attorneys and Non-Attorney Representatives Appearing...

Science.gov (United States)

2012-06-26

...-2168-01] RIN 0625-AA92 Regulation Strengthening Accountability of Attorneys and Non- Attorney... strengthens the accountability of attorneys and non-attorney representatives who appear in proceedings before... administration of the U.S. AD and CVD laws. One proposal addressed strengthening the accountability of attorneys...

Geometric moments and artificial neural network in per optimization of radiotherapy treatment planning

International Nuclear Information System (INIS)

Yahaqi, E.; Movafeghi, A.; Hosseini- Ashrafi, M.E.

2004-01-01

Given the number of possible combinations of different setting in radiotherapy such as the number of fields etc., arriving at an optimum treatment plan with a completely conventional solution would require an unacceptable number of interaction. Using a priori information whether of a qualitative or quantitative nature has the potential of greatly reducing amount of calculation required in any optimization procedure. Having extracted the outline of the body counter line the treatment area, the sensitive organ and any in- homogeneity present in the given cross section quantitative information in the form of moments is calculated for each treatment case. An artificial neural network classifier is then developed using group of sample treatment case and applied to arrive at initial treatment plan for any new case. The approach has been shown to have strong potential for greatly reducing the number of choices in selecting the optimum answer in treatment planning

A new 12% chromium steel strengthened by Z-phase precipitates

DEFF Research Database (Denmark)

Liu, Fang; Rashidi, Masoud; Johansson, Lennart

2016-01-01

In order to increase the corrosion resistance and simultaneously maintain the creep resistance of 9-12% Cr steels at 650 degrees C, a new alloy design concept was proposed, using thermodynamically stable Z-phase (CrTaN) precipitates to strengthen the steel. A new trial Z-phase strengthened 12% Cr...

Multivariate Cryptography Based on Clipped Hopfield Neural Network.

Science.gov (United States)

Wang, Jia; Cheng, Lee-Ming; Su, Tong

2018-02-01

Designing secure and efficient multivariate public key cryptosystems [multivariate cryptography (MVC)] to strengthen the security of RSA and ECC in conventional and quantum computational environment continues to be a challenging research in recent years. In this paper, we will describe multivariate public key cryptosystems based on extended Clipped Hopfield Neural Network (CHNN) and implement it using the MVC (CHNN-MVC) framework operated in space. The Diffie-Hellman key exchange algorithm is extended into the matrix field, which illustrates the feasibility of its new applications in both classic and postquantum cryptography. The efficiency and security of our proposed new public key cryptosystem CHNN-MVC are simulated and found to be NP-hard. The proposed algorithm will strengthen multivariate public key cryptosystems and allows hardware realization practicality.

Effect of CFRP and TRM Strengthening of RC Slabs on Punching Shear Strength

Directory of Open Access Journals (Sweden)

Husain Abbas

Full Text Available Abstract The paper presents experiments involving punching of RC slabs strengthened using externally bonded carbon fiber reinforced polymer (CFRP sheet and textile reinforced mortar (TRM. Twelve RC slab specimens of two concrete grades (39.9 and 63.2 MPa and employing two strengthening schemes (CFRP and TRM were tested. Specimens were supported on two opposite edges. Experimental load-displacement variations show two peak loads in strengthened slabs and one peak followed by a plateau in control. Second peak or the plateau corresponds to the combined action of aggregate interlock and the dowel action of back face rebars and strengthening layers. The dowel action of back face rebars and strengthening layers had no role in ultimate punching load (i.e. first peak. Strengthened slabs showed 9-18% increase in ultimate punching load (i.e. first peak whereas there was significant increase in the second peak load (190-276% for CFRP; 55-136% for TRM and energy absorption (~66% for CFRP and 22-56% for TRM. An analytical model was also developed for predicting the punching shear strength (first and second peaks of strengthened slabs showing good comparison with experiments.

Expanding the National Drug Abuse Treatment Clinical Trials Network to address the management of substance use disorders in general medical settings

Directory of Open Access Journals (Sweden)

Tai B

2014-07-01

Full Text Available Betty Tai, Steven Sparenborg, Udi E Ghitza, David Liu Center for the Clinical Trials Network, National Institute on Drug Abuse, National Institutes of Health, Bethesda, Maryland, USA Abstract: The Patient Protection and Affordable Care Act (2010 and the Mental Health Parity and Addiction Equity Act (2008 expand substance use disorder (SUD care services in the USA into general medical settings. Care offered in these settings will engage substance-using patients in an integrated and patient-centered environment that addresses physical and mental health comorbidities and follows a chronic care model. This expansion of SUD services presents a great need for evidence-based practices useful in general medical settings, and reveals several research gaps to be addressed. The National Drug Abuse Treatment Clinical Trials Network of the National Institute on Drug Abuse can serve an important role in this endeavor. High-priority research gaps are highlighted in this commentary. A discussion follows on how the National Drug Abuse Treatment Clinical Trials Network can transform to address changing patterns in SUD care to efficiently generate evidence to guide SUD treatment practice within the context of recent US health care legislation. Keywords: Patient Protection and Affordable Care Act, National Drug Abuse Treatment Clinical Trials Network, substance use disorders, practice-based research network, electronic health records

ENLIGHT: European network for Light ion hadron therapy.

Science.gov (United States)

Dosanjh, Manjit; Amaldi, Ugo; Mayer, Ramona; Poetter, Richard

2018-04-03

The European Network for Light Ion Hadron Therapy (ENLIGHT) was established in 2002 following various European particle therapy network initiatives during the 1980s and 1990s (e.g. EORTC task group, EULIMA/PIMMS accelerator design). ENLIGHT started its work on major topics related to hadron therapy (HT), such as patient selection, clinical trials, technology, radiobiology, imaging and health economics. It was initiated through CERN and ESTRO and dealt with various disciplines such as (medical) physics and engineering, radiation biology and radiation oncology. ENLIGHT was funded until 2005 through the EC FP5 programme. A regular annual meeting structure was started in 2002 and continues until today bringing together the various disciplines and projects and institutions in the field of HT at different European places for regular exchange of information on best practices and research and development. Starting in 2006 ENLIGHT coordination was continued through CERN in collaboration with ESTRO and other partners involved in HT. Major projects within the EC FP7 programme (2008-2014) were launched for R&D and transnational access (ULICE, ENVISION) and education and training networks (Marie Curie ITNs: PARTNER, ENTERVISION). These projects were instrumental for the strengthening of the field of hadron therapy. With the start of 4 European carbon ion and proton centres and the upcoming numerous European proton therapy centres, the future scope of ENLIGHT will focus on strengthening current and developing European particle therapy research, multidisciplinary education and training and general R&D in technology and biology with annual meetings and a continuously strong CERN support. Collaboration with the European Particle Therapy Network (EPTN) and other similar networks will be pursued. Copyright © 2018 CERN. Published by Elsevier B.V. All rights reserved.

Networking of Public Health Microbiology Laboratories Bolsters Europe’s Defenses against Infectious Diseases

Directory of Open Access Journals (Sweden)

Barbara Albiger

2018-02-01

Full Text Available In an era of global health threats caused by epidemics of infectious diseases and rising multidrug resistance, microbiology laboratories provide essential scientific evidence for risk assessment, prevention, and control. Microbiology has been at the core of European infectious disease surveillance networks for decades. Since 2010, these networks have been coordinated by the European Centre for Disease Prevention and Control (ECDC. Activities delivered in these networks include harmonization of laboratory diagnostic, antimicrobial susceptibility and molecular typing methods, multicentre method validation, technical capacity mapping, training of laboratory staff, and continuing quality assessment of laboratory testing. Cooperation among the European laboratory networks in the past 7 years has proved successful in strengthening epidemic preparedness by enabling adaptive capabilities for rapid detection of emerging pathogens across Europe. In partnership with food safety authorities, international public health agencies and learned societies, ECDC-supported laboratory networks have also progressed harmonization of routinely used antimicrobial susceptibility and molecular typing methods, thereby significantly advancing the quality, comparability and precision of microbiological information gathered by ECDC for surveillance for zoonotic diseases and multidrug-resistant pathogens in Europe. ECDC continues to act as a catalyst for sustaining continuous practice improvements and strengthening wider access to laboratory capacity across the European Union. Key priorities include optimization and broader use of rapid diagnostics, further integration of whole-genome sequencing in surveillance and electronic linkage of laboratory and public health systems. This article highlights some of the network contributions to public health in Europe and the role that ECDC plays managing these networks.

Using Evidence to Strengthen Health Systems in Africa and the ...

International Development Research Centre (IDRC) Digital Library (Canada)

The project is timely for Lebanon, a country that is working to strengthen its primary health care system to respond to current priorities such as the emerging crisis of Syrian refugees. Timely access to information The project will strengthen institutional and individual abilities to conduct and use systematic and rapid reviews to ...

Does the upgrading of the radio communications network in health ...

African Journals Online (AJOL)

In an attempt to strengthen the obstetric referral system, the Safe Motherhood Project installed a repeater-based VHF radio communication system in three pilot districts. The overall goal of the new network was to enable the health centers to communicate directly to their district health offices (DHOs) for an ambulance when ...

Strengthening the Uganda nurses' and midwives' association for a motivated workforce.

Science.gov (United States)

Zuyderduin, A; Obuni, J D; McQuide, P A

2010-12-01

The Ugandan Association of Nurses and Midwives (UNANM) is a dynamic proactive community. This survey of nurses, both members and non-members of the association, was implemented in April 2007. It was the first phase of a programme-funded Capacity Project/USAID to strengthen professional associations as part of a strategy to retain nurses. To better understand the needs and strengths of the association and to develop policy recommendations on how to strengthen the UNANM to retain nurses in the health sector. Three hundred self-completion questionnaires were distributed, of which 217 (72%) were returned. The participants were 126 non-members and 91 members of the UNANM. Just over a third of the 91 members rated the UNANM to be very effective in promoting nursing (35%) and information sharing (36%). Non-members want to receive nursing information from the UNANM (89%) and were less critical of the UNANM than members. Respondents were interested in counselling training (83%), research capacity building (80%) and sharing best practice (74%). Nurses under 30 years (12%) look to more experienced peers for guidance on coping in a stressful profession. The nurses lack continuing professional development, mentoring and networking opportunities. Tangible support for communication, nurse education and research is needed and will stimulate the development of nursing in Uganda. Most nurses do not have the means to pay for training, research or travel to attend professional meetings. Motivation to stay in nursing and quality of care can increase through investing in nursing, and this support can be channelled through associations such as the UNANM. © 2010 The Authors. International Nursing Review © 2010 International Council of Nurses.

Diagnosis and Prognostic of Wastewater Treatment System Based on Bayesian Network

Science.gov (United States)

Li, Dan; Yang, Haizhen; Liang, XiaoFeng

2010-11-01

Wastewater treatment is a complicated and dynamic process. The treatment effect can be influenced by many variables in microbial, chemical and physical aspects. These variables are always uncertain. Due to the complex biological reaction mechanisms, the highly time-varying and multivariable aspects, the diagnosis and prognostic of wastewater treatment system are still difficult in practice. Bayesian network (BN) is one of the best methods for dealing with uncertainty in the artificial intelligence field. Because of the powerful inference ability and convenient decision mechanism, BN can be employed into the model description and influencing factor analysis of wastewater treatment system with great flexibility and applicability.In this paper, taking modified sequencing batch reactor (MSBR) as an analysis object, BN model was constructed according to the influent water quality, operational condition and effluent effect data of MSBR, and then a novel approach based on BN is proposed to analyze the influencing factors of the wastewater treatment system. The approach presented gives an effective tool for diagnosing and predicting analysis of the wastewater treatment system. On the basis of the influent water quality and operational condition, effluent effect can be predicted. Moreover, according to the effluent effect, the influent water quality and operational condition also can be deduced.

Strengthening of Steel Columns under Load: Torsional-Flexural Buckling

Directory of Open Access Journals (Sweden)

Martin Vild

2016-01-01

Full Text Available The paper presents experimental and numerical research into the strengthening of steel columns under load using welded plates. So far, the experimental research in this field has been limited mostly to flexural buckling of columns and the preload had low effect on the column load resistance. This paper focuses on the local buckling and torsional-flexural buckling of columns. Three sets of three columns each were tested. Two sets corresponding to the base section (D and strengthened section (E were tested without preloading and were used for comparison. Columns from set (F were first preloaded to the load corresponding to the half of the load resistance of the base section (D. Then the columns were strengthened and after they cooled, they were loaded to failure. The columns strengthened under load (F had similar average resistance as the columns welded without preloading (E, meaning the preload affects even members susceptible to local buckling and torsional-flexural buckling only slightly. This is the same behaviour as of the tested columns from previous research into flexural buckling. The study includes results gained from finite element models of the problem created in ANSYS software. The results obtained from the experiments and numerical simulations were compared.

Strengthening the health workforce to implement public health interventions in the South-Eastern European Health Network: lessons learned from a technical meeting

NARCIS (Netherlands)

Zuleta-Marin, Ingrid; Dieleman, M.A.; Zwanikken, Prisca; Bjegovic-Mikanovic, Vesna; Santric-Milicevic, Milena; Perfilieva, Galina; Krayer von Krauss, Martin; Cichowska, Anna

Through the WHO European Region’s Health 2020 policy framework, countries agreed to work together on policy priorities for public health such as strengthening people-centred public health systems and public health capacity. Alongside the Health 2020 strategy, the seventh of the 10 essential public

Efficient control of epidemics spreading on networks: balance between treatment and recovery.

Directory of Open Access Journals (Sweden)

Katarzyna Oleś

Full Text Available We analyse two models describing disease transmission and control on regular and small-world networks. We use simulations to find a control strategy that minimizes the total cost of an outbreak, thus balancing the costs of disease against that of the preventive treatment. The models are similar in their epidemiological part, but differ in how the removed/recovered individuals are treated. The differences in models affect choice of the strategy only for very cheap treatment and slow spreading disease. However for the combinations of parameters that are important from the epidemiological perspective (high infectiousness and expensive treatment the models give similar results. Moreover, even where the choice of the strategy is different, the total cost spent on controlling the epidemic is very similar for both models.

Correlates and Risk Markers for Sleep Disturbance in Participants of the Autism Treatment Network

Science.gov (United States)

Hollway, Jill A.; Aman, Michael G.; Butter, Eric

2013-01-01

We explored possible cognitive, behavioral, emotional, and physiological risk markers for sleep disturbance in children with autism spectrum disorders. Data from 1,583 children in the Autism Treatment Network were analyzed. Approximately 45 potential predictors were analyzed using hierarchical regression modeling. As medication could confound…

Faith in the net: towards the creation of digital networks of religious acknowledgement and recognition

Directory of Open Access Journals (Sweden)

Luis Ignacio SIERRA GUTIÉRREZ

2017-12-01

Full Text Available Undoubtedly, the technological revolution in information and communications causing major changes in citizens’ social interactions. The new reticular rationality offers the possibility of shaping, developing, and strengthening social networks and virtual communities. All of them facilitate the creation of new interactive spaces, new social collectives promoting citizenship and that, from different social fields and levels of experience, articulate and streamline processes of production, circulation and appropriation of new symbolic products. Such products contribute not only to generating new sources of knowledge but, above all, to strengthening processes of citizen interaction. In such processes, the field of media, religiosities and socio-cultural processes are strategically intertwined. In this context, experiences of civic religiosity find in the potential generated by the global network, new possibilities of interaction and religious recognition. Also new forms and spaces to share plural options of faith and socio-religious practices that make sense of the existence of cybernauts. This text is divided into three parts: First, critically contextualizes the global phenomenon of social networks. Second, it makes an approximation to some experiences of digital networks of religious recognition from Latin America. Finally, raises some questions that arise from such virtual practices.

Carbon fiber-reinforced polymer strengthening and monitoring of the grondals bridge in Sweden

DEFF Research Database (Denmark)

Täljsten, Björn; Hejll, Arvid; James, Gerard

2007-01-01

to be strengthened. The strengthening methods used were CFRP plates at the serviceability limit state and prestressed dywidag stays at the ultimate limit state. The strengthening was carried out during 2002. At the same time monitoring of the bridge commenced, using LVDT crack gauges as well as optical fiber sensors....

Exploratory Network Meta Regression Analysis of Stroke Prevention in Atrial Fibrillation Fails to Identify Any Interactions with Treatment Effect.

Science.gov (United States)

Batson, Sarah; Sutton, Alex; Abrams, Keith

2016-01-01

Patients with atrial fibrillation are at a greater risk of stroke and therefore the main goal for treatment of patients with atrial fibrillation is to prevent stroke from occurring. There are a number of different stroke prevention treatments available to include warfarin and novel oral anticoagulants. Previous network meta-analyses of novel oral anticoagulants for stroke prevention in atrial fibrillation acknowledge the limitation of heterogeneity across the included trials but have not explored the impact of potentially important treatment modifying covariates. To explore potentially important treatment modifying covariates using network meta-regression analyses for stroke prevention in atrial fibrillation. We performed a network meta-analysis for the outcome of ischaemic stroke and conducted an exploratory regression analysis considering potentially important treatment modifying covariates. These covariates included the proportion of patients with a previous stroke, proportion of males, mean age, the duration of study follow-up and the patients underlying risk of ischaemic stroke. None of the covariates explored impacted relative treatment effects relative to placebo. Notably, the exploration of 'study follow-up' as a covariate supported the assumption that difference in trial durations is unimportant in this indication despite the variation across trials in the network. This study is limited by the quantity of data available. Further investigation is warranted, and, as justifying further trials may be difficult, it would be desirable to obtain individual patient level data (IPD) to facilitate an effort to relate treatment effects to IPD covariates in order to investigate heterogeneity. Observational data could also be examined to establish if there are potential trends elsewhere. The approach and methods presented have potentially wide applications within any indication as to highlight the potential benefit of extending decision problems to include additional

Exploratory Network Meta Regression Analysis of Stroke Prevention in Atrial Fibrillation Fails to Identify Any Interactions with Treatment Effect.

Directory of Open Access Journals (Sweden)

Sarah Batson

Full Text Available Patients with atrial fibrillation are at a greater risk of stroke and therefore the main goal for treatment of patients with atrial fibrillation is to prevent stroke from occurring. There are a number of different stroke prevention treatments available to include warfarin and novel oral anticoagulants. Previous network meta-analyses of novel oral anticoagulants for stroke prevention in atrial fibrillation acknowledge the limitation of heterogeneity across the included trials but have not explored the impact of potentially important treatment modifying covariates.To explore potentially important treatment modifying covariates using network meta-regression analyses for stroke prevention in atrial fibrillation.We performed a network meta-analysis for the outcome of ischaemic stroke and conducted an exploratory regression analysis considering potentially important treatment modifying covariates. These covariates included the proportion of patients with a previous stroke, proportion of males, mean age, the duration of study follow-up and the patients underlying risk of ischaemic stroke.None of the covariates explored impacted relative treatment effects relative to placebo. Notably, the exploration of 'study follow-up' as a covariate supported the assumption that difference in trial durations is unimportant in this indication despite the variation across trials in the network.This study is limited by the quantity of data available. Further investigation is warranted, and, as justifying further trials may be difficult, it would be desirable to obtain individual patient level data (IPD to facilitate an effort to relate treatment effects to IPD covariates in order to investigate heterogeneity. Observational data could also be examined to establish if there are potential trends elsewhere. The approach and methods presented have potentially wide applications within any indication as to highlight the potential benefit of extending decision problems to

Theoretical multi-physics approaches to solid-solution strengthening of Al

Energy Technology Data Exchange (ETDEWEB)

Ma, Duancheng; Friak, Martin; Raabe, Dierk; Neugebauer, Joerg [Max-Planck-Institut fuer Eisenforschung GmbH, Duesseldorf (Germany)

2009-07-01

The strengthening of soft metallic materials has a long tradition and is an important metallurgical topic since the time when ancient smiths forged the first swords. Intense materials research revealed a combination of three mechanisms as decisive for solid-solution strengthening phenomena: (i) the size mismatch of components (Mott and Nabarro's parelastic concept), (ii) the elastic modulus mismatch of atoms (Fleischer's dielastic contribution), and (iii) the concentration of solutes (statistical concept of Friedel and Labusch). Combining density functional theory calculations and linear-elasticity theory, the key parameters that are essential for the classical strengthening theories are determined in order to test them and identify their possible validity limits. The strengthening of fcc aluminium is chosen as an example and a series of binary systems Al-X (with X=Ca,Sr,Ir,Li,Mg,Cu) was considered. Comparing our results with those obtained by applying classical theories we find clear deviations. These deviations originate from non-classical lattice distortions due to the size mismatch of solute atoms in their first coordination shells.

FRP Composites Strengthening of Concrete Columns under Various Loading Conditions

Directory of Open Access Journals (Sweden)

Azadeh Parvin

2014-04-01

Full Text Available This paper provides a review of some of the progress in the area of fiber reinforced polymers (FRP-strengthening of columns for several loading scenarios including impact load. The addition of FRP materials to upgrade deficiencies or to strengthen structural components can save lives by preventing collapse, reduce the damage to infrastructure, and the need for their costly replacement. The retrofit with FRP materials with desirable properties provides an excellent replacement for traditional materials, such as steel jacket, to strengthen the reinforced concrete structural members. Existing studies have shown that the use of FRP materials restore or improve the column original design strength for possible axial, shear, or flexure and in some cases allow the structure to carry more load than it was designed for. The paper further concludes that there is a need for additional research for the columns under impact loading senarios. The compiled information prepares the ground work for further evaluation of FRP-strengthening of columns that are deficient in design or are in serious need for repair due to additional load or deterioration.

Concepts in research capabilities strengthening positive experiences of network approaches by TDR in the People's Republic of China and Eastern Asia.

Science.gov (United States)

Zhou, Xiao-Nong; Wayling, Steven; Bergquist, Robert

2010-01-01

Strengthening human and physical resources for health research is an important function of any sustainable public health approach. The process of successfully embedding research into health systems in developing countries calls for the participation of competent, national scientists, with input and support where appropriate from international research institutions. Without a research-friendly environment, it is not easy for institutions and control programmes to engage and deliver products that can contribute to improving general health status. For example, monitoring is an important component of disease control but this can now be built upon to design surveillance systems capable of reporting activities in real time based on geographical information systems and continuous internet access. Informed surveillance can take on a stronger role than just capturing transmission foci to also become instrumental in directing swift responses in a spatially explicit and cost-effective manner. Further, whenever assessments of impact and control measures for different diseases are similar as they are, for example, with respect to schistosomiasis and food-borne trematode infections, the amalgamation of separate control programmes becomes realistic even if diverse strategies were originally developed for the diseases in question. Developments like this are guiding the expansion of research capabilities to espouse the integration of multidisciplinary research into national disease control programmes. The deployment of public-private partnerships as vehicles for operational progress and the endorsement of regional networks as platforms for driving research, while at the same time supporting and promoting training and dispersion of new knowledge, represent further manifestations of innovation in disease control. Some Asian examples of how this can be accomplished are provided. Copyright 2010 Elsevier Ltd. All rights reserved.

Effects of low frequency rTMS treatment on brain networks for inner speech in patients with schizophrenia and auditory verbal hallucinations.

Science.gov (United States)

Bais, Leonie; Liemburg, Edith; Vercammen, Ans; Bruggeman, Richard; Knegtering, Henderikus; Aleman, André

2017-08-01

Efficacy of repetitive Transcranial Magnetic Stimulation (rTMS) targeting the temporo-parietal junction (TPJ) for the treatment of auditory verbal hallucinations (AVH) remains under debate. We assessed the influence of a 1Hz rTMS treatment on neural networks involved in a cognitive mechanism proposed to subserve AVH. Patients with schizophrenia (N=24) experiencing medication-resistant AVH completed a 10-day 1Hz rTMS treatment. Participants were randomized to active stimulation of the left or bilateral TPJ, or sham stimulation. The effects of rTMS on neural networks were investigated with an inner speech task during fMRI. Changes within and between neural networks were analyzed using Independent Component Analysis. rTMS of the left and bilateral TPJ areas resulted in a weaker network contribution of the left supramarginal gyrus to the bilateral fronto-temporal network. Left-sided rTMS resulted in stronger network contributions of the right superior temporal gyrus to the auditory-sensorimotor network, right inferior gyrus to the left fronto-parietal network, and left middle frontal gyrus to the default mode network. Bilateral rTMS was associated with a predominant inhibitory effect on network contribution. Sham stimulation showed different patterns of change compared to active rTMS. rTMS of the left temporo-parietal region decreased the contribution of the left supramarginal gyrus to the bilateral fronto-temporal network, which may reduce the likelihood of speech intrusions. On the other hand, left rTMS appeared to increase the contribution of functionally connected regions involved in perception, cognitive control and self-referential processing. These findings hint to potential neural mechanisms underlying rTMS for hallucinations but need corroboration in larger samples. Copyright © 2017 Elsevier Inc. All rights reserved.

Ambiguous diagnosis, futile treatments and temporary recovery ...

African Journals Online (AJOL)

Ambiguous diagnosis, futile treatments and temporary recovery: Meanings of medical treatment among HIV/AIDS family caregivers providing care without ARVs. ... to understand unstable treatment outcomes; and policy makers should strengthen home-based care by developing policies that integrate palliative care into HIV ...

Seismic evaluation and strengthening of Bohunice nuclear power plant structures

International Nuclear Information System (INIS)

Shipp, J.G.; Short, S.A.; Grief, T.; Borov, V.; Kuzma, J.

2001-01-01

A seismic assessment and strengthening investigation is being performed for selected structures at the Bohunice V1 Nuclear Power Plant in Slovakia. Structures covered in this paper include the reactor building complex and the emergency generator station. The emergency generator station is emphasized in the paper as work is nearly complete while work on the reactor building complex is ongoing at this time. Seismic evaluation and strengthening work is being performed by a cooperative effort of Siemens and EQE along with local contractors. Seismic input is the interim Review Level Earthquake (horizontal peak ground acceleration of 0.3 g). The Bohunice V1 reactor building complex is a WWER 4401230 nuclear power plant that was originally built in the mid-1970s but had extensive seismic upgrades in 1991. Siemens has performed three dimensional dynamic analyses of the reactor building complex to develop seismic demand in structural elements. EQE is assessing seismic capacities of structural elements and developing strengthening schemes, where needed. Based on recent seismic response analyses for the interim Review Level Earthquake which account for soil-structure interaction in a rigorous manner, the 1991 seismic upgrade has been found to be inadequate in both member/connection strength and in providing complete load paths to the foundation. Additional strengthening is being developed. The emergency generator station was built in the 1970s and is a two-story unreinforced brick masonry (URM) shear wall building above grade with a one story reinforced concrete shear wall basement below grade. Seismic analyses and testing of the URM walls has been performed to assess the need for building strengthening. Required structural strengthening for in-plane forces consists of revised and additional vertical steel framing and connections, stiffening of horizontal roof bracing, and steel connections between the roof and supporting walls and pointing of two interior transverse URM

Validation of a scale for network therapy: a technique for systematic use of peer and family support in addition treatment.

Science.gov (United States)

Keller, D S; Galanter, M; Weinberg, S

1997-02-01

Substance abuse treatments are increasingly employing standardized formats. This is especially the case for approaches that utilize an individual psychotherapy format but less so for family-based approaches. Network therapy, an approach that involves family members and peers in the patient's relapse prevention efforts, is theoretically and clinically differentiated in this paper from family systems therapy for addiction. Based on these conceptual differences, a Network Therapy Rating Scale (NTRS) was developed to measure the integrity and differentiability of network therapy from other family-based approaches to addiction treatment. Seven addictions faculty and 10 third- and fourth-year psychiatry residents recently trained in the network approach used the NTRS to rate excerpts of network and family systems therapy sessions. Data revealed the NTRS had high internal consistency reliability when utilized by both groups of raters. In addition, network and nonnetwork subscales within the NTRS rated congruent therapy excerpts significantly higher than noncongruent therapy excerpts, indicating that the NTRS subscales measure what they are designed to measure. Implications for research and training are discussed.

FURGY – Cross-border Networking with Focus on Renewable Energies

DEFF Research Database (Denmark)

Gerstlberger, Wolfgang; Siegl, Michael; Vedder, Jan-Frederik

FURGY (Future Renewable Energies) which is a project supported by European INTERREG IV A funds shall establish a joint center of competence in the regions north and south of the German-Danish border for renewable resources and energy efficiency, helping to build a sustainable energy cluster status...... on international level. The project started in late 2009 with a runtime of 3 years. The FURGY project pursues the goal to strengthen this existing location advantage by a vital cross-border network. In the sector of renewable energy surveys, interdisciplinary networks and active information policies shall optimize...

[Prevention and Treatment of Eating Disorders: The Health Care Network Anorexia and Bulimia nervosa].

Science.gov (United States)

Weigel, Angelika; Gumz, Antje; Kästner, Denise; Romer, Georg; Wegscheider, Karl; Löwe, Bernd

2015-07-01

The "Health care network anorexia and bulimia nervosa", a subproject of psychenet - the Hamburg network for mental health - aims to decrease the incidence of eating disorders as well as the risk for chronic illness courses. One focal project, therefore, evaluates a school-based prevention manual in a randomized controlled trial. The other one examines the impact of a systemic public health intervention on early treatment initiation in anorexia nervosa. The present article provides an overview about study design and interventions in both focal projects as well as preliminary results. © Georg Thieme Verlag KG Stuttgart · New York.

Strengthening health system to improve immunization for migrants in China.

Science.gov (United States)

Fang, Hai; Yang, Li; Zhang, Huyang; Li, Chenyang; Wen, Liankui; Sun, Li; Hanson, Kara; Meng, Qingyue

2017-07-01

Immunization is the most cost-effective method to prevent and control vaccine-preventable diseases. Migrant population in China has been rising rapidly, and their immunization status is poor. China has tried various strategies to strengthen its health system, which has significantly improved immunization for migrants. This study applied a qualitative retrospective review method aiming to collect, analyze and synthesize health system strengthening experiences and practices about improving immunizations for migrants in China. A conceptual framework of Theory of Change was used to extract the searched literatures. 11 searched literatures and 4 national laws and policies related to immunizations for migrant children were carefully studied. China mainly employed 3 health system strengthening strategies to significantly improve immunization for migrant population: stop charging immunization fees or immunization insurance, manage immunization certificates well, and pay extra attentions on immunization for special children including migrant children. These health system strengthening strategies were very effective, and searched literatures show that up-to-date and age-appropriate immunization rates were significantly improved for migrant children. Economic development led to higher migrant population in China, but immunization for migrants, particularly migrant children, were poor. Fortunately various health system strengthening strategies were employed to improve immunization for migrants in China and they were rather successful. The experiences and lessons of immunization for migrant population in China might be helpful for other developing countries with a large number of migrant population.

Escapist Motives for On-line Gaming and Strengthening of Weak Ties

DEFF Research Database (Denmark)

Sudzina, Frantisek; Razmerita, Liana

on-line gaming. The research investigates Facebook and other on-line games separate-ly. A surprising result is that while most of the investigated escapist motives are positively correlated with strengthening of weak ties, the mundane breaking motive is negatively correlated with strengthening...

The Strengthening Nuclear Security Implementation initiative: evolution, status and next steps

NARCIS (Netherlands)

Dal, B.; Herbach, J.; Luongo, K.N.

2015-01-01

The "Strengthening Nuclear Security Implementation" initiative broke new ground at the 2014 Nuclear Security Summit in the effort to harmonize and strengthen the global nuclear security regime. This report discusses the significance of the initiative, the importance of expanding its signatories, and

Development of an Educational Network to Strengthen Education, Training and Outreach in Latin America: LANENT-Latin American Network for Education in Nuclear Technology

International Nuclear Information System (INIS)

Da Silva, A.

2016-01-01

Full text: In the current century, networks have played an important role in the dissemination of experiences, information exchange and training of human resources for different area of expertise. The IAEA has encouraged in regions, through its member states, the creation of educational networks to meet rapidly and efficiently the dissemination and exchange of knowledge between professionals and students in the nuclear area. With this vision, the Latin American Network for Education in Nuclear Technology (LANENT) was established to contribute to preserving, promoting and sharing nuclear knowledge as well as fostering nuclear knowledge transfer in the Latin American region. LANENT seeks to increase technical and scientific cooperation among its members in so far as to promote the benefits of nuclear technology and foster the progress and development of nuclear technology in areas such as education, health, the industry, the government, the environment, the mining industry, among others. By means of LANENT, the participating institutions of this network, devoted to education and training of professionals and technicians in the Latin American region, may have access to major information on nuclear technology so as to make their human resources broaden their nuclear knowledge. Moreover, this network seeks to communicate the benefits of nuclear technology to the public with the aim of arousing interest in nuclear technology of the younger generations. This paper will present and analyze results and initiatives developed by LANENT in Latin America. (author

Notch-strengthening in two-dimensional foams

NARCIS (Netherlands)

Onck, P.R.

Metallic foams show notch-strengthening behavior when analyzing double-edge notched specimen in compression and tension. A discrete microstructural model has been used to simulate the effect of notch depth and specimen size on the net-section-strength. The non-uniform deformation behavior is

Strengthening Information Society Research Capacity Alliance ...

International Development Research Centre (IDRC) Digital Library (Canada)

2011-09-13

The project is expected to strengthen the body of theoretically based, methodologically sound, interdisciplinary research on information society issues. Project ID. 106618. Project status. Closed. Start Date. September 13, 2011. End Date. August 12, 2014. Duration. 24 months. IDRC Officer. Smith, Matthew. Total funding.

Experimental study on tunnel lining joints temporarily strengthened by SMA bolts

International Nuclear Information System (INIS)

Wu, Bo; Ou, Yunlong

2014-01-01

Shield tunnels have been widely used in city metros all over the world. During the long-term period of the metro operation, the joints of shield tunnel’s neighboring segments may degrade due to some environmental factors, leading to the increasing of the joint opening and some resulting adverse consequences. In this paper, a temporary strengthening method by using shape memory alloy (SMA) bolts is proposed and experimentally studied for the joints of neighboring segments, and a revised electric heating method which suits with the strengthening method is presented and experimentally validated for the SMA bolts. The purpose of the proposed temporary strengthening method is to create favorable conditions for the following permanent strengthening. Test results show that: (a) for the joints of shield tunnel’s neighboring segments, the strengthening method can effectively reduce the joint opening, joint deflection, concrete strain in joint’s compression zone, and strain of joint’s steel bolts; (b) the revised electric heating method can be used to heat the SMA rod to a temperature higher than the SMA’s austenite finish temperature quickly, and the average heating rate related to Type 2 inner resistance element is larger than that related to Type 1 inner resistance element; and (c) the reduction percentages of the joint opening increment, joint deflection, concrete strain in joint’s compression zone, and strain of joint’s steel bolts for Specimen I are all larger than those for Specimen II, implying that the less the joint opening is, the more significant the strengthening effect is. (paper)

Limit analysis on FRP-strengthened RC members

Directory of Open Access Journals (Sweden)

D. De Domenico

2014-07-01

Full Text Available Reinforced concrete (RC members strengthened with externally bonded fiber-reinforced-polymer (FRP plates are numerically investigated by a plasticity-based limit analysis approach. The key-concept of the present approach is to adopt proper constitutive models for concrete, steel reinforcement bars (re-bars and FRP strengthening plates according to a multi-yield-criteria formulation. This allows the prediction of concrete crushing, steel bars yielding and FRP rupture that may occur at the ultimate limit state. To simulate such limitstate of the analysed elements, two iterative methods performing linear elastic analyses with adaptive elastic parameters and finite elements (FEs description are employed. The peak loads and collapse mechanisms predicted for FRP-plated RC beams are validated by comparison with the corresponding experimental findings.

An “All Teach, All Learn” Approach to Research Capacity Strengthening in Indigenous Primary Health Care Continuous Quality Improvement

Science.gov (United States)

McPhail-Bell, Karen; Matthews, Veronica; Bainbridge, Roxanne; Redman-MacLaren, Michelle Louise; Askew, Deborah; Ramanathan, Shanthi; Bailie, Jodie; Bailie, Ross; Matthews, Veronica

2018-01-01

In Australia, Indigenous people experience poor access to health care and the highest rates of morbidity and mortality of any population group. Despite modest improvements in recent years, concerns remains that Indigenous people have been over-researched without corresponding health improvements. Embedding Indigenous leadership, participation, and priorities in health research is an essential strategy for meaningful change for Indigenous people. To centralize Indigenous perspectives in research processes, a transformative shift away from traditional approaches that have benefited researchers and non-Indigenous agendas is required. This shift must involve concomitant strengthening of the research capacity of Indigenous and non-Indigenous researchers and research translators—all must teach and all must learn. However, there is limited evidence about how to strengthen systems and stakeholder capacity to participate in and lead continuous quality improvement (CQI) research in Indigenous primary health care, to the benefit of Indigenous people. This paper describes the collaborative development of, and principles underpinning, a research capacity strengthening (RCS) model in a national Indigenous primary health care CQI research network. The development process identified the need to address power imbalances, cultural contexts, relationships, systems requirements and existing knowledge, skills, and experience of all parties. Taking a strengths-based perspective, we harnessed existing knowledge, skills and experiences; hence our emphasis on capacity “strengthening”. New insights are provided into the complex processes of RCS within the context of CQI in Indigenous primary health care. PMID:29761095

eHealth for Remote Regions: Findings from Central Asia Health Systems Strengthening Project.

Science.gov (United States)

Sajwani, Afroz; Qureshi, Kiran; Shaikh, Tehniat; Sayani, Saleem

2015-01-01

Isolated communities in remote regions of Afghanistan, Kyrgyz Republic, Pakistan and Tajikistan lack access to high-quality, low-cost health care services, forcing them to travel to distant parts of the country, bearing an unnecessary financial burden. The eHealth Programme under Central Asia Health Systems Strengthening (CAHSS) Project, a joint initiative between the Aga Khan Foundation, Canada and the Government of Canada, was initiated in 2013 with the aim to utilize Information and Communication Technologies to link health care institutions and providers with rural communities to provide comprehensive and coordinated care, helping minimize the barriers of distance and time. Under the CAHSS Project, access to low-cost, quality health care is provided through a regional hub and spoke teleconsultation network of government and non-government health facilities. In addition, capacity building initiatives are offered to health professionals. By 2017, the network is expected to connect seven Tier 1 tertiary care facilities with 14 Tier 2 secondary care facilities for teleconsultation and eLearning. From April 2013 to September 2014, 6140 teleconsultations have been provided across the project sites. Additionally, 52 new eLearning sessions have been developed and 2020 staff members have benefitted from eLearning sessions. Ethics and patient rights are respected during project implementation.

Strengthening rural health placements for medical students ...

African Journals Online (AJOL)

Strengthening rural health placements for medical students: Lessons for South Africa ... rural health, primary healthcare and National Health Insurance strategies. ... preferential selection of students with a rural background, positioning rural ...

Strengthening Democratic Governance through ICTs : Post Election ...

International Development Research Centre (IDRC) Digital Library (Canada)

Strengthening Democratic Governance through ICTs : Post Election ... has had several consequences, culminating in the disputed general elections of December 2007. ... Linking research to urban planning at the ICLEI World Congress 2018.

Strategy of Strengthening Institutional Fishermen Groups for Increasing Income

Directory of Open Access Journals (Sweden)

Edy Yusuf Agunggunanto

2016-10-01

Full Text Available The community development and empowerment are two inseparable sides in the efforts to overcome the phenomenon of the fishermen communities, especially in the efforts to increase the welfare through the increasing income in the fishermen communities. One of the media in implementing the community development and empowerment is through the fishermen groups. The role of fishermen groups has not run optimally yet in improving the fishermen’s welfare, so it requires a strategy of developing the fishermen groups through the strategy of strengthening the economy in order to increase the fishermen’s income. This research aims to determine the priority of aspects to determine the strategies and to analyze the priority of strategy of strengthening the economy through the development of the institutional fishermen groups in order to increase the fishermen income in Central Java. The method of analysis in this research uses the Analytic Hierarchy Process (AHP. The result of AHP analysis indicates the priority of aspects in the strategy of strengthening the economy those are: aspects of participation,aspects of capital, aspects of partnership, and aspects of technology. The priority of alternatives in the strategy of strengthening the fishermen’s economy shows three sequences of 12 alternatives of strategies those are:  the  socialization of the importance of groups, the increase in the active participation, and the increase in the number of meetings.

APINetworks Java. A Java approach to the efficient treatment of large-scale complex networks

Science.gov (United States)

Muñoz-Caro, Camelia; Niño, Alfonso; Reyes, Sebastián; Castillo, Miriam

2016-10-01

We present a new version of the core structural package of our Application Programming Interface, APINetworks, for the treatment of complex networks in arbitrary computational environments. The new version is written in Java and presents several advantages over the previous C++ version: the portability of the Java code, the easiness of object-oriented design implementations, and the simplicity of memory management. In addition, some additional data structures are introduced for storing the sets of nodes and edges. Also, by resorting to the different garbage collectors currently available in the JVM the Java version is much more efficient than the C++ one with respect to memory management. In particular, the G1 collector is the most efficient one because of the parallel execution of G1 and the Java application. Using G1, APINetworks Java outperforms the C++ version and the well-known NetworkX and JGraphT packages in the building and BFS traversal of linear and complete networks. The better memory management of the present version allows for the modeling of much larger networks.

Strengthening and Stabilization of the Weak Water Saturated Soils Using Stone Columns

Directory of Open Access Journals (Sweden)

Sinyakov Leonid

2016-01-01

Full Text Available The article considers innovative modern materials and structures for strengthening of weak soils. In this paper describes a method of strengthening of weak saturated soils using stone columns. The method of calculating the physical-mechanical characteristics of reinforced soil mass is presented. Two approaches to determining the stress-strain state and timeframe of consolidation of strengthened soil foundation using the finite element technique in two-dimensional formulation are proposed. The first one approach it is a modeling of reinforced soil mass, where each pile is represented as a separate 2D stripe. The second approach is to the simulation of the strengthened mass the equivalent composite block with improved physical-mechanical characteristics. The use of the equivalent composite block can significantly reduce the time spent on the preparation of a design scheme. The results of calculations were compared. They show the allowable divergence of results of calculation by two methods were presented, and the efficiency of the strengthening of weak water saturated soils by stone column is proved.

Episodic Memory Retrieval Benefits from a Less Modular Brain Network Organization

Science.gov (United States)

2017-01-01

Most complex cognitive tasks require the coordinated interplay of multiple brain networks, but the act of retrieving an episodic memory may place especially heavy demands for communication between the frontoparietal control network (FPCN) and the default mode network (DMN), two networks that do not strongly interact with one another in many task contexts. We applied graph theoretical analysis to task-related fMRI functional connectivity data from 20 human participants and found that global brain modularity—a measure of network segregation—is markedly reduced during episodic memory retrieval relative to closely matched analogical reasoning and visuospatial perception tasks. Individual differences in modularity were correlated with memory task performance, such that lower modularity levels were associated with a lower false alarm rate. Moreover, the FPCN and DMN showed significantly elevated coupling with each other during the memory task, which correlated with the global reduction in brain modularity. Both networks also strengthened their functional connectivity with the hippocampus during the memory task. Together, these results provide a novel demonstration that reduced modularity is conducive to effective episodic retrieval, which requires close collaboration between goal-directed control processes supported by the FPCN and internally oriented self-referential processing supported by the DMN. SIGNIFICANCE STATEMENT Modularity, an index of the degree to which nodes of a complex system are organized into discrete communities, has emerged as an important construct in the characterization of brain connectivity dynamics. We provide novel evidence that the modularity of the human brain is reduced when individuals engage in episodic memory retrieval, relative to other cognitive tasks, and that this state of lower modularity is associated with improved memory performance. We propose a neural systems mechanism for this finding where the nodes of the frontoparietal

Episodic Memory Retrieval Benefits from a Less Modular Brain Network Organization.

Science.gov (United States)

Westphal, Andrew J; Wang, Siliang; Rissman, Jesse

2017-03-29

Most complex cognitive tasks require the coordinated interplay of multiple brain networks, but the act of retrieving an episodic memory may place especially heavy demands for communication between the frontoparietal control network (FPCN) and the default mode network (DMN), two networks that do not strongly interact with one another in many task contexts. We applied graph theoretical analysis to task-related fMRI functional connectivity data from 20 human participants and found that global brain modularity-a measure of network segregation-is markedly reduced during episodic memory retrieval relative to closely matched analogical reasoning and visuospatial perception tasks. Individual differences in modularity were correlated with memory task performance, such that lower modularity levels were associated with a lower false alarm rate. Moreover, the FPCN and DMN showed significantly elevated coupling with each other during the memory task, which correlated with the global reduction in brain modularity. Both networks also strengthened their functional connectivity with the hippocampus during the memory task. Together, these results provide a novel demonstration that reduced modularity is conducive to effective episodic retrieval, which requires close collaboration between goal-directed control processes supported by the FPCN and internally oriented self-referential processing supported by the DMN. SIGNIFICANCE STATEMENT Modularity, an index of the degree to which nodes of a complex system are organized into discrete communities, has emerged as an important construct in the characterization of brain connectivity dynamics. We provide novel evidence that the modularity of the human brain is reduced when individuals engage in episodic memory retrieval, relative to other cognitive tasks, and that this state of lower modularity is associated with improved memory performance. We propose a neural systems mechanism for this finding where the nodes of the frontoparietal control

The role of organizational affiliations and research networks in the diffusion of breast cancer treatment innovation.

Science.gov (United States)

Carpenter, William R; Reeder-Hayes, Katherine; Bainbridge, John; Meyer, Anne-Marie; Amos, Keith D; Weiner, Bryan J; Godley, Paul A

2011-02-01

The National Institutes of Health (NIH) sees provider-based research networks and other organizational linkages between academic researchers and community practitioners as promising vehicles for accelerating the translation of research into practice. This study examines whether organizational research affiliations and teaching affiliations are associated with accelerated diffusion of sentinel lymph node biopsy (SLNB), an innovation in the treatment of early-stage breast cancer. Surveillance Epidemiology and End Results-Medicare data were used to examine the diffusion of SLNB for treatment of early-stage breast cancer among women aged 65 years and older diagnosed between 2000 and 2002, shortly after Medicare approved and began reimbursing for the procedure. In this population, patients treated at an organization affiliated with a research network--the American College of Surgeons Oncology Group (ACOSOG) or other National Cancer Institute (NCI) cooperative groups--were more likely to receive the innovative treatment (SLNB) than patients treated at unaffiliated organizations (odds ratio: 2.70, 95% confidence interval: 1.77-4.12; odds ratio: 1.84, 95% confidence interval: 1.26-2.69, respectively). Neither hospital teaching status nor surgical volume was significantly associated with differences in SLNB use. Patients who receive cancer treatment at organizations affiliated with cancer research networks have an enhanced probability of receiving SLNB, an innovative procedure that offers the promise of improved patient outcomes. Study findings support the NIH Roadmap and programs such as the NCI's Community Clinical Oncology Program, as they seek to accelerate the translation of research into practice by simultaneously accelerating and broadening cancer research in the community.

Plasticity of oxide dispersion strengthened ferritic alloys; Plasticite des alliages ferritiques renforces par dispersion d`oxydes

Energy Technology Data Exchange (ETDEWEB)

Zakine, C

1994-07-05

The object of this work is to study the plasticity mechanisms of two oxide dispersion strengthened ferritic alloys, DT and DY. Microstructural characterisation has been performed on DT and DY alloys by optical, scanning and transmission electron microscopy. These materials, strengthened by an oxide dispersion, contain an intermetallic {chi} phase precipitated on grain boundaries. The {chi} phase, stable up to 900 deg, can be dissolved into the matrix by heat treatment beyond 1 000 deg. Between 20 and 700 deg, according to tensile tests, the DY alloy which is strengthened by a fine dispersion of yttria particles is more resistant and less ductile than DT alloy, strengthened by titanium oxides. Tensile tests performed at room temperature, in the chamber of a SEM, have shown that micro-cracking of the {chi} phase coincides with the first stage of the macroscopic yielding. The cavities initiated by the {chi} phase micro-cracking induce a ductile fracture of the matrix. A dynamic strain ageing mechanism has been observed around 400 deg, which is attributed to the Mo contribution. Between 20 and 700 deg, comparison of tensile properties of alloys with or without {chi} phase has shown that the intermetallic phase has a detrimental effect on the ductility, but has no influence on the mechanical strength. Creep tests have been performed between 500 and 700 deg. Thermally activated plasticity mechanisms are observed in this temperature range. The {chi} phase, which is always micro-cracked after tensile testing, is not damaged after creep testing below a critical stress. This behaviour is explained by the influence of strain rate through the competition between strain hardening and relaxation of the matrix. (author).

The exiles as 'translators'. APRA networks exile in Argentina in the thirties

Directory of Open Access Journals (Sweden)

Leandro Sessa

2014-04-01

Full Text Available This article reconstructs APRA exile networks in Argentina during the thirties, so as to analyze how the exiles got involved in disputes about what the APRA was, given their interest of strengthening links with sectors of national political environment. This approach will show how the exiles revived Latin American solidarity networks wich came from the previous decade. As part of that effort, they worked as "translators" of the political movement, against other aprismo´s representations circulating in our country

Fabricating and strengthening the carbon nanotube/copper composite fibers with high strength and high electrical conductivity

Science.gov (United States)

Han, Baoshuai; Guo, Enyu; Xue, Xiang; Zhao, Zhiyong; Li, Tiejun; Xu, Yanjin; Luo, Liangshun; Hou, Hongliang

2018-05-01

Combining the excellent properties of carbon nanotube (CNT) and copper, CNT/Cu composite fibers were fabricated by physical vapor deposition (PVD) and rolling treatment. Dense and continuous copper film (∼2 μm) was coated on the surface of the CNT fibers by PVD, and rolling treatment was adopt to strengthen the CNT/Cu composite fibers. After the rolling treatment, the defects between the Cu grains and the CNT bundles were eliminated, and the structure of both the copper film and the core CNT fibers were optimized. The rolled CNT/Cu composite fibers possess high tensile effective strength (1.01 ± 0.13 GPa) and high electrical conductivity ((2.6 ± 0.3) × 107 S/m), and thus, this material may become a promising wire material.

Strengthening primary healthcare through community involvement in ...

African Journals Online (AJOL)

Strengthening primary healthcare through community involvement in Cross River State, Nigeria: a descriptive study. Hilary Adie, Thomas Igbang, Akaninyene Otu, Ekanem Braide, Okpok Okon, Edet Ikpi, Charles Joseph, Alexander Desousa, Johannes Sommerfeld ...

An Experimental Study on Strengthening of Reinforced Concrete Flexural Members using Steel Wire Mesh

Directory of Open Access Journals (Sweden)

Al Saadi Hamza Salim Mohammed

2017-01-01

Full Text Available One of the major challenges and contemporary research in the field of structural engineering is strengthening of existing structural elements using readily available materials in the market. Several investigations were conducted on strengthening of various structural components using traditional and advanced materials. Many researchers tried to enhance the reinforced concrete (RC beams strength using steel plate, Glass and Carbon Fibre Reinforced Polymers (GFRP & CFRP. For the reason that high weight to the strength ratio and compatibility in strength between FRP composites and steel bars, steel plates and GFRP and CFRP composites are not used for strengthening works practically. Hence, in this present work the suitability of using wire mesh for the purpose of strengthening the RC flexural members is studied by conducting experimental works. New technique of strengthening system using wire mesh with a view to improve sectional properties and subsequently flexural strength of RC beams is adopted in this work. The results for experimental and theoretical analysis were compared and found that good correlation exists between them. The experimental results indicate that RC beams strengthened with steel wire mesh are easy technique for strengthening of existing flexural members.

Strengthening health workforce capacity through work-based training

Directory of Open Access Journals (Sweden)

Matovu Joseph KB

2013-01-01

Full Text Available Abstract Background Although much attention has been given to increasing the number of health workers, less focus has been directed at developing models of training that address real-life workplace needs. Makerere University School of Public Health (MakSPH with funding support from the Centers for Disease Control and Prevention (CDC developed an eight-month modular, in-service work-based training program aimed at strengthening the capacity for monitoring and evaluation (M&E and continuous quality improvement (CQI in health service delivery. Methods This capacity building program, initiated in 2008, is offered to in-service health professionals working in Uganda. The purpose of the training is to strengthen the capacity to provide quality health services through hands-on training that allows for skills building with minimum work disruptions while encouraging greater involvement of other institutional staff to enhance continuity and sustainability. The hands-on training uses practical gaps and challenges at the workplace through a highly participatory process. Trainees work with other staff to design and implement ‘projects’ meant to address work-related priority problems, working closely with mentors. Trainees’ knowledge and skills are enhanced through short courses offered at specific intervals throughout the course. Results Overall, 143 trainees were admitted between 2008 and 2011. Of these, 120 (84% from 66 institutions completed the training successfully. Of the trainees, 37% were Social Scientists, 34% were Medical/Nursing/Clinical Officers, 5.8% were Statisticians, while 23% belonged to other professions. Majority of the trainees (80% were employed by Non-Government Organizations while 20% worked with the public health sector. Trainees implemented 66 projects which addressed issues such as improving access to health care services; reducing waiting time for patients; strengthening M&E systems; and improving data collection and

Nanoscale strengthening mechanisms in metallic thin film systems

Science.gov (United States)

Schoeppner, Rachel Lynn

Nano-scale strengthening mechanisms for thin films were investigated for systems governed by two different strengthening techniques: nano-laminate strengthening and oxide dispersion strengthening. Films were tested under elevated temperature conditions to investigate changes in deformation mechanisms at different operating temperatures, and the structural stability. Both systems exhibit remarkable stability after annealing and thus long-term reliability. Nano-scale metallic multilayers with smaller layer thicknesses show a greater relative resistance to decreasing strength at higher temperature testing conditions than those with larger layer thicknesses. This is seen in both Cu/Ni/Nb multilayers as well as a similar tri-component bi-layer system (Cu-Ni/Nb), which removed the coherent interface from the film. Both nanoindentation and micro-pillar compression tests investigated the strain-hardening ability of these two systems to determine what role the coherent interface plays in this mechanism. Tri-layer films showed a higher strain-hardening ability as the layer thickness decreased and a higher strain-hardening exponent than the bi-layer system: verifying the presence of a coherent interface increases the strain-hardening ability of these multilayer systems. Both systems exhibited hardening of the room temperature strength after annealing, suggesting a change in microstructure has occurred, unlike that seen in other multilayer systems. Oxide dispersion strengthened Au films showed a marked increase in hardness and wear resistance with the addition of ZnO particles. The threshold for stress-induced grain-refinement as opposed to grain growth is seen at concentrations of at least 0.5 vol%. These systems exhibited stable microstructures during thermal cycling in films containing at least 1.0%ZnO. Nanoindentation experiments show the drop in hardness following annealing is almost completely attributed to the resulting grain growth. Four-point probe resistivity

Seismic Strengthening of Carpentry Joints in Traditional Timber Structures

International Nuclear Information System (INIS)

Parisi, Maria A.; Cordie, Cinzia; Piazza, Maurizio

2008-01-01

The static and dynamic behavior of timber structures largely depends on their connections. In traditional timber construction, elements are usually connected with carpentry joints based on contact pressure and friction, often with only minor reinforcement generically intended to avoid disassembling. In current practice, interventions for the upgrading of carpentry joints are mainly based on empirical knowledge according to tradition. Often they produce a general strengthening of the connection, but are not specific for the case of seismic action. Strengthening on heuristic bases may be only partially effective or possibly disproportioned. The behavior of the carpentry joints most used in roof structures is examined. The birdsmouth joint, connecting rafters to the tie beam, has been studied first, characterizing its behavior numerically and experimentally in monotonic and cyclic conditions. Other forms of the rafter-to-tie connection, the double notch joint and the case of parallel rafters, are discussed. Some general criteria for the seismic strengthening of these joints are presented

Seismic Strengthening of Carpentry Joints in Traditional Timber Structures

Science.gov (United States)

Parisi, Maria A.; Cordié, Cinzia; Piazza, Maurizio

2008-07-01

The static and dynamic behavior of timber structures largely depends on their connections. In traditional timber construction, elements are usually connected with carpentry joints based on contact pressure and friction, often with only minor reinforcement generically intended to avoid disassembling. In current practice, interventions for the upgrading of carpentry joints are mainly based on empirical knowledge according to tradition. Often they produce a general strengthening of the connection, but are not specific for the case of seismic action. Strengthening on heuristic bases may be only partially effective or possibly disproportioned. The behavior of the carpentry joints most used in roof structures is examined. The birdsmouth joint, connecting rafters to the tie beam, has been studied first, characterizing its behavior numerically and experimentally in monotonic and cyclic conditions. Other forms of the rafter-to-tie connection, the double notch joint and the case of parallel rafters, are discussed. Some general criteria for the seismic strengthening of these joints are presented.

Executive Control and Striatal Resting-State Network Interact with Risk Factors to Influence Treatment Outcomes in Alcohol-Use Disorder

Directory of Open Access Journals (Sweden)

Milky Kohno

2017-09-01

Full Text Available Alterations within mesocorticolimbic terminal regions commonly occur with alcohol use disorder (AUD. As pathological drug-seeking behavior may arise as a consequence of alcohol-induced neuroadaptations, it is critical to understand how such changes increase the likelihood of relapse. This report examined resting-state functional connectivity (RSFC using both a seed-based and model-free approach in individuals in treatment for AUD and how dysregulation of network connectivity contributes to treatment outcomes. In order to provide a mechanism by which neural networks promote relapse, interactive effects of mesocorticolimbic connectivity and AUD risk factors in treatment completers and non-completers were examined. AUD group showed stronger RSFC between striatum, insula, and anterior cingulate cortex than controls. Within the AUD group, non-completers compared to completers showed enhanced RSFC between (1 striatum–insula, (2 executive control network (ECN–amygdala, and (3 basal ganglia/salience network and striatum, precuneus, and insula. Completers showed enhanced RSFC between striatum-right dorsolateral prefrontal cortex. Furthermore, completers and non-completers differed in relationships between RSFC and relapse risk factors, where non-completers exhibited positive associations between craving intensity and RSFC of striatum–insula and ECN–amygdala. These findings provide evidence for interactions between corticolimbic connectivity in AUD and craving and establish an important link between network connectivity and dynamic risk factors that contribute to relapse. Results demonstrate that relapse vulnerability is attributed to craving dysregulation manifested by enhanced connectivity in striato-limbic regions and diminished corticostriatal connectivity.

Adaptive force regulation of muscle strengthening rehabilitation device with magnetorheological fluids.

Science.gov (United States)

Dong, Shufang; Lu, Ke-Qian; Sun, Jian Qiao; Rudolph, Katherine

2006-03-01

In rehabilitation from neuromuscular trauma or injury, strengthening exercises are often prescribed by physical therapists to recover as much function as possible. Strengthening equipment used in clinical settings range from low-cost devices, such as sandbag weights or elastic bands to large and expensive isotonic and isokinetic devices. The low-cost devices are incapable of measuring strength gains and apply resistance based on the lowest level of torque that is produced by a muscle group. Resistance that varies with joint angle can be achieved with isokinetic devices in which angular velocity is held constant and variable torque is generated when the patient attempts to move faster than the device but are ineffective if a patient cannot generate torque rapidly. In this paper, we report the development of a versatile rehabilitation device that can be used to strengthen different muscle groups based on the torque generating capability of the muscle that changes with joint angle. The device is low cost, is smaller than other commercially available machines, and can be programmed to apply resistance that is unique to a particular patient and that will optimize strengthening. The core of the device, a damper with smart magnetorheological fluids, provides passive exercise force. A digital adaptive control is capable of regulating exercise force precisely following the muscle strengthening profile prescribed by a physical therapist. The device could be programmed with artificial intelligence to dynamically adjust the target force profile to optimize rehabilitation effects. The device provides both isometric and isokinetic strength training and can be developed into a small, low-cost device that may be capable of providing optimal strengthening in the home.

Strengthening partnerships among Africa's science granting ...

International Development Research Centre (IDRC) Digital Library (Canada)

The project will support regional training courses and on-site coaching to strengthen the capacity of participating councils to design and manage collaborative agreements. It will also co-fund demand-led collaborative research projects in selected areas of interest to the private sector. Sharing of evidence, lessons learned ...

Referral Systems to Integrate Health and Economic Strengthening Services for People with HIV: A Qualitative Assessment in Malawi.

Science.gov (United States)

Sears, Clinton; Andersson, Zach; Cann, Meredith

2016-12-23

Supporting the diverse needs of people living with HIV (PLHIV) can help reduce the individual and structural barriers they face in adhering to antiretroviral treatment (ART). The Livelihoods and Food Security Technical Assistance II (LIFT) project sought to improve adherence in Malawi by establishing 2 referral systems linking community-based economic strengthening and livelihoods services to clinical health facilities. One referral system in Balaka district, started in October 2013, connected clients to more than 20 types of services while the other simplified approach in Kasungu and Lilongwe districts, started in July 2014, connected PLHIV attending HIV and nutrition support facilities directly to community savings groups. From June to July 2015, LIFT visited referral sites in Balaka, Kasungu, and Lilongwe districts to collect qualitative data on referral utility, the perceived association of referrals with client and household health and vulnerability, and the added value of the referral system as perceived by network member providers. We interviewed a random sample of 152 adult clients (60 from Balaka, 57 from Kasungu, and 35 from Lilongwe) who had completed their referral. We also conducted 2 focus group discussions per district with network providers. Clients in all 3 districts indicated their ability to save money had improved after receiving a referral, although the percentage was higher among clients in the simplified Kasungu and Lilongwe model than the more complex Balaka model (85.6% vs. 56.0%, respectively). Nearly 70% of all clients interviewed had HIV infection; 72.7% of PLHIV in Balaka and 95.7% of PLHIV in Kasungu and Lilongwe credited referrals for helping them stay on their ART. After the referral, 76.0% of clients in Balaka and 92.3% of clients in Kasungu and Lilongwe indicated they would be willing to spend their savings on health costs. The more diverse referral network and use of an mHealth app to manage data in Balaka hindered provider uptake

Introduction to computer networking

CERN Document Server

Robertazzi, Thomas G

2017-01-01

This book gives a broad look at both fundamental networking technology and new areas that support it and use it. It is a concise introduction to the most prominent, recent technological topics in computer networking. Topics include network technology such as wired and wireless networks, enabling technologies such as data centers, software defined networking, cloud and grid computing and applications such as networks on chips, space networking and network security. The accessible writing style and non-mathematical treatment makes this a useful book for the student, network and communications engineer, computer scientist and IT professional. • Features a concise, accessible treatment of computer networking, focusing on new technological topics; • Provides non-mathematical introduction to networks in their most common forms today;< • Includes new developments in switching, optical networks, WiFi, Bluetooth, LTE, 5G, and quantum cryptography.

Treatment strategies for women with WHO group II anovulation: systematic review and network meta-analysis

NARCIS (Netherlands)

Wang, Rui; Kim, Bobae V.; van Wely, Madelon; Johnson, Neil P.; Costello, Michael F.; Zhang, Hanwang; Ng, Ernest Hung Yu; Legro, Richard S.; Bhattacharya, Siladitya; Norman, Robert J.; Mol, Ben Willem J.

2017-01-01

To compare the effectiveness of alternative first line treatment options for women with WHO group II anovulation wishing to conceive. Systematic review and network meta-analysis. Cochrane Central Register of Controlled Trials, Medline, and Embase, up to 11 April 2016. Randomised controlled trials

Delamination of carbon-fiber strengthening layer from concrete beam during deformation (infrared thermography)

OpenAIRE

Shardakov, I. N.; Shestakov, A. P.; Bykov, A.A.

2016-01-01

Technology of strengthening reinforced concrete structures with composite materials has found wide application. The effectiveness of strengthening of concrete structures with externally bonded reinforcement is supported by a great deal of experimental evidence. However, the problem of serviceability of such structures has not been adequately explored. The present work describes the results of experimental studies on the loadcarrying capacity of concrete beams strengthened with carbon fiber re...

Strengthening of limestone by the impregnation - gamma irradiation method. Results of tests

International Nuclear Information System (INIS)

Ramiere, R.; Tassigny, C. de

1975-04-01

The method developed by the Centre d'Etudes Nucleaires de Grenoble (France) strengthens the stones by impregnation with a styrene resin/liquid polystyrene mixture followed by polymerization under gamma irradiation. This method is applicable to stones which can be taken into the laboratory for treatment. The increase in strength of 6 different species of French limestone has been quantitatively recorded. The following parameters were studied: possibility of water migration inside the stones, improvements of the mechanical properties of the impregnated stone, standing up to freeze-thaw conditions and artificial ageing of the stones which causes only minor changes in the appearance of the stone and a negligible decrease in weight [fr

STRENGTHENING OF TRENCH COVER PLATES FOR SWITCHGEAR BUILDING

International Nuclear Information System (INIS)

M.S. RUBEN

2000-01-01

The objective of this calculation is to strengthen the existing trench cover plates of the Electrical Switchgear Building (BLDG 5010) of the Exploratory Studies Facility. A remodeling effort will change the portion of the facility that has the trenches for electrical cables to a craft/shop area. The users of the building will be using a forklift in this area (Clark CGP 30 forklift with a capacity of 3 tons). The trench covers require strengthening to support the wheel loads from the forklift. The output of this calculation will be sketches revising the floor plate details of DWG YMP-025-1-7007-ST103,2. (Details 4 and 5)

Strengthening the diagnostic capacity to detect Bio Safety Level 3 organisms in unusual respiratory viral outbreaks.

Science.gov (United States)

van Asten, Liselotte; van der Lubben, Mariken; van den Wijngaard, Cees; van Pelt, Wilfrid; Verheij, Robert; Jacobi, Andre; Overduin, Pieter; Meijer, Adam; Luijt, Dirk; Claas, Eric; Hermans, Mirjam; Melchers, Willem; Rossen, John; Schuurman, Rob; Wolffs, Petra; Boucher, Charles; Bouchier, Charles; Schirm, Jurjen; Kroes, Louis; Leenders, Sander; Galama, Joep; Peeters, Marcel; van Loon, Anton; Stobberingh, Ellen; Schutten, Martin; Koopmans, Marion

2009-07-01

Experience with a highly pathogenic avian influenza outbreak in the Netherlands (2003) illustrated that the diagnostic demand for respiratory viruses at different biosafety levels (including BSL3), can increase unexpectedly and dramatically. We describe the measures taken since, aimed at strengthening national laboratory surge capacity and improving preparedness for dealing with diagnostic demand during outbreaks of (emerging) respiratory virus infections, including pandemic influenza virus. Academic and peripheral medical-microbiological laboratories collaborated to determine minimal laboratory requirements for the identification of viruses in the early stages of a pandemic or a large outbreak of avian influenza virus. Next, an enhanced collaborative national network of outbreak assistance laboratories (OAL) was set up. An inventory was made of the maximum diagnostic throughput that this network can deliver in a period of intensified demand. For an estimate of the potential magnitude of this surge demand, historical counts were calculated from hospital- and physician-based registries of patients presenting with respiratory symptoms. Number of respiratory physician-visits ranged from 140,000 to 615,000 per month and hospitalizations ranged from 3000 to 11,500 per month. The established OAL-network provides rapid diagnostic response with agreed quality requirements and a maximum throughput capacity of 1275 samples/day (38,000 per month), assuming other routine diagnostic work needs to be maintained. Thus surge demand for diagnostics for hospitalized cases (if not distinguishable from other respiratory illness) could be handled by the OAL network. Assessing etiology of community acquired acute respiratory infection however, may rapidly exceed the capacity of the network. Therefore algorithms are needed for triaging for laboratory diagnostics; currently this is not addressed in pandemic preparedness plans.

Strengthening masonry walls made of brick blocks with FRCM composites

Directory of Open Access Journals (Sweden)

Radovanović Željka

2015-01-01

Full Text Available Results of testing more types of masonry walls made of brick blocks with the aim to define their mechanical characteristics and possibilities of external strengthening of walls with FRCM composites are presented in this paper. The characteristic compressive strengths, elasticity modulus and shear strengths of the various types of the walls were obtained on the basis of these testing results. Comparison between experimental results and values obtained by analytical approach in accordance with the current standard, European standards EN 1996 and the American standard ACI 530 is presented in this paper. After testing walls with application of compressive forces on the walls diagonal the cracked walls samples have been strengthened with selected types of FRCM composites. It was determined that the shear resistance of the walls after strengthening has increased significantly.

Treatment effect of methylphenidate on intrinsic functional brain network in medication-naïve ADHD children: A multivariate analysis.

Science.gov (United States)

Yoo, Jae Hyun; Kim, Dohyun; Choi, Jeewook; Jeong, Bumseok

2018-04-01

Methylphenidate is a first-line therapeutic option for treating attention-deficit/hyperactivity disorder (ADHD); however, elicited changes on resting-state functional networks (RSFNs) are not well understood. This study investigated the treatment effect of methylphenidate using a variety of RSFN analyses and explored the collaborative influences of treatment-relevant RSFN changes in children with ADHD. Resting-state functional magnetic resonance imaging was acquired from 20 medication-naïve ADHD children before methylphenidate treatment and twelve weeks later. Changes in large-scale functional connectivity were defined using independent component analysis with dual regression and graph theoretical analysis. The amplitude of low frequency fluctuation (ALFF) was measured to investigate local spontaneous activity alteration. Finally, significant findings were recruited to random forest regression to identify the feature subset that best explains symptom improvement. After twelve weeks of methylphenidate administration, large-scale connectivity was increased between the left fronto-parietal RSFN and the left insula cortex and the right fronto-parietal and the brainstem, while the clustering coefficient (CC) of the global network and nodes, the left fronto-parietal, cerebellum, and occipital pole-visual network, were decreased. ALFF was increased in the bilateral superior parietal cortex and decreased in the right inferior fronto-temporal area. The subset of the local and large-scale RSFN changes, including widespread ALFF changes, the CC of the global network and the cerebellum, could explain the 27.1% variance of the ADHD Rating Scale and 13.72% of the Conner's Parent Rating Scale. Our multivariate approach suggests that the neural mechanism of methylphenidate treatment could be associated with alteration of spontaneous activity in the superior parietal cortex or widespread brain regions as well as functional segregation of the large-scale intrinsic functional

Does transparent government agencies strengthen trust?

NARCIS (Netherlands)

Grimmelikhuijsen, S.G.

2009-01-01

Trust in government has been shown to be volatile in recent years and Internet transparency is seen as a solution to strengthen trust. However, critics argue that transparency will only lead to less trust, and sceptics say that it has no effect at all. This debate on transparency is lacking

Seismic strengthening of the ILL High Flux Reactor building

International Nuclear Information System (INIS)

Germane, Lionel; Plewinski, Francois; Thiry, Jean-Michel

2006-01-01

The Institut Max von Laue - Paul Langevin is an international research organisation and world leader in neutron science and technology. Since 1971 it has been operating the ILL HFR (High-Flux Reactor), the most intense continuous neutron source in the world. The ILL is governed by an international cooperation agreement between France, Germany and the United Kingdom; the fourth ten-year extension to the agreement was signed at the end of 2002, thus ensuring that the Institute will continue to operate until at least the end of 2013. In 2002 the facility underwent a general safety review, including an assessment of the impact of a safe shutdown earthquake. A broader programme for upgrading the installations and improving safety levels is now under way. As this has been treated in another paper, we will focus here on the seismic study carried out on the reactor building. The paper has the following contents: 1. Context; 1.1. Presentation of the ILL; 1.2. Description of the installations; 1.3. Safety objectives in the event of an earthquake; 1.4. Safety functions to be guaranteed in the event of an earthquake; 1.5. Safety functions required of the building; 2. Description of the building; 3. Organisation of the project; 3.1. Background; 3.2. Organisation; 4. General Methodology of the studies; 5. Progress of the studies; 5.1. Definition of the strengthening measures; 5.2. Validation of the strengthening option; 6. Seismic strengthening of the building; 6.1. Description of the strengthening measures; 6.2. Implementation of the strengthening measures; 6.2.1. Pilot operation; 6.2.2. Main operation; 7. Conclusion. To summarize, the presence of specialists in the ILL team, and the fact that the initial studies were performed by the project team itself, improved our general understanding of the issues and facilitated dialogue and exchange between all those involved (operators, technicians, outside experts, technical contractors and the French safety authorities). Everyone was

Strengthening Governance in Health Systems for Reproductive ...

International Development Research Centre (IDRC) Digital Library (Canada)

Home · What we do ... As a result, Pakistan's health system has suffered and health service delivery has worsened. ... This four-year project aims to strengthen health systems governance for reproductive health and rights in Pakistan.

Realising the European network of bio-dosimetry (RENEB)

International Nuclear Information System (INIS)

Kulka, U.; Ainsbury, L.; Atkinson, M.; Barquinero, J. F.; Barrios, L.; Beinke, C.; Bognar, G.; Cucu, A.; Darroudi, F.; Fattibene, P.; Gil, O.; Gregoire, E.; Hadjidekova, V.; Haghdoost, S.; Herranz, R.; Jaworska, A.; Lindholm, C.; Mkacher, R.; Moertl, S.; Montoro, A.; Moquet, J.; Moreno, M.; Ogbazghi, A.; Oestreicher, U.; Palitti, F.; Pantelias, G.; Popescu, I.; Prieto, M. J.; Romm, H.; Rothkamm, K.; Sabatier, L.; Sommer, S.; Terzoudi, G.; Testa, A.; Thierens, H.; Trompier, F.; Turai, I.; Vandersickel, V.; Vaz, P.; Voisin, P.; Vral, A.; Ugletveit, F.; Woda, C.; Wojcik, A.

2012-01-01

In Europe, a network for biological dosimetry has been created to strengthen the emergency preparedness and response capabilities in case of a large-scale nuclear accident or radiological emergency. Through the RENEB (Realising the European Network of bio-dosimetry) project, 23 experienced laboratories from 16 European countries will establish a sustainable network for rapid, comprehensive and standardised bio-dosimetry provision that would be urgently required in an emergency situation on European ground. The foundation of the network is formed by five main pillars: (1) the ad hoc operational basis, (2) a basis of future developments, (3) an effective quality-management system, (4) arrangements to guarantee long-term sustainability and (5) awareness of the existence of RENEB. RENEB will thus provide a mechanism for quick, efficient and reliable support within the European radiation emergency management. The scientific basis of RENEB will concurrently contribute to increased safety in the field of radiation protection. (authors)

Childhood Trauma, Social Networks, and the Mental Health of Adult Survivors.

Science.gov (United States)

Schneider, F David; Loveland Cook, Cynthia A; Salas, Joanne; Scherrer, Jeffrey; Cleveland, Ivy N; Burge, Sandra K

2017-03-01

The purpose of this study was to investigate the relationship of childhood trauma to the quality of social networks and health outcomes later in adulthood. Data were obtained from a convenience sample of 254 adults seen in one of 10 primary care clinics in the state of Texas. Standardized measures of adverse childhood experiences (ACEs), stressful and supportive social relationships, medical conditions, anxiety, depression, and health-related quality of life were administered. Using latent class analysis, subjects were assigned to one of four ACE classes: (a) minimal childhood abuse (56%), (b) physical/verbal abuse of both child and mother with household alcohol abuse (13%), (c) verbal and physical abuse of child with household mental illness (12%), and (d) verbal abuse only (19%). Statistically significant differences across the four ACE classes were found for mental health outcomes in adulthood. Although respondents who were physically and verbally abused as children reported compromised mental health, this was particularly true for those who witnessed physical abuse of their mother. A similar relationship between ACE class and physical health was not found. The quality of adult social networks partly accounted for the relationship between ACE classes and mental health outcomes. Respondents exposed to ACEs with more supportive social networks as adults had diminished odds of reporting poor mental health. Conversely, increasing numbers of stressful social relationships contributed to adverse mental health outcomes. Although efforts to prevent childhood trauma remain a critical priority, the treatment of adult survivors needs to expand its focus on both strengthening social networks and decreasing the negative effects of stressful ones.

Pilot study of a social network intervention for heroin users in opiate substitution treatment: study protocol for a randomized controlled trial.

Science.gov (United States)

Day, Edward; Copello, Alex; Seddon, Jennifer L; Christie, Marilyn; Bamber, Deborah; Powell, Charlotte; George, Sanju; Ball, Andrew; Frew, Emma; Freemantle, Nicholas

2013-08-19

Research indicates that 3% of people receiving opiate substitution treatment (OST) in the UK manage to achieve abstinence from all prescribed and illicit drugs within 3 years of commencing treatment, and there is concern that treatment services have become skilled at engaging people but not at helping them to enter a stage of recovery and drug abstinence. The National Treatment Agency for Substance Misuse recommends the involvement of families and wider social networks in supporting drug users' psychological treatment, and this pilot randomized controlled trial aims to evaluate the impact of a social network-focused intervention for patients receiving OST. In this two-site, early phase, randomized controlled trial, a total of 120 patients receiving OST will be recruited and randomized to receive one of three treatments: 1) Brief Social Behavior and Network Therapy (B-SBNT), 2) Personal Goal Setting (PGS) or 3) treatment as usual. Randomization will take place following baseline assessment. Participants allocated to receive B-SBNT or PGS will continue to receive the same treatment that is routinely provided by drug treatment services, plus four additional sessions of either intervention. Outcomes will be assessed at baseline, 3 and 12 months. The primary outcome will be assessment of illicit heroin use, measured by both urinary analysis and self-report. Secondary outcomes involve assessment of dependence, psychological symptoms, social satisfaction, motivation to change, quality of life and therapeutic engagement. Family members (n = 120) of patients involved in the trial will also be assessed to measure the level of symptoms, coping and the impact of the addiction problem on the family member at baseline, 3 and 12 months. This study will provide experimental data regarding the feasibility and efficacy of implementing a social network intervention within routine drug treatment services in the UK National Health Service. The study will explore the impact of the

Strengthening of stable Cr-Ni austenitic stainless steel under thermomechanical treatments

Science.gov (United States)

Akkuzin, S. A.; Litovchenko, I. Yu.; Tyumentsev, A. N.

2017-12-01

The features of microstructure and mechanical properties of stable austenitic steel after thermomechanical treatment consisted of low-temperature deformation, deformation in the temperature range T = 273-873 K, and subsequent annealing were investigated. It is shown that under such treatment direct (γ → α')- and reverse (α'→γ)-martensitic transformations occur in the steel. As a result of the thermomechanical treatment submicrocrystalline structural states with high density of micro- and nanotwins and localized deformation bands are formed. The strength of the steel in these structural states is several times higher than that in the initial state.

Health Systems Strengthening

DEFF Research Database (Denmark)

Hanlin, Rebecca; Andersen, Margrethe Holm

The Global Network for the Economics of Learning, Innovation, and Competence Building Systems (Globelics) is an open and diverse community of scholars working on innovation and competence building in the context of economic development. The major purpose of the network is to contribute to buildin...

High temperature mechanical properties of unirradiated dispersion strengthened copper

International Nuclear Information System (INIS)

Gentzbittel, J.M.; Rigollet, C.; Robert, G.

1994-01-01

Oxide Dispersion Strengthened (ODS) copper material, due to its excellent thermal conductivity associated with a high temperature strength is a candidate material for structural applications as divertor plasma facing components of thermonuclear fusion reactor. Tensile and creep results of oxide dispersion strengthened copper are presented. The most important features of ODS copper high temperature behaviour are the high strength corresponding to low creep rates, high stress creep rate dependence, a poor ductility and a brittleness which result in a premature creep fracture at high applied stress. (R.P.) 2 refs.; 6 figs

Fatigue behaviour analysis for the durability prequalification of strengthening mortars

International Nuclear Information System (INIS)

Bocca, P; Grazzini, A; Masera, D

2011-01-01

An innovative laboratory procedure used as a preliminary design stage for the pre-qualification of strengthening mortars applied to historical masonry buildings is described. In the analysis of the behaviour of masonry structures and their constituent materials, increasing importance has been assumed by the study of the long-term evolution of deformation and mechanical characteristics, which may be affected by both loading and environmental conditions. Through static and fatigue tests on mixed specimens historical brick-reinforced mortar it has been possible to investigate the durability of strengthening materials, in order to select, from a range of alternatives, the most suitable for the historical masonry. Cyclic fatigue stress has been applied to accelerate the static creep and to forecast the corresponding creep behaviour of the historical brick-strengthening mortar system under static long-time loading. This methodology has proved useful in avoiding the errors associated with materials that are not mechanically compatible and guarantees the durability of strengthening work. The experimental procedure has been used effectively in the biggest restoration building site in Europe, the Royal Palace of Venaria, and it is in progress of carrying out at the Special Natural Reserve of the Sacro Monte di Varallo, in Piedmont (Italy).

Network Meta-Analysis Comparing the Efficacy of Therapeutic Treatments for Bronchiolitis in Children.

Science.gov (United States)

Guo, Caili; Sun, Xiaomin; Wang, Xiaowen; Guo, Qing; Chen, Dan

2018-01-01

This study aims to compare placebo (PBO) and 7 therapeutic regimens-namely, bronchodilator agents (BAs), hypertonic saline (HS), BA ± HS, corticosteroids (CS), epinephrine (EP), EP ± CS, and EP ± HS-to determine the optimal bronchiolitis treatment. We plotted networks using the curative outcome of several studies and specified the relations among the experiments by using mean difference, standardized mean difference, and corresponding 95% credible interval. The surface under the cumulative ranking curve (SUCRA) was used to separately rank each therapy on clinical severity score (CSS) and length of hospital stay (LHS). This network meta-analysis included 40 articles from 1995 to 2016 concerning the treatment of bronchiolitis in children. All 7 therapeutic regimens displayed no significant difference to PBO with regard to CSS in our study. Among the 7 therapies, BA performed better than CS. As for LHS, EP and EP ± HS had an advantage over PBO. Moreover, EP and EP ± HS were also more efficient than BA. The SUCRA results showed that EP ± CS is most effective, and EP ± HS is second most effective with regard to CSS. With regard to LHS, EP ± HS ranked first, EP ± CS ranked second, and EP ranked third. We recommend EP ± CS and EP ± HS as the first choice for bronchiolitis treatment in children because of their outstanding performance with regard to CSS and LHS. © 2017 American Society for Parenteral and Enteral Nutrition.

Node-making process in network meta-analysis of nonpharmacological treatment are poorly reported.

Science.gov (United States)

James, Arthur; Yavchitz, Amélie; Ravaud, Philippe; Boutron, Isabelle

2018-05-01

To identify methods to support the node-making process in network meta-analyses (NMAs) of nonpharmacological treatments. We proceeded in two stages. First, we conducted a literature review of guidelines and methodological articles about NMAs to identify methods proposed to lump interventions into nodes. Second, we conducted a systematic review of NMAs of nonpharmacological treatments to extract methods used by authors to support their node-making process. MEDLINE and Google Scholar were searched to identify articles assessing NMA guidelines or methodology intended for NMA authors. MEDLINE, CENTRAL, and EMBASE were searched to identify reports of NMAs including at least one nonpharmacological treatment. Both searches involved articles available from database inception to March 2016. From the methodological review, we identified and extracted methods proposed to lump interventions into nodes. From the systematic review, the reporting of the network was assessed as long as the method described supported the node-making process. Among the 116 articles retrieved in the literature review, 12 (10%) discussed the concept of lumping or splitting interventions in NMAs. No consensual method was identified during the methodological review, and expert consensus was the only method proposed to support the node-making process. Among 5187 references for the systematic review, we included 110 reports of NMAs published between 2007 and 2016. The nodes were described in the introduction section of 88 reports (80%), which suggested that the node content might have been a priori decided before the systematic review. Nine reports (8.1%) described a specific process or justification to build nodes for the network. Two methods were identified: (1) fit a previously published classification and (2) expert consensus. Despite the importance of NMA in the delivery of evidence when several interventions are available for a single indication, recommendations on the reporting of the node

Strengthening Agricultural Research Capacity for Viable Extension ...

African Journals Online (AJOL)

Strengthening Agricultural Research Capacity for Viable Extension Policies in Nigeria: An Exploration of Ricoeur's Hermeneutic Theory for Analysing Extension Research. ... Progressively more, researchers use hermeneutic philosophy to inform the conduct of interpretive research. Analogy between the philosophical ...

Strengthening entrepreneurship through coaching and developing competencies

NARCIS (Netherlands)

Beldman, A.C.G.

2011-01-01

Strengthening entrepreneurship is an important strategy for stimulating the transition to sustainable agriculture. But how is that done? One example is the Interactive Strategic Management method, which supports entrepreneurs in the creation and execution of future-focused strategies.

Clinical social networking--a new revolution in provider communication and delivery of clinical information across providers of care?

Science.gov (United States)

Kolowitz, Brian J; Lauro, Gonzalo Romero; Venturella, James; Georgiev, Veliyan; Barone, Michael; Deible, Christopher; Shrestha, Rasu

2014-04-01

The adoption of social media technologies appears to enhance clinical outcomes through improved communications as reported by Bacigalupe (Fam Syst Heal 29(1):1-14, 2011). The ability of providers to more effectively, directly, and rapidly communicate among themselves as well as with patients should strengthen collaboration and treatment as reported by Bacigalupe (Fam Syst Heal 29(1):1-14, 2011). This paper is a case study in one organization's development of an internally designed and developed social technology solution termed "Unite." The Unite system combines social technologies' features including push notifications, messaging, community groups, and user lists with clinical workflow and applications to construct dynamic provider networks, simplify communications, and facilitate clinical workflow optimization. Modeling Unite as a social technology may ease adoption barriers. Developing a social network that is integrated with healthcare information systems in the clinical space opens the doors to capturing and studying the way in which providers communicate. The Unite system appears to have the potential to breaking down existing communication paradigms. With Unite, a rich set of usage data tied to clinical events may unravel alternative networks that can be leveraged to advance patient care.

The response of dispersion-strengthened copper alloys to high fluence neutron irradiation at 415 degrees C

International Nuclear Information System (INIS)

Edwards, D.J.; Newkirk, J.W.; Garner, F.A.; Hamilton, M.L.; Nadkarni, A.; Samal, P.

1993-01-01

Various oxide-dispersion-strengthened copper alloys have been irradiated to 150 dpa at 415 degrees C in the Fast Flux Test Facility (FFTF). The Al 2 O 3 -strengthened GlidCop TM alloys, followed closely by a HfO 2 -strengthened alloy, displayed the best swelling resistance, electrical conductivity, and tensile properties. The conductivity of the HfO 2 -strengthened alloy reached a plateau at the higher levels of irradiation, instead of exhibiting the steady decrease in conductivity observed in the other alloys. A high initial oxygen content results in significantly higher swelling for a series of castable oxide-dispersion-strengthened alloys, while a Cr 2 O 3 -strengthened alloy showed poor resistance to radiation

NETWORKS OF HEALTH CARE: A CHALLENGE TO SUS MANAGEMENT

Directory of Open Access Journals (Sweden)

Camila Dubow

2013-09-01

Full Text Available The article proposes a critical reflection, based on national law, scholarly, scientific, on the current development of Networks of Health Care, as a strategy for strengthening the Single Health System (SUS. Are weighted inefficiency of traditional ways of organizing care and management, the challenge of Network Health Care for comprehensive care and management mechanisms used in this process. The work provides subsidies for the care practices and health management are reflected, pointing strategies that result in disruptions of paradigms through a refocusing of attention in existing models. For networks of health care can be consolidated, is fundamental to political sensitivity of health managers with a commitment to build a new model of care, through the struggle to consolidate the SUS and the realization of the principles of universality, comprehensiveness and equity.

Global Nuclear Safety and Security Network

International Nuclear Information System (INIS)

Guo Lingquan

2013-01-01

The objectives of the Regulatory Network are: - to contribute to the effectiveness of nuclear regulatory systems; - to contribute to continuous enhancements, and - to achieve and promote radiation and nuclear safety and security by: • Enhancing the effectiveness and efficiency of international cooperation in the regulation of nuclear and radiation safety of facilities and activities; • Enabling adequate access by regulators to relevant safety and security information; • Promoting dissemination of information on safety and security issues as well as information of good practices for addressing and resolving these issues; • Enabling synergies among different web based networks with a view to strengthening and enhancing the global nuclear safety framework and serving the specific needs of regulators and international organizations; • Providing additional information to the public on international regulatory cooperation in safety and security matters

Preparation of Si and O co-solution strengthened Ti alloys by using rice husks as SiO2 resource and quantitative descriptions on their strengthening effects

Science.gov (United States)

Jia, Lei; Chen, Jiang-xian; Lu, Zhen-lin; Li, Shu-feng; Umeda, Junko; Kondoh, Katsuyoshi

2018-04-01

Ti alloys strengthened by both Si and O solutes were prepared by powder metallurgy method from pure Ti and amorphous SiO2 powder obtained by combusting rice husks. At the same time, Ti alloys singly strengthened by Si or O were also prepared for studying the strengthening effect of Si and O solutes. Results showed that amorphous SiO2 powder originated from rice husks could almost fully dissolve into pure Ti matrix when the content was not higher than 1.0 wt%, while higher content of SiO2 addition resulted in the formation of Ti5Si3 intermetallics. Si and O elements leaded to negative and positive distortion of Ti lattice, and the influencing degrees were ‑0.02 and +0.014 Å/wt% for lattice constant a, while ‑0.05 and +0.046 Å/wt% for constant c, respectively. Solid solution of Si and O would also result in the increase of hardness, which was 98.5 and 209.43 HV/wt%, respectively. When Si and O were co-exsited in Ti matrix, the negative and positive distortion cancelled each other, while the strengthening effect did not cancel but enhance each other.

Chiropractic manipulative therapy of the thoracic spine in combination with stretch and strengthening exercises, in improving postural kyphosis in woman

Directory of Open Access Journals (Sweden)

Kim Castello Branco

2016-12-01

Conclusion: The study showed that all three treatment protocols for Groups 1, 2, and 3 were effective. However, Group 1 had not shown a great improvement in their postural kyphosis, Group 3 had shown a relatively good improvement in their posture, while Group 2 had shown the best results with regards to improvement of the participants' posture. Therefore, in conclusion, Groups 2 and 3 treatment protocols can be used effectively to treat postural kyphosis but Group 2's treatment protocol, consisting of chiropractic spinal manipulative therapy to the thoracic spine in combination with stretch and strengthening exercises, will yield the best results.

Treatment with olanzapine is associated with modulation of the default mode network in patients with Schizophrenia.

Science.gov (United States)

Sambataro, Fabio; Blasi, Giuseppe; Fazio, Leonardo; Caforio, Grazia; Taurisano, Paolo; Romano, Raffaella; Di Giorgio, Annabella; Gelao, Barbara; Lo Bianco, Luciana; Papazacharias, Apostolos; Popolizio, Teresa; Nardini, Marcello; Bertolino, Alessandro

2010-03-01

Earlier studies have shown widespread alterations of functional connectivity of various brain networks in schizophrenia, including the default mode network (DMN). The DMN has also an important role in the performance of cognitive tasks. Furthermore, treatment with second-generation antipsychotic drugs may ameliorate to some degree working memory (WM) deficits and related brain activity. The aim of this study was to evaluate the effects of treatment with olanzapine monotherapy on functional connectivity among brain regions of the DMN during WM. Seventeen patients underwent an 8-week prospective study and completed two functional magnetic resonance imaging (fMRI) scans at 4 and 8 weeks of treatment during the performance of the N-back WM task. To control for potential repetition effects, 19 healthy controls also underwent two fMRI scans at a similar time interval. We used spatial group-independent component analysis (ICA) to analyze fMRI data. Relative to controls, patients with schizophrenia had reduced connectivity strength within the DMN in posterior cingulate, whereas it was greater in precuneus and inferior parietal lobule. Treatment with olanzapine was associated with increases in DMN connectivity with ventromedial prefrontal cortex, but not in posterior regions of DMN. These results suggest that treatment with olanzapine is associated with the modulation of DMN connectivity in schizophrenia. In addition, our findings suggest critical functional differences in the regions of DMN.

Do social networks and technological capabilities help knowledge management?

Directory of Open Access Journals (Sweden)

Encarnación García-Sánchez

2017-12-01

Full Text Available Dynamic capabilities are currently becoming an important extension of the theory of resources and capabilities that enables companies to adapt better in the current competitive environment. This paper examines how knowledge management, a dynamic function related to management or administration of a set of knowledge flows, develops thanks to the greater dynamism of social networks. It then shows how this relationship is especially strengthened by different technological capabilities. To achieve these goals, the paper examines the main tools that permit companies to develop an ability to achieve competitive advantage relative to the technological capabilities of managers and workers, social networks and knowledge management.

Retrofitting Heritage Buildings by Strengthening or Using Seismic Isolation

International Nuclear Information System (INIS)

Danieli, Moshe; Bloch, Jacob; Ribakov, Yuri

2008-01-01

Many heritage buildings in the Mediterranean area include stone domes as a structural and architectural element. Present stage of these buildings often requires strengthening or retrofitting in order to increase their seismic resistance. Strengthening is possible by casting above existing dome a thin reinforced concrete shell with a support ring. It yields reduction of stresses and strains in the dome. This paper deals with examples of actual restoration and strengthening of three structures in Georgia, two of them damaged by an earthquake in 1991, (a temple in Nikortzminda and a synagogue in Oni, built in 11 th and 19 r century, respectively) and a mosque in Akhaltzikhe, built in 18th century. Retrofitting of these structures was aimed at preservation of initial geometry and appearance by creating composite (stone--reinforced concrete, or stone--shotcrete) structures, which were partially or fully hidden. Further improving of seismic response may be achieved by using hybrid seismic isolation decreasing the seismic forces and adding damping. A brief description of the design procedure for such cases is presented

Neural network models for biological waste-gas treatment systems.

Science.gov (United States)

Rene, Eldon R; Estefanía López, M; Veiga, María C; Kennes, Christian

2011-12-15

This paper outlines the procedure for developing artificial neural network (ANN) based models for three bioreactor configurations used for waste-gas treatment. The three bioreactor configurations chosen for this modelling work were: biofilter (BF), continuous stirred tank bioreactor (CSTB) and monolith bioreactor (MB). Using styrene as the model pollutant, this paper also serves as a general database of information pertaining to the bioreactor operation and important factors affecting gas-phase styrene removal in these biological systems. Biological waste-gas treatment systems are considered to be both advantageous and economically effective in treating a stream of polluted air containing low to moderate concentrations of the target contaminant, over a rather wide range of gas-flow rates. The bioreactors were inoculated with the fungus Sporothrix variecibatus, and their performances were evaluated at different empty bed residence times (EBRT), and at different inlet styrene concentrations (C(i)). The experimental data from these bioreactors were modelled to predict the bioreactors performance in terms of their removal efficiency (RE, %), by adequate training and testing of a three-layered back propagation neural network (input layer-hidden layer-output layer). Two models (BIOF1 and BIOF2) were developed for the BF with different combinations of easily measurable BF parameters as the inputs, that is concentration (gm(-3)), unit flow (h(-1)) and pressure drop (cm of H(2)O). The model developed for the CSTB used two inputs (concentration and unit flow), while the model for the MB had three inputs (concentration, G/L (gas/liquid) ratio, and pressure drop). Sensitivity analysis in the form of absolute average sensitivity (AAS) was performed for all the developed ANN models to ascertain the importance of the different input parameters, and to assess their direct effect on the bioreactors performance. The performance of the models was estimated by the regression

Strengthening the Fabric of Government: A Description of WOVEN (Women's Ohio Volunteer Employment Network).

Science.gov (United States)

Miller, Mary E.

WOVEN (Women's Ohio Volunteer Employment Network), is directed at changing the low representation of women in decision making positions in public service. Women comprise more than a third of the work force in the State of Ohio; yet they have typically held the low level, low paying jobs. A 1973 status report on women in State government revealed…

Full Scale RC Beam-Column Joints Strengthened with Steel Reinforced Polymer Systems

Science.gov (United States)

De Vita, Alessandro; Napoli, Annalisa; Realfonzo, Roberto

2017-07-01

This paper presents the results of an experimental campaign performed at the Laboratory of Materials and Structural Testing of the University of Salerno (Italy) in order to investigate the seismic performance of RC beam-column joints strengthened with Steel Reinforced Polymer (SRP) systems. With the aim to represent typical façade frames’ beam-column subassemblies found in existing RC buildings, specimens were provided with two short beam stubs orthogonal to the main beam and were designed with inadequate seismic details. Five members were strengthened by using two different SRP layouts while the remaining ones were used as benchmarks. Once damaged, two specimens were also repaired, retrofitted with SRP and subjected to cyclic test again. The results of cyclic tests performed on SRP strengthened joints are examined through a comparison with the outcomes of the previous experimental program including companion specimens not provided with transverse beam stubs and strengthened by Carbon Fiber Reinforced Polymer (CFRP) systems. In particular, both qualitative and quantitative considerations about the influence of the confining effect provided by the secondary beams on the joint response, the suitability of all the adopted strengthening solutions (SRP/CFRP systems), the performances and the failure modes experienced in the several cases studied are provided.

Strengthening community participation in reducing GHG emission from forest and peatland fire

Science.gov (United States)

Thoha, A. S.; Saharjo, B. H.; Boer, R.; Ardiansyah, M.

2018-02-01

Strengthening community participation is needed to find solutions to encourage community more participate in reducing Green House Gas (GHG) from forest and peatland fire. This research aimed to identify stakeholders that have the role in forest and peatland fire control and to formulate strengthening model of community participation through community-based early warning fire. Stakeholder mapping and action research were used to determine stakeholders that had potential influence and interest and to formulate strengthening model of community participation in reducing GHG from forest and peatland fire. There was found that position of key players in the mapping of stakeholders came from the government institution. The existence of community-based fire control group can strengthen government institution through collaborating with stakeholders having strong interest and influence. Moreover, it was found several local knowledge in Kapuas District about how communities predict drought that have potential value for developing the community-based early warning fire system. Formulated institutional model in this research also can be further developed as a model institution in the preservation of natural resources based on local knowledge. In conclusion, local knowledge and community-based fire groups can be integrated within strengthening model of community participation in reducing GHG from forest and peatland fire.

Texture evolution in Oxide Dispersion Strengthened (ODS) steel tubes during pilgering process

Science.gov (United States)

Vakhitova, E.; Sornin, D.; Barcelo, F.; François, M.

2017-10-01

Oxide Dispersion Strengthened (ODS) steels are foreseen as fuel cladding material in the coming generation of Sodium Fast Reactors (SFR). Cladding tubes are manufactured by hot extrusion and subsequent cold forming steps. In this study, a 9 wt% Cr ODS steel exhibiting α-γ phase transformation at high temperature is cold formed under industrial conditions with a large section reduction in two pilgering steps. The influence of pilgering process parameters and intermediate heat treatment on the microstructure evolution is studied experimentally using Electron Backscattering Diffraction (EBSD) and X-ray Diffraction (XRD) methods. Pilgered samples show elongated grains and a high texture formation with a preferential orientation along the rolling direction. During the heat treatment, grain morphology is recovered from elongated grains to almost equiaxed ones, while the well-known α-fiber texture presents an unexpected increase in intensity. The remarkable temperature stability of this fiber is attributed to a crystallographic structure memory effect during phase transformations.

Strengthening Family Practices for Latino Families

Science.gov (United States)

Chartier, Karen G.; Negroni, Lirio K.; Hesselbrock, Michie N.

2010-01-01

This study examined the effectiveness of a culturally adapted Strengthening Families Program (SFP) for Latinos to reduce risks for alcohol and drug use in children. Latino families, predominantly Puerto Rican, with a 9- to 12-year-old child and a parent(s) with a substance abuse problem participated in the study. Pre- and post-tests were conducted…

Developing a network: the PMM process.

Science.gov (United States)

Kamara, A

1997-11-01

Since 1988, the Prevention of Maternal Mortality (PMM) Network has developed, implemented and evaluated projects that focus directly on prevention of maternal deaths. The Network, which consists of 11 multidisciplinary teams in West Africa and one at Columbia University, grew from discussions between the Carnegie Corporation of New York and researchers at Columbia School of Public Health. Its goals are: to strengthen capacities in developing countries; to provide program models for preventing maternal deaths; and to inform policymakers about the importance of maternal mortality. This paper describes the development and functioning of the Network. The initial steps included identifying interested partners in Africa and encouraging them to form multidisciplinary teams. Each African team received two grants: one to perform a needs assessment and then another to develop and implement projects based on the results. The Columbia team provided technical assistance in a variety of ways, including site visits, workshops and correspondence. Teams tested program models and reported findings both to local policymakers and in international fora. Collaboration with government and community leaders helped facilitate progress at all stages. At the PMM Network Results Conference in 1996, the teams decided to continue their work by forming the Regional PMM (RPMM) Network, an entirely African entity.

Shear strength of reinforced concrete beams strengthened by P.B.O. fiber mesh under loading

Directory of Open Access Journals (Sweden)

Blikharskyy Zinoviy

2017-01-01

Full Text Available This article presents experimental study of sheer strength of reinforced concrete beams without transverse steel reinforcement, which strengthened by composite materials. The feature of tests is that the beams’ strengthening is made under simultaneous action of loading. The research program involves a series of test beams with size 2100 × 200 × 100 mm and which contains control sample and three reinforced samples by reinforcing FRCM system. FRCM system consisting of two components: mineral mortar based on modified cement Ruredil X Mesh M750 and reinforcing P.B.O. fiber mesh Ruredil X Mesh Gold (Italy. The strength research of test samples was carried out with the shear distance to effective depth ratio a/d = 2. The strengthening loading levels were selected at 0.0, 0.3, 0.5 from shear strength of non strengthened control sample. As a result of experimental studies we found that during strengthening design the inclined cross section of beams we should take into account the existing level of loading. Using the strengthening system Ruredil X Mesh Gold the strengthening effect is reduced at 2.8 to 2.9 times while the existing level of loading increase from 0 to 50%.

Behavior of Insulated Carbon-FRP-Strengthened RC Beams Exposed to Fire

Science.gov (United States)

Sayin, B.

2014-09-01

There are two main approaches to improving the fire resistance of fiber-reinforced polymer (FRP) systems. While the most common method is to protect or insulate the FRP system, an other way is to use fibers and resins with a better fire performance. This paper presents a numerical investigation into the five protection behavior of insulated carbon-fiber-reinforced-polymer (CFRP)-strengthened reinforced concrete (RC) beams. The effects of external loading and thermal expansion of materials at elevated temperatures are taken into consideration in a finite-element model. The validity of the numerical model is demonstrated with results from an existing experimental study on insulated CFRP-strengthened RC beams. Conclusions of this investigation are employed to predict the structural behavior of CFRP-strengthened concrete structures.

Contribution of International and Regional Networks in Developing and Maintaining Human Capacity Building for Nuclear Power Programmes

International Nuclear Information System (INIS)

Osman, O. E.

2015-01-01

Capacity is defined as; the ability of individuals and organizations or organizational units to perform functions effectively, efficiently and sustainably. Capacity building is an evidence-driven process of strengthening the abilities of individuals, organizations, and systems to perform core functions sustainably, and to continue to improve and develop over time. This article will explain the contributions of knowledge networks at the national, regional and international level in developing the existing capacity building and human resources for regulatory body in Sudan, to confront the future challenges regarding to nuclear power program- safety and security. The article will compare the advantages and effectiveness of these knowledge networks (IAEA, ANNuR, FNRBA) in capacity building and enhance the infrastructure of national regulatory body. And how these networks contribute to enable the regulatory bodies in Africa and Arab countries, to establish and strengthen their regulatory infrastructure for nuclear power programme consistent with international standards and recommendations. As well as the recommendations resulting and deduced from comparative study to promote the exchange of knowledge, experience and information among its members. (author)

Design of Novel Precipitate-Strengthened Al-Co-Cr-Fe-Nb-Ni High-Entropy Superalloys

Science.gov (United States)

Antonov, Stoichko; Detrois, Martin; Tin, Sammy

2018-01-01

A series of non-equiatomic Al-Co-Cr-Fe-Nb-Ni high-entropy alloys, with varying levels of Co, Nb and Fe, were investigated in an effort to obtain microstructures similar to conventional Ni-based superalloys. Elevated levels of Co were observed to significantly decrease the solvus temperature of the γ' precipitates. Both Nb and Co in excessive concentrations promoted the formation of Laves and NiAl phases that formed either during solidification and remained undissolved during homogenization or upon high-temperature aging. Lowering the content of Nb, Co, or Fe prevented the formation of the eutectic type Laves. In addition, lowering the Co content resulted in a higher number density and volume fraction of the γ' precipitates, while increasing the Fe content led to the destabilization of the γ' precipitates. Various aging treatments were performed which led to different size distributions of the strengthening phase. Results from the microstructural characterization and hardness property assessments of these high-entropy alloys were compared to a commercial, high-strength Ni-based superalloy RR1000. Potentially, precipitation-strengthened high-entropy alloys could find applications replacing Ni-based superalloys as structural materials in power generation applications.

Nickel–carbon nanocomposites: Synthesis, structural changes and strengthening mechanisms

International Nuclear Information System (INIS)

Nunes, D.; Vilarigues, M.; Correia, J.B.; Carvalho, P.A.

2012-01-01

The present work investigates Ni–nanodiamond and Ni–graphite composites produced by mechanical synthesis and subsequent heat treatments. Processing of nickel–carbon nanocomposites by this powder metallurgy route poses specific challenges, as carbon phases are prone to carbide conversion and amorphization. The processing window for carbide prevention has been established through X-ray diffraction by a systematic variation of the milling parameters. Transmission electron microscopy confirmed the absence of carbide and showed homogeneous particle distributions, as well as intimate bonding between the metallic matrix and the carbon phases. Ring diffraction patterns of chemically extracted carbon phases demonstrated that milled nanodiamond preserved crystallinity, while an essentially amorphous nature could be inferred for milled graphite. Raman spectra confirmed that nanodiamond particles remained largely unaffected by mechanical synthesis, whereas the bands of milled graphite were significantly changed into the typical amorphous carbon fingerprint. The results on the annealed nanocomposites showed that milling with Ni accelerated graphitization of the carbon phases during heat treatments at 973 and 1073 K in both composites. At the finer scales, the nanocomposites exhibited a remarkable microhardness enhancement (∼70%) compared with pure nanostructured nickel. The Hall–Petch relation and the Orowan–Ashby equation are used to discuss strengthening mechanisms and the load transfer ability to the reinforcing particles.

Strengthening Equity through Applied Research Capacity Building ...

International Development Research Centre (IDRC) Digital Library (Canada)

There exists limited understanding of how e-Health solutions are perceived, designed, implemented and used. ... The Strengthening Equity through Applied Research Capacity Building in e-Health (SEARCH) program will cultivate local research capacity to examine e-health and ... Liverpool School of Tropical Medicine.

Strengthening Environmental Economics Capacity in Research on ...

International Development Research Centre (IDRC) Digital Library (Canada)

Strengthening Environmental Economics Capacity in Research on Climate Change Adaptation ... They will develop environmental economics methods to address specific climate change challenges caused by extreme weather stressors. ... Initiative Villes ciblées : gestion des déchets urbains à Cochabamba, en Bolivie.

Stainless austenitic steels strengthened due to reversible phase transformations and by ageing

International Nuclear Information System (INIS)

Sagaradze, V.V.; Kositsyna, I.I.; Ozhiganov, A.V.

1981-01-01

The effect of the reversible phase transformations, consisting in the conduction of the direct and reverse martensite transformations and aging, during which the intermetallide γ'-phase of the composition Ni 3 Ti is formed, on the streng-thening of alloys in the Fe-Cr-Ni-Ti system is considered. Stainless austenitic steels Kh12N12T3 and Kh12N14T3, which acquire high mechanical properties: σsub(0.2)=685-785 MPa, σsub(B)=1275 MPa, delta >= 20%, as a result of reversible phase transformations and aging, are suggested. After the reversible phase transformations and ageing the steels possess a high resistance to γ-α-transformation during cold treatment [ru

Flexural Behavior of Self-Compacting RC Continuous Beams Strengthened by CFRP Sheets

Directory of Open Access Journals (Sweden)

Sabih Z. Al-Sarraf

2018-01-01

Full Text Available This search presented an experimental study of the flexural behavior of self-compacting reinforced concrete continuous beams externally strengthened by carbon fiber reinforced polymer (CFRP Sheets. The practical study contained eight self-compacting reinforced concrete continuous beams (with two span, each span had (1500 mm length and (150x250 mm cross sectional dimensions. Seven of these beams strengthened externally by CFRP sheets with and without external anchorage. The experimental variables included location of CFRP sheets and anchor type and location. The results, shows that the beams strengthened externally by CFRP sheets provided improvement in ultimate loads reached (60.71%. The usage of CFRP in the anchorage zone indicated an effective method in comparison to increasing the CFRP sheets lengths or extending them up to the support or under the loading points. Test results also showed that side strengthening provided an effective tool for increasing the load at the cracking stage and also the load capacity and reducing flexural crack widths.

Competing indentation deformation mechanisms in glass using different strengthening methods

Directory of Open Access Journals (Sweden)

Jian Luo

2016-11-01

Full Text Available Chemical strengthening via ion exchange, thermal tempering, and lamination are proven techniques for strengthening of oxide glasses. For each of these techniques, the strengthening mechanism is conventionally ascribed to the linear superposition of the compressive stress profile on the glass surface. However, in this work we use molecular dynamics simulations to reveal the underlying indentation deformation mechanism beyond the simple linear superposition of compressive and indentation stresses. In particular, the plastic zone can be dramatically different from the commonly assumed hemispherical shape, which leads to a completely different stress field and resulting crack system. We show that the indentation-induced fracture is controlled by two competing mechanisms: the compressive stress itself and a potential reduction in free volume that can increase the driving force for crack formation. Chemical strengthening via ion exchange tends to escalate the competition between these two effects, while thermal tempering tends to reduce it. Lamination of glasses with differential thermal expansion falls in between. The crack system also depends on the indenter geometry and the loading stage, i.e., loading vs. after unloading. It is observed that combining thermal tempering or high free volume content with ion exchange or lamination can impart a relatively high compressive stress and reduce the driving force for crack formation. Therefore, such a combined approach might offer the best overall crack resistance for oxide glasses.

Systemic antibiotics in the treatment of aggressive periodontitis. A systematic review and a Bayesian Network meta-analysis.

Science.gov (United States)

Rabelo, Cleverton Correa; Feres, Magda; Gonçalves, Cristiane; Figueiredo, Luciene C; Faveri, Marcelo; Tu, Yu-Kang; Chambrone, Leandro

2015-07-01

The aim of this study was to assess the effect of systemic antibiotic therapy on the treatment of aggressive periodontitis (AgP). This study was conducted and reported in accordance with the PRISMA statement. The MEDLINE, EMBASE and CENTRAL databases were searched up to June 2014 for randomized clinical trials comparing the treatment of subjects with AgP with either scaling and root planing (SRP) alone or associated with systemic antibiotics. Bayesian network meta-analysis was prepared using the Bayesian random-effects hierarchical models and the outcomes reported at 6-month post-treatment. Out of 350 papers identified, 14 studies were eligible. Greater gain in clinical attachment (CA) (mean difference [MD]: 1.08 mm; p benefits in CA gain and PD reduction when SRP was associated with systemic antibiotics. SRP plus systemic antibiotics led to an additional clinical effect compared with SRP alone in the treatment of AgP. Of the antibiotic protocols available for inclusion into the Bayesian network meta-analysis, Mtz and Mtz/Amx provided to the most beneficial outcomes. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

RC beams shear-strengthened with fabric-reinforced-cementitious-matrix (FRCM) composite

Science.gov (United States)

Loreto, Giovanni; Babaeidarabad, Saman; Leardini, Lorenzo; Nanni, Antonio

2015-12-01

The interest in retrofit/rehabilitation of existing concrete structures has increased due to degradation and/or introduction of more stringent design requirements. Among the externally-bonded strengthening systems fiber-reinforced polymers is the most widely known technology. Despite its effectiveness as a material system, the presence of an organic binder has some drawbacks that could be addressed by using in its place a cementitious binder as in fabric-reinforced cementitious matrix (FRCM) systems. The purpose of this paper is to evaluate the behavior of reinforced concrete (RC) beams strengthened in shear with U-wraps made of FRCM. An extensive experimental program was undertaken in order to understand and characterize this composite when used as a strengthening system. The laboratory results demonstrate the technical viability of FRCM for shear strengthening of RC beams. Based on the experimental and analytical results, FRCM increases shear strength but not proportionally to the number of fabric plies installed. On the other hand, FRCM failure modes are related with a high consistency to the amount of external reinforcement applied. Design considerations based on the algorithms proposed by ACI guidelines are also provided.

EFFECTS OF KINESIOTAPING ALONG WITH QUADRICEPS STRENGTHENING EXERCISES ON PAIN, JOINT RANGE OF MOTION AND FUNCTIONAL ACTIVITIES OF KNEE IN SUBJECTS WITH PATELLOFEMORAL OSTEOARTHRITIS

OpenAIRE

M. Harshitha; K. Senthil kumar; K. Madhavi

2014-01-01

Background: Patello femoral Osteoarthritis is the most common degenerative disease in older age group, causing pain, physical disability, and decreased quality of life.As many treatment options available, kinesiotaping is an efficacious treatment for management of pain & disability in patellofemoral joint osteoarthritis. Previous studies have shown that kinesiotaping as well as quadriceps strengthening significantly yields functional benefits. But there is lack of evidence revealing combined ...

Strengthening of a railway bridge with NSMR and CFRP tubes

DEFF Research Database (Denmark)

Täljsten, Björn; Bennitz, Anders; Danielsson, Georg

2008-01-01

Strengthening of structures with CFRP is today considered an accepted method to upgrade concrete structures. In this paper two different CFRP strengthening systems are combined to give extended service life to a Swedish double-trough-double-track railway bridge, constructed in concrete with a 10 ....... Sensors on bars and tubes display proofs of utilization of the CFRP while displacement sensors and strain gauges on the steel reinforcement due to the small loads in the service limit state show minor effect....

More Decent Jobs in Peru: Strengthening Research and ...

International Development Research Centre (IDRC) Digital Library (Canada)

More Decent Jobs in Peru: Strengthening Research and Policymaking Capacities. Despite ... In turn, such understanding requires appropriate data. Currently ... Call for new OWSD Fellowships for Early Career Women Scientists now open.

A friend request from dear old dad: associations between parent-child social networking and adolescent outcomes.

Science.gov (United States)

Coyne, Sarah M; Padilla-Walker, Laura M; Day, Randal D; Harper, James; Stockdale, Laura

2014-01-01

This study examined the relationship between parent-child social networking, connection, and outcomes for adolescents. Participants (491 adolescents and their parents) completed a number of questionnaires on social networking use, feelings of connection, and behavioral outcomes. Social networking with parents was associated with increased connection between parents and adolescents. Feelings of connection then mediated the relationship between social networking with parents and behavioral outcomes, including higher prosocial behavior and lower relational aggression and internalizing behavior. Conversely, adolescent social networking use without parents was associated with negative outcomes, such as increased relational aggression, internalizing behaviors, delinquency, and decreased feelings of connection. These results indicate that although high levels of social networking use may be problematic for some individuals, social networking with parents may potentially strengthen parent-child relationships and then lead to positive outcomes for adolescents.

Carbon Fibre-reinforced Polymer Strengthening and monitoring of the Gröndals Bridge in Sweden

DEFF Research Database (Denmark)

Täljsten, Björn; Hejll, A.; James, G.

2007-01-01

to be strengthened. The strengthening methods used were CFRP plates at the serviceability limit state and prestressed dywidag stays at the ultimate limit state. The strengthening was carried out during 2002. At the same time monitoring of the bridge commenced, using LVDT crack gauges as well as optical fiber sensors....

Clinical Observation on Insomnia Treated by Wei-Defensive Qi-Regulating and Brain-Strengthening Needling Technique

Institute of Scientific and Technical Information of China (English)

GAO Xi-yan; LI Xing-rui; MA Qiao-lin; ZHAO Xin-ji; SHAO Su-ju; WEI Yu-long; SUN Wei-xia; HANG Guo-qi

2007-01-01

In order to make a report on 90 cases of insomnia treated by the Wei-defensive qi-regulating and brain-strengthening needling technique,as a clinical subject of the multiple center,for assessing the preliminary standardized indications and operating methods and making an initial summary for writing the draft of the technique operation.Methods:By ratio of 1:1,the patients in conformity with the criteria were randomly divided into the experimental group and control group.In the experimental group,45 cases were treated with the Wei-defensive qi-regulating and brain-strengthening needling technique on Baihui (GV 20),Dazhui(GV 14),Shenmai(BL 62),Zhaohai(KI 6),plus ear points.In the control group,45 cases were treated with routine acupuncture on Sishencong(Ex-HN 1),Shenmen (HT 7),Sanyinjiao(SP 6),etc.The therapeutic effects in the two groups were observed and assessed in comparison.Results:The results showed cure in 15 cases.remarkable effect in 27 cases,effect in 42 cases,failure in 6 cases,and the total eriective rate in 94.4% in 90 cases of insomnia.In the three centers,the statistic management was performed based upon PSQI integral and showed significant difference(P＜0.01),and no significant difference among various groups(P＞0.01).Conclusion:The therapeutic effect in the treatment of insomnia by Wei-defensive qi-regulating and brain-strengthening needling technique is better than the control group and the therapeutic effect and methods in various centers are stable.without any deviation.

Network Interaction of Universities in Higher Education System of Ural Macro-Region

Directory of Open Access Journals (Sweden)

Garold Efimovich Zborovsky

2017-06-01

Full Text Available The subject-matter of the analysis are the characteristics and forms of cooperation between universities of Ural Federal District on the basis of their typology. The purpose of the article is to substantiate the necessity and possibility of network interaction between universities of the macro-region. We prove the importance and potential effectiveness of universities network interaction in the terms of socio-economic uncertainty of the development of Ural Federal District and its higher education. Networking interaction and multilateral cooperation are considered as a new type of inter-universities relations, which can be activated and intensified by strengthening the relations of universities with stakeholders. The authors examine certain concrete forms and formats of network interaction and cooperation between universities and discuss selected cases of new type of relations. In it, they see the real and potential innovation of higher school nonlinear development processes. The statements of the article allow to confirm the hypothesis about the reality of strengthening the network interaction in macro-region. It can transform higher education in the driver of socio-economic development of Ural Federal District; ensure the competitiveness of higher education of the macro-region in the Russian and global educational space; enhance its role in the society; become one of the most significant elements of nonlinear models of higher education development in the country. The authors’ research is based on the interdisciplinary methodology including the potential of theoretical sociology, sociology of higher education, economic sociology, management theory, regional economics. The results of the study can form the basis for the improvement of the Ural Federal District’s educational policy.

STRENGTHENING THE GLUTEUS MAXIMUS IN SUBJECTS WITH SACROILIAC DYSFUNCTION.

Science.gov (United States)

Added, Marco Aurélio N; de Freitas, Diego G; Kasawara, Karina T; Martin, Robroy L; Fukuda, Thiago Y

2018-02-01

Case series. The literature has emphasized the use of exercise as an intervention for individuals with lumbopelvic pain. However, there is limited information to guide clinicians in exercise selection for those with sacroiliac (SI) joint dysfunction. Altered function of the gluteus maximus has been found in those with SI joint dysfunction. The objective of this case series was to assess the effectiveness of an exercise program directed at increasing gluteus maximus strength in those with clinical tests positive for SI joint dysfunction. The eight subjects in this series presented with lumbopelvic pain and clinical evidence of SI joint dysfunction. Each subject underwent 10 treatments over five weeks consisting of five exercises directed at strengthening the gluteus maximus. Radiological assessment and clinical examination were performed to rule out potential concurrent pathologies. Visual analog pain scale, the Oswestry Disability Index, and strength assessed via hand held dynamometry were measured pre- and post-intervention. A significant (pjoint dysfunction.

Study on Anti-seismic Strengthening of the Ancient Stone Archway

Directory of Open Access Journals (Sweden)

Zhang Ding

2016-01-01

Full Text Available Chinese ancient stone archways are in flat structure. And joints of their members are of half tenons and mortises. Under the influence of the earthquake, the resisting ability of archway’s uneven sides is relatively poor and the relevant members have little reliable joints. This paper is to analyze seismic strengthening feasibility of Tiantai mountain stone archway which is damaged from the earthquake and to research on the aspects of the loading mode, structure layout and soundness. On the premise of guaranteeing the authenticity and beauty, we use earthquake damaging mechanism of stone archways and the modern anti-seismic structure designing theory and modern building materials. We also follow the way of the modern construction technology and ancient construction and strengthen the anti-seismic way of the resisting ability of Tiantai mountain stone archway’s uneven sides and joints of tenons and mortises. The best anti-seismic strengthening schemes are put forward as well.

Strengthening industry-research linkage for small scale industrial ...

African Journals Online (AJOL)

Strengthening industry-research linkage for small scale industrial development in Ghana - the relevance of scientific and technological information. ... Journal of Applied Science and Technology. Journal Home · ABOUT · Advanced Search ...

European consensus statement on diagnosis and treatment of adult ADHD: the European Network adult ADHD

LENUS (Irish Health Repository)

Kooij, Sandra JJ

2010-09-03

Abstract Background Attention deficit hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that persists into adulthood in the majority of cases. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, limited treatment options and patient facilities across Europe. Methods The European Network Adult ADHD, founded in 2003, aims to increase awareness of this disorder and improve knowledge and patient care for adults with ADHD across Europe. This Consensus Statement is one of the actions taken by the European Network Adult ADHD in order to support the clinician with research evidence and clinical experience from 18 European countries in which ADHD in adults is recognised and treated. Results Besides information on the genetics and neurobiology of ADHD, three major questions are addressed in this statement: (1) What is the clinical picture of ADHD in adults? (2) How can ADHD in adults be properly diagnosed? (3) How should ADHD in adults be effectively treated? Conclusions ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group.

Kinesiotape and quadriceps strengthening with elastic band in women with knee osteoarthritis and overweight or obesity. A randomized clinical trial.

Science.gov (United States)

León-Ballesteros, Saúl; Espinosa-Morales, Rolando; Clark-Peralta, Patricia; Gómez-Pineda, Ascención Guadalupe; Guadarrama-Becerril, Jaime Horacio

2018-04-07

The beneficial effects of exercise in the treatment of Osteoarthritis (OA) of the knee have been verified in several studies. Kinesiotaping (KT) has been popularized due to its reducing local pressure and increasing circulation, resulting in decreased pain. Determine the clinical effectiveness of strengthening therapy with KT in women with knee OA for pain reduction. Thirty two women with knee OA, aged 50-70 years, with overweight or obesity grade I, who were randomized into two groups: one with exercise and KT, and the other, with exercise and placebo technique. Both groups performed stretching and quadriceps strengthening exercise with the elastic band 3 days weekly for 6 weeks. Measurement of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscale was taken as primary outcome. Stiffness and functionality of the same index and the Visual Analog Scale (VAS) for pain intensity were measured. At the end of the study, there were no significant differences between the groups. Both groups had a difference of 2.7 points with respect to the baseline measurement, change percentage of 32.2% and 31.1% for placebo and experimental respectively (p=0.2). KT plus quadriceps strengthening exercise does not offer advantages for improvement of pain compared with quadriceps strengthening exercise alone in knee OA. Copyright © 2018 Sociedad Espaola de Reumatologa y Colegio Mexicano de Reumatologa. Publicado por Elsevier España, S.L.U. All rights reserved.

The Optimization-Based Design and Synthesis of Water Network for Water Management in an Industrial Process: Refinery Effluent Treatment Plant

DEFF Research Database (Denmark)

Sueviriyapan, Natthapong; Siemanond, Kitipat; Quaglia, Alberto

2014-01-01

The increasing awareness of the sustainability of water resources has become an important issue. Many process industries contribute to high water consumption and wastewater generation. Problems in industrial water management include the processing of complex contaminants in wastewater, selection...... of wastewater treatment technologies, as well as water allocation, limited reuse, and recycling strategies. Therefore, a water and wastewater treatment network design requires the integration of both economic and environmental perspectives. The aim of this work was to modify and develop a generic model......-based synthesis process for a water/wastewater treatment network design problem utilizing the framework of Quaglia et al. (2013) in order to effectively design, synthesize, and optimize an industrial water management problem using different scenarios (both existing and retrofit system design). The model...

Family economic strengthening and mental health functioning of caregivers for AIDS-affected children in rural Uganda

Science.gov (United States)

Wang, Julia Shu-Huah; Ssewamala, Fred M.; Han, Chang-Keun

2015-01-01

In sub-Saharan Africa, many extended families assume the role of caregivers for children orphaned by AIDS (AIDS-affected children). The economic and psychological stress ensued from caregiving duties often predispose caregivers to poor mental health outcomes. Yet, very few studies exist on effective interventions to support these caregivers. Using data from a randomized controlled trial called Suubi-Maka (N = 346), this paper examines whether a family economic strengthening intervention among families caring for AIDS-affected children (ages 12–14) in Uganda would improve the primary caregivers’ mental health functioning. The Suubi-Maka study comprised of a control condition (n = 167) receiving usual care for AIDS-affected children, and a treatment condition (n = 179) receiving a family economic strengthening intervention, including matched savings accounts, and financial planning and management training to incentivize families to save money for education and/or family-level income generating projects. This paper uses data from baseline/pre-intervention (wave 1) interviews with caregivers and 12-month post-intervention initiation (wave 2). The caregiver’s mental health measure adapted from previous studies in sub- Saharan Africa had an internal consistency of .88 at wave 1 and .90 at wave 2. At baseline, the two study groups did not significantly differ on caregiver’s mental health functioning. However, at 12-month follow-up, multiple regression analysis located significant differences between the two study groups on mental health functioning. Specifically, following the intervention, caregivers in the treatment condition reported positive improvements on their mental health functioning, especially in the symptom areas of obsession–compulsion, interpersonal sensitivity, hostility, and psychoticism. Findings point to a need for programs and policies aimed at supporting caregivers of AIDS-affected children to begin to consider incorporating family

3D FE Analysis of RC Beams Externally Strengthened with SRG/SRP Systems

Directory of Open Access Journals (Sweden)

Francesco Bencardino

2016-05-01

Full Text Available The purpose of this study is to evaluate, through a nonlinear Finite Element (FE analysis, the structural behavior of Reinforced Concrete (RC beams externally strengthened by using Steel Reinforced Grout (SRG and Steel Reinforced Polymer (SRP systems. The parameters taken into account were the external strengthening configuration, with or without U-wrap end anchorages, as well as the strengthening materials. The numerical simulations were carried out by using a three-dimensional (3D FE model. The linear and nonlinear behavior of all materials was modeled by appropriate constitutive laws and the connection between concrete substrate and external reinforcing layer was simulated by means of cohesive surfaces with appropriate bond-slip laws. In order to overcome convergence difficulties, to simulate the quasi-static response of the strengthened RC beams, a dynamic approach was adopted. The numerical results in terms of load-displacement curves, failure modes, and load and strain values at critical stages were validated against some experimental data. As a result, the proposed 3D FE model can be used to predict the structural behavior up to ultimate stage of similar strengthened beams without carrying out experimental tests.

Researches on the Security of Cluster-based Communication Protocol for Wireless Sensor Networks

Directory of Open Access Journals (Sweden)

Yanhong Sun

2014-08-01

Full Text Available Along with the in-depth application of sensor networks, the security issues have gradually become the bottleneck of wireless sensor applications. To provide a solution for security scheme is a common concern not only of researchers but also of providers, integrators and users of wireless sensor networks. Based on this demand, this paper focuses on the research of strengthening the security of cluster-based wireless sensor networks. Based on the systematic analysis of the clustering protocol and its security enhancement scheme, the paper introduces the broadcast authentication scheme, and proposes an SA-LEACH network security enhancement protocol. The performance analysis and simulation experiments prove that the protocol consumes less energy with the same security requirements, and when the base station is comparatively far from the network deployment area, it is more advantageous in terms of energy consumption and t more suitable for wireless sensor networks.

West African think tank strengthens outreach and partnerships ...

International Development Research Centre (IDRC) Digital Library (Canada)

2016-04-28

Apr 28, 2016 ... ... on organizational strengthening measures to increase its financial autonomy. ... were then put into practice with key financial and technical partners. ... Développement Afrique) is an independent non-profit organization ...

Implementation phase – Strengthening community to health facility ...

International Development Research Centre (IDRC) Digital Library (Canada)

Home · What we do ... Access to quality sexual and reproductive health information, services, prenatal services, and delivery services is ... should contribute to strengthening and improving the quality of provincial maternal health services.

Strengthening CRTD-A's Organizational and Program Capacity ...

International Development Research Centre (IDRC) Digital Library (Canada)

... solid history of collaboration with IDRC at the project level. This grant will help CRTD-A further its strategic research agenda within a Women's Rights and Citizenship framework; to strengthen and rationalize its institutional capacity; and to engage more substantively and advantageously with northern research institutions.

Strengthening political co-operation through multilateral disarmament

International Nuclear Information System (INIS)

Ekeus, R.

1991-01-01

In this paper, the Ministry for Foreign Affairs of Sweden discussed how the multilateral disarmament concept has contributed and still can contribute to strengthen political co-operation. This approach is the opposite to the usual question on how to achieve multilateral disarmament through political co-operation

Strengthening Community Land Rights and Responses to ...

International Development Research Centre (IDRC) Digital Library (Canada)

Strengthening Community Land Rights and Responses to Involuntary Displacement Caused by Development Projects in Zimbabwe ... The construction of hydro-electric dams and other large mining and agricultural projects, for example, have led to negative consequences due to weak land tenure rights and a more general ...

Institutional strengthening in Egyptian development aid projects

NARCIS (Netherlands)

Walbeek, M.M.; Vlotman, W.F.

2003-01-01

In recent years Dutch aid projects have focused more on institutional strengthening. The overall impact of this type of aid has been limited. This paper explores possible reasons for this. In Egypt, it appeared to be difficult to make significant changes in the institutional setting. Main

Long Term Monitoring of Microbial Induced Soil Strengthening Processes

Science.gov (United States)

Saneiyan, S.; Ntarlagiannis, D.; Werkema, D. D., Jr.; Colwell, F. S.; Ohan, J.

2016-12-01

Soil strengthening/stabilization processes are used to address some of soil quality issues. Microbial induced calcite precipitation (MICP) is a promising soil stabilization process that could offer long term solution by overcoming problems of commonly used methods (e.g. injecting cement slurry). MICP can be applied in larger spatial scales, allowing the enhanced soils to be maintained in an economic sustainable and environmental friendly way. Methods are sought for the long term monitoring of MICP enhanced soils. The spectral induced polarization (SIP) method is one promising method due to sensitivity on such processes and the ability for long term, even autonomous, operation as well as cost effectiveness. Previous laboratory tests showed the sensitivity of the SIP method on soil strengthening as a result of abiotic calcite precipitation. We extended this work to biotic calcite precipitation through MICP. Early results suggest that the MICP formed calcite is denser and could provide improved strengthening capabilities. Our results are supported by geophysical (SIP and shear-wave velocity), geo-chemical and microbiological monitoring. Destructive analysis and visualization (scanning electron imaging - SEM) is expected to provide conclusive evidence on the MICP long term effectiveness.

New deformation model of grain boundary strengthening in polycrystalline metals

International Nuclear Information System (INIS)

Trefilov, V.I.; Moiseev, V.F.; Pechkovskij, Eh.P.

1988-01-01

A new model explaining grain boundary strengthening in polycrystalline metals and alloys by strain hardening due to localization of plastic deformation in narrow bands near grain boundaries is suggested. Occurrence of localized deformation is caused by different flow stresses in grains of different orientation. A new model takes into account the active role of stress concentrator, independence of the strengthening coefficient on deformation, influence of segregations. Successful use of the model suggested for explanation of rhenium effect in molybdenum and tungsten is alloys pointed out

Deformation Analysis of RC Ties Externally Strengthened with FRP Sheets

Science.gov (United States)

Gribniak, V.; Arnautov, A. K.; Kaklauskas, G.; Jakstaite, R.; Tamulenas, V.; Gudonis, E.

2014-11-01

The current study has two objectives: to validate the ability of the Atena finite-element software to estimate the deformations of reinforced concrete (RC) elements strengthened with fiber-reinforced polymer (FRP) sheets and to assess the effect of FRP-to-concrete bond strength on the results of numerical simulation. It is shown that the bond strength has to be selected according to the overall stiffness of the composite element. The numerical results found are corroborated experimentally by tensile tests of RC elements strengthened with basalt FRP sheets.

Availability, use, and cultivation of support networks as predictors of the well-being of middle-aged and older Chinese: a panel study.

Science.gov (United States)

Chong, Alice Ming Lin; Cheung, Chau-kiu; Woo, Jean; Kwan, Alex Yui-Huen

2012-01-01

To examine the impact of the availability, use, and cultivation of a support network on the well-being of community-dwelling, middle-aged, and older Chinese. A total of 2,970 Hong Kong Chinese aged 40-74 years were interviewed using a structured questionnaire in 2004. Out of the original group of interviewees, 2,120 (71.4%) were interviewed again in 2005. Structural equation modeling revealed a good fit of the model employing Wave 1 support network data and demographic characteristics to predict Wave 2 well-being. As hypothesized, the availability of important social ties and the cultivation of one's support networks were found to predict well-being one year later, but not the use of support networks to meet emotional, financial, or companion needs after controlling for demographic variables and baseline well-being. Cultivating support networks can be interpreted as positive and active coping. Such cultivation is in line with what socioemotional selectivity theory predicts; specifically, when people age, they become more selective and concentrate on strengthening their relationship with those they are emotionally close to. We argue that network cultivation deserves more attention in theory, practice, and research to strengthen the resilience and adaptability of individuals approaching and experiencing old age.

Availability, Use, and Cultivation of Support Networks as Predictors of the Well-Being of Middle-Aged and Older Chinese: A Panel Study

Directory of Open Access Journals (Sweden)

Alice Ming Lin Chong

2012-01-01

Full Text Available Objectives. To examine the impact of the availability, use, and cultivation of a support network on the well-being of community-dwelling, middle-aged, and older Chinese. Methods. A total of 2,970 Hong Kong Chinese aged 40–74 years were interviewed using a structured questionnaire in 2004. Out of the original group of interviewees, 2,120 (71.4% were interviewed again in 2005. Results. Structural equation modeling revealed a good fit of the model employing Wave 1 support network data and demographic characteristics to predict Wave 2 well-being. As hypothesized, the availability of important social ties and the cultivation of one’s support networks were found to predict well-being one year later, but not the use of support networks to meet emotional, financial, or companion needs after controlling for demographic variables and baseline well-being. Discussion. Cultivating support networks can be interpreted as positive and active coping. Such cultivation is in line with what socioemotional selectivity theory predicts; specifically, when people age, they become more selective and concentrate on strengthening their relationship with those they are emotionally close to. We argue that network cultivation deserves more attention in theory, practice, and research to strengthen the resilience and adaptability of individuals approaching and experiencing old age.

"What is meant by public?": Stakeholder views on strengthening impacts of public reporting of hospital performance data.

Science.gov (United States)

Canaway, Rachel; Bismark, Marie; Dunt, David; Prang, Khic-Houy; Kelaher, Margaret

2018-04-01

Public reporting of hospital performance data is a developing area that is gaining increased attention. This is the first study to explore a range of stakeholder opinions on how such public reporting could be strengthened in Australia. Thirty-four semi-structured interviews were conducted with a purposive sample of expert healthcare consumer, provider and purchaser informants who worked in a variety of senior roles and had knowledge of or involvement in public reporting of hospital data within the public or private healthcare sectors. Informants from all Australian states, territory and national jurisdictions participated. Thematic analysis was used to gain an overview of experts' opinions to inform policy and systems-development for strengthening foundational frameworks for public reporting of health services performance. Themes arising were synthesised to generate explanatory figures to highlight key areas for strengthening public reporting. Our findings suggest that in Australia there is a lack of agreement on what the objectives and who the audience are for public reporting of hospital performance data. Without this shared understanding it is difficult to strengthen frameworks and impacts of public reporting. When developing frameworks for public reporting of hospital data in Australia, more explicit definition of what or who are the 'public' is needed along with identification of barriers, desired impacts, data needs, and data collection/reporting/feedback mechanisms. All relevant stakeholders should be involved in design of public reporting frameworks. Offering multiple systems of public reporting, each tailored to particular audiences, might enable greater impact of reporting towards improved hospital quality and safety, and consumer knowledge to inform treatment decisions. This study provides an overview of perspectives, but further research is warranted to develop PR frameworks that can generate greatest impacts for the needs of various audiences

Partial strengthening of R.C square columns using CFRP

Directory of Open Access Journals (Sweden)

Ahmed Shaban Abdel-Hay

2014-12-01

An experimental program was undertaken testing ten square columns 200 × 200 × 2000 mm. One of them was a control specimen and the other nine specimens were strengthened with CFRP. The main parameters studied in this research were the compressive strength of the upper part, the height of the upper poor concrete part, and the height of CFRP wrapped part of column. The experimental results including mode of failure, ultimate load, concrete strain, and fiber strains were analyzed. The main conclusion of this research was, partial strengthening of square column using CFRP can be permitted and gives good results of the column carrying capacity.

The strengthening effect of percutaneous vertebroplasty

Energy Technology Data Exchange (ETDEWEB)

Dean, J.R.; Ison, K.T.; Gishen, P

2000-06-01

AIM: To examine whether single-needle vertebroplasty is effective in strengthening vertebrae. MATERIALS AND METHODS: Four adjacent intact lumbar vertebrae were removed from each of nine adult post-mortem subjects. One or two vertebra of each set was injected with low viscosity acrylic bone cement using a single-track posterolateral approach. Vertebral strength was measured during constant rate axial compression. RESULTS: Single-needle injection delivered different quantities of cement (1-8 ml) in an asymmetric distribution. Injected vertebrae were stronger than controls in 10 out of 12 cases (P < 0.01), suggesting that cement injection increases the load needed to cause initial vertebral fracture. Compression was continued past the point of initial failure, to simulate progressive vertebral collapse. Injected specimens were more resistant to deformation than control specimens (P < 0.05), most of which initially deformed with little increase in load. CONCLUSION: Single-track injection of bone cement appeared to strengthen vertebrae against both initial failure and subsequent collapse. The magnitude of strength increase from vertebroplasty was variable, and did not correlate with the volume of cement injected. Further investigation is needed to optimize the technique. Gishen, P. (2000)

Cigarette Smoking During Substance Use Disorder Treatment: Secondary Outcomes from a National Drug Abuse Treatment Clinical Trials Network study.

Science.gov (United States)

McClure, Erin A; Campbell, Aimee N C; Pavlicova, Martina; Hu, Meichen; Winhusen, Theresa; Vandrey, Ryan G; Ruglass, Lesia M; Covey, Lirio S; Stitzer, Maxine L; Kyle, Tiffany L; Nunes, Edward V

2015-06-01

The majority of patients enrolled in treatment for substance use disorders (SUDs) also use tobacco. Many will continue to use tobacco even during abstinence from other drugs and alcohol, often leading to smoking-related illnesses. Despite this, little research has been conducted to assess the influence of being a smoker on SUD treatment outcomes and changes in smoking during a treatment episode. In this secondary analysis, cigarette smoking was evaluated in participants completing outpatient SUD treatment as part of a multi-site study conducted by the National Drug Abuse Treatment Clinical Trials Network. Analyses included the assessment of changes in smoking and nicotine dependence via the Fagerström Test for Nicotine Dependence during the 12-week study among all smokers (aim #1), specifically among those in the experimental treatment group (aim #2), and the moderating effect of being a smoker on treatment outcomes (aim #3). Participants generally did not reduce or quit smoking throughout the course of the study. Among a sub-set of participants with higher baseline nicotine dependence scores randomized to the control arm, scores at the end of treatment were lower compared to the experimental arm, though measures of smoking quantity did not appear to decrease. Further, being a smoker was associated with poorer treatment outcomes compared to non-smokers enrolled in the trial. This study provides evidence that patients enrolled in community-based SUD treatment continue to smoke, even when abstaining from drugs and alcohol. These results add to the growing literature encouraging the implementation of targeted, evidence-based interventions to promote abstinence from tobacco among SUD treatment patients. Copyright © 2015 Elsevier Inc. All rights reserved.

A hybrid artificial neural network as a software sensor for optimal control of a wastewater treatment process.

Science.gov (United States)

Choi, D J; Park, H

2001-11-01

For control and automation of biological treatment processes, lack of reliable on-line sensors to measure water quality parameters is one of the most important problems to overcome. Many parameters cannot be measured directly with on-line sensors. The accuracy of existing hardware sensors is also not sufficient and maintenance problems such as electrode fouling often cause trouble. This paper deals with the development of software sensor techniques that estimate the target water quality parameter from other parameters using the correlation between water quality parameters. We focus our attention on the preprocessing of noisy data and the selection of the best model feasible to the situation. Problems of existing approaches are also discussed. We propose a hybrid neural network as a software sensor inferring wastewater quality parameter. Multivariate regression, artificial neural networks (ANN), and a hybrid technique that combines principal component analysis as a preprocessing stage are applied to data from industrial wastewater processes. The hybrid ANN technique shows an enhancement of prediction capability and reduces the overfitting problem of neural networks. The result shows that the hybrid ANN technique can be used to extract information from noisy data and to describe the nonlinearity of complex wastewater treatment processes.

Connectivity levels and the competitive position of Spanish airports and Iberia's network rationalization strategy, 2001-2007

NARCIS (Netherlands)

Suau-Sanchez, P.; Burghouwt, G.

2012-01-01

This paper examines the connectivity of the Spanish airport system between 2001 and 2007. Over the period, network carriers considerably strengthened the connectivity between Spanish airports and major European hubs. Although OneWorld is still the dominant alliance in Spain, SkyTeam and Star

The effects of CPAP treatment on task positive and default mode networks in obstructive sleep apnea patients: an fMRI study.

Directory of Open Access Journals (Sweden)

Olga Prilipko

Full Text Available INTRODUCTION: Functional magnetic resonance imaging studies enable the investigation of neural correlates underlying behavioral performance. We investigate the effect of active and sham Continuous Positive Airway Pressure (CPAP treatment on working memory function of patients with Obstructive Sleep Apnea Syndrome (OSAS considering Task Positive and Default Mode networks (TPN and DMN. METHODS: An experiment with 4 levels of visuospatial n-back task was used to investigate the pattern of cortical activation in 17 men with moderate or severe OSAS before and after 2 months of therapeutic (active or sub-therapeutic (sham CPAP treatment. RESULTS: Patients with untreated OSAS had significantly less deactivation in the temporal regions of the DMN as compared to healthy controls, but activation within TPN regions was comparatively relatively preserved. After 2 months of treatment, active and sham CPAP groups exhibited opposite trends of cerebral activation and deactivation. After treatment, the active CPAP group demonstrated an increase of cerebral activation in the TPN at all task levels and of task-related cerebral deactivation in the anterior midline and medial temporal regions of the DMN at the 3-back level, associated with a significant improvement of behavioral performance, whereas the sham CPAP group exhibited less deactivation in the temporal regions of Default Mode Network and less Task Positive Network activation associated to longer response times at the 3-back. CONCLUSION: OSAS has a significant negative impact primarily on task-related DMN deactivation, particularly in the medial temporal regions, possibly due to nocturnal hypoxemia, as well as TPN activation, particularly in the right ventral fronto-parietal network. After 2 months of active nasal CPAP treatment a positive response was noted in both TPN and DMN but without compete recovery of existing behavioral and neuronal deficits. Initiation of CPAP treatment early in the course of the

Local authorities facing flood related networks failures in France

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Gallet Violette