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Sample records for random test plane

  1. Randomization tests

    CERN Document Server

    Edgington, Eugene

    2007-01-01

    Statistical Tests That Do Not Require Random Sampling Randomization Tests Numerical Examples Randomization Tests and Nonrandom Samples The Prevalence of Nonrandom Samples in Experiments The Irrelevance of Random Samples for the Typical Experiment Generalizing from Nonrandom Samples Intelligibility Respect for the Validity of Randomization Tests Versatility Practicality Precursors of Randomization Tests Other Applications of Permutation Tests Questions and Exercises Notes References Randomized Experiments Unique Benefits of Experiments Experimentation without Mani

  2. Random skew plane partitions with a piecewise periodic back wall

    DEFF Research Database (Denmark)

    Boutillier, Cedric; Mkrtchyan, Sevak; Reshetikhin, Nicolai

    Random skew plane partitions of large size distributed according to an appropriately scaled Schur process develop limit shapes. In the present work we consider the limit of large random skew plane partitions where the inner boundary approaches a piecewise linear curve with non-lattice slopes. Much...

  3. The plane strain tests in the PROMETRA program

    Energy Technology Data Exchange (ETDEWEB)

    Cazalis, B., E-mail: bernard.cazalis@irsn.fr [Institut de Radioprotection et de Sûreté Nucléaire, IRSN/PSN-RES, F-13115 Saint-Paul Lez Durance BP3 (France); Desquines, J. [Institut de Radioprotection et de Sûreté Nucléaire, IRSN/PSN-RES, F-13115 Saint-Paul Lez Durance BP3 (France); Carassou, S.; Le Jolu, T. [Commissariat à l' Energie Atomique, CEA/DEN/DMN, F- 91191 Gif-sur-Yvette (France); Bernaudat, C. [Electricité de France, EDF/SEPTEN, F-69628 Villeurbanne (France)

    2016-04-15

    A fuel cladding mechanical test, performed under conditions of plane strain deformation in the transverse direction of tube axis, was originally developed at Pennsylvania State University. It was decided to implement this original test within the PROMETRA program using the same experimental procedure and its optimization for a ring mechanical testing on plane strain conditions (PST tests) in hot cells laboratory. This paper presents a detailed description and an interpretation of the Plane Strain Tensile (PST) tests performed in the framework of the PROMETRA program on fresh and irradiated claddings. At first, the context of the PST tests is situated and the specificities of these tests implemented at CEA are justified. Indeed, a significant adjustment of the original experimental procedure is carried out in order to test the irradiated fuel cladding in the best possible conditions. Then, the tests results on fresh Zircaloy-4 and on irradiated Zircaloy-4, M5™ and ZIRLO{sup ®} specimens are gathered. The main analyses in support of these tests, such as metallographies, fractographic examinations and finite element simulations are detailed. Finally, a synthesis of the interpretation of the tests is proposed. The PST test seems only representative of plane strain fracture conditions when the test material is very ductile (fresh or high temperature or low hydride material like M5TM). However, it provides a relevant representation of the RIA rupture initiation which is observed in irradiated cladding resulting from hydride rim damage due to the strong irradiation of a fuel rod. - Highlights: • A plane strain mechanical test performed on fuel rod claddings is described. • The tests are performed in the framework of the French PROMETRA program. • Fresh Zircaloy-4 and irradiated Zircaloy-4, M5 and ZIRLO specimens are tested. • The main analyses in support of these tests are detailed. • A synthesis of the interpretation of the PST tests is proposed.

  4. Random walks in the quarter-plane: invariant measures and performance bounds

    NARCIS (Netherlands)

    Chen, Y.

    2015-01-01

    This monograph focuses on random walks in the quarter-plane. Such random walks are frequently used to model queueing systems and the invariant measure of a random walk is of major importance in studying the performance of these systems. In special cases the invariant measure of a random walk can be

  5. Random skew plane partitions and the Pearcey process

    DEFF Research Database (Denmark)

    Reshetikhin, Nicolai; Okounkov, Andrei

    2007-01-01

    We study random skew 3D partitions weighted by q vol and, specifically, the q → 1 asymptotics of local correlations near various points of the limit shape. We obtain sine-kernel asymptotics for correlations in the bulk of the disordered region, Airy kernel asymptotics near a general point...

  6. In-plane shear test of fibre reinforced concrete panels

    DEFF Research Database (Denmark)

    Solgaard, Anders Ole Stubbe; Stang, Henrik; Goltermann, Per

    2008-01-01

    The present paper concerns the investigation of polymer Fiber Reinforced Concrete (FRC) panels subjected to in-plane shear. The use of fibers as primary reinforcement in panels is a new application of fiber reinforcement, hence test methods, design bases and models are lacking. This paper...... contributes to the investigation of fibers as reinforcement in panels with experimental results and a consistent approach to material characterization and modeling. The proposed model draws on elements from the classical yield line theory of rigid, perfectly plastic materials and the theory of fracture...

  7. Ipsilateral transversus abdominis plane block provides effective analgesia after appendectomy in children: a randomized controlled trial.

    LENUS (Irish Health Repository)

    Carney, John

    2010-10-01

    The transversus abdominis plane (TAP) block provides effective postoperative analgesia in adults undergoing major abdominal surgery. Its efficacy in children remains unclear, with no randomized clinical trials in this population. In this study, we evaluated its analgesic efficacy over the first 48 postoperative hours after appendectomy performed through an open abdominal incision, in a randomized, controlled, double-blind clinical trial.

  8. The analgesic efficacy of transversus abdominis plane block after cesarean delivery: a randomized controlled trial.

    LENUS (Irish Health Repository)

    McDonnell, John G

    2008-01-01

    The transversus abdominis plane (TAP) block is an effective method of providing postoperative analgesia in patients undergoing midline abdominal wall incisions. We evaluated its analgesic efficacy over the first 48 postoperative hours after cesarean delivery performed through a Pfannensteil incision, in a randomized controlled, double-blind, clinical trial.

  9. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial.

    LENUS (Irish Health Repository)

    McDonnell, John G

    2007-01-01

    The transversus abdominis plane (TAP) block is a novel approach for blocking the abdominal wall neural afferents via the bilateral lumbar triangles of Petit. We evaluated its analgesic efficacy in patients during the first 24 postoperative hours after abdominal surgery, in a randomized, controlled, double-blind clinical trial.

  10. Accuracy and uncertainty in random speckle modulation transfer function measurement of infrared focal plane arrays

    Science.gov (United States)

    Barnard, Kenneth J.; Jacobs, Eddie L.; Plummer, Philip J.

    2016-12-01

    This paper expands upon a previously reported random speckle technique for measuring the modulation transfer function of midwave infrared focal plane arrays by considering a number of factors that impact the accuracy of the estimated modulation transfer function. These factors arise from assumptions in the theoretical derivation and bias in the estimation procedure. Each factor is examined and guidelines are determined to maintain accuracy within 2% of the true value. The uncertainty of the measurement is found by applying a one-factor ANOVA analysis and confidence intervals are established for the results. The small magnitude of the confidence intervals indicates a very robust technique capable of distinguishing differences in modulation transfer function among focal plane arrays on the order of a few percent. This analysis directly indicates the high quality of the random speckle modulation transfer function measurement technique. The methodology is applied to a focal plane array and results are presented that emphasize the need for generating independent random speckle realizations to accurately assess measured values.

  11. 49 CFR 382.305 - Random testing.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 5 2010-10-01 2010-10-01 false Random testing. 382.305 Section 382.305... ALCOHOL USE AND TESTING Tests Required § 382.305 Random testing. (a) Every employer shall comply with the requirements of this section. Every driver shall submit to random alcohol and controlled substance testing as...

  12. Validation of the k-filtering technique for a signal composed of random-phase plane waves and non-random coherent structures

    Directory of Open Access Journals (Sweden)

    O. W. Roberts

    2014-12-01

    Full Text Available Recent observations of astrophysical magnetic fields have shown the presence of fluctuations being wave-like (propagating in the plasma frame and those described as being structure-like (advected by the plasma bulk velocity. Typically with single-spacecraft missions it is impossible to differentiate between these two fluctuations, due to the inherent spatio-temporal ambiguity associated with a single point measurement. However missions such as Cluster which contain multiple spacecraft have allowed for temporal and spatial changes to be resolved, using techniques such as k filtering. While this technique does not assume Taylor's hypothesis it requires both weak stationarity of the time series and that the fluctuations can be described by a superposition of plane waves with random phases. In this paper we test whether the method can cope with a synthetic signal which is composed of a combination of non-random-phase coherent structures with a mean radius d and a mean separation λ, as well as plane waves with random phase.

  13. 49 CFR 655.45 - Random testing.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Random testing. 655.45 Section 655.45... of Testing § 655.45 Random testing. (a) Except as provided in paragraphs (b) through (d) of this section, the minimum annual percentage rate for random drug testing shall be 50 percent of covered...

  14. Invariant measures and error bounds for random walks in the quarter-plane based on sums of geometric terms

    NARCIS (Netherlands)

    Chen, Y.; Boucherie, Richardus J.; Goseling, Jasper

    2016-01-01

    We consider homogeneous random walks in the quarter-plane. The necessary conditions which characterize random walks of which the invariant measure is a sum of geometric terms are provided in Chen et al. (arXiv:1304.3316, 2013, Probab Eng Informational Sci 29(02):233–251, 2015). Based on these

  15. Controlled Impact Demonstration instrumented test dummies installed in plane

    Science.gov (United States)

    1984-01-01

    In this photograph are seen some of dummies in the passenger cabin of the B-720 aircraft. NASA Langley Research Center instrumented a large portion of the aircraft and the dummies for loads in a crashworthiness research program. In 1984 NASA Dryden Flight Research Facility and the Federal Aviation Adimistration (FAA) teamed-up in a unique flight experiment called the Controlled Impact Demonstration (CID). The test involved crashing a Boeing 720 aircraft with four JT3C-7 engines burning a mixture of standard fuel with an additive called Anti-misting Kerosene (AMK) designed to supress fire. In a typical aircraft crash, fuel spilled from ruptured fuel tanks forms a fine mist that can be ignited by a number of sources at the crash site. In 1984 the NASA Dryden Flight Research Facility (after 1994 a full-fledged Center again) and the Federal Aviation Administration (FAA) teamed-up in a unique flight experiment called the Controlled Impact Demonstration (CID), to test crash a Boeing 720 aircraft using standard fuel with an additive designed to supress fire. The additive, FM-9, a high-molecular-weight long-chain polymer, when blended with Jet-A fuel had demonstrated the capability to inhibit ignition and flame propagation of the released fuel in simulated crash tests. This anti-misting kerosene (AMK) cannot be introduced directly into a gas turbine engine due to several possible problems such as clogging of filters. The AMK must be restored to almost Jet-A before being introduced into the engine for burning. This restoration is called 'degradation' and was accomplished on the B-720 using a device called a 'degrader.' Each of the four Pratt & Whitney JT3C-7 engines had a 'degrader' built and installed by General Electric (GE) to break down and return the AMK to near Jet-A quality. In addition to the AMK research the NASA Langley Research Center was involved in a structural loads measurement experiment, which included having instrumented dummies filling the seats in the

  16. Angular spectral plane-wave expansion of nonstationary random fields in stochastic mode-stirred reverberation processes.

    Science.gov (United States)

    Arnaut, Luk R

    2010-04-01

    We derive an integral expression for the plane-wave expansion of the time-varying (nonstationary) random field inside a mode-stirred reverberation chamber. It is shown that this expansion is a so-called oscillatory process, whose kernel can be expressed explicitly in closed form. The effect of nonstationarity is a modulation of the spectral density of the field on a time scale that is a function of the cavity relaxation time. It is also shown how the contribution by a nonzero initial value of the field can be incorporated into the expansion. The results are extended to a special class of second-order processes, relevant to the reception of a mode-stirred reverberation field by a device under test with a first-order (relaxation-type) frequency response.

  17. QUASI-RANDOM TESTING OF COMPUTER SYSTEMS

    Directory of Open Access Journals (Sweden)

    S. V. Yarmolik

    2013-01-01

    Full Text Available Various modified random testing approaches have been proposed for computer system testing in the black box environment. Their effectiveness has been evaluated on the typical failure patterns by employing three measures, namely, P-measure, E-measure and F-measure. A quasi-random testing, being a modified version of the random testing, has been proposed and analyzed. The quasi-random Sobol sequences and modified Sobol sequences are used as the test patterns. Some new methods for Sobol sequence generation have been proposed and analyzed.

  18. Adjunctive use of essential oils following scaling and root planing -a randomized clinical trial.

    Science.gov (United States)

    Azad, Mohammad Fallah; Schwiertz, Andreas; Jentsch, Holger F R

    2016-06-07

    Hitherto no study has been published on the effect of the adjunctive administration of essential oils following scaling and root planing (SRP). This study describes the effect of a mouthrinse consisting of essential oils (Cymbopogon flexuosus, Thymus zygis and Rosmarinus officinalis) following SRP by clinical and microbiological variables in patients with generalized moderate chronic periodontitis. Forty-six patients (aged 40-65 years) with moderate chronic periodontitis were randomized in a double-blind study and rinsed their oral cavity following SRP with an essential oil mouthrinse (n  =  23) or placebo (n  =  23) for 14 days. Probing depth (PD), attachment level (AL), bleeding on probing (BOP) and modified sulcus bleeding index (SBI) were recorded at baseline and after 3 and 6 months. Subgingival plaque was taken for assessment of major bacteria associated with periodontitis. AL, PD, BOP and SBI were significantly improved in both groups after three (p   essential oils following SRP has a positive effect on clinical variables and on bacterial levels in the subgingival biofilm. 332-12-24092012, DRKS 00009387, German Clinical Trials Register, Freiburg i. Br., 16.09.2015.

  19. Standard test method for linear-elastic plane-strain fracture toughness KIc of metallic materials

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2013-01-01

    1.1 This test method covers the determination of fracture toughness (KIc) of metallic materials under predominantly linear-elastic, plane-strain conditions using fatigue precracked specimens having a thickness of 1.6 mm (0.063 in.) or greater subjected to slowly, or in special (elective) cases rapidly, increasing crack-displacement force. Details of test apparatus, specimen configuration, and experimental procedure are given in the Annexes. Note 1—Plane-strain fracture toughness tests of thinner materials that are sufficiently brittle (see 7.1) can be made using other types of specimens (1). There is no standard test method for such thin materials. 1.2 This test method is divided into two parts. The first part gives general recommendations and requirements for KIc testing. The second part consists of Annexes that give specific information on displacement gage and loading fixture design, special requirements for individual specimen configurations, and detailed procedures for fatigue precracking. Additional a...

  20. Standard test method for linear-elastic plane-strain fracture toughness KIc of metallic materials

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2009-01-01

    1.1 This test method covers the determination of fracture toughness (KIc) of metallic materials under predominantly linear-elastic, plane-strain conditions using fatigue precracked specimens having a thickness of 1.6 mm (0.063 in.) or greater subjected to slowly, or in special (elective) cases rapidly, increasing crack-displacement force. Details of test apparatus, specimen configuration, and experimental procedure are given in the Annexes. Note 1—Plane-strain fracture toughness tests of thinner materials that are sufficiently brittle (see 7.1) can be made using other types of specimens (1). There is no standard test method for such thin materials. 1.2 This test method is divided into two parts. The first part gives general recommendations and requirements for KIc testing. The second part consists of Annexes that give specific information on displacement gage and loading fixture design, special requirements for individual specimen configurations, and detailed procedures for fatigue precracking. Additional a...

  1. Evaluation of stresses in a combined plane strain-simple shear test

    NARCIS (Netherlands)

    van den Boogaard, Antonius H.; van Riel, M.; Huetink, Han

    2005-01-01

    A biaxial testing device for sheet metal has been developed that can impose a combination of plane strain and simple shear deformation. The specimen has a large width to height ratio and a small height to thickness ratio. The forces in tensile and shear direction are easily measured and the tensile

  2. Multiple-wavelength double random phase encoding with CCD-plane sparse-phase multiplexing for optical information verification.

    Science.gov (United States)

    Chen, Wen

    2015-12-20

    A novel method is proposed by using multiple-wavelength double random phase encoding (MW-DRPE) with CCD-plane sparse-phase multiplexing for optical information verification. Two different strategies are applied to conduct sparse-phase multiplexing in the CCD plane. The results demonstrate that large capacity can be achieved for optical multiple-image verification. The proposed optical verification strategy is implemented based on optical encoding, and the keys generated by optical encryption can further guarantee the safety of the designed optical multiple-image verification system. The proposed method provides a novel alternative for DRPE-based optical information verification.

  3. Computational Fluid Dynamics Analysis Success Stories of X-Plane Design to Flight Test

    Science.gov (United States)

    Cosentino, Gary B.

    2008-01-01

    Examples of the design and flight test of three true X-planes are described, particularly X-plane design techniques that relied heavily on computational fluid dynamics(CFD) analysis. Three examples are presented: the X-36 Tailless Fighter Agility Research Aircraft, the X-45A Unmanned Combat Air Vehicle, and the X-48B Blended Wing Body Demonstrator Aircraft. An overview is presented of the uses of CFD analysis, comparison and contrast with wind tunnel testing, and information derived from CFD analysis that directly related to successful flight test. Lessons learned on the proper and improper application of CFD analysis are presented. Highlights of the flight-test results of the three example X-planes are presented. This report discusses developing an aircraft shape from early concept and three-dimensional modeling through CFD analysis, wind tunnel testing, further refined CFD analysis, and, finally, flight. An overview of the areas in which CFD analysis does and does not perform well during this process is presented. How wind tunnel testing complements, calibrates, and verifies CFD analysis is discussed. Lessons learned revealing circumstances under which CFD analysis results can be misleading are given. Strengths and weaknesses of the various flow solvers, including panel methods, Euler, and Navier-Stokes techniques, are discussed.

  4. Development and testing of an innovative two-arm focal-plane thermal strap (TAFTS)

    Science.gov (United States)

    Urquiza, E.; Vasquez, C.; Rodriguez, J.; Van Gorp, B.

    2012-04-01

    Temperature control of optical focal planes comes with the intrinsic challenge of creating a pathway that is both extremely flexible mechanically and highly conductive thermally. The task is further complicated because science-caliber optical focal planes are extremely delicate, yet time, cost, and their unique nature means that their mechanical resiliency is rarely tested and documented. The mechanical engineer tasked with the thermo-mechanical design must then create a highly conductive thermal link that minimizes the tensile and shear stresses transmitted to the focal plane without design parameters on an acceptable stiffness and without data on the stiffness of previously implemented thermal links. This paper describes the development and testing of the thermal link developed for the Portable Remote Imaging Spectrometer (PRISM) instrument. It will provide experimentally determined mechanical stiffness plots in the three axes of interest. Analytical and experimental thermal conductance results for the two-arm focal-plane thermal strap (TAFTS), from cryogenic to room temperatures, are also presented. The paper also briefly describes some elements of the fabrication process followed in developing a novel design solution, which provides high conductance and symmetrical mechanical loading, while providing enhanced flexibility in all three dimensions.

  5. Test Studies of the Resistance and Seakeeping Performance of a Trimaran Planing Hull

    Directory of Open Access Journals (Sweden)

    Ma Weijia

    2015-01-01

    Full Text Available Towing tank tests in calm water were performed on a trimaran planing hull to verify its navigational properties with different displacements and centres of gravity, as well as to assess the effects of air jets and bilge keels on the hull’s planing capabilities, and to increase the longitudinal stability of the hull. Hydrostatic roll tests, zero speed tests, and sea trials in the presence of regular waves were conducted to investigate the hull’s seakeeping ability. The test results indicate that the influence of the location of the centre of gravity on the hull resistance is similar to that of a normal trimaran planing hull; namely, moving the centre of gravity backward will reduce the resistance but lower the stability. Bilge keels improve the longitudinal stability but slightly affect the resistance, and the presence of air jets in the hull’s channels decreases the trim angle and increases heaving but has little effect on the resistance. Frequent small-angle rolling occurs in waves. The heaving and pitching motions peak at the encounter frequency of , and the peaks increase with velocity and move towards greater encounter frequencies. When the encounter frequency exceeds, the hull motion decreases, which leads to changes in the navigation speed and frequency.

  6. Simulations and cold-test results of a prototype plane wave transformer linac structure

    Directory of Open Access Journals (Sweden)

    Arvind Kumar

    2002-03-01

    Full Text Available We have built a 4-cell prototype plane wave transformer (PWT linac structure. We discuss here details of the design and fabrication of the PWT linac structure. We present results from superfish and gdfidl simulations as well as cold tests, which are in good agreement with each other. We also present detailed tolerance maps for the PWT structure. We discuss beam dynamics simulation studies performed using parmela.

  7. TECHNIQUE OF TESTING ON FRETTING AT THE SPHERE-TO-PLANE CONTACT

    Directory of Open Access Journals (Sweden)

    А. Khimko

    2012-12-01

    Full Text Available  The methodology of conducting tests on fretting at the sphere-to-plane contact was developed for the wing mechanization unit, namely for screw-nut pair with intermediate balls. Wearability tests were conducted on a modified installation МФК-1, the feature of which is the designed holder that allows testing with real balls. It was found that at the dry contact of ШХ-15 and 30Х2НВФA materials, surface microcracks are formed due to welding of microasperities areas and their rupture under the influence of vibration.

  8. Transversus Abdominis Plane Block Versus Wound Infiltration for Analgesia After Cesarean Delivery: A Randomized Controlled Trial.

    Science.gov (United States)

    Tawfik, Mohamed Mohamed; Mohamed, Yaser Mohamed; Elbadrawi, Rania Elmohamadi; Abdelkhalek, Mostafa; Mogahed, Maiseloon Mostafa; Ezz, Hanaa Mohamed

    2017-04-01

    Transversus abdominis plane (TAP) block and local anesthetic wound infiltration provide analgesia after cesarean delivery. Studies comparing the 2 techniques are scarce, with conflicting results. This double-blind, randomized controlled trial aimed to compare bilateral ultrasound-guided TAP block with single-shot local anesthetic wound infiltration for analgesia after cesarean delivery performed under spinal anesthesia. We hypothesized that the TAP block would decrease postoperative cumulative fentanyl consumption at 24 hours. Eligible subjects were American Society of Anesthesiologists physical status II parturients with full-term singleton pregnancies undergoing elective cesarean delivery under spinal anesthesia. Exclusion criteria were: 40 years of age; height history of recent opioid exposure; hypersensitivity to any of the drugs used in the study; significant cardiovascular, renal, or hepatic disease; and known fetal abnormalities. Eighty subjects were randomly allocated to 2 equal groups. In the infiltration group, participants received 15 mL of bupivacaine 0.25% in each side of the surgical wound (total 30 mL); and in the TAP group, participants received 20 mL of bupivacaine 0.25% bilaterally in the TAP block (total 40 mL). The TAP block and wound infiltration were performed by the primary investigator and the operating obstetrician, respectively. All participants received postoperative standard analgesia (ketorolac and paracetamol) and intravenous fentanyl via patient-controlled analgesia. Patients and outcome assessors were blinded to the study group. The primary outcome was the cumulative fentanyl consumption at 24 hours. Secondary outcomes were the time to the first postoperative fentanyl dose, cumulative fentanyl consumption at 2, 4, 6, and 12 hours, pain scores at rest and on movement at 2, 4, 6, 12, and 24 hours, the deepest level of sedation, the incidence of side effects (nausea and vomiting and pruritis), and patient satisfaction. Data from 78

  9. Standard test method for plane-strain (Chevron-Notch) fracture toughness of metallic materials

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1997-01-01

    1.1 This test method covers the determination of plane-strain (chevron-notch) fracture toughnesses, KIv or KIvM, of metallic materials. Fracture toughness by this method is relative to a slowly advancing steady state crack initiated at a chevron-shaped notch, and propagating in a chevron-shaped ligament (Fig. 1). Some metallic materials, when tested by this method, exhibit a sporadic crack growth in which the crack front remains nearly stationary until a critical load is reached. The crack then becomes unstable and suddenly advances at high speed to the next arrest point. For these materials, this test method covers the determination of the plane-strain fracture toughness, KIvj or KIvM, relative to the crack at the points of instability. Note 1—One difference between this test method and Test Method E 399 (which measures KIc) is that Test Method E 399 centers attention on the start of crack extension from a fatigue precrack. This test method makes use of either a steady state slowly propagating crack, or a...

  10. Reflection-plane tests of spoilers on an advanced technology wing with a large Fowler flap

    Science.gov (United States)

    Wentz, W. H., Jr.; Volk, C. G., Jr.

    1976-01-01

    Wind tunnel experiments were conducted to determine the effectiveness of spoilers applied to a finite-span wing which utilizes the GA(W)-1 airfoil section and a 30% chord full-span Fowler flap. A series of spoiler cross sectioned shapes were tested utilizing a reflection-plane model. Five-component force characteristics and hinge moment measurements were obtained. Results confirm earlier two-dimensional tests which showed that spoilers could provide large lift increments at any flap setting, and that spoiler control reversal tendencies could be eliminated by providing a vent path from lower surface to upper surface. Performance penalties due to spoiler leakage airflow were measured.

  11. Transversus abdominis plane block for analgesia in renal transplantation: a randomized controlled trial.

    LENUS (Irish Health Repository)

    Freir, Noelle M

    2012-10-01

    The transversus abdominis plane (TAP) block has proven effective in reducing opioid requirements and pain scores for some procedures involving the lower abdominal wall. In this study we assessed its efficacy in patients with end-stage renal failure undergoing cadaveric renal transplantation.

  12. Hypersonic propulsion flight tests as essential to air-breathing aerospace plane development

    Science.gov (United States)

    Mehta, U.

    1995-01-01

    Hypersonic air-breathing propulsion utilizing scramjets can fundamentally change transatmospheric acclerators for transportation from low Earth orbits (LEOs). The value and limitations of ground tests, of flight tests, and of computations are presented, and scramjet development requirements are discussed. Near-full-scale hypersonic propulsion flight tests are essential for developing a prototype hypersonic propulsion system and for developing computation-design technology that can be used in designing that system. In order to determine how these objectives should be achieved, some lessons learned from past programs are presented. A conceptual two-stage-to-orbit (TSTO) prototype/experimental aerospace plane is recommended as a means of providing access-to-space and for conducting flight tests. A road map for achieving these objectives is also presented.

  13. Air-breathing aerospace plane development essential: Hypersonic propulsion flight tests

    Science.gov (United States)

    Mehta, Unmeel B.

    1995-01-01

    Hypersonic airbreathing propulsion utilizing scramjets can change transatmospheric accelerators for low earth-to-orbit and return transportation. The value and limitation of ground tests, of flight tests, and of computations are presented, and scramjet development requirements are discussed. It is proposed that near full-scale hypersonic propulsion flight tests are essential for developing computational design technology so that it can be used for designing this system. In order to determine how these objectives should be achieved, some lessons learned from past programs are presented. A conceptual two-stage-to-orbit (TSTO) prototype/experimental aerospace plane is recommended as a means of providing access-to-space and for conducting flight tests.

  14. Air-breathing aerospace plane development essential: Hypersonic propulsion flight tests

    Science.gov (United States)

    Mehta, Unmeel B.

    1994-01-01

    Hypersonic air-breathing propulsion utilizing scramjets can fundamentally change transatmospheric accelerators for low earth-to-orbit and return transportation. The value and limitations of ground tests, of flight tests, and of computations are presented, and scramjet development requirements are discussed. It is proposed that near full-scale hypersonic propulsion flight tests are essential for developing a prototype hypersonic propulsion system and for developing computational-design technology so that it can be used for designing this system. In order to determine how these objectives should be achieved, some lessons learned from past programs are presented. A conceptual two-stage-to-orbit (TSTO) prototype/experimental aerospace plane is recommended as a means of providing access-to-space and for conducting flight tests. A road map for achieving these objectives is also presented.

  15. Atomic force microscopy and scanning electron microscopy evaluation of efficacy of scaling and root planing using magnification: A randomized controlled clinical study.

    Science.gov (United States)

    Mohan, Ranjana; Agrawal, Sudhanshu; Gundappa, Mohan

    2013-07-01

    A randomized controlled clinical study was undertaken to evaluate the effectiveness of scaling and root planing (SRP) by using Magnifying Loupes (ML) and dental operating microscope (DOM). A total of 90 human teeth scheduled for extraction from 18 patients aged between 25 and 65 years suffering from generalized chronic severe periodontitis were randomly assigned to three treatment groups. Group 1 consisted SRP performed without using magnification (unaided), Group 2-SRP with ML and Group 3-SRP with DOM. Following extractions, samples were prepared for (i) evaluation of surface topography by atomic force microscopy, (ii) presence of smear layer, debris by scanning electron microscopy (iii) elemental analysis by energy dispersive X-ray analysis. Data was subjected to statistical analysis using analysis of variance, post-hoc (Tukey-HSD) and Chi-square test. Statistically significant (P Magnification tools significantly enhance the efficacy of supragingival and subgingival SRP.

  16. Testing Focal Plane Detectors for the SEparator for CApture Reactions (SECAR)

    Science.gov (United States)

    Garrity, A.; Blackmon, J.; Deibel, C.; Good, E.; Hood, A.; Joerres, K.; Cottingham, R.; Secar Collaboration

    2017-09-01

    The Separator for Capture Reactions (SECAR) will be installed at NSCL/FRIB to directly measure (p, γ) and (α, γ) reactions that are important in extreme stellar environments. Time-of-flight detectors like those implemented in SECAR are necessary to distinguish between the heavy products of the desired reactions and the unreacted beam. The time resolution and position sensitivity of a micro-channel plate (MCP) detector for the SECAR focal plane instrumentation were tested. We will present the findings of these tests as well as an alternate high energy design of a stopping detector. The new stopping detector will be characterized in further in-beam studies, and both it and the MCP detectors will be installed at NSCL/FRIB by 2022. NSF Grant 1560212.

  17. Plane Wave Imaging for ultrasonic non-destructive testing: Generalization to multimodal imaging.

    Science.gov (United States)

    Le Jeune, Léonard; Robert, Sébastien; Lopez Villaverde, Eduardo; Prada, Claire

    2016-01-01

    This paper describes a new ultrasonic array imaging method for Non-Destructive Testing (NDT) which is derived from the medical Plane Wave Imaging (PWI) technique. The objective is to perform fast ultrasound imaging with high image quality. The approach is to transmit plane waves at several angles and to record the back-scattered signals with all the array elements. Focusing in receive is then achieved by coherent summations of the signals in every point of a region of interest. The medical PWI is generalized to immersion setups where water acts as a coupling medium and to multimodal (direct, half-skip modes) imaging in order to detect different types of defects (inclusions, porosities, cracks). This method is compared to the Total Focusing Method (TFM) which is the reference imaging technique in NDT. First, the two post-processing algorithms are described. Then experimental results with the array probe either in contact or in immersion are presented. A good agreement between the TFM and the PWI is observed, with three to ten times less transmissions required for the PWI. Copyright © 2015 Elsevier B.V. All rights reserved.

  18. Sex Differences in Frontal and Transverse Plane Hip and Knee Kinematics During the Modified Star Excursion Balance Test

    Directory of Open Access Journals (Sweden)

    Willis Brad W.

    2017-09-01

    Full Text Available Purpose. The modified Star Excursion Balance Test (mSEBT assesses dynamic neuromuscular control, with predictive ability regarding lower extremity injury risk. Previous kinematic mSEBT analyses are limited to sex differences between injured or fatigued populations or non-fatigued groups in the sagittal plane only. We hypothesize that sex differences exist in the frontal and transverse plane kinematics of the hip and knee in healthy, non-fatigued subjects during the mSEBT. Methods. The descriptive laboratory study involved 38 healthy subjects: 20 males (aged 24.8 ± 2.7 years and 18 females (24.1 ± 3.7 years. Peak kinematics, obtained by a VICONTM motion system, of the hip and knee in the sagittal, frontal, and transverse plane were compared during the anterior, posteromedial, and posterolateral reach of the mSEBT. Wilcoxon rank test with significant differences at p < 0.05 was used. Results. Kinematic differences existed between the groups in the frontal and transverse plane of the hip and knee in all reach directions (p < 0.05. No differences were found in the sagittal plane of the hip or knee between the groups. Conclusions. Sex differences exist in frontal and transverse plane kinematics of the hip and knee during the mSEBT. The mSEBT may be enhanced as an injury prediction tool, if frontal and transverse plane kinematics were included during risk assessment screening.

  19. Test results of the air turbo ramjet for a future space plane

    Science.gov (United States)

    Tanatsugu, Nobuhiro; Naruo, Yoshihiro; Rokutanda, Itaru

    The Institute of Space and Astronautical Science (ISAS) has been engaged in the development study on the Air Turbo Ramjet (ATR) engine since 1986 in cooperation with the Ishikawajima Harima Heavy Industries Co. Ltd (IHI). The ATR is one of the most preferable candidates for the propulsion system of a future space plane. Our ATR engine is a combined cycle air breathing propulsion system which consists of the turbojet and the fan boosted ramjet using the liquid hydrogen as a fuel. This engine system was named "ATREX" after employing the expander cycle. The ATREX is energized by thermal energy extracted regeneratively in both the pre-cooler installed in the air intake and the heat exchanger in combustion chamber. The ATREX works in the flight condition from sea level static up to Mach 6 at 35 km altitude. The ATREX employs the tip turbine configuration for compactness of turbo machinery. We are assessing the feasibility of the ATREX system by the sea level static tests using the 1/4- scale model (ATREX-500) with a fan inlet diameter of 300 mm and overall length of 2120 mm. In 1990, the ATREX-500 engine was tested in a sea level static condition to verify the performance characteristics of the turbo machinery and the combustor. In September of 1991, the heat exchanger was installed in the combustion chamber and tested independently from the turbo system. In November of 1991, the heat exchanger was coupled with the turbo system and tested to verify the overall system of the ATREX. In this paper are presented the test results of the ATREX-500 engine tested in the sea level static condition.

  20. Modeling the Test-Retest Statistics of a Localization Experiment in the Full Horizontal Plane.

    Science.gov (United States)

    Morsnowski, André; Maune, Steffen

    2016-10-01

    Two approaches to model the test-retest statistics of a localization experiment basing on Gaussian distribution and on surrogate data are introduced. Their efficiency is investigated using different measures describing directional hearing ability. A localization experiment in the full horizontal plane is a challenging task for hearing impaired patients. In clinical routine, we use this experiment to evaluate the progress of our cochlear implant (CI) recipients. Listening and time effort limit the reproducibility. The localization experiment consists of a 12 loudspeaker circle, placed in an anechoic room, a "camera silens". In darkness, HSM sentences are presented at 65 dB pseudo-erratically from all 12 directions with five repetitions. This experiment is modeled by a set of Gaussian distributions with different standard deviations added to a perfect estimator, as well as by surrogate data. Five repetitions per direction are used to produce surrogate data distributions for the sensation directions. To investigate the statistics, we retrospectively use the data of 33 CI patients with 92 pairs of test-retest-measurements from the same day. The first model does not take inversions into account, (i.e., permutations of the direction from back to front and vice versa are not considered), although they are common for hearing impaired persons particularly in the rear hemisphere. The second model considers these inversions but does not work with all measures. The introduced models successfully describe test-retest statistics of directional hearing. However, since their applications on the investigated measures perform differently no general recommendation can be provided. The presented test-retest statistics enable pair test comparisons for localization experiments.

  1. Damage detection in composite under in-plane load using tap test

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sung Joon [Korea Aerospace Research Institute, Daejeon (Korea, Republic of)

    2015-01-15

    This paper presents an approach to detect damage in composite laminates. The physical basis of the coin-tap method has been investigated in previous studies. The tap test has the ability to indicate damage such as delamination and disbond in a composite structure due to a localized change of stiffness. The changes in vibration signature may be detected by ears or more precisely by measurement instrumentation. It has been shown that the characteristics of sound radiating from a structure during a tap are changed by the presence of defects in the composite laminate. For structurally radiated sounds, the sound field is directly coupled to the structural motion. Therefore, impact response analysis should be performed. In this study, the radiated sound induced by tap was computed by solving the Rayleigh integral equation. Some damage models were also used to analyze the impact response and acoustic analysis of damaged composite laminates. The predicted impact force and sound pressure histories were compared with tap test data. The effects of in-plane load on the impact force and radiated sound were also investigated numerically.

  2. Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis: A randomized controlled trial.

    Science.gov (United States)

    Foroughi, Nasim; Smith, Richard M; Lange, Angela K; Baker, Michael K; Fiatarone Singh, Maria A; Vanwanseele, Benedicte

    2011-02-01

    Osteoarthritis is a common musculo-skeletal problem accompanied with muscle weakness. Muscle weakness may be readily improved by resistance training. Greater muscle strength has been associated with a lower knee joint loading rate. We conducted a single-blind randomized controlled trial of 54 female patients with osteoarthritis in at least one knee, according to the American College of Rheumatology clinical criteria. Patients were randomized into a 6-month high intensity progressive resistance training or a sham-exercise program. The primary outcomes were first peak knee and hip adduction moment measured using three-dimensional gait analysis at self-selected habitual and maximal speeds. Secondary outcomes were sagittal plane knee and hip moments, peak muscle strength, gait speed, and self-reported knee osteoarthritis symptoms measured by the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Six months of high intensity resistance training did not change the first peak knee or hip adduction moment at either habitual or maximum walking speeds (P>0.413) compared to the sham-exercise. However, the second peak hip adduction moment (P=0.025) and WOMAC pain score (PMuscle strength training in women with osteoarthritis, while effective for reducing osteoarthritis symptoms, appeared to operate through mechanisms other than improved knee or hip joint loading, as paradoxically, improved symptoms were related to decreases of hip adduction moment in late stance. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.

  3. Efficacy of a Laparoscopically Delivered Transversus Abdominis Plane Block Technique during Elective Laparoscopic Cholecystectomy: A Prospective, Double-Blind Randomized Trial.

    Science.gov (United States)

    Elamin, Ghassan; Waters, Peadar S; Hamid, Hytham; O'Keeffe, Hannah M; Waldron, Ronan M; Duggan, Michelle; Khan, Waqar; Barry, Michael Kevin; Khan, Iqbal Z

    2015-08-01

    The management of postoperative pain is paramount to facilitate the delivery of day case surgical programs. In recent years, the complexity of procedures carried out has increased to include laparoscopic cholecystectomy. The aim of this study was to evaluate the impact of laparoscopic-assisted 4-quadrant transversus abdominis plane (TAP) block vs periportal local anesthetic wound infiltration in managing postoperative pain. A prospective, randomized, double-blinded trial was conducted with patients undergoing elective laparoscopic cholecystectomy. Patients were randomized using computerized "random number table" into a test group that received laparoscopic-assisted TAP block with bupivacaine with periportal saline injection and a control group that received a laparoscopic-assisted TAP block with saline and periportal bupivacaine. All patients received intraperitoneal instillation of bupivacaine in the gallbladder bed. Postoperative pain scores were recorded using numerical rating scores at rest and coughing at dedicated time points. Statistical analysis was carried out using GraphPad Prism software, version 5 (GraphPad Software) and p < 0.05 was considered significant. Eighty patients (70 female and 10 male) were enrolled; 40 patients were randomized to each group. Age, American Society of Anesthesiologists score, operative time, and BMI were comparable between the groups. No adverse events were encountered with the administration of TAP blocks. Numerical rating scores were significantly reduced in the test group at 1, 3, and 6 hours at rest (p = 0.025, p = 0.03, and p = 0.007, respectively). Numerical rating score was significantly reduced at 1, 3, and 6 hours during coughing (p = 0.026, p = 0.02, and p = 0.03, respectively). Difference in postoperative analgesic requirements between both groups was statistically insignificant (p = 0.17). This analysis has confirmed the therapeutic benefit of laparoscopically delivered TAP blocks in elective laparoscopic

  4. Standard test method for In-Plane length measurements of thin, reflecting films using an optical interferometer

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2005-01-01

    1.1 This test method covers a procedure for measuring in-plane lengths (including deflections) of patterned thin films. It applies only to films, such as found in microelectromechanical systems (MEMS) materials, which can be imaged using an optical interferometer. 1.2 There are other ways to determine in-plane lengths. Using the design dimensions typically provides more precise in-plane length values than using measurements taken with an optical interferometer. (Interferometric measurements are typically more precise than measurements taken with an optical microscope.) This test method is intended for use when interferometric measurements are preferred over using the design dimensions (for example, when measuring in-plane deflections and when measuring lengths in an unproven fabrication process). 1.3 This test method uses a non-contact optical interferometer with the capability of obtaining topographical 3-D data sets. It is performed in the laboratory. 1.4 The maximum in-plane length measured is determine...

  5. Transversus Abdominis Plane Block in the Management of Acute Postoperative Pain Syndrome after Caesarean Section: A Randomized Controlled Clinical Trial.

    Science.gov (United States)

    Fusco, Pierfrancesco; Cofini, Vincenza; Petrucci, Emiliano; Scimia, Paolo; Pozone, Tullio; Paladini, Giuseppe; Carta, Gaspare; Necozione, Stefano; Borghi, Battista; Marinangeli, Franco

    2016-01-01

    The international literature is unclear regarding the analgesic efficacy of the transversus abdominis plane block (TAPB) after a Caesarean section (CS). The aim of this study was to determine whether a correctly performed ultrasound-guided TAPB (USG-TAPB) could provide better control of acute postoperative pain during the first 72 hours after CS and if it could provide a faster postoperative recovery. A double-blind, randomized, controlled clinical trial on pregnant women who underwent CS. Pain clinic and Anesthesia and Intensive Care Unit in an academic hospital. A double-blind, randomized, controlled study was conducted with 96 patients who underwent CS. The patients in both groups received subarachnoid anesthesia (SAB) with 13 mg of 0.5% isobaric levobupivacaine. The patients were randomized so that some received USG-TAPB with local anesthetic, and the remainder received USG-TAPB with saline. The patients' demographic information and data regarding anesthesia, hemodynamic changes, side effects, acute rest and incident postoperative pain, painkiller consumption, recovery time of bowel function, and the time of hospital discharge were recorded. Our data reinforce the assumption that if TAP block is performed correctly and is part of a multimodal analgesic scheme, effective pain control is possible both for somatic and visceral acute pain. Furthermore, the need for painkillers is reduced, and their related side effects are moderate, yielding a positive benefit/cost ratio. USG-TAPB provides good analgesia for acute postoperative somatic pain, but opiates were still needed for the management of visceral acute postoperative pain. These results could confirm the assumption that the correct performance of an USG-TAPB as part of a multimodal analgesic treatment could represent a viable alternative to common analgesic procedures performed for acute postoperative pain control after a CS.Key words: Bowel function, Caesarian section, incident pain, local anesthetics

  6. CULTURE AND PLANE CRASHES: A CROSS-COUNTRY TEST OF THE GLADWELL HYPOTHESIS

    National Research Council Canada - National Science Library

    Carl E Enomoto; Karl R Geisler

    2017-01-01

    ...) and severe weather conditions in these countries. This paper uses regression analysis to estimate the effects of number of flights, GDP, severe weather conditions, and culture on plane crashes in sixty eight countries...

  7. DETERMINATION OF CLINICALLY RELEVANT DIFFERENCES IN FRONTAL PLANE HOP TESTS IN WOMEN'S COLLEGIATE BASKETBALL AND SOCCER PLAYERS

    Science.gov (United States)

    Hardesty, Kelly; Hegedus, Eric J.; Ford, Kevin R.; Nguyen, Anh‐Dung

    2017-01-01

    Background ACL injury prevention programs are less successful in female basketball players than in soccer players. Previous authors have identified anthropometric and biomechanical differences between the athletes and different sport‐specific demands, including a higher frequency of frontal plane activities in basketball. Current injury risk screening and preventive training practices do not place a strong emphasis on frontal plane activities. The medial and lateral triple hop for distance tests may be beneficial for use in the basketball population. Hypothesis/Purpose To 1) establish normative values for the medial and lateral triple hop tests in healthy female collegiate athletes, and 2) analyze differences in test scores between female basketball and soccer players. It was hypothesized that due to the frequent frontal plane demands of their sport, basketball players would exhibit greater performance during these frontal plane performance tests. Study Design Cross‐sectional. Methods Thirty‐two NCAA Division‐1 female athletes (20 soccer, 12 basketball) performed three trials each of a medial and lateral triple hop for distance test. Distances were normalized to height and mass in order to account for anthropometric differences. Repeated measures ANOVAs were performed to identify statistically significant main effects of sport (basketball vs. soccer), and side (right vs. left), and sport x side interactions. Results After accounting for anthropometric differences, soccer players exhibited significantly better performance than basketball players in the medial and lateral triple hop tests (p basketball players exhibit decreased performance of frontal plane hop tests when compared to women's soccer players. Additionally, the medial triple hop for distance test may be effective at identifying side‐to‐side asymmetries Level of Evidence 3 PMID:28515972

  8. The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic donor nephrectomy: A randomized controlled study

    Directory of Open Access Journals (Sweden)

    Beena K Parikh

    2013-01-01

    Full Text Available Background: Transversus abdominis plane (TAP block is suitable for lower abdominal surgeries. Blind TAP block has many complications and uncertainty of its effects. Use of ultrasonography increases the safety and efficacy. This study was conducted to evaluate the analgesic efficacy of ultrasound (USG-guided TAP block for retroperitoneoscopic donor nephrectomy (RDN. Methods: In a prospective randomized double-blind study, 60 patients undergoing laparoscopic donor nephrectomy were randomly divided into two groups by closed envelope method. At the end of surgery, USG-guided TAP block was given to the patients of both the groups. Study group (group S received inj. Bupivacaine (0.375%, whereas control group (group C received normal saline. Inj. Tramadol (1 mg/kg was given as rescue analgesic at visual analog scale (VAS more than 3 in any group at rest or on movement. The analgesic efficacy was judged by VAS both at rest and on movement, time to first dose of rescue analgesic, cumulative dose of tramadol, sedation score, and nausea score, which were also noted at 30 min, 2, 4, 6, 12, 18, and 24 h postoperatively. Total tramadol consumption at 24 h was also assessed. Results: Patients in group S had significantly lower VAS score, longer time to first dose of rescue analgesic (547.13±266.96 min vs. 49.17±24.95 min and lower tramadol consumption (103.8±32.18 mg vs. 235.8±47.5 mg in 24 h. Conclusion: The USG-guided TAP block is easy to perform and effective as a postoperative analgesic regimen in RDN, with opioids-sparing effect and without any complications.

  9. Atomic force microscopy and scanning electron microscopy evaluation of efficacy of scaling and root planing using magnification: A randomized controlled clinical study

    Directory of Open Access Journals (Sweden)

    Ranjana Mohan

    2013-01-01

    Full Text Available Aim: A randomized controlled clinical study was undertaken to evaluate the effectiveness of scaling and root planing (SRP by using Magnifying Loupes (ML and dental operating microscope (DOM. Materials and Methods: A total of 90 human teeth scheduled for extraction from 18 patients aged between 25 and 65 years suffering from generalized chronic severe periodontitis were randomly assigned to three treatment groups. Group 1 consisted SRP performed without using magnification (unaided, Group 2-SRP with ML and Group 3-SRP with DOM. Following extractions, samples were prepared for (i evaluation of surface topography by atomic force microscopy, (ii presence of smear layer, debris by scanning electron microscopy (iii elemental analysis by energy dispersive X-ray analysis. Data was subjected to statistical analysis using analysis of variance, post-hoc (Tukey-HSD and Chi-square test. Results: Statistically significant (P < 0.001 difference was found among the different treatment groups. Group 3 was the best while Group 1 was the least effective technique for SRP. Order of efficacy in terms of the surface was found to be - Palatal < Lingual < Distal ≅ Mesial < Buccal. Efficiency in mandibular to maxillary teeth was found to be significant (P < 0.05, also anterior to posterior teeth (P < 0.05. Conclusion: Magnification tools significantly enhance the efficacy of supragingival and subgingival SRP.

  10. Cutting performance orthogonal test of single plane puncture biopsy needle based on puncture force

    Science.gov (United States)

    Xu, Yingqiang; Zhang, Qinhe; Liu, Guowei

    2017-04-01

    Needle biopsy is a method to extract the cells from the patient's body with a needle for tissue pathological examination. Many factors affect the cutting process of soft tissue, including the geometry of the biopsy needle, the mechanical properties of the soft tissue, the parameters of the puncture process and the interaction between them. This paper conducted orthogonal experiment of main cutting parameters based on single plane puncture biopsy needle, and obtained the cutting force curve of single plane puncture biopsy needle by studying the influence of the inclination angle, diameter and velocity of the single plane puncture biopsy needle on the puncture force of the biopsy needle. Stage analysis of the cutting process of biopsy needle puncture was made to determine the main influencing factors of puncture force during the cutting process, which provides a certain theoretical support for the design of new type of puncture biopsy needle and the operation of puncture biopsy.

  11. Ultrasound-guided Transversus Abdominis plane block versus continuous wound infusion for post-caesarean analgesia: a randomized trial.

    Directory of Open Access Journals (Sweden)

    Michel Chandon

    Full Text Available To compare the analgesic effect of ultrasound-guided Transversus Abdominis Plane (TAP block versus Continuous Wound Infusion (CWI with levobupivacaine after caesarean delivery.We recruited parturients undergoing elective caesareans for this multicenter study. Following written informed consent, they received a spinal anaesthetic without intrathecal morphine for their caesarean section. The postoperative analgesia was randomized to either a bilateral ultrasound guided TAP block (levobupivicaine = 150 mg or a CWI through an elastomeric pump for 48 hours (levobupivacaine = 150 mg the first day and 12.5 mg/h thereafter. Every woman received regular analgesics along with oral morphine if required. The primary outcome was comparison of the 48-hour area under the curve (AUC pain scores. Secondary outcomes included morphine consumption, adverse events, and persistent pain one month postoperatively.Recruitment of 120 women was planned but the study was prematurely terminated due to the occurrence of generalized seizures in one patient of the TAP group. By then, 36 patients with TAP and 29 with CWI had completed the study. AUC of pain at rest and during mobilization were not significantly different: 50 [22.5-80] in TAP versus 50 [27.5-130] in CWI (P = 0.4 and 190 [130-240] versus 160 [112.5-247.5] (P = 0.5, respectively. Morphine consumption (0 [0-20] mg in the TAP group and 10 [0-32.5] mg in the CWI group (P = 0.09 and persistent pain at one month were similar in both groups (respectively 29.6% and 26.6% (P = 0.73.In cases of morphine-free spinal anesthesia for cesarean delivery, no difference between TAP block and CWI for postoperative analgesia was suggested. TAP block may induce seizures in this specific context. Consequently, such a technique after a caesarean section cannot be recommended.ClinicalTrials.gov NCT01151943.

  12. Periodontal maintenance following scaling and root planing. A randomized single-center study comparing minocycline treatment and daily oral irrigation with water.

    Science.gov (United States)

    Genovesi, A M; Lorenzi, C; Lyle, D M; Marconcini, S; Barone, A; Pardo, A; Rigoni, G; Gelpi, F; Covani, U

    2014-01-14

    Objective: Trying to limit the use of antimicrobial drugs in periodontitis is a general trend. Thus, the aim of the present study was to assess the efficacy of daily water irrigation in comparison with subgingival minocycline in periodontal maintenance, in subjects with moderate to severe periodontitis. This was done by evaluating probing pocket depth (the primary outcome), other clinical parameters such as clinical attachment level, plaque index and bleeding on probing, and bacterial flora changes inside periodontal pockets. Materials and Methods: In this single-center, parallel, single blind, randomized clinical study, thirty subjects (12 men, mean age 56 ± 2.2 years) with moderate to severe periodontitis were randomized 1:1 into a minocycline-treated group (M-group, n=15) and a water-treated group (W-group, n=15). Clinical and microbiological parameters were measured at baseline. Scaling and root planing were carried out on all subjects, then to M-group patients minocycline was administered inside the pockets. W-group subjects had instead to daily apply oral irrigation with water. Clinical and microbiological measurements were repeated after 30 days. Results: Both water irrigation and minocycline treatment led to a significant reduction of all the clinical parameters tested at t=30 days with respect to baseline. Moreover, both procedures appeared to be able to maintain a low bacterial load inside periodontal pockets, for most of the microorganisms tested. No statistically significant differences were observed between M-group and W-group at t=30 days, concerning both clinical and microbiological parameters. However, further studies are needed to assess the long-term effect. Conclusion: Daily oral irrigation with water showed comparable efficacy to a single administration of minocycline in periodontal maintenance subjects.

  13. Standard test method for determining plane-strain crack-arrest fracture toughness, kIa, of ferritic steels

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2010-01-01

    1.1 This test method employs a side-grooved, crack-line-wedge-loaded specimen to obtain a rapid run-arrest segment of flat-tensile separation with a nearly straight crack front. This test method provides a static analysis determination of the stress intensity factor at a short time after crack arrest. The estimate is denoted Ka. When certain size requirements are met, the test result provides an estimate, termed KIa, of the plane-strain crack-arrest toughness of the material. 1.2 The specimen size requirements, discussed later, provide for in-plane dimensions large enough to allow the specimen to be modeled by linear elastic analysis. For conditions of plane-strain, a minimum specimen thickness is also required. Both requirements depend upon the crack arrest toughness and the yield strength of the material. A range of specimen sizes may therefore be needed, as specified in this test method. 1.3 If the specimen does not exhibit rapid crack propagation and arrest, Ka cannot be determined. 1.4 The values stat...

  14. Fracture analysis of concrete plane-stress pull-out tests

    OpenAIRE

    Cervenka, Vladimir; Pukl, Radomir; Eligehausen, Rolf

    1991-01-01

    This paper reports on a parameter study which was performed for the Round Robin Analysis Of Anchor Bolts organized by RILEM Committee TC-90 FMA (Fracture Mechanics Applications). 18 plane-stress pull-out specimens were analyzed by the computer program SBETA which is based on the finite element method and takes into account nonlinear fracture mechanics. A simplified formula for the design of such anchors is derived.

  15. Comparison tests and experimental compliance calibration of the proposed standard round compact plane strain fracture toughness specimen

    Science.gov (United States)

    Fisher, D. M.; Buzzard, R. J.

    1979-01-01

    Standard round specimen fracture test results compared satisfactorily with results from standard rectangular compact specimens machined from the same material. The location of the loading pin holes was found to provide adequate strength in the load bearing region for plane strain fracture toughness testing. Excellent agreement was found between the stress intensity coefficient values obtained from compliance measurements and the analytic solution proposed for inclusion in the standard test method. Load displacement measurements were made using long armed displacement gages and hollow loading cylinders. Gage points registered on the loading hole surfaces through small holes in the walls of the loading cylinders.

  16. A Quickly Tested Pascal Random Number Generator for Microcomputers.

    Science.gov (United States)

    1985-05-01

    in any way at equal intervals spaced h units apart, the serial correlation of the series can be obtained for various lags and tested against...pass handily. The unit range between zero and unity was divided into 100 equally spaced frequencies, and the generated random numbers were...NSDTEST; (*MEAN AND SDEV TESTS*) FREQKOLTEST; (*CHISQ FREQ DISTR AND KOLMOGOROFF -SMIRNOV TESTS*) PAIRTEST; (*TEST DISTR OF RANDOM PAIRS*) TRIOTEST; (*TEST

  17. On testing the missing at random assumption

    DEFF Research Database (Denmark)

    Jaeger, Manfred

    2006-01-01

    Most approaches to learning from incomplete data are based on the assumption that unobserved values are missing at random (mar). While the mar assumption, as such, is not testable, it can become testable in the context of other distributional assumptions, e.g. the naive Bayes assumption. In this ......Most approaches to learning from incomplete data are based on the assumption that unobserved values are missing at random (mar). While the mar assumption, as such, is not testable, it can become testable in the context of other distributional assumptions, e.g. the naive Bayes assumption...

  18. Ultrasound-Guided Transversus Abdominis Plane Block versus Continuous Wound Infusion for Post-Caesarean Analgesia: A Randomized Trial

    Science.gov (United States)

    Chandon, Michel; Bonnet, Agnès; Burg, Yannick; Barnichon, Carole; DesMesnards-Smaja, Véronique; Sitbon, Brigitte; Foiret, Christine; Dreyfus, Jean-François; Rahmani, Jamil; Laloë, Pierre-Antoine; Fischler, Marc; Le Guen, Morgan

    2014-01-01

    Objective To compare the analgesic effect of ultrasound-guided Transversus Abdominis Plane (TAP) block versus Continuous Wound Infusion (CWI) with levobupivacaine after caesarean delivery. Methods We recruited parturients undergoing elective caesareans for this multicenter study. Following written informed consent, they received a spinal anaesthetic without intrathecal morphine for their caesarean section. The postoperative analgesia was randomized to either a bilateral ultrasound guided TAP block (levobupivicaine = 150 mg) or a CWI through an elastomeric pump for 48 hours (levobupivacaine = 150 mg the first day and 12.5 mg/h thereafter). Every woman received regular analgesics along with oral morphine if required. The primary outcome was comparison of the 48-hour area under the curve (AUC) pain scores. Secondary outcomes included morphine consumption, adverse events, and persistent pain one month postoperatively. Results Recruitment of 120 women was planned but the study was prematurely terminated due to the occurrence of generalized seizures in one patient of the TAP group. By then, 36 patients with TAP and 29 with CWI had completed the study. AUC of pain at rest and during mobilization were not significantly different: 50 [22.5–80] in TAP versus 50 [27.5–130] in CWI (P = 0.4) and 190 [130–240] versus 160 [112.5–247.5] (P = 0.5), respectively. Morphine consumption (0 [0–20] mg in the TAP group and 10 [0–32.5] mg in the CWI group (P = 0.09)) and persistent pain at one month were similar in both groups (respectively 29.6% and 26.6% (P = 0.73)). Conclusion In cases of morphine-free spinal anesthesia for cesarean delivery, no difference between TAP block and CWI for postoperative analgesia was suggested. TAP block may induce seizures in this specific context. Consequently, such a technique after a caesarean section cannot be recommended. Trial Registration ClinicalTrials.gov NCT01151943 PMID:25093663

  19. The Use of Randomization Tests in Single-Subject Research

    Science.gov (United States)

    Haardorfer, Regine; Gagne, Phill

    2010-01-01

    Some researchers have argued for the use of or have attempted to make use of randomization tests in single-subject research. To address this tide of interest, the authors of this article describe randomization tests, discuss the theoretical rationale for applying them to single-subject research, and provide an overview of the methodological…

  20. Lumbar transversus abdominis plane block: the role of local anesthetic volume and concentration-a pilot, prospective, randomized, controlled trial.

    Science.gov (United States)

    Forero, Mauricio; Heikkila, Andrew; Paul, James E; Cheng, Ji; Thabane, Lehana

    2015-01-01

    The lumbar transversus abdominis plane (TAP) block has become an optional part of multimodal analgesia following several abdominal surgeries. There remains a lack of consensus regarding the extent of dermatomal blockade following lumber TAP block, as well as the optimal local anesthetic volumes and concentrations. The objectives of this pilot trial were to assess the feasibility of conducting a similar full-scale trial and gather information on relevant clinical outcomes, namely whether greater local anesthetic volumes would lead to more cephalad dermatomal blockade. The study was a prospective, double-blinded pilot randomized controlled trial (RCT) with three arms, each representing different local anesthetic volumes: 20 ml 0.5% ropivacaine, 30 ml 0.33% ropivacaine, and 40 ml 0.25% ropivacaine. We planned to recruit 30 females undergoing total abdominal hysterectomy for non-malignant pathology, who would then receive bilateral ultrasound-guided midaxillary TAP blocks at the completion of surgery. Randomized patients would be followed for 48 h post-block and would receive multimodal analgesia. The primary outcomes were measurements of patient recruitment and safety, to inform the feasibility of a larger trial. The main secondary outcome was the clinically pertinent endpoint of dermatomal blockade, which was assessed by loss of sensation to ice and pinprick. Our target sample size was reached in 8 months, and the recruitment rate was 52% (31/60). A total of 58 TAP blocks were performed among 29 patients. All but one of the patients who received interventions were successfully followed and assessed up to 48 h. No patient safety-related adverse events were reported during the study period. The mean highest dermatome blocked in each group at any time point was T8. The 20 ml 0.5% ropivacaine group achieved a T9-L1 block that lasted for 48 h. The 30 ml 0.33% ropivacaine group had a sensory block from T9-L1 that regressed to T10-T12 between 24 and 48 h. The 40

  1. Bilateral transversus abdominis plane (TAP) block with 24 hours ropivacaine infusion via TAP catheters: A randomized trial in healthy volunteers

    Science.gov (United States)

    2013-01-01

    Background The analgesic effect of a TAP block has been investigated in various surgical settings. There are however limited information about block level and block duration. Furthermore, there is a lack of information about continuous TAP block after ultrasound-guided posterior TAP blocks. The aim of this double-blind randomized study was therefore to investigate the effect of an ultrasound-guided posterior TAP block with 24 hours local anesthetic infusion via a TAP catheter. Methods In this randomized study 8 male volunteers received a bilateral TAP block (20 mLs 0.5% ropivacaine) and were allocated to receive active infusion (ropivacaine 0.2% 5 mL/hr) via a TAP catheter on one side and placebo infusion on the other side. Primary outcome: Dermatomal sensory block involvement after 24 hours evaluated with pinprick. Secondary outcomes: Sensory block involvement evaluated with cold test and heat-pain detection thresholds (HPDT) on the abdominal wall. Assessment points: 15 min before block performance and 1, 4, 8, 12 and 24 hours after block performance. Results The TAP block primarily involved sensory changes in the Th10 to Th12 dermatomes. On the placebo side there was a decrease in extension beginning at 4–8 hours after block performance and with no detectable effect beyond 12 hours. Median number of dermatomes anesthetized (pinprick) at 24 hours after block performance was 1.5 (0–3) on the active side compared with 0 (0–0) on the placebo side (P = 0.039). There were no statistical significant between-side differences in HPDT measurements at 24 hours after block performance. Conclusions The spread of sensory block following ultrasound-guided posterior TAP block is partly maintained by a continuous 24 hour ropivacaine infusion through a TAP catheter. Trial registration The study was registered at NCT01577940 PMID:24106815

  2. 75 FR 79308 - Alcohol and Drug Testing: Determination of Minimum Random Testing Rates for 2011

    Science.gov (United States)

    2010-12-20

    ... Federal Railroad Administration 49 CFR Part 219 Alcohol and Drug Testing: Determination of Minimum Random... rail industry random testing positive rates were .037 percent for drugs and .014 percent for alcohol... 25 percent of covered railroad employees. In addition, because the industry-wide random alcohol...

  3. Design, construction and performance tests of a prototype micromegas chamber with two readout planes in a common gas volume

    Science.gov (United States)

    Brickwedde, Bernard; Düdder, Andreas; Schott, Matthias; Yildirim, Eda

    2017-08-01

    In this paper, the design and the performance of a prototype detector based on MicroMegas technology with two detection planes in a common gas volume is discussed. The detector is suited for the forward region of LHC detectors, addressing the high-rate environment and limited available space. Each detection plane has an active area of 9 × 9cm2 with a two-dimensional strip readout and is separated by a common gas region with a height of 14 mm . A micro-mesh, working as a cathode, is placed in the middle of the common gas volume separating it into two individual cells. This setup allows for an angle reconstruction of incoming particles with a precision of ∼ 2 mrad. Since this design reduces the impact of multiple scattering effects by the reduced material budget, possible applications for low energy beam experiments can be envisioned. The performance of the prototype detector has been tested with a 4 . 4 GeV electron beam, provided by the test beam facility at DESY.

  4. Knee Frontal Plane Projection Angle: A Comparison Study Between Drop Vertical Jump and Step-Down Tests With Young Volleyball Athletes.

    Science.gov (United States)

    Paz, Gabriel Andrade; de Freitas Maia, Marianna; Santana, Haroldo Gualter; Miranda, Humberto; Lima, Vicente; Willson, John D

    2017-11-01

    Observational study. Altered frontal plane knee mechanics during dynamic tasks have been often associated with lower extremity injuries. Strategies to decrease these risk factors and improve knee joint stability are often applied in rehabilitation and training environments. The purpose of this study was to compare knee joint frontal plane projection angles (FPPA) via two dimensional (2D) video analysis during drop vertical jump (DVJ) and step-down test (SDT) tasks in the preferred and non-preferred limbs of young male and female volleyball players. Sixty young male (n = 29) and female (n = 31) volleyball players (13.6 ± 1.1 years; 62.2 ± 11.2 kg, and 170.8 ± 10 cm) participated in this study. Once the athletes were screened for inclusion and exclusion criteria, limb preference was operationally defined as the preferred kicking leg or the foot used for stair climbing. In a randomized study design, participants were asked to perform a bilateral DVJ and unilateral step-down landing tasks for both preferred and non-preferred limb. Kinematic analysis was performed via a 2D video recording of knee joint FPPA alignment. No difference was noted in FFPA during DVJ and SDT tasks between preferred and non-preferred limbs in both male and female groups (p > 0.05). The FFPA was significantly higher for both limbs during DVJ versus SDT in both groups (p ≤ 0.05) but was not different between male and female athletes. Based on these findings, clinicians may expect young male and female volleyball athletes to demonstrate similar and symmetrical lower extremity 2D knee joint FPPA values across screening tests intended to identify lower extremity injury risk factors. However, greater FPPA values should be expected during the more dynamic DVJ task.

  5. Reflection plane tests of a wind turbine blade tip section with ailerons

    Science.gov (United States)

    Savino, J. M.; Nyland, T. W.; Birchenough, A. G.; Jordan, F. L.; Campbell, N. K.

    1985-08-01

    Tests were conducted in the NASA Langley 30 by 60 foot Wind Tunnel on a full scale 7.31 m (24 ft) long tip section of a wind turbine rotor blade. The blade tip section was built with ailerons on the trailing edge. The ailerons, which spanned a length of 6.1 m (20 ft), were designed so that two types could be evaluated: the plain and the balanced. The ailerons were hinged on the suction surface at the 0.62 X chord station behind the leading edge. The purpose of the tests was to measure the aerodynamic characteristics of the blade section for: an angle of attack range from 0 deg to 90 deg aileron deflections from 0 deg to -90 deg, and Reynolds numbers of 0.79 and 1.5 x 10 to the 6th power. These data were then used to determine which aileron configuration had the most desirable rotor control and aerodynamic braking characteristics. Tests were also run to determine the effects of vortex generators, leading edge roughness, and the gaps between the aileron sections on the lift, drag, and chordwise force coefficients of the blade tip section.

  6. Reflection plane tests of a wind turbine blade tip section with ailerons

    Energy Technology Data Exchange (ETDEWEB)

    Savino, J.M.; Nyland, T.W.; Birchenough, A.G.; Jordan, F.L.; Campbell, N.K.

    1985-08-01

    Tests were conducted in the NASA Langley 30- by 60-Foot Wind Tunnel on a full scale 7.31 m (24 ft) long tip section of a wind turbine rotor blade. The blade tip section was built with ailerons on the trailing edge. The ailerons, which spanned a length of 6.1 m (20 ft), were designed so that two types could be evaluated: the plain and the balanced. The ailerons were hinged on the suction surface at the 0.62 X chord station behind the leading edge. The purpose of the tests was to measure the aerodynamic characteristics of the blade section for: an angle-of-attack range from 0/sup 0/ to 90/sup 0/, aileron deflections from 0/sup 0/ to -90/sup 0/, and Reynolds Numbers of 0.79 and 1.5 x 10/sup 6/. These data were then used to determine which aileron configuration had the most desirable rotor control and aerodynamic braking characteristics. Tests were also run to determine the effects of vortex generators, leading edge roughness, and the gaps between the aileron sections on the lift, drag, and chordwise force coefficients of the blade tip section.

  7. Some Difficult-to-pass Tests of Randomness

    Directory of Open Access Journals (Sweden)

    George Marsaglia

    2002-01-01

    Full Text Available We describe three tests of randomness-- tests that many random number generators fail. In particular, all congruential generators-- even those based on a prime modulus-- fail at least one of the tests, as do many simple generators, such as shift register and lagged Fibonacci. On the other hand, generators that pass the three tests seem to pass all the tests in the Diehard Battery of Tests. Note that these tests concern the randomness of a generator's output as a sequence of independent, uniform 32-bit integers. For uses where the output is converted to uniform variates in [0,1, potential flaws of the output as integers will seldom cause problems after the conversion. Most generators seem to be adequate for producing a set of uniform reals in [0,1, but several important applications, notably in cryptography and number theory-- for example, establishing probable primes, complexity of factoring algorithms, random partitions of large integers-- may require satisfactory performance on the kinds of tests we describe here.

  8. Random vibration test of Mars Exploration Rover spacecraft

    Science.gov (United States)

    Scharton, T.; Lee, D.

    2003-01-01

    The primary objective of the random vibration test was to identify any hardware problems, which might compromise the mission. The test objectives, configuration, and requirements are briefly described in this presentation, and a representative sample of the measured data is presented.

  9. INSTRUCTIONAL CONFERENCE ON THE THEORY OF STOCHASTIC PROCESSES: On the general theory of random fields on the plane

    Science.gov (United States)

    Gushchin, A. A.

    1982-12-01

    CONTENTSIntroduction § 1. Basic notation and definitions § 2. The Doléans measure and increasing fields § 3. Theorems on predictable projections. Decomposition of weak submartingales § 4. Weakly predictable random fields § 5. Theorems on weakly predictable projections § 6. Decomposition of strong martingales References

  10. Test of Random Walk Behavior in Karachi Stock Exchange

    Directory of Open Access Journals (Sweden)

    Muhammad Mudassar

    2013-05-01

    Full Text Available Study was carried out to check the random behavior of the Karachi Stock Exchange (KSE 100 Index during the period of past three financial years to know whether investors could generate abnormal profits during the period or otherwise. Tests used were Runs Test, ADF Test, PP Test and Autocorrelation Function Test. During the study it was found that the performance of KSE 100 Index remained in weak form of inefficiency and investors have been able to generate excessive returns on their investment most of the times.

  11. Random walks in the quarter plane algebraic methods, boundary value problems, applications to queueing systems and analytic combinatorics

    CERN Document Server

    Fayolle, Guy; Malyshev, Vadim

    2017-01-01

    This monograph aims to promote original mathematical methods to determine the invariant measure of two-dimensional random walks in domains with boundaries. Such processes arise in numerous applications and are of interest in several areas of mathematical research, such as Stochastic Networks, Analytic Combinatorics, and Quantum Physics. This second edition consists of two parts. Part I is a revised upgrade of the first edition (1999), with additional recent results on the group of a random walk. The theoretical approach given therein has been developed by the authors since the early 1970s. By using Complex Function Theory, Boundary Value Problems, Riemann Surfaces, and Galois Theory, completely new methods are proposed for solving functional equations of two complex variables, which can also be applied to characterize the Transient Behavior of the walks, as well as to find explicit solutions to the one-dimensional Quantum Three-Body Problem, or to tackle a new class of Integrable Systems. Part II borrows spec...

  12. Random Effects Structure for Confirmatory Hypothesis Testing: Keep It Maximal

    Science.gov (United States)

    Barr, Dale J.; Levy, Roger; Scheepers, Christoph; Tily, Harry J.

    2013-01-01

    Linear mixed-effects models (LMEMs) have become increasingly prominent in psycholinguistics and related areas. However, many researchers do not seem to appreciate how random effects structures affect the generalizability of an analysis. Here, we argue that researchers using LMEMs for confirmatory hypothesis testing should minimally adhere to the…

  13. Random Vibration Testing of Advanced Wet Tantalum Capacitors

    Science.gov (United States)

    Teverovsky, Alexander

    2015-01-01

    Advanced wet tantalum capacitors allow for improved performance of power supply systems along with substantial reduction of size and weight of the systems that is especially beneficial for space electronics. Due to launch-related stresses, acceptance testing of all space systems includes random vibration test (RVT). However, many types of advanced wet tantalum capacitors cannot pass consistently RVT at conditions specified in MIL-PRF-39006, which impedes their use in space projects. This requires a closer look at the existing requirements, modes and mechanisms of failures, specifics of test conditions, and acceptance criteria. In this work, different lots of advanced wet tantalum capacitors from four manufacturers have been tested at step stress random vibration conditions while their currents were monitored before, during, and after the testing. It has been shown that the robustness of the parts and their reliability are mostly due to effective self-healing processes and limited current spiking or minor scintillations caused by RVT do not increase the risk of failures during operation. A simple model for scintillations events has been used to simulate current spiking during RVT and optimize test conditions. The significance of scintillations and possible effects of gas generation have been discussed and test acceptance criteria for limited current spiking have been suggested.

  14. Analgesic Efficacy of Transverse Abdominal Plane Block after Elective Cesarean Delivery - Bupivacaine with Fentanyl versus Bupivacaine Alone: A Randomized, Double-blind Controlled Clinical Trial.

    Science.gov (United States)

    John, Roshan; Ranjan, R V; Ramachandran, T R; George, Sagiev Koshy

    2017-01-01

    The analgesic benefit of transversus abdominis plane (TAP) blocks for cesarean delivery remains controversial. In our study, we compared the analgesic efficacy of TAP block using local anesthetic bupivacaine and adjunct fentanyl with bupivacaine alone in patients undergoing elective cesarean section. Our study was a randomized, double-blind, controlled clinical trial where sixty patients undergoing elective cesarean delivery under subarachanoid block (2 ml of 0.5% bupivacaine) were randomized into two groups, A and B. At the end of the surgical procedure, bilateral TAP block was performed guided by the ultrasound. Group A received 38 ml of 0.25% bupivacaine and 2 ml of 50 μg of fentanyl, whereas Group B received 38 ml of 0.25% bupivacaine + 2 ml of normal saline. The total volume was divided equally and administered bilaterally. Each patient was assessed for 24 h after TAP block, for time to rescue analgesia, pain using visual analog scale (VAS) score at rest and on movement, hemodynamic parameters (heart rate and blood pressure), nausea, vomiting, and sedation. Diclofenac 75 mg was given as rescue analgesia when the patient complained of pain or when VAS score >4. Prolonged postoperative analgesia was noticed with both the groups, with a mean time to rescue analgesia of approximately 6.5 h. There was no significant difference in time to rescue analgesia (6.49 ± 0.477 vs. 6.5 ± 0.480) when both the groups were compared among themselves. The pain scores among the two groups when compared did not show any added benefit. Incidence of nausea, vomiting, and sedation when compared between both the groups showed no difference. The TAP block as a part of a multimodal analgesic regimen definitely has a role in providing superior analgesia in the postoperative period. However, adjunct fentanyl to local anesthetic bupivacaine was found to have no added advantage when quality and duration of analgesia was compared.

  15. Efficacy of Nalbuphine with Flurbiprofen on Multimodal Analgesia with Transverse Abdominis Plane Block in Elderly Patients Undergoing Open Gastrointestinal Surgery: A Randomized, Controlled, Double-Blinded Trial

    Directory of Open Access Journals (Sweden)

    Yu Mao

    2018-01-01

    Full Text Available Objective. To assess different doses of nalbuphine with flurbiprofen compared to sufentanil with flurbiprofen in multimodal analgesia efficacy for elderly patients undergoing gastrointestinal surgery with a transverse abdominis plane block (TAPB. Methods. 158 elderly patients scheduling for elective open gastrointestinal surgery under general anesthesia and TAPB were randomly assigned to four groups according to different doses of nalbuphine with flurbiprofen in postoperative intravenous analgesia (PCIA. Postoperative pain intensity, effective pressing numbers of PCIA, and adverse effects were recorded at 6, 12, 24, and 48 hours after surgery. Results. Postoperative pain intensity, effective pressing numbers, and the incidence of postoperative nausea and vomiting (PONV were similar among the four groups after surgery, while the severity of PONV was decreased in Group L compared with Group S at 6, 12, and 48 h after surgery. No individual experienced pruritus, respiratory depression, or hypotension. Conclusions. Low dose of nalbuphine (15 μg·kg−1·ml−1 combined with flurbiprofen is superior for elderly patients undergoing elective open gastrointestinal surgery with TAPB in terms of the efficient postoperative analgesia and decreased severity of PONV. This trial is registered with NCT02984865.

  16. Efficacy of Combined Photoablative-Photodynamic Diode Laser Therapy Adjunctive to Scaling and Root Planing in Periodontitis: Randomized Split-Mouth Trial with 4-Year Follow-Up.

    Science.gov (United States)

    Giannelli, Marco; Formigli, Lucia; Lorenzini, Luca; Bani, Daniele

    2015-09-01

    We previously showed that photoablative laser therapy followed by multiple photodynamic cycles (PAPD) after scaling/root planing (SRP) improved healing of periodontitis patients as compared with conventional SRP after 1-year follow-up. This study reports the favorable results of PAPD plus SRP in patients with chronic periodontitis at a 4-year follow-up. Twenty-four patients were studied. Maxillary left or right quadrants were randomly assigned to PAPD laser treatment or sham-treatment and SRP. PAPD consisted of: (1) photoablative intra/extrapocket de-epithelization with diode laser (λ 810 nm, 1 W), and (2) photodynamic treatments (4-10 weekly) with diode laser (λ 635 nm, 100 mW) and 0.3% methylene blue as photoactive antiseptic, performed after SRP. Sham treatment was performed with switched- off laser. Probing depth (PD), clinical attachment level (CAL), and bleeding-on-probing (BOP) were evaluated. Additional disease markers, namely polymorphonuclear leukocytes (PMN), erythrocytes (RBC), damaged epithelial cells (DEC), and bacteria were assayed by cytofluorescence on gingival exfoliative samples. At 4-year follow-up, PAPD plus SRP significantly improved PD, CAL, and BOP, as well as bacterial contamination and PMN-RBC shedding in the exfoliative samples, compared with sham treatment plus SRP. This effect was greater than that observed at 1-year follow-up. PAPD plus SRP provided significant, durable improvement of chronic periodontitis over sham treatment plus SRP alone.

  17. Quantum Statistical Testing of a Quantum Random Number Generator

    Energy Technology Data Exchange (ETDEWEB)

    Humble, Travis S [ORNL

    2014-01-01

    The unobservable elements in a quantum technology, e.g., the quantum state, complicate system verification against promised behavior. Using model-based system engineering, we present methods for verifying the opera- tion of a prototypical quantum random number generator. We begin with the algorithmic design of the QRNG followed by the synthesis of its physical design requirements. We next discuss how quantum statistical testing can be used to verify device behavior as well as detect device bias. We conclude by highlighting how system design and verification methods must influence effort to certify future quantum technologies.

  18. Force Limited Random Vibration Test of TESS Camera Mass Model

    Science.gov (United States)

    Karlicek, Alexandra; Hwang, James Ho-Jin; Rey, Justin J.

    2015-01-01

    The Transiting Exoplanet Survey Satellite (TESS) is a spaceborne instrument consisting of four wide field-of-view-CCD cameras dedicated to the discovery of exoplanets around the brightest stars. As part of the environmental testing campaign, force limiting was used to simulate a realistic random vibration launch environment. While the force limit vibration test method is a standard approach used at multiple institutions including Jet Propulsion Laboratory (JPL), NASA Goddard Space Flight Center (GSFC), European Space Research and Technology Center (ESTEC), and Japan Aerospace Exploration Agency (JAXA), it is still difficult to find an actual implementation process in the literature. This paper describes the step-by-step process on how the force limit method was developed and applied on the TESS camera mass model. The process description includes the design of special fixtures to mount the test article for properly installing force transducers, development of the force spectral density using the semi-empirical method, estimation of the fuzzy factor (C2) based on the mass ratio between the supporting structure and the test article, subsequent validating of the C2 factor during the vibration test, and calculation of the C.G. accelerations using the Root Mean Square (RMS) reaction force in the spectral domain and the peak reaction force in the time domain.

  19. Stabbing Planes

    OpenAIRE

    Beame, Paul; Fleming, Noah; Impagliazzo, Russell; Kolokolova, Antonina; Pankratov, Denis; Pitassi, Toniann; Robere, Robert

    2017-01-01

    We introduce and develop a new semi-algebraic proof system, called Stabbing Planes that is in the style of DPLL-based modern SAT solvers. As with DPLL, there is only one rule: the current polytope can be subdivided by branching on an inequality and its "integer negation." That is, we can (nondeterministically choose) a hyperplane a x \\geq b with integer coefficients, which partitions the polytope into three pieces: the points in the polytope satisfying a x \\geq b, the points satisfying a x \\l...

  20. Measurement of shower development and its Moli\\`ere radius with a four-plane LumiCal test set-up arXiv

    CERN Document Server

    Abramowicz, H.; Afanaciev, K.; Benhammou, Y.; Bortko, L.; Borysov, O.; Borysova, M.; Bozovic-Jelisavcic, I.; Chelkov, G.; Coca, C.; Daniluk, W.; Dannheim, D.; Dumitru, L.; Elsener, K.; Firlej, M.; Firu, E.; Fiutowski, T.; Ghenescu, V.; Gostkin, M.; Hempel, M.; Henschel, H.; Ignatenko, M.Idzik{$^j$},A.; Ishikawa, A.; Kananov, S.; Karacheban, O.; Klempt, W.; Kotov, S.; Kotula, J.; Kozhevnikov, D.; Kruchonok, V.; Krupa, B.; Kulis, Sz.; Lange, W.; Leonard, J.; Lesiak, T.; Levy, A.; Levy, I.; Lohmann, W.; Lukic, S.; Moron, J.; Moszczynski, A.; Neagu, A.T.; Nuiry, F.-X.; Orlandea, M.; Pandurovic, M.; Pawlik, B.; Preda, T.; Sailer, O.Rosenblat{$^a$},A.; Schumm, B.; Schuwalow, S.; Smiljanic, I.; Smolyanskiy, P.; Swientek, K.; Terlecki, P.; Uggerhoj, U.I.; Wistisen, T.N.; Yamamoto, T.Wojton{$^h$},H.; Zawiejski, L.; Zgura, I.S.; Zhemchugov, A.

    A prototype of a luminometer, designed for a future e+e- collider detector, and consisting at present of a four-plane module, was tested in the CERN PS accelerator T9 beam. The objective of this beam test was to demonstrate a multi-plane tungsten/silicon operation, to study the development of the electromagnetic shower and to compare it with MC simulations. The Moli\\`ere radius has been determined to be 24.0 +/- 0.6 (stat.) +/- 1.5 (syst.) mm using a parametrization of the shower shape. Very good agreement was found between data and a detailed Geant4 simulation. This value is significantly larger than the one obtained using the fomula based on the material composition.

  1. Is pulmonary function affected by bilateral dual transversus abdominis plane block? A randomized, placebo-controlled, double-blind, crossover pilot study in healthy male volunteers

    DEFF Research Database (Denmark)

    Petersen, Maria; Elers, Jimmi; Børglum, Jens

    2011-01-01

    : Transversus abdominis plane (TAP) blocks have been shown to reduce postoperative pain after various abdominal surgical procedures in several studies. The motor nerves of the abdominal wall are located in the same plane as the sensory nerves affected by the TAP block. The aim of this study...

  2. Mechanical Testing of PMCs under Simulated Rapid Heat-Up Propulsion Environments. II; In-Plane Compressive Behavior

    Science.gov (United States)

    Stokes, Eric H.; Shin, E. Eugene; Sutter, James K.

    2003-01-01

    Carbon fiber thermoset polymer matrix composites (PMC) with high temperature polyimide based in-situ polymerized monomer reactant (PMR) resin has been used for some time in applications which can see temperatures up to 550 F. Currently, graphite fiber PMR based composites are used in several aircraft engine components including the outer bypass duct for the GE F-404, exit flaps for the P&W F-100-229, and the core cowl for the GE/Snecma CF6-80A3. Newer formulations, including PMR-II-50 are being investigated as potential weight reduction replacements of various metallic components in next generation high performance propulsion rocket engines that can see temperatures which exceed 550 F. Extensive FEM thermal modeling indicates that these components are exposed to rapid heat-up rates (up to -200 F/sec) and to a maximum temperature of around 600 F. Even though the predicted maximum part temperatures were within the capability of PW-II-50, the rapid heat-up causes significant through-thickness thermal gradients in the composite part and even more unstable states when combined with moisture. Designing composite parts for such extreme service environments will require accurate measurement of intrinsic and transient mechanical properties and the hygrothermal performance of these materials under more realistic use conditions. The mechanical properties of polymers degrade when exposed to elevated temperatures even in the absence of gaseous oxygen. Accurate mechanical characterization of the material is necessary in order to reduce system weight while providing sufficient factors of safety. Historically, the testing of PMCs at elevated temperatures has been plagued by the antagonism between two factors. First, moisture has been shown to profoundly affect the mechanical response of these materials at temperatures above their glass transition temperature while concurrently lowering the material's Tg. Moisture phenomena is due to one or a combination of three effects, i

  3. The Effects of Diode Laser Therapy as an Adjunct to Scaling and Root Planing in the Treatment of Aggressive Periodontitis: A 1-Year Randomized Controlled Clinical Trial.

    Science.gov (United States)

    Matarese, Giovanni; Ramaglia, Luca; Cicciù, Marco; Cordasco, Giancarlo; Isola, Gaetano

    2017-12-01

    The aim of this study was to investigate and compare the clinical, microbial, and inflammatory effects of a diode laser as an adjunct to scaling and root planing (SRP) versus SRP alone for the treatment of generalized aggressive periodontitis (GAgP). Using a split-mouth design, 31 patients with GAgP were enrolled in the study. The maxillary right and left quadrants were randomly assigned to SRP+diode laser or SRP alone. Patients were examined on a regular basis for clinical, microbiological, and inflammatory mediator changes over a 1-year period. Clinical attachment level (CAL) was the primary outcome variable chosen. In addition, subgingival biofilm samples and gingival crevicular fluid (GCF) inflammatory mediators were analyzed at each follow-up session. Compared to baseline, both treatments demonstrated an improvement in periodontal parameters at 1 year. However, SRP+diode laser produced a significant improvement in probing depth (PD; 2.56 ± 0.44 vs. 3.36 ± 0.51 mm, p diode laser group, the bacteria of orange complex group were significantly reduced at 30 and 60 days compared to SRP alone. Moreover, SRP+diode laser determined a reduction in mean GCF level of interleukin (IL)-1β and IL-1β/IL-10 ratio at 15 and 30 days compared to SRP alone (p diode laser yielded a significant reduction in some clinical parameters, while microbial and inflammatory mediator changes were not significantly reduced compared to SRP alone.

  4. Cutaneous Sensory Block Area, Muscle-Relaxing Effect, and Block Duration of the Transversus Abdominis Plane Block: A Randomized, Blinded, and Placebo-Controlled Study in Healthy Volunteers.

    Science.gov (United States)

    Støving, Kion; Rothe, Christian; Rosenstock, Charlotte V; Aasvang, Eske K; Lundstrøm, Lars H; Lange, Kai H W

    2015-01-01

    The transversus abdominis plane (TAP) block is a widely used nerve block. However, basic block characteristics are poorly described. The purpose of this study was to assess the cutaneous sensory block area, muscle-relaxing effect, and block duration. Sixteen healthy volunteers were randomized to receive an ultrasound-guided unilateral TAP block with 20 mL 7.5 mg/mL ropivacaine and placebo on the contralateral side. Measurements were performed at baseline and 90 minutes after performing the block. Cutaneous sensory block area was mapped and separated into a medial and lateral part by a vertical line through the anterior superior iliac spine. We measured muscle thickness of the 3 lateral abdominal muscle layers with ultrasound in the relaxed state and during maximal voluntary muscle contraction. The volunteers reported the duration of the sensory block and the abdominal muscle-relaxing effect. The lateral part of the cutaneous sensory block area was a median of 266 cm2 (interquartile range, 191-310 cm2) and the medial part 76 cm 2(interquartile range, 54-127 cm2). In all the volunteers, lateral wall muscle thickness decreased significantly by 9.2 mm (6.9-15.7 mm) during a maximal contraction. Sensory block and muscle-relaxing effect duration were 570 minutes (512-716 minutes) and 609 minutes (490-724 minutes), respectively. Cutaneous sensory block area of the TAP block is predominantly located lateral to a vertical line through the anterior superior iliac spine. The distribution is nondermatomal and does not cross the midline. The muscle-relaxing effect is significant and consistent. The block duration is approximately 10 hours with large variation.

  5. A comparison of analgesic efficacy between oblique subcostal transversus abdominis plane block and intravenous morphine for laparascopic cholecystectomy. A prospective randomized controlled trial.

    Science.gov (United States)

    Chen, Chee Kean; Tan, Peter Chee Seong; Phui, Vui Eng; Teo, Shu Ching

    2013-06-01

    The ultrasound-guided oblique subcostal transversus abdominis plane (OSTAP) block provides a wider area of sensory block to the anterior abdominal wall than the classical posterior approach. We compared the intra-operative analgesic efficacy of OSTAP block with conventional intravenous (IV) morphine during laparoscopic cholecystectomy. Forty adult patients undergoing laparoscopic cholecystectomy under standard general anesthesia, were randomly assigned for either bilateral OSTAP block using 1.5 mg/kg ropivacaine on each side (n = 20) or IV morphine 0.1 mg/kg (n = 20). The intra-operative pulse rate, systolic and diastolic blood pressure and mean arterial blood pressure were monitored every five minutes. Repetitive boluses of IV fentanyl 0.5 µg/kg were given as rescue analgesia when any of the above-mentioned parameters rose more than 15% from the baseline values. Time to extubation was documented. Additional boluses of IV morphine 0.05 mg/kg were administered in the recovery room if the recorded visual analogue score (VAS) was more than 4. Nausea and vomiting score, as well as sedation score were recorded. The morphine group required more rescue fentanyl as compared to the OSTAP block group but the difference was not significant statistically. Time to extubation was significantly shorter in the OSTAP block group (mean [SD] 10.4 [2.60] vs 12.4 [2.54] min; P = 0.021). Both methods provided excellent analgesia and did not differ in postoperative morphine requirements. No between-group differences in sedation score and incidence of nausea and vomiting were demonstrated. Ultrasound-guided OSTAP block has an important role as part of balanced anesthesia. It is as efficacious as IV morphine in providing effective analgesia during laparoscopic cholecystectomy.

  6. Recommended Minimum Test Requirements and Test Methods for Assessing Durability of Random-Glass-Fiber Composites

    Energy Technology Data Exchange (ETDEWEB)

    Battiste, R.L.; Corum, J.M.; Ren, W.; Ruggles, M.B.

    1999-06-01

    This report provides recommended minimum test requirements are suggested test methods for establishing the durability properties and characteristics of candidate random-glass-fiber polymeric composites for automotive structural applications. The recommendations and suggestions are based on experience and results developed at Oak Ridge National Laboratory (ORNL) under a US Department of Energy Advanced Automotive Materials project entitled ''Durability of Lightweight Composite Structures,'' which is closely coordinated with the Automotive Composites Consortium. The report is intended as an aid to suppliers offering new structural composites for automotive applications and to testing organizations that are called on to characterize the composites.

  7. Generalized F test and generalized deviance test in two-way ANOVA models for randomized trials.

    Science.gov (United States)

    Shen, Juan; He, Xuming

    2014-01-01

    We consider the problem of detecting treatment effects in a randomized trial in the presence of an additional covariate. By reexpressing a two-way analysis of variance (ANOVA) model in a logistic regression framework, we derive generalized F tests and generalized deviance tests, which provide better power in detecting common location-scale changes of treatment outcomes than the classical F test. The null distributions of the test statistics are independent of the nuisance parameters in the models, so the critical values can be easily determined by Monte Carlo methods. We use simulation studies to demonstrate how the proposed tests perform compared with the classical F test. We also use data from a clinical study to illustrate possible savings in sample sizes.

  8. Blinded trials taken to the test: an analysis of randomized clinical trials that report tests for the success of blinding

    DEFF Research Database (Denmark)

    Hróbjartsson, A; Forfang, E; Haahr, M T

    2007-01-01

    Blinding can reduce bias in randomized clinical trials, but blinding procedures may be unsuccessful. Our aim was to assess how often randomized clinical trials test the success of blinding, the methods involved and how often blinding is reported as being successful.......Blinding can reduce bias in randomized clinical trials, but blinding procedures may be unsuccessful. Our aim was to assess how often randomized clinical trials test the success of blinding, the methods involved and how often blinding is reported as being successful....

  9. Evaluating the Adjuvant Effect of Dexamethasone to Ropivacaine in Transversus Abdominis Plane Block for Inguinal Hernia Repair and Spermatocelectomy: A Randomized Controlled Trial.

    Science.gov (United States)

    Wegner, Robert; Akwar, Duane; Guzman-Reyes, Sarah; Pednekar, Greesha; Chaudhry, Rabail; Grewal, Navneet; Kukreja, Naveen; Mancillas, Omar L; Williams, George W; Nwokolo, Omonele

    2017-07-01

    The transversus abdominis plane (TAP) block is a relatively straightforward regional technique used for postoperative analgesia in patients undergoing abdominal surgeries. Various adjuvants have been used in past to prolong the duration of action of analgesia in peripheral nerve blocks. Several studies investigating the analgesic efficacy of dexamethasone added to local anesthetic agents, such as bupivacaine, have shown promising results. However, there are few studies comparing the efficacy of dexamethasone with ropivacaine. To determine if the addition of dexamethasone 8 mg to ropivacaine 0.2% in a TAP block would prolong the analgesic effect when compared with ropivacaine 0.2% alone after inguinal hernia repair and spermatocelectomy. A randomized, double blinded, placebo-controlled, prospective study. Teaching hospital. A total of 82 patients undergoing inguinal hernia repair or spermatocelectomy were enrolled in the study, of which 41 patients received TAP block with ropivacaine with saline, and the other 41 received ropivacaine with dexamethasone immediately following surgery. Both the proceduralist (resident) and the patient were blinded to the solution used. Visual analog pain scores (0 - 10) were obtained pre-block and immediately post block. Our primary endpoint was visual analog pain score at 12 hours, with 24 and 48-hour pain scores as the secondary endpoints. The averaged pre-block pain score was 7.6 ± 1.7 in the saline group and 7.7 ± 2.2 in the dexamethasone group. There was an improvement in the pain scores from the baseline, at 12 hours after the administration of the block in both the groups. Although the dexamethasone group had a greater change in pain score (-3.2) than the saline group (-2.2), the difference between the 2 groups was not statistically significant (0.08). We did not observe significant differences in change from baseline at 24 hours and 48 hours between the 2 groups (P value = 0.74 and 0.44, respectively). We did not assess the

  10. Permutation Test Approach for Ordered Alternatives in Randomized Complete Block Design: A Comparative Study

    OpenAIRE

    GOKPINAR, Esra; GUL, Hasan; GOKPINAR, Fikri; BAYRAK, Hülya; OZONUR, Deniz

    2013-01-01

    Randomized complete block design is one of the most used experimental designs in statistical analysis. For testing ordered alternatives in randomized complete block design, parametric tests are used if random sample are drawn from Normal distribution. If normality assumption is not provide, nonparametric methods are used. In this study, we are interested nonparametric tests and we introduce briefly the nonparametric tests, such as Page, Modified Page and Hollander tests. We also give Permutat...

  11. Plane-wave least-squares reverse-time migration

    KAUST Repository

    Dai, Wei

    2013-06-03

    A plane-wave least-squares reverse-time migration (LSRTM) is formulated with a new parameterization, where the migration image of each shot gather is updated separately and an ensemble of prestack images is produced along with common image gathers. The merits of plane-wave prestack LSRTM are the following: (1) plane-wave prestack LSRTM can sometimes offer stable convergence even when the migration velocity has bulk errors of up to 5%; (2) to significantly reduce computation cost, linear phase-shift encoding is applied to hundreds of shot gathers to produce dozens of plane waves. Unlike phase-shift encoding with random time shifts applied to each shot gather, plane-wave encoding can be effectively applied to data with a marine streamer geometry. (3) Plane-wave prestack LSRTM can provide higher-quality images than standard reverse-time migration. Numerical tests on the Marmousi2 model and a marine field data set are performed to illustrate the benefits of plane-wave LSRTM. Empirical results show that LSRTM in the plane-wave domain, compared to standard reversetime migration, produces images efficiently with fewer artifacts and better spatial resolution. Moreover, the prestack image ensemble accommodates more unknowns to makes it more robust than conventional least-squares migration in the presence of migration velocity errors. © 2013 Society of Exploration Geophysicists.

  12. Rigorously testing multialternative decision field theory against random utility models.

    Science.gov (United States)

    Berkowitsch, Nicolas A J; Scheibehenne, Benjamin; Rieskamp, Jörg

    2014-06-01

    Cognitive models of decision making aim to explain the process underlying observed choices. Here, we test a sequential sampling model of decision making, multialternative decision field theory (MDFT; Roe, Busemeyer, & Townsend, 2001), on empirical grounds and compare it against 2 established random utility models of choice: the probit and the logit model. Using a within-subject experimental design, participants in 2 studies repeatedly choose among sets of options (consumer products) described on several attributes. The results of Study 1 showed that all models predicted participants' choices equally well. In Study 2, in which the choice sets were explicitly designed to distinguish the models, MDFT had an advantage in predicting the observed choices. Study 2 further revealed the occurrence of multiple context effects within single participants, indicating an interdependent evaluation of choice options and correlations between different context effects. In sum, the results indicate that sequential sampling models can provide relevant insights into the cognitive process underlying preferential choices and thus can lead to better choice predictions. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  13. Experimental Design and Validation of an Accelerated Random Vibration Fatigue Testing Methodology

    OpenAIRE

    Yu Jiang(Center for Statistical and Theoretical Condensed Matter Physics, Zhejiang Normal University, Jinhua City, Zhejiang Province 321004, China); Gun Jin Yun; Li Zhao; Junyong Tao

    2015-01-01

    Novel accelerated random vibration fatigue test methodology and strategy are proposed, which can generate a design of the experimental test plan significantly reducing the test time and the sample size. Based on theoretical analysis and fatigue damage model, several groups of random vibration fatigue tests were designed and conducted with the aim of investigating effects of both Gaussian and non-Gaussian random excitation on the vibration fatigue. First, stress responses at a weak point of a ...

  14. Standard test method for measuring rolling friction characteristics of a spherical shape on a flat horizontal plane

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2008-01-01

    1.1 This test method covers the use of an angled launch ramp to initiate rolling of a sphere or nearly spherical shape on a flat horizontal surface to determine the rolling friction characteristics of a given spherical shape on a given surface. 1.1.1 Steel balls on a surface plate were used in interlaboratory tests (see Appendix X1). Golf balls on a green, soccer and lacrosse balls on playing surfaces, bowling balls on an a lane, basketballs on hardwood, and marbles on composite surface were tested in the development of this test method, but the test applies to any sphere rolling on any flat horizontal surface. 1.1.2 The rolling friction of spheres on horizontal surfaces is affected by the spherical shape’s stiffness, radius of curvature, surface texture, films on the surface, the nature of the counterface surface; there are many factors to consider. This test method takes all of these factors into consideration. The spherical shape of interest is rolled on the surface of interest using a standard ramp to...

  15. Randomized trial testing the effect of peer education at increasing fruit and vegetable intake

    National Research Council Canada - National Science Library

    Buller, D B; Morrill, C; Taren, D; Aickin, M; Sennott-Miller, L; Buller, M K; Larkey, L; Alatorre, C; Wentzel, T M

    1999-01-01

    .... In a randomized trial, peer education was tested for effectiveness at increasing fruit and vegetable intake among lower socioeconomic, multicultural labor and trades employees. Employees (n = 2091...

  16. Performance Evaluation of Different Masonry Infill Walls with Structural Fuse Elements Based on In-Plane Cyclic Load Testing

    Directory of Open Access Journals (Sweden)

    Andrew Kauffman

    2014-09-01

    Full Text Available This paper discusses the performance of a structural fuse concept developed for use as a seismic isolation system in the design and retrofit of masonry infill walls. An experimental program was developed and executed to study the behavior of the structural fuse system under cyclic loads, and to evaluate the performance of the system with various masonry materials. Cyclic tests were performed by applying displacement controlled loads at the first, second, and third stories of a two-bay, three-story steel test frame with brick infill walls; using a quasi-static loading protocol to create a first mode response in the structural system. A parametric study was also completed by replacing the brick infill panels with infill walls constructed of concrete masonry units and autoclaved aerated concrete blocks, and applying monotonically increasing, displacement controlled loads at the top story of the test frame.

  17. Randomly Amplified Polymorphic DNA tests (RAPDs) cannot be ...

    African Journals Online (AJOL)

    The three South African crane species — the Blue Crane (Anthropoides paradisea), the Wattled Crane (Bugeranus carunculatus) and the Grey Crowned Crane (Balearica regulorum regulorum) — are listed as threatened by the IUCN. This study investigated the suitability of Randomly Amplified Polymorphic DNA markers in ...

  18. A Comparative Study of the Analysis, Numerical Modelling and Experimental Test on a Sandwich Panel with Plane and Profiled Facings

    Directory of Open Access Journals (Sweden)

    Raluca Hohan

    2010-01-01

    Full Text Available Sandwich panels are remarkable products because they can be as strong as a solid material but with less weight. The analysis that is required to predict the stresses and deflections in panels with flat or lightly profiled facings is that of conventional beam theory but with the addition of shear deformation. Knowing that the profiled sheets bring an increase of the flexural stiffness, formulas showing the calculus of a panel with flat and profiled facings are established. A comparison between the results of a mathematical calculus, an experimental test and a numerical modelling is provided.

  19. Flight Test Results of Rocket-Propelled Buffet-Research Models Having 45 Degree Sweptback Wings and 45 Degree Sweptback Tails Located in the Wing Chord Plane

    Science.gov (United States)

    Mason, Homer P.

    1953-01-01

    Three rocket-propelled buffet-research models have been flight tested to determine the buffeting characteristics of a swept-wing- airplane configuration with the horizontal tail operating near the wing wake. The models consisted of parabolic bodies having 45deg sweptback wings of aspect ratio 3.56, at aspect ratio of 0.3, NACA 64A007 airfoil sections, and tail surfaces of geometry and section identical to the wings. Two tests were conducted with the horizontal tail located in the wing chord plane with fixed incidence angles of -1.5deg on one model and 0deg on the other model. The third test was conducted with no horizontal tail. Results of these tests are presented as incremental accelerations in the body due to buffeting, trim angles of attack, trim normal- and side-force coefficients, wing-tip helix angles, static-directional-stability derivatives , and drag coefficients plotted against Mach number. These data indicate that mild low-lift buffeting was experienced by all models over a range of Mach number from approximately 0.7 to 1.4. It is further indicated that this buffeting was probably induced by wing-body interference and was amplified at transonic speeds by the horizontal tail operating in the wing wake. A longitudinal trim change was encountered by the tail-on models at transonic speeds, but no large changes in side force and no wing dropping were indicated.

  20. On random field Completely Automated Public Turing Test to Tell Computers and Humans Apart generation.

    Science.gov (United States)

    Kouritzin, Michael A; Newton, Fraser; Wu, Biao

    2013-04-01

    Herein, we propose generating CAPTCHAs through random field simulation and give a novel, effective and efficient algorithm to do so. Indeed, we demonstrate that sufficient information about word tests for easy human recognition is contained in the site marginal probabilities and the site-to-nearby-site covariances and that these quantities can be embedded directly into certain conditional probabilities, designed for effective simulation. The CAPTCHAs are then partial random realizations of the random CAPTCHA word. We start with an initial random field (e.g., randomly scattered letter pieces) and use Gibbs resampling to re-simulate portions of the field repeatedly using these conditional probabilities until the word becomes human-readable. The residual randomness from the initial random field together with the random implementation of the CAPTCHA word provide significant resistance to attack. This results in a CAPTCHA, which is unrecognizable to modern optical character recognition but is recognized about 95% of the time in a human readability study.

  1. Force limited random vibration testing: the computation of the semi-empirical constant C2 for a real test article and unknown supporting structure

    NARCIS (Netherlands)

    Wijker, Jacob J; Ellenbroek, Marcellinus Hermannus Maria; de Boer, Andries

    2015-01-01

    To prevent over-testing of the test-item during random vibration testing Scharton proposed and discussed the force limited random vibration testing (FLVT) in a number of publications. Besides the random vibration specification, the total mass and the turn-over frequency of the test article (load),

  2. A shoe sole-based apparatus and method for randomly perturbing the stance phase of gait: test-retest reliability in young adults.

    Science.gov (United States)

    Kim, Hogene; Ashton-Miller, James A

    2012-06-26

    Walking on an irregular surface is associated with an elevated risk for a fall at any age. Yet, relatively little is known about how a human responds to an unexpected underfoot perturbation during gait. This is partly due to the difficulty of generating an intermittent but repeatable, unexpected, underfoot perturbation whose size and location are precisely known. So we developed a shoe sole-embedded apparatus for randomly perturbing the stance phase of gait. Medial and lateral flaps were concealed in the soles of pairs of sandals, along with their actuators. Either flap could be deployed within 400ms in the parasagittal plane under a swing foot; this altered the resulting sagittal and frontal plane orientations of the foot during the next stance phase, whereafter the flap was retracted following toe-off for the rest of that gait trial. We tested six healthy young subjects by randomly presenting a single medial or lateral perturbation in 12 of 30 gait trials. Traditional step kinematic measures were used to evaluate the test-retest reliability of the response to the stimulus at two different walking speeds in 60 randomized trials conducted 1 week apart. The method was effective in systematically inducing an alteration in gait, reproducible across visits, as evidenced by acceptable intraclass correlation coefficients for step width, time and length. We conclude that the apparatus and method has potential for measuring the ability of humans to reject one or more unexpected underfoot perturbations during gait. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Numerical analysis for infant's unintentional exposure to 3.5 GHz plane wave radiofrequency electromagnetic fields by field test of fifth generation wireless technologies

    Science.gov (United States)

    Liu, Dan; Li, Congsheng; Kang, Yangyang; Zhou, Zhou; Xie, Yi; Wu, Tongning

    2017-09-01

    In this study, the plane wave exposure of an infant to radiofrequency electromagnetic fields of 3.5 GHz was numerically analyzed to investigate the unintentional electromagnetic field (EMF) exposure of fifth generation (5G) signals during field test. The dosimetric influence of age-dependent dielectric properties and the influence of an adult body were evaluated using an infant model of 12 month old and an adult female model. The results demonstrated that the whole body-averaged specific absorption rate (WBASAR) was not significantly affected by age-dependent dielectric properties and the influence of the adult body did not enhance WBASAR. Taking the magnitude of the in situ E field strength into consideration, realistic WBASAR was far below the basic restriction. Age-dependent dielectric properties could significantly change the tissue specified specific absorption rate (TSSAR) of internal organs. However, the variation was not significant because the absolute values were marginal. Among the factors that influenced TSSAR variation, change in dielectric properties demonstrated a close correlation. In general, at 3.5 GHz, the infant did not absorb more power than the case of EMF exposure to third generation (3G) and fourth generation (4G) signals. The work was helpful for network operators and device manufactures to estimate the potential exposure risk during the field test, especially for the infant.

  4. An Ultra-light PRNG Passing Strict Randomness Tests and Suitable for Low Cost Tags

    Directory of Open Access Journals (Sweden)

    OZCANHAN, M. H.

    2016-08-01

    Full Text Available A pseudo-random number generator for low-cost RFID tags is presented. The scheme is simple, sequential and secure, yet has a high performance. Despite its lowest hardware complexity, our proposal represents a better alternative than previous proposals for low-cost tags. The scheme is based on the well-founded pseudo random number generator, Mersenne Twister. The proposed generator takes low-entropy seeds extracted from a physical characteristic of the tag and produces outputs that pass popular randomness tests. Contrarily, previous proposal tests are based on random number inputs from a popular online source, which are simply unavailable to tags. The high performance and satisfactory randomness of present work are supported by extensive test results and compared with similar previous works. Comparison using proven estimation formulae indicates that our proposal has the best hardware complexity, power consumption, and the least cost.

  5. Continuous Transversus Abdominis Plane Nerve Blocks: Does Varying Local Anesthetic Delivery Method-Automatic Repeated Bolus Versus Continuous Basal Infusion-Influence the Extent of Sensation to Cold?: A Randomized, Triple-Masked, Crossover Study in Volunteers.

    Science.gov (United States)

    Khatibi, Bahareh; Said, Engy T; Sztain, Jacklynn F; Monahan, Amanda M; Gabriel, Rodney A; Furnish, Timothy J; Tran, Johnathan T; Donohue, Michael C; Ilfeld, Brian M

    2017-04-01

    It remains unknown whether continuous or scheduled intermittent bolus local anesthetic administration is preferable for transversus abdominis plane (TAP) catheters. We therefore tested the hypothesis that when using TAP catheters, providing local anesthetic in repeated bolus doses increases the cephalad-caudad cutaneous effects compared with a basal-only infusion. Bilateral TAP catheters (posterior approach) were inserted in 24 healthy volunteers followed by ropivacaine 2 mg/mL administration for a total of 6 hours. The right side was randomly assigned to either a basal infusion (8 mL/h) or bolus doses (24 mL administered every 3 hours for a total of 2 bolus doses) in a double-masked manner. The left side received the alternate treatment. The primary end point was the extent of sensory deficit as measured by cool roller along the axillary line at hour 6 (6 hours after the local anesthetic administration was initiated). Secondary end points included the extent of sensory deficit as measured by cool roller and Von Frey filaments along the axillary line and along a transverse line at the level of the anterior superior iliac spine at hours 0 to 6. Although there were statistically significant differences between treatments within the earlier part of the administration period, by hour 6 the difference in extent of sensory deficit to cold failed to reach statistical significance along the axillary line (mean = 0.9 cm; SD = 6.8; 95% confidence interval -2.0 to 3.8; P = .515) and transverse line (mean = 2.5 cm; SD = 10.1; 95% confidence interval -1.8 to 6.8; P = .244). Although the difference between treatments was statistically significant at various early time points for the horizontal, vertical, and estimated area measurements of both cold and mechanical pressure sensory deficits, no comparison remained statistically significant by hour 6. No evidence was found in this study involving healthy volunteers to support the hypothesis that changing the local anesthetic

  6. Random regression test-day model for the analysis of dairy cattle ...

    African Journals Online (AJOL)

    Random regression test-day model for the analysis of dairy cattle production data in South Africa: Creating the framework. EF Dzomba, KA Nephawe, AN Maiwashe, SWP Cloete, M Chimonyo, CB Banga, CJC Muller, K Dzama ...

  7. T3, a Combinator-based Random Testing Tool for Java: Benchmarking

    NARCIS (Netherlands)

    Prasetya, I.S.W.B.

    2014-01-01

    T3 is the next generation of the light weight automated testing tool T2 for Java. In the heart T3 is still a random testing tool; but it now comes with some new features: pair-wise testing, concurrent generators, and a combinator-based approach ala QuickCheck. This paper presents the result of

  8. A generalized Jonckheere test against ordered alternatives for repeated measures in randomized blocks.

    Science.gov (United States)

    Zhang, Ying; Cabilio, Paul

    2013-05-10

    Focusing on statistical methods in patient-reported outcomes, we propose and develop a generalized Jonckheere test against ordered alternatives for repeated measures in a randomized block design. We derive its asymptotic null distribution properties and describe methods for estimating the null distribution for testing the hypothesis. We present a numerical example to illustrate the test procedure. Copyright © 2012 John Wiley & Sons, Ltd.

  9. Random Testing and Model Checking: Building a Common Framework for Nondeterministic Exploration

    Science.gov (United States)

    Groce, Alex; Joshi, Rajeev

    2008-01-01

    Two popular forms of dynamic analysis, random testing and explicit-state software model checking, are perhaps best viewed as search strategies for exploring the state spaces introduced by nondeterminism in program inputs. We present an approach that enables this nondeterminism to be expressed in the SPIN model checker's PROMELA language, and then lets users generate either model checkers or random testers from a single harness for a tested C program. Our approach makes it easy to compare model checking and random testing for models with precisely the same input ranges and probabilities and allows us to mix random testing with model checking's exhaustive exploration of non-determinism. The PROMELA language, as intended in its design, serves as a convenient notation for expressing nondeterminism and mixing random choices with nondeterministic choices. We present and discuss a comparison of random testing and model checking. The results derive from using our framework to test a C program with an effectively infinite state space, a module in JPL's next Mars rover mission. More generally, we show how the ability of the SPIN model checker to call C code can be used to extend SPIN's features, and hope to inspire others to use the same methods to implement dynamic analyses that can make use of efficient state storage, matching, and backtracking.

  10. Ambient Modal Testing of the Vestvej Bridge using Random Decrement

    DEFF Research Database (Denmark)

    Asmussen, J. C.; Brincker, Rune; Rytter, A.

    concerning application of vibration based inspection of bridges. The data analysis process of ambient vribration testing of bridges has traditionally been based on auto and cross spectral densities estimated using an FFT algorithm. In the pre-analysis state the spectral densities are all averaged to obtain......This paper presents an ambient vibration study of the Vestvej Bridge. The bridge is a typically Danish two-span concrete bridge which crosses a highway. The purpose of the study is to perform a pre-investigation of the dynamic behavior to obtain information for the design of a demonstration project...... the averaged spectral densities(ASD). From the ASD the eigenfrequencies of the structure can be identified. This information can be used in the main analysis, where alle modal parameters are extracted from the spectral densities. Due to long cabling and low response levels (small ambient loads) the response...

  11. Ambient Modal Testing of the Vestvej Bridge using Random Decrement

    DEFF Research Database (Denmark)

    Asmussen, J. C.; Brincker, Rune; Rytter, A.

    1998-01-01

    concerning application of vibration based inspection of bridges. The data analysis process of ambient vribration testing of bridges has traditionally been based on auto and cross spectral densities estimated using an FFT algorithm. In the pre-analysis state the spectral densities are all averaged to obtain......This paper presents an ambient vibration study of the Vestvej Bridge. The bridge is a typically Danish two-span concrete bridge which crosses a highway. The purpose of the study is to perform a pre-investigation of the dynamic behavior to obtain information for the design of a demonstration project...... the averaged spectral densities(ASD). From the ASD the eigenfrequencies of the structure can be identified. This information can be used in the main analysis, where alle modal parameters are extracted from the spectral densities. Due to long cabling and low response levels (small ambient loads) the response...

  12. Offering self-administered oral HIV testing to truck drivers in Kenya to increase testing: a randomized controlled trial.

    Science.gov (United States)

    Kelvin, Elizabeth A; George, Gavin; Mwai, Eva; Nyaga, Eston; Mantell, Joanne E; Romo, Matthew L; Odhiambo, Jacob O; Starbuck, Lila; Govender, Kaymarlin

    2018-01-01

    We conducted a randomized controlled trial among 305 truck drivers from two North Star Alliance roadside wellness clinics in Kenya to see if offering HIV testing choices would increase HIV testing uptake. Participants were randomized to be offered (1) a provider-administered rapid blood (finger-prick) HIV test (i.e., standard of care [SOC]) or (2) a Choice between SOC or a self-administered oral rapid HIV test with provider supervision in the clinic. Participants in the Choice arm who refused HIV testing in the clinic were offered a test kit for home use with phone-based posttest counseling. We compared HIV test uptake using the Mantel Haenszel odds ratio (OR) adjusting for clinic. Those in the Choice arm had higher odds of HIV test uptake than those in the SOC arm (OR = 1.5), but the difference was not statistically significant (p = 0.189). When adding the option to take an HIV test kit for home use, the Choice arm had significantly greater odds of testing uptake (OR = 2.8, p = 0.002). Of those in the Choice arm who tested, 26.9% selected the SOC test, 64.6% chose supervised self-testing in the clinic, and 8.5% took a test kit for home use. Participants varied in the HIV test they selected when given choices. Importantly, when participants who refused HIV testing in the clinic were offered a test kit for home use, an additional 8.5% tested. Offering truck drivers a variety of HIV testing choices may increase HIV testing uptake in this key population.

  13. Mosaic Focal Plane Development

    Science.gov (United States)

    Mason, D.; Horner, S.; Aamodt, E.

    Advances in manufacturing and applied sciences have enabled the development of large ground and spaced based astronomical instruments having a Field of View (FOV) large enough to capture a large portion of the universe in a single image. A large FOV can be accomplished using light weighted optics, improved structures, and the development of mosaic Focal Plane Assemblies (mFPAs). A mFPA comprises multiple Charged Coupled Devices (CCD) mounted onto a single baseplate integrated at the focus plane of the instrument. Examples of current, or proposed, missions utilizing mFPA technology include FAME, GEST, Kepler, GAIA, LSST, and SNAP. The development of a mFPA mandates tight control on the design trades of component development, CCD definition and characterization, component integration, and performance verification testing. This paper addresses the results of the Lockheed Martin Space Systems Company (LMSSC), Advanced Technology Center (ATC) developed mFPA. The design trades and performance characterization are services provided by the LMSSC ATC but not detailed in this paper.

  14. Comparing entropy with tests for randomness as a measure of complexity in time series

    CERN Document Server

    Gan, Chee Chun

    2015-01-01

    Entropy measures have become increasingly popular as an evaluation metric for complexity in the analysis of time series data, especially in physiology and medicine. Entropy measures the rate of information gain, or degree of regularity in a time series e.g. heartbeat. Ideally, entropy should be able to quantify the complexity of any underlying structure in the series, as well as determine if the variation arises from a random process. Unfortunately current entropy measures mostly are unable to perform the latter differentiation. Thus, a high entropy score indicates a random or chaotic series, whereas a low score indicates a high degree of regularity. This leads to the observation that current entropy measures are equivalent to evaluating how random a series is, or conversely the degree of regularity in a time series. This raises the possibility that existing tests for randomness, such as the runs test or permutation test, may have similar utility in diagnosing certain conditions. This paper compares various t...

  15. The efficacy of the semi-blind approach of transversus abdominis plane block on postoperative analgesia in patients undergoing inguinal hernia repair: a prospective randomized double-blind study

    Directory of Open Access Journals (Sweden)

    Salman AE

    2013-01-01

    Full Text Available A Ebru Salman,1 Fahri Yetisir,2 Banu Yürekli,3 Mustafa Aksoy,1 Murat Yildirim,2 Mehmet Kiliç21Anesthesiology and Reanimation Department, 2General Surgery Department, Atatürk Research and Training Hospital, Ankara, Turkey; 3Endocrinology Department, Bozyaka Research and Training Hospital, Izmir, TurkeyPurpose: In this prospective, randomized, double-blind study, our aim was to compare the analgesic efficacy of the semi-blind approach of transversus abdominis plane (TAP block with a placebo block in patients undergoing unilateral inguinal hernia repair.Methods: After receiving hospital ethical committee approval and informed patient consents, American Society of Anesthesiologists (ASA I–III patients aged 18–80 were enrolled in the study. Standard anesthesia monitoring was applied to all patients. After premedication, spinal anesthesia was administered to all patients with 3.5 mL heavy bupivacaine at the L3-L4 subarachnoid space. Patients were randomly allocated into 2 groups. Group I (n = 32 received a placebo block with 20 mL saline, Group II (n = 32 received semi-blind TAP block with 0.25% bupivacaine in 20 mL with a blunt regional anesthesia needle into the neurofascial plane via the lumbar triangle of Petit near the midaxillary line before fascial closure. At the end of the operation, intravenous (IV dexketoprofen was given to all patients. The verbal analog scale (VAS was recorded at 2, 4, 6, 12, and 24 hours postoperatively. Paracetamol IV was given to patients if their VAS score > 3. A rescue analgesic of 0.05 mg/kg morphine IV was applied if VAS > 3. Total analgesic consumption and morphine requirement in 24 hours were recorded.Results: TAP block reduced VAS scores at all postoperative time points (P < 0.001. Postoperative analgesic and morphine requirement in 24 hours was significantly lower in group II (P < 0.01.Conclusion: Semi-blind TAP block provided effective analgesia, reducing total 24-hour postoperative analgesic

  16. A test for stationarity of spatio-temporal random fields on planar and spherical domains

    KAUST Repository

    Jun, Mikyoung

    2012-01-01

    A formal test for weak stationarity of spatial and spatio-temporal random fields is proposed. We consider the cases where the spatial domain is planar or spherical, and we do not require distributional assumptions for the random fields. The method can be applied to univariate or to multivariate random fields. Our test is based on the asymptotic normality of certain statistics that are functions of estimators of covariances at certain spatial and temporal lags under weak stationarity. Simulation results for spatial as well as spatio-temporal cases on the two types of spatial domains are reported. We describe the results of testing the stationarity of Pacific wind data, and of testing the axial symmetry of climate model errors for surface temperature using the NOAA GFDL model outputs and the observations from the Climate Research Unit in East Anglia and the Hadley Centre.

  17. Monte Carlo randomization tests for large-scale abundance datasets on the GPU.

    Science.gov (United States)

    Van Hemert, John L; Dickerson, Julie A

    2011-01-01

    Statistical tests are often performed to discover which experimental variables are reacting to specific treatments. Time-series statistical models usually require the researcher to make assumptions with respect to the distribution of measured responses which may not hold. Randomization tests can be applied to data in order to generate null distributions non-parametrically. However, large numbers of randomizations are required for the precise p-values needed to control false discovery rates. When testing tens of thousands of variables (genes, chemical compounds, or otherwise), significant q-value cutoffs can be extremely small (on the order of 10(-5) to 10(-8)). This requires high-precision p-values, which in turn require large numbers of randomizations. The NVIDIA(®) Compute Unified Device Architecture(®) (CUDA(®)) platform for General Programming on the Graphics Processing Unit (GPGPU) was used to implement an application which performs high-precision randomization tests via Monte Carlo sampling for quickly screening custom test statistics for experiments with large numbers of variables, such as microarrays, Next-Generation sequencing read counts, chromatographical signals, or other abundance measurements. The software has been shown to achieve up to more than 12 fold speedup on a Graphics Processing Unit (GPU) when compared to a powerful Central Processing Unit (CPU). The main limitation is concurrent random access of shared memory on the GPU. The software is available from the authors. 2011 Elsevier Ireland Ltd. All rights reserved.

  18. A Procedure for Accurately Measuring the Shaker Overturning Moment During Random Vibration Tests

    Science.gov (United States)

    Nayeri, Reza D.

    2011-01-01

    Motivation: For large system level random vibration tests, there may be some concerns about the shaker's capability for the overturning moment. It is the test conductor's responsibility to predict and monitor the overturning moment during random vibration tests. If the predicted moment is close to the shaker's capability, test conductor must measure the instantaneous moment at low levels and extrapolate to higher levels. That data will be used to decide whether it is safe to proceed to the next test level. Challenge: Kistler analog formulation for computing the real-time moment is only applicable to very limited cases in which we have 3 or 4 load cells installed at shaker interface with hardware. Approach: To overcome that limitation, a simple procedure was developed for computing the overturning moment time histories using the measured time histories of the individual load cells.

  19. A new compound control method for sine-on-random mixed vibration test

    Science.gov (United States)

    Zhang, Buyun; Wang, Ruochen; Zeng, Falin

    2017-09-01

    Vibration environmental test (VET) is one of the important and effective methods to provide supports for the strength design, reliability and durability test of mechanical products. A new separation control strategy was proposed to apply in multiple-input multiple-output (MIMO) sine on random (SOR) mixed mode vibration test, which is the advanced and intensive test type of VET. As the key problem of the strategy, correlation integral method was applied to separate the mixed signals which included random and sinusoidal components. The feedback control formula of MIMO linear random vibration system was systematically deduced in frequency domain, and Jacobi control algorithm was proposed in view of the elements, such as self-spectrum, coherence, and phase of power spectral density (PSD) matrix. Based on the excessive correction of excitation in sine vibration test, compression factor was introduced to reduce the excitation correction, avoiding the destruction to vibration table or other devices. The two methods were synthesized to be applied in MIMO SOR vibration test system. In the final, verification test system with the vibration of a cantilever beam as the control object was established to verify the reliability and effectiveness of the methods proposed in the paper. The test results show that the exceeding values can be controlled in the tolerance range of references accurately, and the method can supply theory and application supports for mechanical engineering.

  20. Testing of hypothesis of two-dimensional random variables independence on the basis of algorithm of pattern recognition

    Science.gov (United States)

    Lapko, A. V.; Lapko, V. A.; Yuronen, E. A.

    2016-11-01

    The new technique of testing of hypothesis of random variables independence is offered. Its basis is made by nonparametric algorithm of pattern recognition. The considered technique doesn't demand sampling of area of values of random variables.

  1. Hardy-Weinberg equilibrium testing of biological ascertainment for Mendelian randomization studies.

    Science.gov (United States)

    Rodriguez, Santiago; Gaunt, Tom R; Day, Ian N M

    2009-02-15

    Mendelian randomization (MR) permits causal inference between exposures and a disease. It can be compared with randomized controlled trials. Whereas in a randomized controlled trial the randomization occurs at entry into the trial, in MR the randomization occurs during gamete formation and conception. Several factors, including time since conception and sampling variation, are relevant to the interpretation of an MR test. Particularly important is consideration of the "missingness" of genotypes that can be originated by chance, genotyping errors, or clinical ascertainment. Testing for Hardy-Weinberg equilibrium (HWE) is a genetic approach that permits evaluation of missingness. In this paper, the authors demonstrate evidence of nonconformity with HWE in real data. They also perform simulations to characterize the sensitivity of HWE tests to missingness. Unresolved missingness could lead to a false rejection of causality in an MR investigation of trait-disease association. These results indicate that large-scale studies, very high quality genotyping data, and detailed knowledge of the life-course genetics of the alleles/genotypes studied will largely mitigate this risk. The authors also present a Web program (http://www.oege.org/software/hwe-mr-calc.shtml) for estimating possible missingness and an approach to evaluating missingness under different genetic models.

  2. Unitals in Projective Planes

    CERN Document Server

    Barwick, Susan

    2008-01-01

    Unitals are key structures in projective planes, and have connections with other structures in algebra. This book presents a monograph on unitals embedded in finite projective planes. It offers a survey of the research literature on embedded unitals. It is suitable for graduate students and researchers who want to learn about this topic

  3. Injection Volume and Anesthetic Effect in Serratus Plane Block.

    Science.gov (United States)

    Kunigo, Tatsuya; Murouchi, Takeshi; Yamamoto, Shuji; Yamakage, Michiaki

    Serratus plane block is performed for analgesia of the anterior chest wall. However, there has been no study concerning the appropriate volume for this block. This prospective randomized controlled study assesses the dermatomal spread and analgesic effects of serratus plane block. Ultrasound-guided serratus plane block was performed for breast cancer surgery. The patients were randomly assigned to receive 20 or 40 mL of 0.375% ropivacaine. The primary end point was the number of affected dermatomes as assessed by cold test and pinprick test 20 minutes after the block procedure. Secondary end points were the time until the first postoperative analgesic rescue, adverse effects, and complications. The number of affected dermatomes assessed by the cold test for patients receiving 40 mL of 0.375% ropivacaine was significantly larger than that for patients receiving 20 mL (P = 0.002; 6 [5-7] vs 4 [3-4] dermatomes). Similarly, with the pinprick test, the affected area was larger for the 40 mL group than for the 20 mL group (P = 0.009; 4 [2-6] vs 2 [1-3] dermatomes). There were no differences between the 2 groups in secondary end points. Ultrasound-guided serratus plane block spread in the craniocaudal direction is more widespread with 40 mL than with 20 mL of 0.375% ropivacaine. The time until the first postoperative analgesic rescue dose was not extended by a larger volume of injection. UMIN Clinical Trials Registry (identifier UMIN000016549).

  4. Genetic susceptibility testing and readiness to control weight: Results from a randomized controlled trial

    NARCIS (Netherlands)

    Meisel, S.F.; Beeken, R.J.; Jaarsveld, C.H.M. van; Wardle, J.

    2015-01-01

    OBJECTIVE: To test the hypothesis that adding obesity gene feedback (FTO) to simple weight control advice at a life stage with raised risk of weight gain (university) increases readiness to control weight. METHODS: Individually randomized controlled trial comparing the effect of: (i) simple weight

  5. A Mixture Proportional Hazards Model with Random Effects for Response Times in Tests

    Science.gov (United States)

    Ranger, Jochen; Kuhn, Jörg-Tobias

    2016-01-01

    In this article, a new model for test response times is proposed that combines latent class analysis and the proportional hazards model with random effects in a similar vein as the mixture factor model. The model assumes the existence of different latent classes. In each latent class, the response times are distributed according to a…

  6. Do exchange rates follow random walks? A variance ratio test of the ...

    African Journals Online (AJOL)

    However, emerging markets in sub-Saharan Africa have received little attention in this regard. This study applies Lo and MacKinlay's (1988) conventional variance ... Both types of variance ratio tests reject the random-walk hypothesis over the data span. The implication is that technical and fundamental analysis can help ...

  7. Testing Mediators of Intervention Effects in Randomized Controlled Trials: An Evaluation of Three Depression Prevention Programs

    Science.gov (United States)

    Stice, Eric; Rohde, Paul; Seeley, John R.; Gau, Jeff M.

    2010-01-01

    Objective: Evaluate a new 5-step method for testing mediators hypothesized to account for the effects of depression prevention programs. Method: In this indicated prevention trial, at-risk teens with elevated depressive symptoms were randomized to a group cognitive-behavioral (CB) intervention, group supportive expressive intervention, CB…

  8. A Randomization Test for Controlling Population Stratification in Whole-Genome Association Studies

    OpenAIRE

    Kimmel, Gad; Jordan, Michael I.; Halperin, Eran; Shamir, Ron; Karp, Richard M.

    2007-01-01

    Population stratification can be a serious obstacle in the analysis of genomewide association studies. We propose a method for evaluating the significance of association scores in whole-genome cohorts with stratification. Our approach is a randomization test akin to a standard permutation test. It conditions on the genotype matrix and thus takes into account not only the population structure but also the complex linkage disequilibrium structure of the genome. As we show in simulation experime...

  9. Tank tests to determine the effect of varying design parameters of planing-tail hulls II : effect of varying depth of step, angle of after- body keel, length of afterbody chine, and gross load

    Science.gov (United States)

    Dawson, John R; Mckann, Robert; Hay, Elizabeth S

    1946-01-01

    The second part of a series of tests made in Langley tank no. 2 to determine the effect of varying design parameters of planing-tail hulls is presented. Results are given to show the effects on resistance characteristics of varying angle of afterbody keel, depth of step, and length of afterbody chine. The effect of varying the gross load is shown for one configuration. The resistance characteristics of planing-tail hulls are compared with those of a conventional flying-boat hull. The forces on the forebody and afterbody of one configuration are compared with the forces on a conventional hull. Increasing the angle of afterbody keel had small effect on hump resistance and no effect on high-speed resistance but increased free-to-trim resistance at intermediate speeds. Increasing the depth of step increased hump resistance, had little effect on high-speed resistance, and increased free-to-trim resistance at intermediate speeds. Omitting the chines on the forward 25 percent of the afterbody had no appreciable effect on resistance. Omitting 70 percent of the chine length had almost no effect on maximum resistance but broadened the hump and increased spray around the afterbody. Load-resistance ratio at the hump decreased more rapidly with increasing load coefficient for the planing-tail hull than for the representative conventional hull, although the load-resistance ratio at the hump was greater for the planing-tail hull than for the conventional hull throughout the range of loads tested. At speeds higher than hump speed, load-resistance ratio for the planing-tail hull was a maximum at a particular gross load and was slightly less at heavier and lighter gross loads. The planing-tail hull was found to have lower resistance than the conventional hull at both the hump and at high speeds, but at intermediate speeds there was little difference. The lower hump resistance of the planing-tail hull was attributed to the ability of the afterbody to carry a greater percentage of the

  10. The Effects of One-Stage Full-Mouth Disinfection and Qua-drant-Wise Scaling and Root Planing on Serum Levels of IL-17 and IL-1β and Clinical Parameters (A randomized Controlled Trial Study

    Directory of Open Access Journals (Sweden)

    Adileh Shirmohammadi

    2013-01-01

    Full Text Available Objective: One-stage full-mouth disinfection technique (FMD has been introduced to avoid cross-contamination between the treated and untreated regions between treatment sessions. Considering the role of inflammatory mediators in periodontitis, the aim of the present study was to compare the effects of FMD with the quadrant-wise scaling and root planing (Q-SRP on serum levels of IL-17 and IL-1β in patients with moderate-to-severe chronic periodontitis.Materials and Methods: Twenty patients with chronic periodontitis were selected randomly and based on inclusion criteria in each group. In order to evaluate the periodontal status, the clinical parameters of bleeding on probing (BOP, clinical attachment level (CAL, probing depth (PD and modified gingival index (MGI were measured and recorded before treatment and at 2- and 4-month intervals after treatment. Immunologic parameters of the study such as IL-17 and IL-1β serum levels were determined by special laboratory kits at the same intervals. Data were analyzed by SPSS 15 statistical software. Statistical significance was defined at p0.05. In the evaluation of periodontal parameters, all parameters exhibited clinical improvements in both groups, with no statistically significant differences between the two study groups (p>0.05.Conclusion: Based on the results of the present study it was concluded that both FMD and Q-SRP techniques result in improvements in periodontal indexes and decreases in the serum levels of IL-17 and IL-1β inflammatory mediators.

  11. 78 FR 77196 - Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of...

    Science.gov (United States)

    2013-12-20

    ... testing rate is based on the reported random drug test positive rate for the entire aviation industry. If... TRANSPORTATION Federal Aviation Administration Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of January 1, 2014, Through December 31, 2014 AGENCY: Federal Aviation...

  12. 77 FR 71669 - Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of...

    Science.gov (United States)

    2012-12-03

    ... testing rate is based on the reported random drug test positive rate for the entire aviation industry. If... Federal Aviation Administration Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of January 1, 2013, Through December 31, 2013 AGENCY: Federal Aviation...

  13. 76 FR 74843 - Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of...

    Science.gov (United States)

    2011-12-01

    ... testing rate is based on the reported random drug test positive rate for the entire aviation industry. If... Federal Aviation Administration Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of January 1, 2012, Through December 31, 2012 AGENCY: Federal Aviation...

  14. Stratified exact tests for the weak causal null hypothesis in randomized trials with a binary outcome.

    Science.gov (United States)

    Chiba, Yasutaka

    2017-09-01

    Fisher's exact test is commonly used to compare two groups when the outcome is binary in randomized trials. In the context of causal inference, this test explores the sharp causal null hypothesis (i.e. the causal effect of treatment is the same for all subjects), but not the weak causal null hypothesis (i.e. the causal risks are the same in the two groups). Therefore, in general, rejection of the null hypothesis by Fisher's exact test does not mean that the causal risk difference is not zero. Recently, Chiba (Journal of Biometrics and Biostatistics 2015; 6: 244) developed a new exact test for the weak causal null hypothesis when the outcome is binary in randomized trials; the new test is not based on any large sample theory and does not require any assumption. In this paper, we extend the new test; we create a version of the test applicable to a stratified analysis. The stratified exact test that we propose is general in nature and can be used in several approaches toward the estimation of treatment effects after adjusting for stratification factors. The stratified Fisher's exact test of Jung (Biometrical Journal 2014; 56: 129-140) tests the sharp causal null hypothesis. This test applies a crude estimator of the treatment effect and can be regarded as a special case of our proposed exact test. Our proposed stratified exact test can be straightforwardly extended to analysis of noninferiority trials and to construct the associated confidence interval. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  15. The effect of a test ordering software intervention on the prescription of unnecessary laboratory tests - a randomized controlled trial.

    Science.gov (United States)

    Martins, Carlos Manuel Silva; da Costa Teixeira, Andreia Sofia; de Azevedo, Luís Filipe Ribeiro; Sá, Luísa Maria Barbosa; Santos, Paulo Alexandre Azevedo Pereira; do Couto, Maria Luciana Gomes Domingues; da Costa Pereira, Altamiro Manuel Rodrigues; Hespanhol, Alberto Augusto Oliveira Pinto; da Costa Santos, Cristina Maria Nogueira

    2017-02-20

    The way software for electronic health records and laboratory tests ordering systems are designed may influence physicians' prescription. A randomised controlled trial was performed to measure the impact of a diagnostic and laboratory tests ordering system software modification. Participants were family physicians working and prescribing diagnostic and laboratory tests. The intervention group had a modified software with a basic shortcut menu changes, where some tests were withdrawn or added, and with the implementation of an evidence-based decision support based on United States Preventive Services Task Force (USPSTF) recommendations. This intervention group was compared with usual software (control group). The outcomes were the number of tests prescribed from those: withdrawn from the basic menu; added to the basic menu; marked with green dots (USPSTF's grade A and B); and marked with red dots (USPSTF's grade D). Comparing the monthly average number of tests prescribed before and after the software modification, from those tests that were withdrawn from the basic menu, the control group prescribed 33.8 tests per 100 consultations before and 30.8 after (p = 0075); the intervention group prescribed 31.3 before and 13.9 after (p menu, the intervention group prescribed a monthly average of 14.0 vs. 29.3 tests per 100 consultations in the control group (p menu of the diagnosis and laboratory tests ordering system had a significant impact and reduced unnecessary prescription of tests. The fact that it was not possible to perform the randomization at the family physicians' level, but only of the computer servers is a limitation of our study. Future research should assess the impact of different tests ordering systems during longer periods. ISRCTN45427977 , May 1st 2014 (retrospectively registered).

  16. Statistical auditing and randomness test of lotto k/N-type games

    Science.gov (United States)

    Coronel-Brizio, H. F.; Hernández-Montoya, A. R.; Rapallo, F.; Scalas, E.

    2008-11-01

    One of the most popular lottery games worldwide is the so-called “lotto k/N”. It considers N numbers 1,2,…,N from which k are drawn randomly, without replacement. A player selects k or more numbers and the first prize is shared amongst those players whose selected numbers match all of the k randomly drawn. Exact rules may vary in different countries. In this paper, mean values and covariances for the random variables representing the numbers drawn from this kind of game are presented, with the aim of using them to audit statistically the consistency of a given sample of historical results with theoretical values coming from a hypergeometric statistical model. The method can be adapted to test pseudorandom number generators.

  17. Analisis Teoritis dan Empiris Uji Craps dari Diehard Battery of Randomness Test untuk Pengujian Pembangkit Bilangan Acaksemu

    Directory of Open Access Journals (Sweden)

    Sari Agustini Hafman

    2013-05-01

    Full Text Available According to Kerchoffs (1883, the security system should only rely on cryptographic keys which is used in that system. Generally, the key sequences are generated by a Pseudo Random Number Generator (PRNG or Random Number Generator (RNG. There are three types of randomness sequences that generated by the RNG and PRNG i.e. pseudorandom sequence, cryptographically secure pseudorandom sequences, and real random sequences. Several statistical tests, including diehard battery of tests of randomness, is used to check the type of randomness sequences that generated by PRNG or RNG. Due to its purpose, the principle on taking the testing parameters and the test statistic are associated with the validity of the conclusion produced by a statistical test, then the theoretical analysis is performed by applying a variety of statistical theory to evaluate craps test, one of the test included in the diehard battery of randomness tests. Craps test, inspired by craps game, aims to examine whether a PRNG produces an independent and identically distributed (iid pseudorandom sequences. To demonstrate the process to produce a test statistics equation and to show how craps games applied on that test, will be carried out theoretical analysis by applying a variety of statistical theory. Furthermore, empirical observations will be done by applying craps test on a PRNG in order to check the test effectiveness in detecting the distribution and independency of sequences which produced by PRNG

  18. Characterization of Electron Microscopes with Binary Pseudo-random Multilayer Test Samples

    Energy Technology Data Exchange (ETDEWEB)

    V Yashchuk; R Conley; E Anderson; S Barber; N Bouet; W McKinney; P Takacs; D Voronov

    2011-12-31

    Verification of the reliability of metrology data from high quality X-ray optics requires that adequate methods for test and calibration of the instruments be developed. For such verification for optical surface profilometers in the spatial frequency domain, a modulation transfer function (MTF) calibration method based on binary pseudo-random (BPR) gratings and arrays has been suggested [1] and [2] and proven to be an effective calibration method for a number of interferometric microscopes, a phase shifting Fizeau interferometer, and a scatterometer [5]. Here we describe the details of development of binary pseudo-random multilayer (BPRML) test samples suitable for characterization of scanning (SEM) and transmission (TEM) electron microscopes. We discuss the results of TEM measurements with the BPRML test samples fabricated from a WiSi2/Si multilayer coating with pseudo-randomly distributed layers. In particular, we demonstrate that significant information about the metrological reliability of the TEM measurements can be extracted even when the fundamental frequency of the BPRML sample is smaller than the Nyquist frequency of the measurements. The measurements demonstrate a number of problems related to the interpretation of the SEM and TEM data. Note that similar BPRML test samples can be used to characterize X-ray microscopes. Corresponding work with X-ray microscopes is in progress.

  19. Characterization of electron microscopes with binary pseudo-random multilayer test samples

    Energy Technology Data Exchange (ETDEWEB)

    Yashchuk, Valeriy V., E-mail: VVYashchuk@lbl.gov [Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Conley, Raymond [NSLS-II, Brookhaven National Laboratory, Upton, NY 11973 (United States); Anderson, Erik H. [Center for X-ray Optics, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Barber, Samuel K. [Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Bouet, Nathalie [NSLS-II, Brookhaven National Laboratory, Upton, NY 11973 (United States); McKinney, Wayne R. [Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Takacs, Peter Z. [Brookhaven National Laboratory, Upton, NY 11973 (United States); Voronov, Dmitriy L. [Advanced Light Source, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States)

    2011-09-01

    Verification of the reliability of metrology data from high quality X-ray optics requires that adequate methods for test and calibration of the instruments be developed. For such verification for optical surface profilometers in the spatial frequency domain, a modulation transfer function (MTF) calibration method based on binary pseudo-random (BPR) gratings and arrays has been suggested and proven to be an effective calibration method for a number of interferometric microscopes, a phase shifting Fizeau interferometer, and a scatterometer [5]. Here we describe the details of development of binary pseudo-random multilayer (BPRML) test samples suitable for characterization of scanning (SEM) and transmission (TEM) electron microscopes. We discuss the results of TEM measurements with the BPRML test samples fabricated from a WiSi{sub 2}/Si multilayer coating with pseudo-randomly distributed layers. In particular, we demonstrate that significant information about the metrological reliability of the TEM measurements can be extracted even when the fundamental frequency of the BPRML sample is smaller than the Nyquist frequency of the measurements. The measurements demonstrate a number of problems related to the interpretation of the SEM and TEM data. Note that similar BPRML test samples can be used to characterize X-ray microscopes. Corresponding work with X-ray microscopes is in progress.

  20. A Bayesian sequential design with adaptive randomization for 2-sided hypothesis test.

    Science.gov (United States)

    Yu, Qingzhao; Zhu, Lin; Zhu, Han

    2017-11-01

    Bayesian sequential and adaptive randomization designs are gaining popularity in clinical trials thanks to their potentials to reduce the number of required participants and save resources. We propose a Bayesian sequential design with adaptive randomization rates so as to more efficiently attribute newly recruited patients to different treatment arms. In this paper, we consider 2-arm clinical trials. Patients are allocated to the 2 arms with a randomization rate to achieve minimum variance for the test statistic. Algorithms are presented to calculate the optimal randomization rate, critical values, and power for the proposed design. Sensitivity analysis is implemented to check the influence on design by changing the prior distributions. Simulation studies are applied to compare the proposed method and traditional methods in terms of power and actual sample sizes. Simulations show that, when total sample size is fixed, the proposed design can obtain greater power and/or cost smaller actual sample size than the traditional Bayesian sequential design. Finally, we apply the proposed method to a real data set and compare the results with the Bayesian sequential design without adaptive randomization in terms of sample sizes. The proposed method can further reduce required sample size. Copyright © 2017 John Wiley & Sons, Ltd.

  1. Crowdsourcing HIV Test Promotion Videos: A Noninferiority Randomized Controlled Trial in China.

    Science.gov (United States)

    Tang, Weiming; Han, Larry; Best, John; Zhang, Ye; Mollan, Katie; Kim, Julie; Liu, Fengying; Hudgens, Michael; Bayus, Barry; Terris-Prestholt, Fern; Galler, Sam; Yang, Ligang; Peeling, Rosanna; Volberding, Paul; Ma, Baoli; Xu, Huifang; Yang, Bin; Huang, Shujie; Fenton, Kevin; Wei, Chongyi; Tucker, Joseph D

    2016-06-01

    Crowdsourcing, the process of shifting individual tasks to a large group, may enhance human immunodeficiency virus (HIV) testing interventions. We conducted a noninferiority, randomized controlled trial to compare first-time HIV testing rates among men who have sex with men (MSM) and transgender individuals who received a crowdsourced or a health marketing HIV test promotion video. Seven hundred twenty-one MSM and transgender participants (≥16 years old, never before tested for HIV) were recruited through 3 Chinese MSM Web portals and randomly assigned to 1 of 2 videos. The crowdsourced video was developed using an open contest and formal transparent judging while the evidence-based health marketing video was designed by experts. Study objectives were to measure HIV test uptake within 3 weeks of watching either HIV test promotion video and cost per new HIV test and diagnosis. Overall, 624 of 721 (87%) participants from 31 provinces in 217 Chinese cities completed the study. HIV test uptake was similar between the crowdsourced arm (37% [114/307]) and the health marketing arm (35% [111/317]). The estimated difference between the interventions was 2.1% (95% confidence interval, -5.4% to 9.7%). Among those tested, 31% (69/225) reported a new HIV diagnosis. The crowdsourced intervention cost substantially less than the health marketing intervention per first-time HIV test (US$131 vs US$238 per person) and per new HIV diagnosis (US$415 vs US$799 per person). Our nationwide study demonstrates that crowdsourcing may be an effective tool for improving HIV testing messaging campaigns and could increase community engagement in health campaigns. NCT02248558. © 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.

  2. Adaptive testing for association between two random vectors in moderate to high dimensions.

    Science.gov (United States)

    Xu, Zhiyuan; Xu, Gongjun; Pan, Wei

    2017-11-01

    Testing for association between two random vectors is a common and important task in many fields, however, existing tests, such as Escoufier's RV test, are suitable only for low-dimensional data, not for high-dimensional data. In moderate to high dimensions, it is necessary to consider sparse signals, which are often expected with only a few, but not many, variables associated with each other. We generalize the RV test to moderate-to-high dimensions. The key idea is to data adaptively weight each variable pair based on its empirical association. As the consequence, the proposed test is adaptive, alleviating the effects of noise accumulation in high-dimensional data, and thus maintaining the power for both dense and sparse alternative hypotheses. We show the connections between the proposed test with several existing tests, such as a generalized estimating equations-based adaptive test, multivariate kernel machine regression (KMR), and kernel distance methods. Furthermore, we modify the proposed adaptive test so that it can be powerful for nonlinear or nonmonotonic associations. We use both real data and simulated data to demonstrate the advantages and usefulness of the proposed new test. The new test is freely available in R package aSPC on CRAN at https://cran.r-project.org/web/packages/aSPC/index.html and https://github.com/jasonzyx/aSPC. © 2017 WILEY PERIODICALS, INC.

  3. Outcomes of a prospective trial of student-athlete drug testing: the Student Athlete Testing Using Random Notification (SATURN) study.

    Science.gov (United States)

    Goldberg, Linn; Elliot, Diane L; MacKinnon, David P; Moe, Esther L; Kuehl, Kerry S; Yoon, Myeongsun; Taylor, Aaron; Williams, Jason

    2007-11-01

    To assess the effects of random drug and alcohol testing (DAT) among high school athletes. This was a 2-year prospective randomized controlled study of a single cohort among five intervention high schools with a DAT policy and six schools with a deferred policy, serially assessed by voluntary, confidential questionnaires. DAT school athletes were at risk for random testing during the full academic year. Positive test results were reported to parents or guardians, with mandatory counseling. Indices of illicit drug use, with and without alcohol use, were assessed at the beginning and end of each school year for the past month and prior year. Potential mediating variables were evaluated. Student-athletes from intervention and control schools did not differ in past 1-month use of illicit drug or a combination of drug and alcohol use at any of the four follow-up periods. At the end of the initial school year and after 2 full school years, student-athletes at DAT schools reported less drug use during the past year (p < .01) compared to athletes at the deferred policy schools. Combining past year drug and alcohol use together, student-athletes at DAT schools reported less use at the second and third follow-up assessments (p < .05). Paradoxically, DAT athletes across all assessments reported less athletic competence (p < .001), less belief authorities were opposed to drug use (p < .01), and indicated greater risk-taking (p < .05). At the final assessment, DAT athletes believed less in testing benefits (p < .05) and less that testing was a reason not to use drugs (p < .01). No DAT deterrent effects were evident for past month use during any of four follow-up periods. Prior-year drug use was reduced in two of four follow-up self-reports, and a combination of drug and alcohol use was reduced at two assessments as well. Overall, drug testing was accompanied by an increase in some risk factors for future substance use. More research is needed before DAT is considered an

  4. Randomized Test of an Implementation Intention-Based Tool to Reduce Stress-Induced Eating

    OpenAIRE

    O'Connor, DB; Armitage, CJ; Ferguson, E.

    2015-01-01

    Background: Stress may indirectly contribute to disease (e.g., cardiovascular disease, cancer by producing deleterious changes to diet. Purpose: To test effectiveness of a stress management support (SMS) tool to reduce stress-related unhealthy snacking and to promote stress-related healthy snacking. Methods: Participants were randomized to complete a SMS tool with instruction to link stressful situations with healthy snack alternatives (experimental) or a SMS tool without a linking instructio...

  5. 75 FR 76069 - Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of...

    Science.gov (United States)

    2010-12-07

    ... aviation industry. If the reported random drug test positive rate is less than 1.00%, the Administrator may... Federal Aviation Administration Random Drug and Alcohol Testing Percentage Rates of Covered Aviation Employees for the Period of January 1, 2011, Through December 31, 2011 AGENCY: Federal Aviation...

  6. A randomization test for controlling population stratification in whole-genome association studies.

    Science.gov (United States)

    Kimmel, Gad; Jordan, Michael I; Halperin, Eran; Shamir, Ron; Karp, Richard M

    2007-11-01

    Population stratification can be a serious obstacle in the analysis of genomewide association studies. We propose a method for evaluating the significance of association scores in whole-genome cohorts with stratification. Our approach is a randomization test akin to a standard permutation test. It conditions on the genotype matrix and thus takes into account not only the population structure but also the complex linkage disequilibrium structure of the genome. As we show in simulation experiments, our method achieves higher power and significantly better control over false-positive rates than do existing methods. In addition, it can be easily applied to whole-genome association studies.

  7. Fast Plane Wave Imaging

    DEFF Research Database (Denmark)

    Jensen, Jonas

    This PhD project investigates and further develops methods for ultrasound plane wave imaging and blood flow estimation with the objective of overcoming some of the major limitations in conventional ultrasound systems, which are related to low frame rates and only estimation of velocities along...... the ultrasound beam. The first part of the contribution investigates the compromise between frame rate and plane wave image quality including the influence of grating lobes from a λ-pitch transducer. A method for optimizing the image quality is suggested, and it is shown that the frame rate can be increased...... healthy volunteers. Complex flow patterns were measured in an anthropomorphic flow phantom and showed good agreement with the velocity field simulated using computational fluid dynamics. The last part of the contribution investigates two clinical applications. Plane wave imaging was used for slow velocity...

  8. Transformational plane geometry

    CERN Document Server

    Umble, Ronald N

    2014-01-01

    Axioms of Euclidean Plane Geometry The Existence and Incidence Postulates The Distance and Ruler Postulates The Plane Separation Postulate The Protractor Postulate The Side-Angle-Side Postulate and the Euclidean Parallel Postulate Theorems of Euclidean Plane Geometry The Exterior Angle Theorem Triangle Congruence Theorems The Alternate Interior Angles Theorem and the Angle Sum Theorem Similar Triangles Introduction to Transformations, Isometries, and Similarities Transformations Isometries and SimilaritiesAppendix: Proof of Surjectivity Translations, Rotations, and Reflections Translations Rotations Reflections Appendix: Geometer's Sketchpad Commands Required by Exploratory Activities Compositions of Translations, Rotations, and Reflections The Three Points Theorem Rotations as Compositions of Two Reflections Translations as Compositions of Two Halfturns or Two Reflections The Angle Addition Theorem Glide Reflections Classification of Isometries The Fundamental Theorem and Congruence Classification of Isometr...

  9. SNAP focal plane

    Energy Technology Data Exchange (ETDEWEB)

    Lampton, Michael L.; Kim, A.; Akerlof, C.W.; Aldering, G.; Amanullah, R.; Astier, P.; Barrelet, E.; Bebek, C.; Bergstrom, L.; Berkovitz, J.; Bernstein, G.; Bester, M.; Bonissent, A.; Bower, C.; Carithers Jr., W.C.; Commins, E.D.; Day, C.; Deustua, S.E.; DiGennaro,R.; Ealet, A.; Ellis, R.S.; Eriksson, M.; Fruchter, A.; Genat, J.-F.; Goldhaber, G.; Goobar, A.; Groom, D.; Harris, S.E.; Harvey, P.R.; Heetderks, H.D.; Holland, S.E.; Huterer, D.; Karcher, A.; Kolbe, W.; Krieger, B.; Lafever, R.; Lamoureux, J.; Levi, M.E.; Levin, D.S.; Linder,E.V.; Loken, S.C.; Malina, R.; Massey, R.; McKay, T.; McKee, S.P.; Miquel, R.; Mortsell, E.; Mostek, N.; Mufson, S.; Musser, J.; Nugent, P.; Oluseyi, H.; Pain, R.; Palaio, N.; Pankow, D.; Perlmutter, S.; Pratt, R.; Prieto, E.; Refregier, A.; Rhodes, J.; Robinson, K.; Roe, N.; Sholl, M.; Schubnell, M.; Smadja, G.; Smoot, G.; Spadafora, A.; Tarle, G.; Tomasch,A.; von der Lippe, H.; Vincent, R.; Walder, J.-P.; Wang, G.

    2002-07-29

    The proposed SuperNova/Acceleration Probe (SNAP) mission will have a two-meter class telescope delivering diffraction-limited images to an instrumented 0.7 square-degree field sensitive in the visible and near-infrared wavelength regime. We describe the requirements for the instrument suite and the evolution of the focal plane design to the present concept in which all the instrumentation--visible and near-infrared imagers, spectrograph, and star guiders--share one common focal plane.

  10. Quantitative urine confirmatory testing for synthetic cannabinoids in randomly collected urine specimens.

    Science.gov (United States)

    Castaneto, Marisol S; Scheidweiler, Karl B; Gandhi, Adarsh; Wohlfarth, Ariane; Klette, Kevin L; Martin, Thomas M; Huestis, Marilyn A

    2015-06-01

    Synthetic cannabinoid intake is an ongoing health issue worldwide, with new compounds continually emerging, making drug testing complex. Parent synthetic cannabinoids are rarely detected in urine, the most common matrix employed in workplace drug testing. Optimal identification of synthetic cannabinoid markers in authentic urine specimens and correlation of metabolite concentrations and toxicities would improve synthetic cannabinoid result interpretation. We screened 20 017 randomly collected US military urine specimens between July 2011 and June 2012 with a synthetic cannabinoid immunoassay yielding 1432 presumptive positive specimens. We analyzed all presumptive positive and 1069 negative specimens with our qualitative synthetic cannabinoid liquid chromatography-tandem mass spectrometry (LC-MS/MS) method, which confirmed 290 positive specimens. All 290 positive and 487 randomly selected negative specimens were quantified with the most comprehensive urine quantitative LC-MS/MS method published to date; 290 specimens confirmed positive for 22 metabolites from 11 parent synthetic cannabinoids. The five most predominant metabolites were JWH-018 pentanoic acid (93%), JWH-N-hydroxypentyl (84%), AM2201 N-hydroxypentyl (69%), JWH-073 butanoic acid (69%), and JWH-122 N-hydroxypentyl (45%) with 11.1 (0.1-2,434), 5.1 (0.1-1,239), 2.0 (0.1-321), 1.1 (0.1-48.6), and 1.1 (0.1-250) µg/L median (range) concentrations, respectively. Alkyl hydroxy and carboxy metabolites provided suitable biomarkers for 11 parent synthetic cannabinoids; although hydroxyindoles were also observed. This is by far the largest data set of synthetic cannabinoid metabolites urine concentrations from randomly collected workplace drug testing specimens rather than acute intoxications or driving under the influence of drugs. These data improve the interpretation of synthetic cannabinoid urine test results and suggest suitable urine markers of synthetic cannabinoid intake. This article is a U

  11. Random Gap Detection Test (RGDT) performance of individuals with central auditory processing disorders from 5 to 25 years of age.

    Science.gov (United States)

    Dias, Karin Ziliotto; Jutras, Benoît; Acrani, Isabela Olszanski; Pereira, Liliane Desgualdo

    2012-02-01

    The aim of the present study was to assess the auditory temporal resolution ability in individuals with central auditory processing disorders, to examine the maturation effect and to investigate the relationship between the performance on a temporal resolution test with the performance on other central auditory tests. Participants were divided in two groups: 131 with Central Auditory Processing Disorder and 94 with normal auditory processing. They had pure-tone air-conduction thresholds no poorer than 15 dB HL bilaterally, normal admittance measures and presence of acoustic reflexes. Also, they were assessed with a central auditory test battery. Participants who failed at least one or more tests were included in the Central Auditory Processing Disorder group and those in the control group obtained normal performance on all tests. Following the auditory processing assessment, the Random Gap Detection Test was administered to the participants. A three-way ANOVA was performed. Correlation analyses were also done between the four Random Gap Detection Test subtests data as well as between Random Gap Detection Test data and the other auditory processing test results. There was a significant difference between the age-group performances in children with and without Central Auditory Processing Disorder. Also, 48% of children with Central Auditory Processing Disorder failed the Random Gap Detection Test and the percentage decreased as a function of age. The highest percentage (86%) was found in the 5-6 year-old children. Furthermore, results revealed a strong significant correlation between the four Random Gap Detection Test subtests. There was a modest correlation between the Random Gap Detection Test results and the dichotic listening tests. No significant correlation was observed between the Random Gap Detection Test data and the results of the other tests in the battery. Random Gap Detection Test should not be administered to children younger than 7 years old because

  12. Study the Z-Plane Strip Capacitance

    Energy Technology Data Exchange (ETDEWEB)

    Parikh, H.; /Illinois U., Urbana; Swain, S.; /SLAC

    2005-12-15

    The BaBaR detector at the Stanford Linear Accelerator Center is currently undergoing an upgrade to improve its muon and neutral hadron detection system. The Resistive Plate Chambers (RPCs) that had been used till now have deteriorated in performance over the past few years and are being replaced by Limited Streamer Tube (LSTs). Each layer of the system consists of a set of up to 10 streamer tube modules which provide one coordinate ({phi} coordinate) and a single ''Z-plane'' which provides the Z coordinate of the hit. The large area Z-planes (up to 12m{sup 2}) are 1mm thick and contain 96 copper strips that detect the induced charge from avalanches created in the streamer tube wires. All the Z-planes needed for the upgrade have already been constructed, but only a third of the planes were installed last summer. After installing the 24 Z-planes last year, it was learned that 0.7% of the strips were dead when put inside the detector. This was mainly due to the delicate solder joint between the read-out cable and the strip, and since it is difficult to access or replace the Z-planes inside the detector, it is very important to perform various tests to make sure that the Z-planes will be efficient and effective in the long term. We measure the capacitance between the copper strips and the ground plane, and compare it to the theoretical value that we expect. Instead of measuring the capacitance channel by channel, which would be a very tedious job, we developed a more effective method of measuring the capacitance. Since all the Z-planes were built at SLAC, we also built a smaller 46 cm by 30 cm Z-plane with 12 strips just to see how they were constructed and to gain a better understanding about the solder joints.

  13. Patterns of Cancer Genetic Testing: A Randomized Survey of Oregon Clinicians

    Directory of Open Access Journals (Sweden)

    Summer L. Cox

    2012-01-01

    Full Text Available Introduction. Appropriate use of genetic tests for population-based cancer screening, diagnosis of inherited cancers, and guidance of cancer treatment can improve health outcomes. We investigated clinicians’ use and knowledge of eight breast, ovarian, and colorectal cancer genetic tests. Methods. We conducted a randomized survey of 2,191 Oregon providers, asking about their experience with fecal DNA, OncoVue, BRCA, MMR, CYP2D6, tumor gene expression profiling, UGT1A1, and KRAS. Results. Clinicians reported low confidence in their knowledge of medical genetics; most confident were OB-GYNs and specialists. Clinicians were more likely to have ordered/recommended BRCA and MMR than the other tests, and OB-GYNs were twice as likely to have ordered/recommended BRCA testing than primary care providers. Less than 10% of providers ordered/recommended OncoVue, fecal DNA, CYP2D6, or UGT1A1; less than 30% ordered/recommended tumor gene expression profiles or KRAS. The most common reason for not ordering/recommending these tests was lack of familiarity. Conclusions. Use of appropriate, evidence-based testing can help reduce incidence and mortality of certain cancers, but these tests need to be better integrated into clinical practice. Continued evaluation of emerging technologies, dissemination of findings, and an increase in provider confidence and knowledge are necessary to achieve this end.

  14. A global test for gene‐gene interactions based on random matrix theory

    Science.gov (United States)

    Amos, Christopher I.; Moore, Jason H.

    2016-01-01

    ABSTRACT Statistical interactions between markers of genetic variation, or gene‐gene interactions, are believed to play an important role in the etiology of many multifactorial diseases and other complex phenotypes. Unfortunately, detecting gene‐gene interactions is extremely challenging due to the large number of potential interactions and ambiguity regarding marker coding and interaction scale. For many data sets, there is insufficient statistical power to evaluate all candidate gene‐gene interactions. In these cases, a global test for gene‐gene interactions may be the best option. Global tests have much greater power relative to multiple individual interaction tests and can be used on subsets of the markers as an initial filter prior to testing for specific interactions. In this paper, we describe a novel global test for gene‐gene interactions, the global epistasis test (GET), that is based on results from random matrix theory. As we show via simulation studies based on previously proposed models for common diseases including rheumatoid arthritis, type 2 diabetes, and breast cancer, our proposed GET method has superior performance characteristics relative to existing global gene‐gene interaction tests. A glaucoma GWAS data set is used to demonstrate the practical utility of the GET method. PMID:27386793

  15. Embedded Platform for Automatic Testing and Optimizing of FPGA Based Cryptographic True Random Number Generators

    Directory of Open Access Journals (Sweden)

    M. Varchola

    2009-12-01

    Full Text Available This paper deals with an evaluation platform for cryptographic True Random Number Generators (TRNGs based on the hardware implementation of statistical tests for FPGAs. It was developed in order to provide an automatic tool that helps to speed up the TRNG design process and can provide new insights on the TRNG behavior as it will be shown on a particular example in the paper. It enables to test sufficient statistical properties of various TRNG designs under various working conditions on the fly. Moreover, the tests are suitable to be embedded into cryptographic hardware products in order to recognize TRNG output of weak quality and thus increase its robustness and reliability. Tests are fully compatible with the FIPS 140 standard and are implemented by the VHDL language as an IP-Core for vendor independent FPGAs. A recent Flash based Actel Fusion FPGA was chosen for preliminary experiments. The Actel version of the tests possesses an interface to the Actel’s CoreMP7 softcore processor that is fully compatible with the industry standard ARM7TDMI. Moreover, identical tests suite was implemented to the Xilinx Virtex 2 and 5 in order to compare the performance of the proposed solution with the performance of already published one based on the same FPGAs. It was achieved 25% and 65% greater clock frequency respectively while consuming almost equal resources of the Xilinx FPGAs. On the top of it, the proposed FIPS 140 architecture is capable of processing one random bit per one clock cycle which results in 311.5 Mbps throughput for Virtex 5 FPGA.

  16. The effect of financial incentives on chlamydia testing rates: Evidence from a randomized experiment☆

    Science.gov (United States)

    Dolan, Paul; Rudisill, Caroline

    2014-01-01

    Financial incentives have been used in a variety of settings to motivate behaviors that might not otherwise be undertaken. They have been highlighted as particularly useful in settings that require a single behavior, such as appointment attendance or vaccination. They also have differential effects based on socioeconomic status in some applications (e.g. smoking). To further investigate these claims, we tested the effect of providing different types of non-cash financial incentives on the return rates of chlamydia specimen samples amongst 16–24 year-olds in England. In 2011 and 2012, we ran a two-stage randomized experiment involving 2988 young people (1489 in Round 1 and 1499 in Round 2) who requested a chlamydia screening kit from Freetest.me, an online and text screening service run by Preventx Limited. Participants were randomized to control, or one of five types of financial incentives in Round 1 or one of four financial incentives in Round 2. We tested the effect of five types of incentives on specimen sample return; reward vouchers of differing values, charity donation, participation in a lottery, choices between a lottery and a voucher and including vouchers of differing values in the test kit prior to specimen return. Financial incentives of any type, did not make a significant difference in the likelihood of specimen return. The more deprived individuals were, as calculated using Index of Multiple Deprivation (IMD), the less likely they were to return a sample. The extent to which incentive structures influenced sample return was not moderated by IMD score. Non-cash financial incentives for chlamydia testing do not seem to affect the specimen return rate in a chlamydia screening program where test kits are requested online, mailed to requestors and returned by mail. They also do not appear more or less effective in influencing test return depending on deprivation level. PMID:24373390

  17. A randomized trial of urodynamic testing before stress-incontinence surgery.

    Science.gov (United States)

    Nager, Charles W; Brubaker, Linda; Litman, Heather J; Zyczynski, Halina M; Varner, R Edward; Amundsen, Cindy; Sirls, Larry T; Norton, Peggy A; Arisco, Amy M; Chai, Toby C; Zimmern, Philippe; Barber, Matthew D; Dandreo, Kimberly J; Menefee, Shawn A; Kenton, Kimberly; Lowder, Jerry; Richter, Holly E; Khandwala, Salil; Nygaard, Ingrid; Kraus, Stephen R; Johnson, Harry W; Lemack, Gary E; Mihova, Marina; Albo, Michael E; Mueller, Elizabeth; Sutkin, Gary; Wilson, Tracey S; Hsu, Yvonne; Rozanski, Thomas A; Rickey, Leslie M; Rahn, David; Tennstedt, Sharon; Kusek, John W; Gormley, E Ann

    2012-05-24

    Urodynamic studies are commonly performed in women before surgery for stress urinary incontinence, but there is no good evidence that they improve outcomes. We performed a multicenter, randomized, noninferiority trial involving women with uncomplicated, demonstrable stress urinary incontinence to compare outcomes after preoperative office evaluation and urodynamic tests or evaluation only. The primary outcome was treatment success at 12 months, defined as a reduction in the score on the Urogenital Distress Inventory of 70% or more and a response of "much better" or "very much better" on the Patient Global Impression of Improvement. The predetermined noninferiority margin was 11 percentage points. A total of 630 women were randomly assigned to undergo office evaluation with urodynamic tests or evaluation only (315 per group); the proportion in whom treatment was successful was 76.9% in the urodynamic-testing group versus 77.2% in the evaluation-only group (difference, -0.3 percentage points; 95% confidence interval, -7.5 to 6.9), which was consistent with noninferiority. There were no significant between-group differences in secondary measures of incontinence severity, quality of life, patient satisfaction, rates of positive provocative stress tests, voiding dysfunction, or adverse events. Women who underwent urodynamic tests were significantly less likely to receive a diagnosis of overactive bladder and more likely to receive a diagnosis of voiding-phase dysfunction, but these changes did not lead to significant between-group differences in treatment selection or outcomes. For women with uncomplicated, demonstrable stress urinary incontinence, preoperative office evaluation alone was not inferior to evaluation with urodynamic testing for outcomes at 1 year. (Funded by the National Institute of Diabetes and Digestive and Kidney Diseases and the Eunice Kennedy Shriver National Institute of Child Health and Human Development; ClinicalTrials.gov number, NCT00803959.).

  18. The effect of financial incentives on chlamydia testing rates: evidence from a randomized experiment.

    Science.gov (United States)

    Dolan, Paul; Rudisill, Caroline

    2014-03-01

    Financial incentives have been used in a variety of settings to motivate behaviors that might not otherwise be undertaken. They have been highlighted as particularly useful in settings that require a single behavior, such as appointment attendance or vaccination. They also have differential effects based on socioeconomic status in some applications (e.g. smoking). To further investigate these claims, we tested the effect of providing different types of non-cash financial incentives on the return rates of chlamydia specimen samples amongst 16-24 year-olds in England. In 2011 and 2012, we ran a two-stage randomized experiment involving 2988 young people (1489 in Round 1 and 1499 in Round 2) who requested a chlamydia screening kit from Freetest.me, an online and text screening service run by Preventx Limited. Participants were randomized to control, or one of five types of financial incentives in Round 1 or one of four financial incentives in Round 2. We tested the effect of five types of incentives on specimen sample return; reward vouchers of differing values, charity donation, participation in a lottery, choices between a lottery and a voucher and including vouchers of differing values in the test kit prior to specimen return. Financial incentives of any type, did not make a significant difference in the likelihood of specimen return. The more deprived individuals were, as calculated using Index of Multiple Deprivation (IMD), the less likely they were to return a sample. The extent to which incentive structures influenced sample return was not moderated by IMD score. Non-cash financial incentives for chlamydia testing do not seem to affect the specimen return rate in a chlamydia screening program where test kits are requested online, mailed to requestors and returned by mail. They also do not appear more or less effective in influencing test return depending on deprivation level. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. A Permutation-Randomization Approach to Test the Spatial Distribution of Plant Diseases.

    Science.gov (United States)

    Lione, G; Gonthier, P

    2016-01-01

    The analysis of the spatial distribution of plant diseases requires the availability of trustworthy geostatistical methods. The mean distance tests (MDT) are here proposed as a series of permutation and randomization tests to assess the spatial distribution of plant diseases when the variable of phytopathological interest is categorical. A user-friendly software to perform the tests is provided. Estimates of power and type I error, obtained with Monte Carlo simulations, showed the reliability of the MDT (power > 0.80; type I error pathogens causing root rot on conifers was successfully performed by verifying the consistency between the MDT responses and previously published data. An application of the MDT was carried out to analyze the relation between the plantation density and the distribution of the infection of Gnomoniopsis castanea, an emerging fungal pathogen causing nut rot on sweet chestnut. Trees carrying nuts infected by the pathogen were randomly distributed in areas with different plantation densities, suggesting that the distribution of G. castanea was not related to the plantation density. The MDT could be used to analyze the spatial distribution of plant diseases both in agricultural and natural ecosystems.

  20. Shaker Random Testing with Low Kurtosis: Review of the Methods and Application for Sigma Limiting

    Directory of Open Access Journals (Sweden)

    Alexander Steinwolf

    2010-01-01

    Full Text Available The non-Gaussian random shaker testing with kurtosis control has been known as a way of increasing the excitation crest factor in order to realistically simulate ground vehicle vibrations and other situations when the time history includes extreme peaks higher than those appearing in Gaussian random signals. However, an opposite action is also useful in other applications, particularly in modal testing. If the PSD is the only test specification, more power can be extracted from the same shaker if the crest factor is decreased and an extra space is created between the peaks of reduced height and the system abort limit. To achieve this, a technique of sigma clipping is commonly used but it generates harmonic distortions reducing dynamic range of shaker system. It is shown in the paper that the non-Gaussian phase selection in the IFFT generation can reduce kurtosis to 1.7 and bring the crest factor of drive signals from 4.5 to 2. The phase selection method does this without any loss of the controller's dynamic range that inevitably occurs after sigma clipping or polynomial transformation of time histories.

  1. Selection of locations of knots for linear splines in random regression test-day models.

    Science.gov (United States)

    Jamrozik, J; Bohmanova, J; Schaeffer, L R

    2010-04-01

    Using spline functions (segmented polynomials) in regression models requires the knowledge of the location of the knots. Knots are the points at which independent linear segments are connected. Optimal positions of knots for linear splines of different orders were determined in this study for different scenarios, using existing estimates of covariance functions and an optimization algorithm. The traits considered were test-day milk, fat and protein yields, and somatic cell score (SCS) in the first three lactations of Canadian Holsteins. Two ranges of days in milk (from 5 to 305 and from 5 to 365) were taken into account. In addition, four different populations of Holstein cows, from Australia, Canada, Italy and New Zealand, were examined with respect to first lactation (305 days) milk only. The estimates of genetic and permanent environmental covariance functions were based on single- and multiple-trait test-day models, with Legendre polynomials of order 4 as random regressions. A differential evolution algorithm was applied to find the best location of knots for splines of orders 4 to 7 and the criterion for optimization was the goodness-of-fit of the spline covariance function. Results indicated that the optimal position of knots for linear splines differed between genetic and permanent environmental effects, as well as between traits and lactations. Different populations also exhibited different patterns of optimal knot locations. With linear splines, different positions of knots should therefore be used for different effects and traits in random regression test-day models when analysing milk production traits.

  2. Test-Enhanced E-Learning Strategies in Postgraduate Medical Education: A Randomized Cohort Study.

    Science.gov (United States)

    DelSignore, Lisa A; Wolbrink, Traci A; Zurakowski, David; Burns, Jeffrey P

    2016-11-21

    The optimal design of pedagogical strategies for e-learning in graduate and postgraduate medical education remains to be determined. Video-based e-learning use is increasing, with initial research suggesting that taking short breaks while watching videos (independent of answering test questions) may improve learning by focusing attention on the content presented. Interspersed test questions may also improve knowledge acquisition and retention. To examine the effect of interspersed test questions and periodic breaks on immediate knowledge acquisition and retention at 6 months by pediatric residents engaged in video-based e-learning. First- and second-year pediatric residents were randomized to 1 of the following 3 groups: viewing the complete video uninterrupted (full video), viewing the video interrupted with unrelated logic puzzles (logic puzzles), or viewing the video interrupted with brief comprehension test questions (short answer questions). Residents answered pre- and post-tests before and after video viewing, followed by a retention test at 6 months. Primary outcome included comparison of the change in test scores between groups. A total of 49 residents completed the initial testing session. All 3 learning groups had comparable mean increases in immediate knowledge gain, but with no significant differences between groups (F2,46=0.35, P=.71). Thirty-five residents completed retention testing with comparable degrees of knowledge retention in the full video and short answer test questions groups (P<.001), but no significant change in the logic puzzles group (F1,32=2.44, P=.13). Improved knowledge gain was not demonstrated among residents answering interspersed questions or completing logic puzzles during interrupted online video viewing when compared with residents viewing uninterrupted video content. However, residents who either participated in uninterrupted video viewing or answered interspersed questions during interrupted video viewing demonstrated

  3. TESTING BRAND VALUE MEASUREMENT METHODS IN A RANDOM COEFFICIENT MODELING FRAMEWORK

    Directory of Open Access Journals (Sweden)

    Szõcs Attila

    2014-07-01

    Full Text Available Our objective is to provide a framework for measuring brand equity, that is, the added value to the product endowed by the brand. Based on a demand and supply model, we propose a structural model that enables testing the structural effect of brand equity (demand side effect on brand value (supply side effect, using Monte Carlo simulation. Our main research question is which of the three brand value measurement methods (price premium, revenue premium and profit premium is more suitable from the perspective of the structural link between brand equity and brand value. Our model is based on recent developments in random coefficients model applications.

  4. BKP plane partitions

    Energy Technology Data Exchange (ETDEWEB)

    Foda, Omar; Wheeler, Michael [Department of Mathematics and Statistics, University of Melbourne, Parkville, Victoria 3010 (Australia)

    2007-01-15

    Using BKP neutral fermions, we derive a product expression for the generating function of volume-weighted plane partitions that satisfy two conditions. If we call a set of adjacent equal height-h columns, h > 0, an h-path, then 1. Every h-path can assume one of two possible colours. 2. There is a unique way to move along an h-path from any column to another.

  5. Comparing cost effects of two quality strategies to improve test ordering in primary care: a randomized trial.

    NARCIS (Netherlands)

    Verstappen, W.H.; Merode, F. van; Grimshaw, J.; Dubois, W.; Grol, R.P.T.M.; Weijden, T. van der

    2004-01-01

    OBJECTIVE: To determine the costs and cost reductions of an innovative strategy aimed at improving test ordering routines of primary care physicians, compared with a traditional strategy. DESIGN: Multicenter randomized controlled trial with randomization at the local primary care physicians group

  6. A Cluster Randomized Controlled Trial Testing the Effectiveness of Houvast: A Strengths-Based Intervention for Homeless Young Adults

    Science.gov (United States)

    Krabbenborg, Manon A. M.; Boersma, Sandra N.; van der Veld, William M.; van Hulst, Bente; Vollebergh, Wilma A. M.; Wolf, Judith R. L. M.

    2017-01-01

    Objective: To test the effectiveness of Houvast: a strengths-based intervention for homeless young adults. Method: A cluster randomized controlled trial was conducted with 10 Dutch shelter facilities randomly allocated to an intervention and a control group. Homeless young adults were interviewed when entering the facility and when care ended.…

  7. Testing in a Random Effects Panel Data Model with Spatially Correlated Error Components and Spatially Lagged Dependent Variables

    Directory of Open Access Journals (Sweden)

    Ming He

    2015-11-01

    Full Text Available We propose a random effects panel data model with both spatially correlated error components and spatially lagged dependent variables. We focus on diagnostic testing procedures and derive Lagrange multiplier (LM test statistics for a variety of hypotheses within this model. We first construct the joint LM test for both the individual random effects and the two spatial effects (spatial error correlation and spatial lag dependence. We then provide LM tests for the individual random effects and for the two spatial effects separately. In addition, in order to guard against local model misspecification, we derive locally adjusted (robust LM tests based on the Bera and Yoon principle (Bera and Yoon, 1993. We conduct a small Monte Carlo simulation to show the good finite sample performances of these LM test statistics and revisit the cigarette demand example in Baltagi and Levin (1992 to illustrate our testing procedures.

  8. A randomized trial to test the effectiveness of art therapy for children with asthma.

    Science.gov (United States)

    Beebe, Anya; Gelfand, Erwin W; Bender, Bruce

    2010-08-01

    Art therapy has been used to help children cope with chronic illness but has not been specifically tested with children who have asthma. To test an art therapy intervention in a randomized controlled trial in children with asthma. Twenty-two children with asthma were randomized to an active art therapy or wait-list control group. Those in the active art therapy group participated in 60-minute art therapy sessions once a week for 7 weeks. Sessions included specific art therapy tasks designed to encourage expression, discussion, and problem-solving in response to the emotional burden of chronic illness. Measures taken at baseline, immediately after, and 6 months after the final art therapy session included the Formal Elements Art Therapy Scale applied to the Person Picking an Apple from a Tree assessment, the parent and child versions of the Pediatric Quality of Life Asthma Module, and the Beck Youth Inventories. Those children assigned to the wait-list control group completed all evaluations at the same intervals as the children receiving art therapy but did not receive the art therapy interventions. Score changes from baseline to completion of art therapy indicated (1) improved problem-solving and affect drawing scores; (2) improved worry, communication, and total quality of life scores; and (3) improved Beck anxiety and self concept scores in the active group relative to the control group. At 6 months, the active group maintained some positive changes relative to the control group including (1) drawing affect scores, (2) the worry and quality of life scores, and (3) the Beck anxiety score. Frequency of asthma exacerbations before and after the 6-month study interval did not differ between the 2 groups. This was the first randomized trial demonstrating that children with asthma receive benefit from art therapy that includes decreased anxiety and increased quality of life. Copyright 2010 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All

  9. Comparative analysis of computerized random-dot stereogram in stereopsis and TNO test on postcataract patients

    Directory of Open Access Journals (Sweden)

    Qiang Wang

    2015-06-01

    Full Text Available AIM:To compare the inspection result of computerized random-dot stereotest(CRDSwith TNO test and to study the clinical value of CRDS.METHODS: Seventy-eight patients who received bilateral phacoemulsification from Januray, 2011 to June, 2011 were involved. The operations were performed by the same surgeon. Three months after the operation, CRDS and TNO test were used to evaluate the patients' stereopsis respectively. The inspection results of the two methods were compared.RESULTS:All patients presented stereoscopic vision. There were 26 patients with foveal stereoacuity, 14 with macular stereoscopic vision and 38 with peripheral stereovision measured with CRDS, while it was 24, 11, 43 measured with TNO test. There were 32 patients with normal stereopsis, 46 patients with abnormal stereopsis and 35 patients with normal stereopsis, 43 patients with abnormal stereopsis respectively measured with CRDS and TNO test. No significant differences were found between the two methods.CONCLUSION: The inspection result of CRDS has a high coherence with that of TNO test. It suggests that the CRDS is a reliable method for stereoaeuity evaluation in post-operative patients.

  10. Skin sensitivity to rocuronium and vecuronium: a randomized controlled prick-testing study in healthy volunteers.

    Science.gov (United States)

    Dhonneur, Gilles; Combes, Xavier; Chassard, Didier; Merle, Jean Claude

    2004-04-01

    Prick tests are frequently used for the authentication of neuromuscular blocking drugs (NMBDs) as causative drugs for anaphylactic reactions during anesthesia. Unfortunately, the actual threshold concentration for skin testing remains debatable for most NMBDs. We studied the flare and wheal responses to prick tests with rocuronium and vecuronium. Thirty healthy, nonatopic, anesthesia-naive male and female volunteers (14 men and 16 women) from 18 to 40 yr of age were assigned randomly to receive a total of 10 prick tests-4 ascending dilutions (1:1000, 1:100, 1:10, and 1) of rocuronium and vecuronium and 2 controls-on both forearms. An assessor blinded to the assignment monitored systemic and skin responses to NMBDs and measured wheal and flare surfaces immediately after and 15 min after prick tests. None of the volunteers experienced any immediate systemic or cutaneous responses to rocuronium or vecuronium. Although a dilution of 1:1000 of both NMBDs failed to promote any skin response at 15 min, 50% and 40% of the subjects had a positive skin reaction to undiluted rocuronium and vecuronium, respectively. We demonstrated a sex effect related to smaller threshold concentration-induced cutaneous reactions in female volunteers to both muscle relaxants. Our observation questions the reliability of prick testing with undiluted solutions of rocuronium and vecuronium for the diagnosis of allergy. Building concentration-skin response curves to prick tests with rocuronium and vecuronium in healthy, nonatopic, anesthesia-naive male and female volunteers demonstrated that the nonreactive concentration for both muscle relaxants is the 1:1000 dilution of the stock solutions. Our observation calls into question the past practice of prick-testing skin for sensitivity to neuromuscular blocking drugs by using undiluted solutions.

  11. 77 FR 72905 - Pipeline Safety: Random Drug Testing Rate; Contractor MIS Reporting; and Obtaining DAMIS Sign-In...

    Science.gov (United States)

    2012-12-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration Pipeline Safety: Random Drug Testing Rate; Contractor MIS Reporting; and Obtaining DAMIS Sign-In Information AGENCY: Pipeline and Hazardous Materials...

  12. Effects of a web-based decision aid regarding diagnostic self-testing. A single-blind randomized controlled trial

    NARCIS (Netherlands)

    Ickenroth, M.H.; Grispen, J.E.; Vries, N.K. de; Dinant, G.J.; Ronda, G.; Weijden, T.T. van der

    2016-01-01

    Currently, there are many diagnostic self-tests on body materials available to consumers. The aim of this study was to assess the effect of an online decision aid on diagnostic self-testing for cholesterol and diabetes on knowledge among consumers with an intention to take these tests. A randomized

  13. Polymers confined between two parallel plane walls

    Science.gov (United States)

    Hsu, Hsiao-Ping; Grassberger, Peter

    2004-01-01

    Single three-dimensional polymers confined to a slab, i.e., to the region between two parallel plane walls, are studied by Monte Carlo simulations. They are described by N-step walks on a simple cubic lattice confined to the region 1⩽z⩽D. The simulations cover both regions D≪RF and D≫RF (where RF˜Nν is the Flory radius, with ν≈0.587), as well as the cross-over region in between. Chain lengths are up to N=80 000, slab widths up to D=120. In order to test the analysis program and to check for finite size corrections, we actually studied three different models: (a) ordinary random walks (mimicking Θ polymers); (b) self-avoiding walks; and (c) Domb-Joyce walks with the self-repulsion tuned to the point where finite size corrections for free (unrestricted) chains are minimal. For the simulations we employ the pruned-enriched-Rosenbluth method with Markovian anticipation. In addition to the partition sum (which gives us a direct estimate of the forces exerted onto the walls), we measure the density profiles of monomers and of end points transverse to the slab, and the radial extent of the chain parallel to the walls. All scaling laws and some of the universal amplitude ratios are compared to theoretical predictions.

  14. Cluster randomized trials in comparative effectiveness research: randomizing hospitals to test methods for prevention of healthcare-associated infections.

    Science.gov (United States)

    Platt, Richard; Takvorian, Samuel U; Septimus, Edward; Hickok, Jason; Moody, Julia; Perlin, Jonathan; Jernigan, John A; Kleinman, Ken; Huang, Susan S

    2010-06-01

    The need for evidence about the effectiveness of therapeutics and other medical practices has triggered new interest in methods for comparative effectiveness research. Describe an approach to comparative effectiveness research involving cluster randomized trials in networks of hospitals, health plans, or medical practices with centralized administrative and informatics capabilities. We discuss the example of an ongoing cluster randomized trial to prevent methicillin-resistant Staphylococcus aureus (MRSA) infection in intensive care units (ICUs). The trial randomizes 45 hospitals to: (a) screening cultures of ICU admissions, followed by Contact Precautions if MRSA-positive, (b) screening cultures of ICU admissions followed by decolonization if MRSA-positive, or (c) universal decolonization of ICU admissions without screening. All admissions to adult ICUs. The primary outcome is MRSA-positive clinical cultures occurring >or=2 days following ICU admission. Secondary outcomes include blood and urine infection caused by MRSA (and, separately, all pathogens), as well as the development of resistance to decolonizing agents. Recruitment of hospitals is complete. Data collection will end in Summer 2011. This trial takes advantage of existing personnel, procedures, infrastructure, and information systems in a large integrated hospital network to conduct a low-cost evaluation of prevention strategies under usual practice conditions. This approach is applicable to many comparative effectiveness topics in both inpatient and ambulatory settings.

  15. Perceptions of genetic testing for personalized nutrition: a randomized trial of DNA-based dietary advice.

    Science.gov (United States)

    Nielsen, Daiva E; Shih, Sarah; El-Sohemy, Ahmed

    2014-01-01

    Direct-to-consumer (DTC) genetic tests have facilitated easy access to personal genetic information related to health and nutrition; however, consumer perceptions of the nutritional information provided by these tests have not been evaluated. The objectives of this study were to assess individual perceptions of personalized nutrition and genetic testing and to determine whether a personalized nutrition intervention modifies perceptions. A double-blind, parallel-group, randomized controlled trial was conducted among healthy men and women aged 20-35 years (n = 138). Participants in the intervention group (n = 92) were given a report of DNA-based dietary advice and those in the control group (n = 46) were given a general dietary advice report. A survey was completed at baseline and 3 and 12 months after distributing the reports to assess perceptions between the two groups. No significant differences in perceptions of personalized nutrition and genetic testing were observed between the intervention and control group, so responses of both groups were combined. As compared to baseline, participant responses increased significantly toward the positive end of a Likert scale at 3 months for the statement 'I am interested in the relationship between diet and genetics' (mean change ± SD: 0.28 ± 0.99, p = 0.0002). The majority of participants indicated that a university research lab (47%) or health care professional (41%) were the best sources for obtaining accurate personal genetic information, while a DTC genetic testing company received the fewest selections (12%). Most participants (56%) considered dietitians to be the best source of personalized nutrition followed by medical doctors (27%), naturopaths (8%) and nurses (6%). These results suggest that perceptions of personalized nutrition changed over the course of the intervention. Individuals view a research lab or health care professional as better providers of genetic information than a DTC genetic testing company

  16. The OBS control plane

    DEFF Research Database (Denmark)

    Manolova, Anna Vasileva; Ruepp, Sarah Renée

    2010-01-01

    Optical Burst Switching and Generalized Multi-Protocol Label Switching have been around for more than a decade now. The topic of their integration received a fair amount of research interest. This article reviews the main proposed architectures so far and outlines their advantages and drawbacks....... The applicability analysis carried out here focuses on the actual feasibility of the integration and the potential trade-offs which appear when two contradicting principles are combined. Taking advantage of the flexibility of the GMPLS control plane does not seem to be as easy and as straightforward as expected...

  17. Mode shape expansions for the dynamic testing of cable domes considering random pretension deviations

    Science.gov (United States)

    Wu, Xiaoshun; Deng, Hua; Zhu, Dexi

    2017-04-01

    Cable domes maintain their structural stability and deformation resistance substantially depending on the geometrical stiffness contributed by pretension. Dynamic testing can be employed to monitor the possible stiffness degeneration caused by pretension deviations in existing cable domes. The measured incomplete mode shapes should be expanded for effectively evaluating the actual structural stiffness. However, conventional methods lose effectiveness for expanding mode shapes of cable domes whose modes are sensitive to the pretension deviations. A novel method is developed in this paper to expand the incomplete mode shapes of existing cable domes with random pretension deviations. For a monitored target mode of the existing structure, its mode shape can be approximately expressed as a linear combination of a few mode shapes of the ideal structure. Once their combinational coefficients are determined based on the measured incomplete mode shape, the expansion of this target mode is achieved. Two key steps are included: the determination of these so-called contribution modes and the estimation of their combinational coefficients. For the prescribed limit values of equivalent member length errors adopted to simulate random pretension deviations, contribution modes can be determined by considering the mode shape variations and mode jumpings. A proposed contribution mode effective independence (CMEI) method is further put forward to obtain the best estimate of combinational coefficients and the optimal layout of sensors. The numerical example of a cable dome illustrates the invalidation of the conventional expansion methods when random pretension deviations are considered. In contrast, the method proposed in this paper is validated to be effective and reliable even in the cases of severe modal variations and high noise levels.

  18. Testing the Predictions of Random Matrix Theory in Low Loss Wave Chaotic Scattering Systems

    Science.gov (United States)

    Yeh, Jen-Hao; Antonsen, Thomas; Ott, Edward; Anlage, Steven

    2013-03-01

    Wave chaos is a field where researchers apply random matrix theory (RMT) to predict the statistics of wave properties in complicated wave scattering systems. The RMT predictions have successfully demonstrated universality of the distributions of these wave properties, which only depend on the loss parameter of the system and the physical symmetry. Examination of these predictions in very low loss systems is interesting because extreme limits for the distribution functions and other predictions are encountered. Therefore, we use a wave-chaotic superconducting cavity to establish a low loss environment and test RMT predictions, including the statistics of the scattering (S) matrix and the impedance (Z) matrix, the universality (or lack thereof) of the Z- and S-variance ratios, and the statistics of the proper delay times of the Wigner-Smith time-delay matrix. We have applied an in-situ microwave calibration method (Thru-Reflection-Line method) to calibrate the cryostat system, and we also applied the random coupling model to remove the system-specific features. Our experimental results of different properties agree with the RMT predictions. This work is funded by the ONR/Maryland AppEl Center Task A2 (contract No. N000140911190), the AFOSR under grant FA95500710049, and Center for Nanophysics and Advanced Materials.

  19. On Generating Optimal Signal Probabilities for Random Tests: A Genetic Approach

    Directory of Open Access Journals (Sweden)

    M. Srinivas

    1996-01-01

    Full Text Available Genetic Algorithms are robust search and optimization techniques. A Genetic Algorithm based approach for determining the optimal input distributions for generating random test vectors is proposed in the paper. A cost function based on the COP testability measure for determining the efficacy of the input distributions is discussed. A brief overview of Genetic Algorithms (GAs and the specific details of our implementation are described. Experimental results based on ISCAS-85 benchmark circuits are presented. The performance of our GAbased approach is compared with previous results. While the GA generates more efficient input distributions than the previous methods which are based on gradient descent search, the overheads of the GA in computing the input distributions are larger.

  20. Estimating a DIF decomposition model using a random-weights linear logistic test model approach.

    Science.gov (United States)

    Paek, Insu; Fukuhara, Hirotaka

    2015-09-01

    A differential item functioning (DIF) decomposition model separates a testlet item DIF into two sources: item-specific differential functioning and testlet-specific differential functioning. This article provides an alternative model-building framework and estimation approach for a DIF decomposition model that was proposed by Beretvas and Walker (2012). Although their model is formulated under multilevel modeling with the restricted pseudolikelihood estimation method, our approach illustrates DIF decomposition modeling that is directly built upon the random-weights linear logistic test model framework with the marginal maximum likelihood estimation method. In addition to demonstrating our approach's performance, we provide detailed information on how to implement this new DIF decomposition model using an item response theory software program; using DIF decomposition may be challenging for practitioners, yet practical information on how to implement it has previously been unavailable in the measurement literature.

  1. Aging effect on Executive Control in the Random Number Generation Test

    Directory of Open Access Journals (Sweden)

    Amer Cavalheiro Hamdan

    2006-12-01

    Full Text Available The decline of abilities related to Executive Control –EC with aging has been related with the Pre-Frontal System neurobiological aging. This study compared the score obtained in the Random Number Generation Test (RNG by two groups: 30 college students (older than 18 and 36 elderly (older than 60. This last group was divided according to the criteria of schooling in up to 8 years of schooling and over 8 years of schooling. The results show that the younger participants scored 0,344 ± 0,04 in the RNG test; the elderly with up to 8 years of schooling punctuated 0,432 ± 0,10 and that those who studied for 9 years or more reached a mean of 0,393 ± 0,05. The statistical analysis of these data suggest that the elderly performance in the RNG test (0,420 ± 0,09 was significantly worse when compared to the performance of the younger participants (t (64 = -3,9927; p = 0,0001, which confirms that the manipulation and inhibitory control abilities of information are decreased in older people, probably due to the natural aging process of the Frontal Cortex. Keywords: neuropsychology; aging; executive functions.

  2. Testing concordance of instrumental variable effects in generalized linear models with application to Mendelian randomization

    Science.gov (United States)

    Dai, James Y.; Chan, Kwun Chuen Gary; Hsu, Li

    2014-01-01

    Instrumental variable regression is one way to overcome unmeasured confounding and estimate causal effect in observational studies. Built on structural mean models, there has been considerale work recently developed for consistent estimation of causal relative risk and causal odds ratio. Such models can sometimes suffer from identification issues for weak instruments. This hampered the applicability of Mendelian randomization analysis in genetic epidemiology. When there are multiple genetic variants available as instrumental variables, and causal effect is defined in a generalized linear model in the presence of unmeasured confounders, we propose to test concordance between instrumental variable effects on the intermediate exposure and instrumental variable effects on the disease outcome, as a means to test the causal effect. We show that a class of generalized least squares estimators provide valid and consistent tests of causality. For causal effect of a continuous exposure on a dichotomous outcome in logistic models, the proposed estimators are shown to be asymptotically conservative. When the disease outcome is rare, such estimators are consistent due to the log-linear approximation of the logistic function. Optimality of such estimators relative to the well-known two-stage least squares estimator and the double-logistic structural mean model is further discussed. PMID:24863158

  3. Increased statistical power with combined independent randomization tests used with multiple-baseline design.

    Science.gov (United States)

    Tyrrell, Pascal N; Corey, Paul N; Feldman, Brian M; Silverman, Earl D

    2013-06-01

    Physicians often assess the effectiveness of treatments on a small number of patients. Multiple-baseline designs (MBDs), based on the Wampold-Worsham (WW) method of randomization and applied to four subjects, have relatively low power. Our objective was to propose another approach with greater power that does not suffer from the time requirements of the WW method applied to a greater number of subjects. The power of a design that involves the combination of two four-subject MBDs was estimated using computer simulation and compared with the four- and eight-subject designs. The effect of a delayed linear response to treatment on the power of the test was also investigated. Power was found to be adequate (>80%) for a standardized mean difference (SMD) greater than 0.8. The effect size associated with 80% power from combined tests was smaller than that of the single four-subject MBD (SMD=1.3) and comparable with the eight-subject MBD (SMD=0.6). A delayed linear response to the treatment resulted in important reductions in power (20-35%). By combining two four-subject MBD tests, an investigator can detect better effect sizes (SMD=0.8) and be able to complete a comparatively timelier and feasible study. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. A Comparison of Random Normal Scores Test under the F and Chi-Square Distributions to the 2x2x2 ANOVA Test.

    Science.gov (United States)

    Sawilowsky, Shlomo

    1985-01-01

    The Random Normal Scores Test (RNST) has been suggested as a powerful alternative to the use of the parametric analysis of variance (ANOVA) test when the underlying population is non-normally distributed. The major support for this suggestion rests on asymptotic theory. An empirical analysis of the RNST performed under the F and Chi-square…

  5. Glucose test provenance recording in UK primary care: was that fasted or random?

    Science.gov (United States)

    McGovern, A P; Fieldhouse, H; Tippu, Z; Jones, S; Munro, N; de Lusignan, S

    2017-01-01

    To describe the proportion of glucose tests with unrecorded provenance in routine primary care data and identify the impact on clinical practice. A cross-sectional analysis was conducted of blood glucose measurements from the Royal College of General Practitioner Research and Surveillance Centre database, which includes primary care records from >100 practices across England and Wales. All blood glucose results recorded during 2013 were identified. Tests were grouped by provenance (fasting, oral glucose tolerance test, random, none specified and other). A clinical audit in a single primary care practice was also performed to identify the impact of failing to record glucose provenance on diabetes diagnosis. A total of 2 137 098 people were included in the cross-sectional analysis. Of 203 350 recorded glucose measurements the majority (117 893; 58%) did not have any provenance information. The most commonly reported provenance was fasting glucose (75 044; 37%). The distribution of glucose values where provenance was not recorded was most similar to that of fasting samples. The glucose measurements of 256 people with diabetes in the audit practice (size 11 514 people) were analysed. The initial glucose measurement had no provenance information in 164 cases (64.1%). A clinician questioned the provenance of a result in 41 cases (16.0%); of these, 14 (34.1%) required repeating. Lack of provenance led to delays in the diagnosis of diabetes [median (range) 30 (3-614) days]. The recording of glucose provenance in UK primary care could be improved. Failure to record provenance causes unnecessary repeated testing, delayed diagnosis and wasted clinician time. © 2016 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.

  6. The Accuracy of Pass/Fail Decisions in Random and Difficulty-Balanced Domain-Sampling Tests.

    Science.gov (United States)

    Schnipke, Deborah L.

    A common practice in some certification fields (e.g., information technology) is to draw items from an item pool randomly and apply a common passing score, regardless of the items administered. Because these tests are commonly used, it is important to determine how accurate the pass/fail decisions are for such tests and whether fairly small,…

  7. Research on the Random Shock Vibration Test Based on the Filter-X LMS Adaptive Inverse Control Algorithm

    Directory of Open Access Journals (Sweden)

    Wang Wei

    2016-01-01

    Full Text Available The related theory and algorithm of adaptive inverse control were presented through the research which pointed out the adaptive inverse control strategy could effectively eliminate the noise influence on the system control. Proposed using a frequency domain filter-X LMS adaptive inverse control algorithm, and the control algorithm was applied to the two-exciter hydraulic vibration test system of random shock vibration control process and summarized the process of the adaptive inverse control strategies in the realization of the random shock vibration test. The self-closed-loop and field test show that using the frequency-domain filter-X LMS adaptive inverse control algorithm can realize high precision control of random shock vibration test.

  8. Predictive value of testing random urine sample to detect microalbuminuria in diabetic subjects during outpatient visit.

    Science.gov (United States)

    Bouhanick, B; Berrut, G; Chameau, A M; Hallar, M; Bled, F; Chevet, B; Vergely, J; Rohmer, V; Fressinaud, P; Marre, M

    1992-01-01

    The predictive value of random urine sample during outpatient visit to predict persistent microalbuminuria was studied in 76 Type 1, insulin-dependent diabetic subjects, 61 Type 2, non-insulin-dependent diabetic subjects, and 72 Type 2, insulin-treated diabetic subjects. Seventy-six patients attended outpatient clinic during morning, and 133 during afternoon. Microalbuminuria was suspected if Urinary Albumin Excretion (UAE) exceeded 20 mg/l. All patients were hospitalized within 6 months following outpatient visit, and persistent microalbuminuria was assessed then if UAE was between 30 and 300 mg/24 h on 2-3 occasions in 3 urines samples. Of these 209 subjects eighty-three were also screened with Microbumintest (Ames-Bayer), a semi-quantitative method. Among the 209 subjects, 71 were positive both for microalbuminuria during outpatient visit and a persistent microalbuminuria during hospitalization: sensitivity 91.0%, specificity 83.2%, concordance 86.1%, and positive predictive value 76.3% (chi-squared test: 191; p less than 10(-4)). Data were not different for subjects examined on morning, or on afternoon. Among the 83 subjects also screened with Microbumintest, 22 displayed both a positive reaction and a persistent microalbuminuria: sensitivity 76%, specificity 81%, concordance 80%, and positive predictive value 69% (chi-squared test: 126; p less than 10(-4)). Both types of screening appeared equally effective during outpatient visit. Hence, a persistent microalbuminuria can be predicted during an outpatient visit in a diabetic clinic.

  9. Massive-Scale Gene Co-Expression Network Construction and Robustness Testing Using Random Matrix Theory

    Science.gov (United States)

    Isaacson, Sven; Luo, Feng; Feltus, Frank A.; Smith, Melissa C.

    2013-01-01

    The study of gene relationships and their effect on biological function and phenotype is a focal point in systems biology. Gene co-expression networks built using microarray expression profiles are one technique for discovering and interpreting gene relationships. A knowledge-independent thresholding technique, such as Random Matrix Theory (RMT), is useful for identifying meaningful relationships. Highly connected genes in the thresholded network are then grouped into modules that provide insight into their collective functionality. While it has been shown that co-expression networks are biologically relevant, it has not been determined to what extent any given network is functionally robust given perturbations in the input sample set. For such a test, hundreds of networks are needed and hence a tool to rapidly construct these networks. To examine functional robustness of networks with varying input, we enhanced an existing RMT implementation for improved scalability and tested functional robustness of human (Homo sapiens), rice (Oryza sativa) and budding yeast (Saccharomyces cerevisiae). We demonstrate dramatic decrease in network construction time and computational requirements and show that despite some variation in global properties between networks, functional similarity remains high. Moreover, the biological function captured by co-expression networks thresholded by RMT is highly robust. PMID:23409071

  10. Comparison of the commercial color LCD and the medical monochrome LCD using randomized object test patterns.

    Science.gov (United States)

    Wu, Jay; Wu, Tung H; Han, Rou P; Chang, Shu J; Shih, Cheng T; Sun, Jing Y; Hsu, Shih M

    2012-01-01

    Workstations and electronic display devices in a picture archiving and communication system (PACS) provide a convenient and efficient platform for medical diagnosis. The performance of display devices has to be verified to ensure that image quality is not degraded. In this study, we designed a set of randomized object test patterns (ROTPs) consisting of randomly located spheres with various image characteristics to evaluate the performance of a 2.5 mega-pixel (MP) commercial color LCD and a 3 MP diagnostic monochrome LCD in several aspects, including the contrast, resolution, point spread effect, and noise. The ROTPs were then merged into 120 abdominal CT images. Five radiologists were invited to review the CT images, and receiver operating characteristic (ROC) analysis was carried out using a five-point rating scale. In the high background patterns of ROTPs, the sensitivity performance was comparable between both monitors in terms of contrast and resolution, whereas, in the low background patterns, the performance of the commercial color LCD was significantly poorer than that of the diagnostic monochrome LCD in all aspects. The average area under the ROC curve (AUC) for reviewing abdominal CT images was 0.717±0.0200 and 0.740±0.0195 for the color monitor and the diagnostic monitor, respectively. The observation time (OT) was 145±27.6 min and 127±19.3 min, respectively. No significant differences appeared in AUC (p = 0.265) and OT (p = 0.07). The overall results indicate that ROTPs can be implemented as a quality control tool to evaluate the intrinsic characteristics of display devices. Although there is still a gap in technology between different types of LCDs, commercial color LCDs could replace diagnostic monochrome LCDs as a platform for reviewing abdominal CT images after monitor calibration.

  11. Comparison of the commercial color LCD and the medical monochrome LCD using randomized object test patterns.

    Directory of Open Access Journals (Sweden)

    Jay Wu

    Full Text Available Workstations and electronic display devices in a picture archiving and communication system (PACS provide a convenient and efficient platform for medical diagnosis. The performance of display devices has to be verified to ensure that image quality is not degraded. In this study, we designed a set of randomized object test patterns (ROTPs consisting of randomly located spheres with various image characteristics to evaluate the performance of a 2.5 mega-pixel (MP commercial color LCD and a 3 MP diagnostic monochrome LCD in several aspects, including the contrast, resolution, point spread effect, and noise. The ROTPs were then merged into 120 abdominal CT images. Five radiologists were invited to review the CT images, and receiver operating characteristic (ROC analysis was carried out using a five-point rating scale. In the high background patterns of ROTPs, the sensitivity performance was comparable between both monitors in terms of contrast and resolution, whereas, in the low background patterns, the performance of the commercial color LCD was significantly poorer than that of the diagnostic monochrome LCD in all aspects. The average area under the ROC curve (AUC for reviewing abdominal CT images was 0.717±0.0200 and 0.740±0.0195 for the color monitor and the diagnostic monitor, respectively. The observation time (OT was 145±27.6 min and 127±19.3 min, respectively. No significant differences appeared in AUC (p = 0.265 and OT (p = 0.07. The overall results indicate that ROTPs can be implemented as a quality control tool to evaluate the intrinsic characteristics of display devices. Although there is still a gap in technology between different types of LCDs, commercial color LCDs could replace diagnostic monochrome LCDs as a platform for reviewing abdominal CT images after monitor calibration.

  12. [What does "p" mean at conclusion of a test of hypothesis in a randomized controlled clinical trial of superiority?].

    Science.gov (United States)

    Marubini, Ettore; Gallo, Fabio; Pizzamiglio, Sara; Verderio, Paolo

    2006-10-01

    The aim of this statistical note, the sixth in the series, is to introduce the rationale of the test of hypothesis suitable for comparing the effect of two treatments in a randomized controlled clinical trial of superiority. The presentation takes advantage of the analogy with a criminal trial debate based upon circumstantial evidence in an Italian Court. The results of three randomized controlled clinical trials: ISIS-1, AIMS and RESTORE are introduced and proper ways for their interpretation are suggested.

  13. Estimation of Genetic Parameters for First Lactation Monthly Test-day Milk Yields using Random Regression Test Day Model in Karan Fries Cattle

    Directory of Open Access Journals (Sweden)

    Ajay Singh

    2016-06-01

    Full Text Available A single trait linear mixed random regression test-day model was applied for the first time for analyzing the first lactation monthly test-day milk yield records in Karan Fries cattle. The test-day milk yield data was modeled using a random regression model (RRM considering different order of Legendre polynomial for the additive genetic effect (4th order and the permanent environmental effect (5th order. Data pertaining to 1,583 lactation records spread over a period of 30 years were recorded and analyzed in the study. The variance component, heritability and genetic correlations among test-day milk yields were estimated using RRM. RRM heritability estimates of test-day milk yield varied from 0.11 to 0.22 in different test-day records. The estimates of genetic correlations between different test-day milk yields ranged 0.01 (test-day 1 [TD-1] and TD-11 to 0.99 (TD-4 and TD-5. The magnitudes of genetic correlations between test-day milk yields decreased as the interval between test-days increased and adjacent test-day had higher correlations. Additive genetic and permanent environment variances were higher for test-day milk yields at both ends of lactation. The residual variance was observed to be lower than the permanent environment variance for all the test-day milk yields.

  14. Factors affecting compliance in faecal occult blood testing: a cluster randomized study of the faecal immunochemical test versus the guaiac faecal occult test.

    Science.gov (United States)

    Birkenfeld, Shlomo; Belfer, Rachel Gingold; Chared, Miri; Vilkin, Alex; Barchana, Micha; Lifshitz, Irena; Fruchter, Dana; Aronski, Dina; Balicer, Ran; Niv, Yaron; Levi, Zohar

    2011-01-01

    To compare the uptake of faecal immunochemical occult blood test (FIT) with guaiac faecal occult blood test (gFOBT) in a screening programme, with specific attention to the demographic and socioeconomic factors that might affect test uptake. The Clalit Health Service screening programme, Israel. Average-risk individuals aged 50-75 years were randomized into a FIT arm or gFOBT arm using a programme based on the socioeconomic status (SES) of their primary care clinics. G-FOBT was performed with Hemoccult SENSA™ (3 evacuations) and FIT with the OC- MICRO(TM) (3 evacuations, refrigerating mandated). The GLIMMIX model was used. There were 5,464 and 10,668 eligible participants in the FIT and gFOBT arms respectively. Compliance in taking the kits was better (but not statistically significantly better) with gFOBT (37.8% vs. 29.3%; odds ratio [OR] 1.43 [95% CI 0.73-2.80]; P = 0.227). Kit return was higher in the FIT arm (65.0% vs. 78.9%; OR 0.45 [95% CI 0.24-0.83], P = 0.021). Overall test uptake was affected by age, gender, being immigrant and SES (determined by whether or not the participant paid national insurance tax, and the SES of the primary care clinic). The overall uptake of gFOBT and FIT was comparable (OR 0.996 [95% CI 0.46-2.17], P = 0.99). Overall compliance for test uptake was comparable between the two methods despite the more demanding procedure in the FIT arm. Sociodemographic parameters were the major determinants of compliance. An educational programme, with emphasis on the sociodemographic characteristics of the target population, should be instigated.

  15. Photos taken during the assembly of the first 4-plane wheel prototype, built in 1998.

    CERN Multimedia

    Dixon, N.

    1998-01-01

    Photo 1 - End Cap. 4 -plane wheel prototype - One plane complete. Photo 2 - End Cap. 4 -plane wheel prototype - Radiator Foil. Photo 3 - End Cap. 4-plane wheel prototype - Glueing technique. Photo 4 - End Cap. 4-plane wheel prototype - Glueing ring. Photo 5 - End Cap. 4-plane wheel prototype - Glueing ring. Photo 6 - End Cap. 4-plane wheel prototype - Completed straw plane. Photo 7 - End Cap. 4-plane wheel prototype - Webs on assembly table. Photo 8 - End Cap. 4-plane wheel prototype - Operations on inner ring. Photo 9 - End Cap. 4-plane wheel prototype - Glueing operations. Photo 10 - End Cap. 4-plane wheel prototype - Glueing equipment. Photo 11 - End Cap. 4-plane wheel prototype - Assembly of 4-plane wheel. Photo 12 - End Cap. 4-plane wheel prototype - Positioning tool. Photo 13 - End Cap. 4-plane wheel prototype - Testing. Photo 14 - End Cap. 4-plane wheel prototype - Glued to web ring 2. Photo 15 - End Cap. 4-plane wheel prototype - Positioning tool. Photo 16 - End Cap. 4-plane wheel prototype - Detail o...

  16. A randomized trial of the clinical utility of genetic testing for obesity: design and implementation considerations.

    Science.gov (United States)

    Wang, Catharine; Gordon, Erynn S; Stack, Catharine B; Liu, Ching-Ti; Norkunas, Tricia; Wawak, Lisa; Christman, Michael F; Green, Robert C; Bowen, Deborah J

    2014-02-01

    Obesity rates in the United States have escalated in recent decades and present a major challenge in public health prevention efforts. Currently, testing to identify genetic risk for obesity is readily available through several direct-to-consumer companies. Despite the availability of this type of testing, there is a paucity of evidence as to whether providing people with personal genetic information on obesity risk will facilitate or impede desired behavioral responses. We describe the key issues in the design and implementation of a randomized controlled trial examining the clinical utility of providing genetic risk information for obesity. Participants are being recruited from the Coriell Personalized Medicine Collaborative, an ongoing, longitudinal research cohort study designed to determine the utility of personal genome information in health management and clinical decision making. The primary focus of the ancillary Obesity Risk Communication Study is to determine whether genetic risk information added value to traditional communication efforts for obesity, which are based on lifestyle risk factors. The trial employs a 2 × 2 factorial design in order to examine the effects of providing genetic risk information for obesity, alone or in combination with lifestyle risk information, on participants' psychological responses, behavioral intentions, health behaviors, and weight. The factorial design generated four experimental arms based on communication of estimated risk to participants: (1) no risk feedback (control), (2) genetic risk only, (3) lifestyle risk only, and (4) both genetic and lifestyle risk (combined). Key issues in study design pertained to the selection of algorithms to estimate lifestyle risk and determination of information to be provided to participants assigned to each experimental arm to achieve a balance between clinical standards and methodological rigor. Following the launch of the trial in September 2011, implementation challenges

  17. A Randomized Rounding Approach for Optimization of Test Sheet Composing and Exposure Rate Control in Computer-Assisted Testing

    Science.gov (United States)

    Wang, Chu-Fu; Lin, Chih-Lung; Deng, Jien-Han

    2012-01-01

    Testing is an important stage of teaching as it can assist teachers in auditing students' learning results. A good test is able to accurately reflect the capability of a learner. Nowadays, Computer-Assisted Testing (CAT) is greatly improving traditional testing, since computers can automatically and quickly compose a proper test sheet to meet user…

  18. Randomized test of an implementation intention-based tool to reduce stress-induced eating.

    Science.gov (United States)

    O'Connor, Daryl B; Armitage, Christopher J; Ferguson, Eamonn

    2015-06-01

    Stress may indirectly contribute to disease (e.g. cardiovascular disease, cancer) by producing deleterious changes to diet. The purpose of this study was to test the effectiveness of a stress management support (SMS) tool to reduce stress-related unhealthy snacking and to promote stress-related healthy snacking. Participants were randomized to complete a SMS tool with instruction to link stressful situations with healthy snack alternatives (experimental) or a SMS tool without a linking instruction (control). On-line daily reports of stressors and snacking were completed for 7 days. Daily stressors were associated with unhealthy snack consumption in the control condition but not in the experimental condition. Participants highly motivated towards healthy eating consumed a greater number of healthy snacks in the experimental condition on stressful days compared to participants in the experimental condition with low and mean levels of motivation. This tool is an effective, theory driven, intervention that helps to protect against stress-induced high-calorie snack consumption.

  19. GLAMER - II. Multiple-plane gravitational lensing

    Science.gov (United States)

    Petkova, Margarita; Metcalf, R. Benton; Giocoli, Carlo

    2014-12-01

    We present an extension to multiple planes of the gravitational lensing code GLAMER. The method entails projecting the mass in the observed light-cone on to a discrete number of lens planes and inverse ray-shooting from the image to the source plane. The mass on each plane can be represented as haloes, simulation particles, a projected mass map extracted form a numerical simulation or any combination of these. The image finding is done in a source-oriented fashion, where only regions of interest are iteratively refined on an initially coarse image plane grid. The calculations are performed in parallel on shared memory machines. The code is able to handle different types of analytic haloes (NFW, NSIE, power law, etc.), haloes extracted from numerical simulations and clusters constructed from semi-analytic models (MOKA). Likewise, there are several different options for modelling the source(s) which can be distributed throughout the light-cone. The distribution of matter in the light-cone can be either taken from a pre-existing N-body numerical simulations, from halo catalogues, or are generated from an analytic mass function. We present several tests of the code and demonstrate some of its applications such as generating mock images of galaxy and galaxy cluster lenses.

  20. Error Analysis on Plane-to-Plane Linear Approximate Coordinate ...

    Indian Academy of Sciences (India)

    c Indian Academy of Sciences. Error Analysis on Plane-to-Plane Linear Approximate Coordinate. Transformation. Q. F. Zhang1,∗, Q. Y. Peng1 & J. H. Fan2. 1Department of Computer Science, Jinan University, Guangzhou 510632, China. ... This work is partially supported by the National Natural Science Foundation.

  1. Impact of using a local protocol in preoperative testing: blind randomized clinical trial.

    Science.gov (United States)

    Santos, Mônica Loureiro; Iglesias, Antônio Carlos

    2017-01-01

    to evaluate the impact of the use of a local protocol of preoperative test requests in reducing the number of exams requested and in the occurrence of changes in surgical anesthetic management and perioperative complications. we conducted a randomized, blinded clinical trial at the Gaffrée and Guinle University Hospital with 405 patients candidates for elective surgery randomly divided into two groups, according to the practice of requesting preoperative exams: a group with non-selectively requested exams and a protocol group with exams requested according to the study protocol. Studied exams: complete blood count, coagulogram, glycemia, electrolytes, urea and creatinine, ECG and chest X-ray. Primary outcomes: changes in surgical anesthetic management caused by abnormal exams, reduction of the number of exams requested after the use of the protocol and perioperative complications. there was a significant difference (pradiografia de tórax. Desfechos primários: alterações na conduta anestésico-cirúrgica motivadas por exames anormais, redução do número de exames solicitados após o uso do protocolo e complicações perioperatórias. foi observada diferença significativa (p<0,001) no número de exames com resultados alterados entre os dois grupos (14,9% x 29,1%) e redução de 57,3% no número de exames pedidos entre os dois grupos (p<0,001), mais acentuada nos pacientes de menor faixa etária, ASA I, sem doenças associadas e submetidos a procedimentos de menor porte. Não houve diferença significativa na frequência de alterações de conduta motivada por resultado de exames, nem de complicações entre os dois grupos. Na análise multivariada hemograma e coagulograma foram os únicos exames capazes de modificar a conduta anestésico-cirúrgica. o protocolo proposto foi efetivo em eliminar um quantitativo significativo de exames complementares sem indicação clínica, sem que houvesse aumento na morbidade e mortalidades perioperatórias.

  2. WWC Quick Review of the Article "Outcomes of a Prospective Trial of Student-Athlete Drug Testing: The Student Athlete Testing Using Random Notification ('SATURN') Study"

    Science.gov (United States)

    What Works Clearinghouse, 2008

    2008-01-01

    This study examines whether the Student Athlete Testing Using Random Notification ("SATURN") program affects illicit drug and alcohol use among student athletes. The study experienced high rates of sample attrition. Seven of the 18 study schools (39%) left the study and were not included in the analysis. Some students at the remaining…

  3. Sodium bicarbonate ingestion improves Yo-Yo intermittent recovery test 1 performance: a randomized crossover trial

    Directory of Open Access Journals (Sweden)

    Dixon H

    2017-04-01

    Full Text Available Helen Dixon,1 Catherine E Baker,2 Julien S Baker,3 Susan Dewhurst,4 Lawrence D Hayes4 1School of Human Sciences, London Metropolitan University, London, 2English Institute of Sport, Bisham Abbey National Sports Center, Buckinghamshire, 3Institute of Clinical Exercise and Health Science, University of the West of Scotland, Hamilton, 4Department of Medical and Sport Sciences, University of Cumbria, Lancaster, UK Abstract: This study investigated the effect of sodium bicarbonate (NaHCO3– ingestion on the Yo-Yo intermittent recovery test 1 (IR1. We tested the hypothesis that acute ingestion of NaHCO3– would increase blood lactate concentrations [BLa], enhance performance, and reduce rating of perceived exertion (RPE in the Yo-Yo IR1. Eight recreationally active males (N=8, age: 26±4 yr, height: 178±6 cm, body mass: 82±10 kg participated in the Yo-Yo IR1 on two separate occasions, separated by 1 wk, in a randomized crossover design. Following familiarization, during seated rest, participants’ pretest [BLa] was taken, and participants then consumed either a placebo of 0.3 g·kg–1 body weight sodium chloride or 0.3 g·kg–1 body weight NaHCO3–. Sixty minutes postingestion, a standardized warm-up preceded the Yo-Yo IR1. Upon completion, postexercise [BLa] (mmol·L–1, RPE (arbitrary units and Yo-Yo IR1 time to fatigue (s were recorded. Paired t-test revealed a small but significant improvement in Yo-Yo IR1 performance under the NaHCO3– condition (610±267 sec, compared to the placebo condition (556±259 sec; p=0.01; Cohen’s d=0.20. [BLa] increased more under the NaHCO3– condition (1.6±0.7 to 17.5±5.2 mmol·L–1; p<0.001; Cohen’s d=4.29, compared to the placebo condition (2.0±0.7 to 11.5±5.0 mmol·L–1; p=0.001; Cohen’s d=2.66. Postexercise RPE was not significantly different between conditions. The results of this study suggest that acute NaHCO3– ingestion improves Yo-Yo IR1 performance without altering RPE, likely

  4. Transversus abdominis plane block: a cadaveric and radiological evaluation.

    LENUS (Irish Health Repository)

    McDonnell, John G

    2011-04-11

    The abdominal wall is a significant source of pain after abdominal surgery. Anterior abdominal wall analgesia may assist in improving postoperative analgesia. We have recently described a novel approach to block the abdominal wall neural afferents via the bilateral lumbar triangles of Petit, which we have termed a transversus abdominis plane block. The clinical efficacy of the transversus abdominis plane block has recently been demonstrated in a randomized controlled clinical trial of adults undergoing abdominal surgery.

  5. A randomized controlled trial to test the effectiveness of an immersive 3D video game for anxiety prevention among adolescents

    NARCIS (Netherlands)

    Scholten, H.; Malmberg, M.; Lobel, A.M.; Engels, R.C.M.E.; Granic, I.

    2016-01-01

    Adolescent anxiety is debilitating, the most frequently diagnosed adolescent mental health problem, and leads to substantial long-term problems. A randomized controlled trial (n = 138) was conducted to test the effectiveness of a biofeedback video game (Dojo) for adolescents with elevated levels of

  6. Block design allowed for control of the Hawthorne effect in a randomized controlled trial of test ordering

    NARCIS (Netherlands)

    Verstappen, Wim H. J. M.; van der Weijden, Trudy; ter Riet, Gerben; Grimshaw, Jeremy; Winkens, Ron; Grol, Richard P. T. M.

    2004-01-01

    Background and Objective: To evaluate the value of balanced incomplete block designs in quality improvement research, and their capacity to control for the Hawthorne effect. Methods: General practitioners teams were randomized into three arms and received an intervention on test ordering, relating

  7. Block design allowed for control of the Hawthorne effect in a randomized controlled trial of test ordering.

    NARCIS (Netherlands)

    Verstappen, W.H.; Weijden, T. van der; Riet, G. ter; Grimshaw, J.; Winkens, R.; Grol, R.P.T.M.

    2004-01-01

    BACKGROUND AND OBJECTIVE: To evaluate the value of balanced incomplete block designs in quality improvement research, and their capacity to control for the Hawthorne effect. METHODS: General practitioners teams were randomized into three arms and received an intervention on test ordering, relating

  8. Pseudo-Gaussian and rank-based optimal tests for random individual effects in large n small T panels

    NARCIS (Netherlands)

    Bennala, N.; Hallin, M.; Paindaveine, D.

    2012-01-01

    We consider the problem of detecting unobserved heterogeneity, that is, the problem of testing the absence of random individual effects in an n × T panel. We establish a local asymptotic normality property–with respect to intercept, regression coefficient, the scale parameter σ of the error, and the

  9. Randomized controlled trial of supervised patient self-testing of warfarin therapy using an internet-based expert system.

    LENUS (Irish Health Repository)

    Ryan, F

    2009-08-01

    Increased frequency of prothrombin time testing, facilitated by patient self-testing (PST) of the International Normalized Ratio (INR) can improve the clinical outcomes of oral anticoagulation therapy (OAT). However, oversight of this type of management is often difficult and time-consuming for healthcare professionals. This study reports the first randomized controlled trial of an automated direct-to-patient expert system, enabling remote and effective management of patients on OAT.

  10. SAR-based change detection using hypothesis testing and Markov random field modelling

    Science.gov (United States)

    Cao, W.; Martinis, S.

    2015-04-01

    The objective of this study is to automatically detect changed areas caused by natural disasters from bi-temporal co-registered and calibrated TerraSAR-X data. The technique in this paper consists of two steps: Firstly, an automatic coarse detection step is applied based on a statistical hypothesis test for initializing the classification. The original analytical formula as proposed in the constant false alarm rate (CFAR) edge detector is reviewed and rewritten in a compact form of the incomplete beta function, which is a builtin routine in commercial scientific software such as MATLAB and IDL. Secondly, a post-classification step is introduced to optimize the noisy classification result in the previous step. Generally, an optimization problem can be formulated as a Markov random field (MRF) on which the quality of a classification is measured by an energy function. The optimal classification based on the MRF is related to the lowest energy value. Previous studies provide methods for the optimization problem using MRFs, such as the iterated conditional modes (ICM) algorithm. Recently, a novel algorithm was presented based on graph-cut theory. This method transforms a MRF to an equivalent graph and solves the optimization problem by a max-flow/min-cut algorithm on the graph. In this study this graph-cut algorithm is applied iteratively to improve the coarse classification. At each iteration the parameters of the energy function for the current classification are set by the logarithmic probability density function (PDF). The relevant parameters are estimated by the method of logarithmic cumulants (MoLC). Experiments are performed using two flood events in Germany and Australia in 2011 and a forest fire on La Palma in 2009 using pre- and post-event TerraSAR-X data. The results show convincing coarse classifications and considerable improvement by the graph-cut post-classification step.

  11. [Training in iterative hypothesis testing as part of psychiatric education. A randomized study].

    Science.gov (United States)

    Lampen-Imkamp, S; Alte, C; Sipos, V; Kordon, A; Hohagen, F; Schweiger, U; Kahl, K G

    2012-01-01

    The improvement of medical education is at the center of efforts to reform the studies of medicine. Furthermore, an excellent teaching program for students is a quality feature of medical universities. Besides teaching of disease-specific contents, the acquisition of interpersonal and decision-making skills is important. However, the cognitive style of senior physicians leading to a diagnosis cannot easily be taught. Therefore, the following study aimed at examining whether specific training in iterative hypothesis testing (IHT) may improve the correctness of the diagnostic process. Seventy-one medical students in their 9th-11th terms were randomized to medical teaching as usual or to IHT training for 4 weeks. The intervention group received specific training according to the method of IHT. All students were examined by a multiple choice (MC) exam and additionally by simulated patients (SP). The SPs were instructed to represent either a patient with depression and comorbid anxiety and substance use disorder (SP1) or to represent a patient with depression, obsessive-compulsive disorder and acute suicidal tendencies (SP2). All students identified the diagnosis of major depression in the SPs, but IHT-trained students recognized more diagnostic criteria. Furthermore, IHT-trained students recognized acute suicide tendencies in SP2 more often and identified more comorbid psychiatric disorders. The results of the MC exam were comparable in both groups. An analysis of the satisfaction with the different training programs revealed that the IHT training received a better appraisal. Our results point to the role of IHT in teaching diagnostic skills. However, the results of the MC exam were not influenced by IHT training. Furthermore, our results show that students are in need of training in practical clinical skills.

  12. Crowdsourcing to promote HIV testing among MSM in China: study protocol for a stepped wedge randomized controlled trial.

    Science.gov (United States)

    Tucker, Joseph D

    2017-10-02

    HIV testing for marginalized populations is critical to controlling the HIV epidemic. However, the HIV testing rate among men who have sex with men (MSM) in China remains low. Crowdsourcing, the process of shifting individual tasks to a group, has been increasingly adopted in public health programs and may be a useful tool for spurring innovation in HIV testing campaigns. We designed a multi-site study to develop a crowdsourced HIV test promotion campaign and evaluate its effectiveness against conventional campaigns among MSM in China. This study will use an adaptation of the stepped wedge, randomized controlled trial design. A total of eight major metropolitan cities in China will be randomized to sequentially initiate interventions at 3-month intervals. The intervention uses crowdsourcing at multiple steps to sustain crowd contribution. Approximately 1280 MSM, who are 16 years of age or over, live in the intervention city, have not been tested for HIV in the past 3 months, and are not living with HIV, will be recruited. Recruitment will take place through banner advertisements on a large gay dating app along with other social media platforms. Participants will complete one follow-up survey every 3 months for 12 months to evaluate their HIV testing uptake in the past 3 months and secondary outcomes including syphilis testing, sex without condoms, community engagement, testing stigma, and other related outcomes. MSM HIV testing rates remain poor in China. Innovative methods to promote HIV testing are urgently needed. With a large-scale, stepped wedge, randomized controlled trial our study can improve understanding of crowdsourcing's long-term effectiveness in public health campaigns, expand HIV testing coverage among a key population, and inform intervention design in related public health fields. ClinicalTrials.gov, NCT02796963 . Registered on 23 May 2016.

  13. Force limited random vibration testing: the computation of the semi-empirical constant $C(2) $ C 2 for a real test article and unknown supporting structure

    Science.gov (United States)

    Wijker, J. J.; Ellenbroek, M. H. M.; Boer, A. de

    2015-09-01

    To prevent over-testing of the test-item during random vibration testing Scharton proposed and discussed the force limited random vibration testing (FLVT) in a number of publications. Besides the random vibration specification, the total mass and the turn-over frequency of the test article (load), C^2 is a very important parameter for FLVT. A number of computational methods to estimate C^2 are described in the literature, i.e. the simple and the complex two degree of freedom system, STDFS and CTDFS, respectively. The motivation of this work is to evaluate the method for the computation of a realistic value of C^2 to perform a representative random vibration test based on force limitation, when the description of the supporting structure (source) is more or less unknown. Marchand discussed the formal description of obtaining C^2, using the maximum PSD of the acceleration and maximum PSD of the force, both at the interface between test article and supporting structure. Stevens presented the coupled systems modal approach (CSMA), where simplified asparagus patch models (parallel-oscillator representation) of load and source are connected. The asparagus patch model consists of modal effective masses and spring stiffnesses associated with the natural frequencies. When the random acceleration vibration specification is given the CSMA method is suitable to compute the value of the parameter C^2. When no mathematical model of the source can be made available, estimations of the value C^2 can be find in literature. In this paper a probabilistic mathematical representation of the unknown source is proposed, such that the asparagus patch model of the source can be approximated. The chosen probabilistic design parameters have a uniform distribution. The computation of the value C^2 can be done in conjunction with the CSMA method, knowing the apparent mass of the load and the random acceleration specification at the interface between load and source, respectively. Data of two

  14. Mathematical modeling of labial surface planes in maxillary central incisors

    Directory of Open Access Journals (Sweden)

    Dorriz H.

    2007-07-01

    Full Text Available Background and Aim: As central incisors have a prominent role in esthetics, appropriate preparation, considering natural tooth anatomy and proper planes have always been considered. The aim of this study was to determine the number of planes in labial surface of maxillary central incisors using image processing and mathematical analysis.Materials and Methods: This pilot study was performed on 32 intact maxillary central incisors in dental students of Tehran university of medical sciences. Photographs were taken from profile view of each tooth by a digital camera. Images were processed and number of planes was obtained using SigmaScan Pro. version 5.00 software and a customized program. Data were analyzed by t-test and regression tests with p<0.05 as the level of significance.Results: 96.9% of central incisors had three planes and 3.1% had two planes in labial surface. The angle between middle-cervical and middle-incisal planes showed statistically significant difference (p< 0.01.Conclusion: Based on the results of this study, a few percentage of maxillary central incisors had two planes and most of them had three planes in their labial surfaces. Thus, considering three planes for restoring maxillary central teeth is closer to principles of tooth preparation and esthetics.

  15. The Effect of Fatigue on Upper Quarter Y-Balance Test Scores in Recreational Weightlifters: A Randomized Controlled Trial.

    Science.gov (United States)

    Salo, Trenton D; Chaconas, Eric

    2017-04-01

    A paucity of research currently exists for upper extremity return to sport testing. The Upper Quarter Y-Balance Test (YBT-UQ) is a clinical test of closed kinetic chain performance with demonstrated reliability. Prior investigations of the YBT-UQ were conducted with individuals in a resting state and no comparison to performance in a fatigued state has been conducted. To examine the effect of upper extremity fatigue on the performance of the YBT-UQ in recreational weightlifters. Randomized controlled trial. 24 participants who participated in recreational weight training three days per week were randomly allocated to a control or experimental group. Individuals in the control group were tested using the YBT-UQ and re-tested after a 20-minute rest period. Participants in the experimental group were tested with the YBT-UQ, performed an upper extremity exercise fatigue protocol, and immediately re-tested. Examiners were blinded to participant allocation. Differences from pre- to post-fatigue YBT-UQ testing revealed score reductions between 2.04cm - 12.16cm for both composite scores and individual reach directions. The repeated measures ANOVA revealed significant differences when comparing the pre- and post-testing results between the fatigue and non-fatigue groups for all individual directions (p ≤ .006) and composite scores both limbs (p<.035). The performance of an upper body fatigue protocol significantly reduces YBT-UQ scores in recreational weightlifters. 1b.

  16. Safety and Efficacy Assessment of Two New Leprosy Skin Test Antigens: Randomized Double Blind Clinical Study

    Science.gov (United States)

    Rivoire, Becky L.; Groathouse, Nathan A.; TerLouw, Stephen; Neupane, Kapil Dev; Ranjit, Chaman; Sapkota, Bishwa Raj; Khadge, Saraswoti; Kunwar, Chatra B.; Macdonald, Murdo; Hawksworth, Rachel; Thapa, Min B.; Hagge, Deanna A.; Tibbals, Melinda; Smith, Carol; Dube, Tina; She, Dewei; Wolff, Mark; Zhou, Eric; Makhene, Mamodikoe; Mason, Robin; Sizemore, Christine; Brennan, Patrick J.

    2014-01-01

    Background New tools are required for the diagnosis of pre-symptomatic leprosy towards further reduction of disease burden and its associated reactions. To address this need, two new skin test antigens were developed to assess safety and efficacy in human trials. Methods A Phase I safety trial was first conducted in a non-endemic region for leprosy (U.S.A.). Healthy non-exposed subjects (n = 10) received three titrated doses (2.5 µg, 1.0 µg and 0.1 µg) of MLSA-LAM (n = 5) or MLCwA (n = 5) and control antigens [Rees MLSA (1.0 µg) and saline]. A randomized double blind Phase II safety and efficacy trial followed in an endemic region for leprosy (Nepal), but involved only the 1.0 µg (high dose) and 0.1 µg (low dose) of each antigen; Tuberculin PPD served as a control antigen. This Phase II safety and efficacy trial consisted of three Stages: Stage A and B studies were an expansion of Phase I involving 10 and 90 subjects respectively, and Stage C was then conducted in two parts (high dose and low dose), each enrolling 80 participants: 20 borderline lepromatous/lepromatous (BL/LL) leprosy patients, 20 borderline tuberculoid/tuberculoid (BT/TT) leprosy patients, 20 household contacts of leprosy patients (HC), and 20 tuberculosis (TB) patients. The primary outcome measure for the skin test was delayed type hypersensitivity induration. Findings In the small Phase I safety trial, reactions were primarily against the 2.5 µg dose of both antigens and Rees control antigen, which were then excluded from subsequent studies. In the Phase II, Stage A/B ramped-up safety study, 26% of subjects (13 of 50) showed induration against the high dose of each antigen, and 4% (2 of 50) reacted to the low dose of MLSA-LAM. Phase II, Stage C safety and initial efficacy trial showed that both antigens at the low dose exhibited low sensitivity at 20% and 25% in BT/TT leprosy patients, but high specificity at 100% and 95% compared to TB patients. The high dose of both antigens

  17. Safety and efficacy assessment of two new leprosy skin test antigens: randomized double blind clinical study.

    Directory of Open Access Journals (Sweden)

    Becky L Rivoire

    Full Text Available New tools are required for the diagnosis of pre-symptomatic leprosy towards further reduction of disease burden and its associated reactions. To address this need, two new skin test antigens were developed to assess safety and efficacy in human trials.A Phase I safety trial was first conducted in a non-endemic region for leprosy (U.S.A.. Healthy non-exposed subjects (n = 10 received three titrated doses (2.5 µg, 1.0 µg and 0.1 µg of MLSA-LAM (n = 5 or MLCwA (n = 5 and control antigens [Rees MLSA (1.0 µg and saline]. A randomized double blind Phase II safety and efficacy trial followed in an endemic region for leprosy (Nepal, but involved only the 1.0 µg (high dose and 0.1 µg (low dose of each antigen; Tuberculin PPD served as a control antigen. This Phase II safety and efficacy trial consisted of three Stages: Stage A and B studies were an expansion of Phase I involving 10 and 90 subjects respectively, and Stage C was then conducted in two parts (high dose and low dose, each enrolling 80 participants: 20 borderline lepromatous/lepromatous (BL/LL leprosy patients, 20 borderline tuberculoid/tuberculoid (BT/TT leprosy patients, 20 household contacts of leprosy patients (HC, and 20 tuberculosis (TB patients. The primary outcome measure for the skin test was delayed type hypersensitivity induration.In the small Phase I safety trial, reactions were primarily against the 2.5 µg dose of both antigens and Rees control antigen, which were then excluded from subsequent studies. In the Phase II, Stage A/B ramped-up safety study, 26% of subjects (13 of 50 showed induration against the high dose of each antigen, and 4% (2 of 50 reacted to the low dose of MLSA-LAM. Phase II, Stage C safety and initial efficacy trial showed that both antigens at the low dose exhibited low sensitivity at 20% and 25% in BT/TT leprosy patients, but high specificity at 100% and 95% compared to TB patients. The high dose of both antigens showed lower specificity (70% and 60

  18. Safety and efficacy assessment of two new leprosy skin test antigens: randomized double blind clinical study.

    Science.gov (United States)

    Rivoire, Becky L; Groathouse, Nathan A; TerLouw, Stephen; Neupane, Kapil Dev; Ranjit, Chaman; Sapkota, Bishwa Raj; Khadge, Saraswoti; Kunwar, Chhatra B; Kunwar, Chatra B; Macdonald, Murdo; Hawksworth, Rachel; Thapa, Min B; Hagge, Deanna A; Tibbals, Melinda; Smith, Carol; Dube, Tina; She, Dewei; Wolff, Mark; Zhou, Eric; Makhene, Mamodikoe; Mason, Robin; Sizemore, Christine; Brennan, Patrick J

    2014-01-01

    New tools are required for the diagnosis of pre-symptomatic leprosy towards further reduction of disease burden and its associated reactions. To address this need, two new skin test antigens were developed to assess safety and efficacy in human trials. A Phase I safety trial was first conducted in a non-endemic region for leprosy (U.S.A.). Healthy non-exposed subjects (n = 10) received three titrated doses (2.5 µg, 1.0 µg and 0.1 µg) of MLSA-LAM (n = 5) or MLCwA (n = 5) and control antigens [Rees MLSA (1.0 µg) and saline]. A randomized double blind Phase II safety and efficacy trial followed in an endemic region for leprosy (Nepal), but involved only the 1.0 µg (high dose) and 0.1 µg (low dose) of each antigen; Tuberculin PPD served as a control antigen. This Phase II safety and efficacy trial consisted of three Stages: Stage A and B studies were an expansion of Phase I involving 10 and 90 subjects respectively, and Stage C was then conducted in two parts (high dose and low dose), each enrolling 80 participants: 20 borderline lepromatous/lepromatous (BL/LL) leprosy patients, 20 borderline tuberculoid/tuberculoid (BT/TT) leprosy patients, 20 household contacts of leprosy patients (HC), and 20 tuberculosis (TB) patients. The primary outcome measure for the skin test was delayed type hypersensitivity induration. In the small Phase I safety trial, reactions were primarily against the 2.5 µg dose of both antigens and Rees control antigen, which were then excluded from subsequent studies. In the Phase II, Stage A/B ramped-up safety study, 26% of subjects (13 of 50) showed induration against the high dose of each antigen, and 4% (2 of 50) reacted to the low dose of MLSA-LAM. Phase II, Stage C safety and initial efficacy trial showed that both antigens at the low dose exhibited low sensitivity at 20% and 25% in BT/TT leprosy patients, but high specificity at 100% and 95% compared to TB patients. The high dose of both antigens showed lower specificity (70% and 60

  19. MissMech: An R Package for Testing Homoscedasticity, Multivariate Normality, and Missing Completely at Random (MCAR

    Directory of Open Access Journals (Sweden)

    Mortaza Jamshidian

    2014-01-01

    Full Text Available Researchers are often faced with analyzing data sets that are not complete. To prop- erly analyze such data sets requires the knowledge of the missing data mechanism. If data are missing completely at random (MCAR, then many missing data analysis techniques lead to valid inference. Thus, tests of MCAR are desirable. The package MissMech implements two tests developed by Jamshidian and Jalal (2010 for this purpose. These tests can be run using a function called TestMCARNormality. One of the tests is valid if data are normally distributed, and another test does not require any distributional assumptions for the data. In addition to testing MCAR, in some special cases, the function TestMCARNormality is also able to test whether data have a multivariate normal distribution. As a bonus, the functions in MissMech can also be used for the following additional tasks: (i test of homoscedasticity for several groups when data are completely observed, (ii perform the k-sample test of Anderson-Darling to determine whether k groups of univariate data come from the same distribution, (iii impute incomplete data sets using two methods, one where normality is assumed and one where no specific distributional assumptions are made, (iv obtain normal-theory maximum likelihood estimates for mean and covariance matrix when data are incomplete, along with their standard errors, and finally (v perform the Neymans test of uniformity. All of these features are explained in the paper, including examples.

  20. The use of random decrement technique for identification of structural modes of vibration. [tested on a generalized payload and the space shuttle model

    Science.gov (United States)

    Ibrahim, S. R.

    1977-01-01

    An algorithm is developed to obtain the free responses of a structure from its random responses due to some unknown or known random input or inputs, using the random-decrement technique without changing time correlation between signals. The algorithm is tested using random responses from a 'generalized payload' model and from the 'Space Shuttle' model. The resulting free responses are then used to identify the modal characteristics of the two systems.

  1. The impact of daily evaluation and spontaneous breathing test on the duration of pediatric mechanical ventilation: a randomized controlled trial.

    Science.gov (United States)

    Foronda, Flávia K; Troster, Eduardo J; Farias, Julio A; Barbas, Carmen S; Ferraro, Alexandre A; Faria, Lucília S; Bousso, Albert; Panico, Flávia F; Delgado, Artur F

    2011-11-01

    To assess whether the combination of daily evaluation and use of a spontaneous breathing test could shorten the duration of mechanical ventilation as compared with weaning based on our standard of care. Secondary outcome measures included extubation failure rate and the need for noninvasive ventilation. A prospective, randomized controlled trial. Two pediatric intensive care units at university hospitals in Brazil. The trial involved children between 28 days and 15 yrs of age who were receiving mechanical ventilation for at least 24 hrs. Patients were randomly assigned to one of two weaning protocols. In the test group, the children underwent a daily evaluation to check readiness for weaning with a spontaneous breathing test with 10 cm H2O pressure support and a positive end-expiratory pressure of 5 cm H2O for 2 hrs. The spontaneous breathing test was repeated the next day for children who failed it. In the control group, weaning was performed according to standard care procedures. A total of 294 eligible children were randomized, with 155 to the test group and 139 to the control group. The time to extubation was shorter in the test group, where the median mechanical ventilation duration was 3.5 days (95% confidence interval, 3.0 to 4.0) as compared to 4.7 days (95% confidence interval, 4.1 to 5.3) in the control group (p = .0127). This significant reduction in the mechanical ventilation duration for the intervention group was not associated with increased rates of extubation failure or noninvasive ventilation. It represents a 30% reduction in the risk of remaining on mechanical ventilation (hazard ratio: 0.70). A daily evaluation to check readiness for weaning combined with a spontaneous breathing test reduced the mechanical ventilation duration for children on mechanical ventilation for >24 hrs, without increasing the extubation failure rate or the need for noninvasive ventilation.

  2. Voluntary, Randomized, Student Drug-Testing: Impact in a Rural, Low-Income, Community

    Science.gov (United States)

    Barrington, Kyle D.

    2008-01-01

    Illegal drug use and abuse by the nation's secondary school students is a continuing public health issue and this is especially true for students living in rural, low-income areas where access to intervention and treatment services is often limited. To address this issue, some school districts have implemented voluntary, randomized, student …

  3. A permutation test to analyse systematic bias and random measurement errors of medical devices via boosting location and scale models.

    Science.gov (United States)

    Mayr, Andreas; Schmid, Matthias; Pfahlberg, Annette; Uter, Wolfgang; Gefeller, Olaf

    2017-06-01

    Measurement errors of medico-technical devices can be separated into systematic bias and random error. We propose a new method to address both simultaneously via generalized additive models for location, scale and shape (GAMLSS) in combination with permutation tests. More precisely, we extend a recently proposed boosting algorithm for GAMLSS to provide a test procedure to analyse potential device effects on the measurements. We carried out a large-scale simulation study to provide empirical evidence that our method is able to identify possible sources of systematic bias as well as random error under different conditions. Finally, we apply our approach to compare measurements of skin pigmentation from two different devices in an epidemiological study.

  4. Random test of R22 and HFC leakage in cooling installations; Steekproefonderzoek R22 en HFK lekkage koelinstallaties

    Energy Technology Data Exchange (ETDEWEB)

    Pennartz, F.; Van den Bovenkamp, M. [KWA Bedrijfsadviseurs, Amersfoort (Netherlands)

    2013-02-15

    KWA Business Consultants has conducted a random test survey in the dairy industry, meat industry and a peer group in other food sectors. The main goal was to obtain data on the size and trends of R22 and HFC emissions in the period 2007-2010. The survey is carried out by collecting the data of refilling refrigeration installations that have been registered by the refrigeration contractors. In total 1984 installations of 193 companies participated in the random test [Dutch] Begin 2012 is in opdracht van Agentschap NL onderzoek uitgevoerd naar lekkages van R22 en HFK koudemiddelen uit koelinstallaties in de sectoren zuivel, vlees en overige gerelateerde sectoren in de voedingsmiddelenindustrie. Het onderzoek had de vorm van een steekproef. Er hebben 193 bedrijven deelgenomen; 1984 koelinstallaties zijn onderzocht. Het gemiddelde lekpercentages is 7. De lekkages zijn afkomstig van 10 procent van de installaties uit de onderzoeksgroep.

  5. Population testing for cancer predisposing BRCA1/BRCA2 mutations in the Ashkenazi-Jewish community: a randomized controlled trial.

    Science.gov (United States)

    Manchanda, Ranjit; Loggenberg, Kelly; Sanderson, Saskia; Burnell, Matthew; Wardle, Jane; Gessler, Sue; Side, Lucy; Balogun, Nyala; Desai, Rakshit; Kumar, Ajith; Dorkins, Huw; Wallis, Yvonne; Chapman, Cyril; Taylor, Rohan; Jacobs, Chris; Tomlinson, Ian; McGuire, Alistair; Beller, Uziel; Menon, Usha; Jacobs, Ian

    2015-01-01

    Technological advances raise the possibility of systematic population-based genetic testing for cancer-predisposing mutations, but it is uncertain whether benefits outweigh disadvantages. We directly compared the psychological/quality-of-life consequences of such an approach to family history (FH)-based testing. In a randomized controlled trial of BRCA1/2 gene-mutation testing in the Ashkenazi Jewish (AJ) population, we compared testing all participants in the population screening (PS) arm with testing those fulfilling standard FH-based clinical criteria (FH arm). Following a targeted community campaign, AJ participants older than 18 years were recruited by self-referral after pretest genetic counseling. The effects of BRCA1/2 genetic testing on acceptability, psychological impact, and quality-of-life measures were assessed by random effects regression analysis. All statistical tests were two-sided. One thousand, one hundred sixty-eight AJ individuals were counseled, 1042 consented, 1034 were randomly assigned (691 women, 343 men), and 1017 were eligible for analysis. Mean age was 54.3 (SD = 14.66) years. Thirteen BRCA1/2 carriers were identified in the PS arm, nine in the FH arm. Five more carriers were detected among FH-negative FH-arm participants following study completion. There were no statistically significant differences between the FH and PS arms at seven days or three months on measures of anxiety, depression, health anxiety, distress, uncertainty, and quality-of-life. Contrast tests indicated that overall anxiety (P = .0001) and uncertainty (P = .005) associated with genetic testing decreased; positive experience scores increased (P = .0001); quality-of-life and health anxiety did not change with time. Overall, 56% of carriers did not fulfill clinical criteria for genetic testing, and the BRCA1/2 prevalence was 2.45%. Compared with FH-based testing, population-based genetic testing in Ashkenazi Jews doesn't adversely affect short-term psychological

  6. A note on Using regression models to analyze randomized trials: asymptotically valid hypothesis tests despite incorrectly specified models.

    Science.gov (United States)

    Kim, Jane Paik

    2013-03-01

    In the context of randomized trials, Rosenblum and van der Laan (2009, Biometrics 63, 937-945) considered the null hypothesis of no treatment effect on the mean outcome within strata of baseline variables. They showed that hypothesis tests based on linear regression models and generalized linear regression models are guaranteed to have asymptotically correct Type I error regardless of the actual data generating distribution, assuming the treatment assignment is independent of covariates. We consider another important outcome in randomized trials, the time from randomization until failure, and the null hypothesis of no treatment effect on the survivor function conditional on a set of baseline variables. By a direct application of arguments in Rosenblum and van der Laan (2009), we show that hypothesis tests based on multiplicative hazards models with an exponential link, i.e., proportional hazards models, and multiplicative hazards models with linear link functions where the baseline hazard is parameterized, are asymptotically valid under model misspecification provided that the censoring distribution is independent of the treatment assignment given the covariates. In the case of the Cox model and linear link model with unspecified baseline hazard function, the arguments in Rosenblum and van der Laan (2009) cannot be applied to show the robustness of a misspecified model. Instead, we adopt an approach used in previous literature (Struthers and Kalbfleisch, 1986, Biometrika 73, 363-369) to show that hypothesis tests based on these models, including models with interaction terms, have correct type I error. Copyright © 2013, The International Biometric Society.

  7. Effects of cognitive behavioral therapy with relaxation vs. imagery rescripting on test anxiety: A randomized controlled trial.

    Science.gov (United States)

    Reiss, Neele; Warnecke, Irene; Tolgou, Theano; Krampen, Dorothea; Luka-Krausgrill, Ursula; Rohrmann, Sonja

    2017-01-15

    Test anxiety is a common condition in students, which may lead to impaired academic performance as well as to distress. The primary objective of this study was to evaluate the effectiveness of two cognitive-behavioral interventions designed to reduce test anxiety. Test anxiety in the participants was diagnosed as social or specific phobia according to DSM-IV. Subsequently subjects were randomized to three groups: a moderated self-help group, which served as a control group, and two treatment groups, where either relaxation techniques or imagery rescripting were applied. Students suffering from test anxiety were recruited at two German universities (n=180). The randomized controlled design comprised three groups which received test anxiety treatment in weekly three-hour sessions over a period of five weeks. Treatment outcome was assessed with a test anxiety questionnaire, which was administered before and after treatment, as well as in a six-month follow-up. A repeated-measures ANOVA for participants with complete data (n=59) revealed a significant reduction of test anxiety from baseline to six-month follow-up in all three treatment groups (p<.001). Participants were included if they had a clinical diagnosis of test anxiety. The sample may therefore represent only more severe forms of text anxiety . Moreover, the sample size in this study was small, the numbers of participants per group differed, and treatment results were based on self-report. Due to the length of the treatment, an implementation of the group treatments used in this study might not be feasible in all settings. Group treatments constitute an effective method of treating test anxiety, e.g. in university settings. Imagery rescripting may particularly contribute to treatment efficacy. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. The cost-effectiveness of rapid HIV testing in substance abuse treatment: results of a randomized trial.

    Science.gov (United States)

    Schackman, Bruce R; Metsch, Lisa R; Colfax, Grant N; Leff, Jared A; Wong, Angela; Scott, Callie A; Feaster, Daniel J; Gooden, Lauren; Matheson, Tim; Haynes, Louise F; Paltiel, A David; Walensky, Rochelle P

    2013-02-01

    The President's National HIV/AIDS Strategy calls for coupling HIV screening and prevention services with substance abuse treatment programs. Fewer than half of US community-based substance abuse treatment programs make HIV testing available on-site or through referral. We measured the cost-effectiveness of three HIV testing strategies evaluated in a randomized trial conducted in 12 community-based substance abuse treatment programs in 2009: off-site testing referral, on-site rapid testing with information only, on-site rapid testing with risk-reduction counseling. Data from the trial included patient demographics, prior testing history, test acceptance and receipt of results, undiagnosed HIV prevalence (0.4%) and program costs. The Cost-Effectiveness of Preventing AIDS Complications (CEPAC) computer simulation model was used to project life expectancy, lifetime costs, and quality-adjusted life years (QALYs) for HIV-infected individuals. Incremental cost-effectiveness ratios (2009 US $/QALY) were calculated after adding costs of testing HIV-uninfected individuals; costs and QALYs were discounted at 3% annually. Referral for off-site testing is less efficient (dominated) compared to offering on-site testing with information only. The cost-effectiveness ratio for on-site testing with information is $60,300/QALY in the base case, or $76,300/QALY with 0.1% undiagnosed HIV prevalence. HIV risk-reduction counseling costs $36 per person more without additional benefit. A strategy of on-site rapid HIV testing offer with information only in substance abuse treatment programs increases life expectancy at a cost-effectiveness ratio substance abuse treatment leaders should seek funding to implement on-site rapid HIV testing in substance abuse treatment programs for those not recently tested. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  9. Hand-Eye LRF-Based Iterative Plane Detection Method for Autonomous Robotic Welding

    Directory of Open Access Journals (Sweden)

    Sungmin Lee

    2015-12-01

    Full Text Available This paper proposes a hand-eye LRF-based (laser range finder welding plane-detection method for autonomous robotic welding in the field of shipbuilding. The hand-eye LRF system consists of a 6 DOF manipulator and an LRF attached to the wrist of the manipulator. The welding plane is detected by the LRF with only the wrist's rotation to minimize a mechanical error caused by the manipulator's motion. A position on the plane is determined as an average position of the detected points on the plane, and a normal vector to the plane is determined by applying PCA (principal component analysis to the detected points. In this case, the accuracy of the detected plane is analysed by simulations with respect to the wrist's angle interval and the plane angle. As a result of the analysis, an iterative plane-detection method with the manipulator's alignment motion is proposed to improve the performance of plane detection. For verifying the feasibility and effectiveness of the proposed plane-detection method, experiments are carried out with a prototype of the hand-eye LRF-based system, which consists of a 1 DOF wrist's joint, an LRF system and a rotatable plane. In addition, the experimental results of the PCA-based plane detection method are compared with those of the two representative plane-detection methods, based on RANSAC (RANdom SAmple Consensus and the 3D Hough transform in both accuracy and computation time's points of view.

  10. Teal Amber Visible Focal Plane Technology

    Science.gov (United States)

    Johnson, Charles R.; Burczewski, Ron

    1981-12-01

    Deep-space surveillance missions have imposed severe demands on existing technology and simulated the search for new, advanced technology developments to provide higher performance. Defense Advanced Research Projects Agency (DARPA) sponsored Teal Amber as a visible charge-coupled device (CCD) and associated focal plane signal processing technology development and demonstration program. This paper describes this large-scale, staring-array-sensor concept. The current state of art in the resulting visibled CCD imagers is specified, along with the focal plane signal processor implementation in low power-weight-volume large-scale integrated (LSI) circuitry. Performance requirements and analytic predictions are compared to demonstration system results from an electro-optical test site in White Sands, New Mexico.

  11. In-Plane Stacking Disorder in Polydisperse Hard Sphere Crystals

    NARCIS (Netherlands)

    Meijer, J.M.; de Villeneuve, V.W.A.; Petukhov, A.V.

    2007-01-01

    We demonstrate that in random-stacking hard-sphere colloidal crystals the stacking disorder not only exists in the direction perpendicular to the close-packed layers, but also extends in the lateral direction. The existence of such in-plane stacking disorder is suggested by a recent observation of

  12. Plane waves as tractor beams

    Science.gov (United States)

    Forgács, Péter; Lukács, Árpád; Romańczukiewicz, Tomasz

    2013-12-01

    It is shown that in a large class of systems, plane waves act as tractor beams: i.e., an incident plane wave can exert a pulling force on the scatterer. The underlying physical mechanism for the pulling force is due to the sufficiently strong scattering of the incoming wave into another mode carrying more momentum, in which case excess momentum is created behind the scatterer. This tractor beam or negative radiation pressure (NRP) effect, is found to be generic in systems with multiple scattering channels. In a birefringent medium, electromagnetic plane waves incident on a thin plate exert NRP of the same order of magnitude as optical radiation pressure, while in artificial dielectrics (metamaterials), the magnitude of NRP can even be macroscopic. In two dimensions, we study various scattering situations on vortices, and NRP is shown to occur by the scattering of heavy baryons into light leptons off cosmic strings, and by neutron scattering off vortices in the XY model.

  13. Testing a workplace physical activity intervention: a cluster randomized controlled trial.

    Science.gov (United States)

    McEachan, Rosemary R C; Lawton, Rebecca J; Jackson, Cath; Conner, Mark; Meads, David M; West, Robert M

    2011-04-11

    Increased physical activity levels benefit both an individuals' health and productivity at work. The purpose of the current study was to explore the impact and cost-effectiveness of a workplace physical activity intervention designed to increase physical activity levels. A total of 1260 participants from 44 UK worksites (based within 5 organizations) were recruited to a cluster randomized controlled trial with worksites randomly allocated to an intervention or control condition. Measurement of physical activity and other variables occurred at baseline, and at 0 months, 3 months and 9 months post-intervention. Health outcomes were measured during a 30 minute health check conducted in worksites at baseline and 9 months post intervention. The intervention consisted of a 3 month tool-kit of activities targeting components of the Theory of Planned Behavior, delivered in-house by nominated facilitators. Self-reported physical activity (measured using the IPAQ short-form) and health outcomes were assessed. Multilevel modelling found no significant effect of the intervention on MET minutes of activity (from the IPAQ) at any of the follow-up time points controlling for baseline activity. However, the intervention did significantly reduce systolic blood pressure (B=-1.79 mm/Hg) and resting heart rate (B=-2.08 beats) and significantly increased body mass index (B=.18 units) compared to control. The intervention was found not to be cost-effective, however the substantial variability round this estimate suggested that further research is warranted. The current study found mixed support for this worksite physical activity intervention. The paper discusses some of the tensions involved in conducting rigorous evaluations of large-scale randomized controlled trials in real-world settings. © 2011 McEachan et al; licensee BioMed Central Ltd.

  14. Testing a workplace physical activity intervention: a cluster randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Jackson Cath

    2011-04-01

    Full Text Available Abstract Background Increased physical activity levels benefit both an individuals' health and productivity at work. The purpose of the current study was to explore the impact and cost-effectiveness of a workplace physical activity intervention designed to increase physical activity levels. Methods A total of 1260 participants from 44 UK worksites (based within 5 organizations were recruited to a cluster randomized controlled trial with worksites randomly allocated to an intervention or control condition. Measurement of physical activity and other variables occurred at baseline, and at 0 months, 3 months and 9 months post-intervention. Health outcomes were measured during a 30 minute health check conducted in worksites at baseline and 9 months post intervention. The intervention consisted of a 3 month tool-kit of activities targeting components of the Theory of Planned Behavior, delivered in-house by nominated facilitators. Self-reported physical activity (measured using the IPAQ short-form and health outcomes were assessed. Results and discussion Multilevel modelling found no significant effect of the intervention on MET minutes of activity (from the IPAQ at any of the follow-up time points controlling for baseline activity. However, the intervention did significantly reduce systolic blood pressure (B = -1.79 mm/Hg and resting heart rate (B = -2.08 beats and significantly increased body mass index (B = .18 units compared to control. The intervention was found not to be cost-effective, however the substantial variability round this estimate suggested that further research is warranted. Conclusions The current study found mixed support for this worksite physical activity intervention. The paper discusses some of the tensions involved in conducting rigorous evaluations of large-scale randomized controlled trials in real-world settings. Trial registration Current controlled trials ISRCTN08807396

  15. Plane waves in noncommutative fluids

    Energy Technology Data Exchange (ETDEWEB)

    Abdalla, M.C.B., E-mail: mabdalla@ift.unesp.br [Instituto de Física Teórica, UNESP, Universidade Estadual Paulista, Rua Dr. Bento Teobaldo Ferraz 271, Bloco 2, Barra-Funda, Caixa Postal 70532-2, 01156-970, São Paulo, SP (Brazil); Holender, L., E-mail: holender@ufrrj.br [Grupo de Física Teórica e Matemática Física, Departamento de Física, Universidade Federal Rural do Rio de Janeiro (UFRRJ), Cx. Postal 23851, BR 465 Km 7, 23890-000 Seropédica, RJ (Brazil); Santos, M.A., E-mail: masantos@cce.ufes.br [Departamento de Física e Química, Universidade Federal do Espírito Santo (UFES), Avenida Fernando Ferarri S/N, Goiabeiras, 29060-900 Vitória, ES (Brazil); Vancea, I.V., E-mail: ionvancea@ufrrj.br [Grupo de Física Teórica e Matemática Física, Departamento de Física, Universidade Federal Rural do Rio de Janeiro (UFRRJ), Cx. Postal 23851, BR 465 Km 7, 23890-000 Seropédica, RJ (Brazil)

    2013-08-01

    We study the dynamics of the noncommutative fluid in the Snyder space perturbatively at the first order in powers of the noncommutative parameter. The linearized noncommutative fluid dynamics is described by a system of coupled linear partial differential equations in which the variables are the fluid density and the fluid potentials. We show that these equations admit a set of solutions that are monochromatic plane waves for the fluid density and two of the potentials and a linear function for the third potential. The energy–momentum tensor of the plane waves is calculated.

  16. A Randomized Controlled Trial to Test the Effectiveness of an Immersive 3D Video Game for Anxiety Prevention among Adolescents.

    Science.gov (United States)

    Scholten, Hanneke; Malmberg, Monique; Lobel, Adam; Engels, Rutger C M E; Granic, Isabela

    2016-01-01

    Adolescent anxiety is debilitating, the most frequently diagnosed adolescent mental health problem, and leads to substantial long-term problems. A randomized controlled trial (n = 138) was conducted to test the effectiveness of a biofeedback video game (Dojo) for adolescents with elevated levels of anxiety. Adolescents (11-15 years old) were randomly assigned to play Dojo or a control game (Rayman 2: The Great Escape). Initial screening for anxiety was done on 1,347 adolescents in five high schools; only adolescents who scored above the "at-risk" cut-off on the Spence Children Anxiety Survey were eligible. Adolescents' anxiety levels were assessed at pre-test, post-test, and at three month follow-up to examine the extent to which playing Dojo decreased adolescents' anxiety. The present study revealed equal improvements in anxiety symptoms in both conditions at follow-up and no differences between Dojo and the closely matched control game condition. Latent growth curve models did reveal a steeper decrease of personalized anxiety symptoms (not of total anxiety symptoms) in the Dojo condition compared to the control condition. Moderation analyses did not show any differences in outcomes between boys and girls nor did age differentiate outcomes. The present results are of importance for prevention science, as this was the first full-scale randomized controlled trial testing indicated prevention effects of a video game aimed at reducing anxiety. Future research should carefully consider the choice of control condition and outcome measurements, address the potentially high impact of participants' expectations, and take critical design issues into consideration, such as individual- versus group-based intervention and contamination issues.

  17. A Randomized Controlled Trial to Test the Effectiveness of an Immersive 3D Video Game for Anxiety Prevention among Adolescents.

    Directory of Open Access Journals (Sweden)

    Hanneke Scholten

    Full Text Available Adolescent anxiety is debilitating, the most frequently diagnosed adolescent mental health problem, and leads to substantial long-term problems. A randomized controlled trial (n = 138 was conducted to test the effectiveness of a biofeedback video game (Dojo for adolescents with elevated levels of anxiety. Adolescents (11-15 years old were randomly assigned to play Dojo or a control game (Rayman 2: The Great Escape. Initial screening for anxiety was done on 1,347 adolescents in five high schools; only adolescents who scored above the "at-risk" cut-off on the Spence Children Anxiety Survey were eligible. Adolescents' anxiety levels were assessed at pre-test, post-test, and at three month follow-up to examine the extent to which playing Dojo decreased adolescents' anxiety. The present study revealed equal improvements in anxiety symptoms in both conditions at follow-up and no differences between Dojo and the closely matched control game condition. Latent growth curve models did reveal a steeper decrease of personalized anxiety symptoms (not of total anxiety symptoms in the Dojo condition compared to the control condition. Moderation analyses did not show any differences in outcomes between boys and girls nor did age differentiate outcomes. The present results are of importance for prevention science, as this was the first full-scale randomized controlled trial testing indicated prevention effects of a video game aimed at reducing anxiety. Future research should carefully consider the choice of control condition and outcome measurements, address the potentially high impact of participants' expectations, and take critical design issues into consideration, such as individual- versus group-based intervention and contamination issues.

  18. Review Random regression test-day model for the analysis of dairy ...

    African Journals Online (AJOL)

    jannes

    Abstract. Genetic evaluation of dairy cattle using test-day models is now common internationally. In South. Africa a fixed regression test-day model is used to generate breeding values for dairy animals on a routine basis. The model is, however, often criticized for erroneously assuming a standard lactation curve for cows.

  19. Random regression test-day model for the analysis of dairy cattle ...

    African Journals Online (AJOL)

    Genetic evaluation of dairy cattle using test-day models is now common internationally. In South Africa a fixed regression test-day model is used to generate breeding values for dairy animals on a routine basis. The model is, however, often criticized for erroneously assuming a standard lactation curve for cows in similar ...

  20. Spatial distribution of fiber types in skeletal muscle: test for a random distribution

    NARCIS (Netherlands)

    Venema, H. W.

    1988-01-01

    A statistical test is introduced for the assessment of fiber type grouping based on the number of neighboring fibers of different histochemical type. It is conceptually simple and can be applied to regular and irregular fiber patterns alike. One important feature of this test is that it has more

  1. Is HPV DNA testing specificity comparable to that of cytological testing in primary cervical cancer screening? Results of a meta-analysis of randomized controlled trials.

    Science.gov (United States)

    Pileggi, Claudia; Flotta, Domenico; Bianco, Aida; Nobile, Carmelo G A; Pavia, Maria

    2014-07-01

    Human-papillomavirus (HPV) DNA testing has been proposed as an alternative to primary cervical cancer screening using cytological testing. Review of the evidence shows that available data are conflicting for some aspects. The overall goal of the study is to update the performance of HPV DNA as stand-alone testing in primary cervical cancer screening, focusing particularly on the aspects related to the specificity profile of the HPV DNA testing in respect to cytology. We performed a meta-analysis of randomized controlled clinical trials. Eight articles were included in the meta-analysis. Three outcomes have been investigated: relative detection, relative specificity, and relative positive predictive value (PPV) of HPV DNA testing versus cytology. Overall evaluation of relative detection showed a significantly higher detection of CIN2+ and CIN3+ for HPV DNA testing versus cytology. Meta-analyses that considered all age groups showed a relative specificity that favored the cytology in detecting both CIN2+ and CIN3+ lesions whereas, in the ≥30 years' group, specificity of HPV DNA and cytology tests was similar in detecting both CIN2+ and CIN3+ lesions. Results of the pooled analysis on relative PPV showed a not significantly lower PPV of HPV DNA test over cytology. A main key finding of the study is that in women aged ≥30, has been found an almost overlapping specificity between the two screening tests in detecting CIN2 and above-grade lesions. Therefore, primary screening of cervical cancer by HPV DNA testing appears to offer the right balance between maximum detection of CIN2+ and adequate specificity, if performed in the age group ≥30 years. © 2013 UICC.

  2. Measuring and Modelling the In-Plane Bending Stiffness and Wrinkling Behaviour of Engineering Fabrics

    OpenAIRE

    Harrison, Philip; Anderson, Drew; Alvarez, Marcos F.; Bali, Eshan; Mateos, Yuri

    2016-01-01

    In this investigation two simple tests are conducted to characterise the shear, out-of-plane bending stiffness and in-plane bending stiffness of engineering fabrics and to investigate their wrinkling response during shear. A cantilever bending test [1] is first used to measure the out-of-plane bending stiffness while a modified version of the uniaxial bias extension (UBE) test is used to explore both the in-plane shear and the in-plane bending stiffness of the fabric (see Figure 1a). An estim...

  3. Correlation of finite element free vibration predictions using random vibration test data. M.S. Thesis - Cleveland State Univ.

    Science.gov (United States)

    Chambers, Jeffrey A.

    1994-01-01

    Finite element analysis is regularly used during the engineering cycle of mechanical systems to predict the response to static, thermal, and dynamic loads. The finite element model (FEM) used to represent the system is often correlated with physical test results to determine the validity of analytical results provided. Results from dynamic testing provide one means for performing this correlation. One of the most common methods of measuring accuracy is by classical modal testing, whereby vibratory mode shapes are compared to mode shapes provided by finite element analysis. The degree of correlation between the test and analytical mode shapes can be shown mathematically using the cross orthogonality check. A great deal of time and effort can be exhausted in generating the set of test acquired mode shapes needed for the cross orthogonality check. In most situations response data from vibration tests are digitally processed to generate the mode shapes from a combination of modal parameters, forcing functions, and recorded response data. An alternate method is proposed in which the same correlation of analytical and test acquired mode shapes can be achieved without conducting the modal survey. Instead a procedure is detailed in which a minimum of test information, specifically the acceleration response data from a random vibration test, is used to generate a set of equivalent local accelerations to be applied to the reduced analytical model at discrete points corresponding to the test measurement locations. The static solution of the analytical model then produces a set of deformations that once normalized can be used to represent the test acquired mode shapes in the cross orthogonality relation. The method proposed has been shown to provide accurate results for both a simple analytical model as well as a complex space flight structure.

  4. Standard plane localization in ultrasound by radial component model and selective search.

    Science.gov (United States)

    Ni, Dong; Yang, Xin; Chen, Xin; Chin, Chien-Ting; Chen, Siping; Heng, Pheng Ann; Li, Shengli; Qin, Jing; Wang, Tianfu

    2014-11-01

    Acquisition of the standard plane is crucial for medical ultrasound diagnosis. However, this process requires substantial experience and a thorough knowledge of human anatomy. Therefore it is very challenging for novices and even time consuming for experienced examiners. We proposed a hierarchical, supervised learning framework for automatically detecting the standard plane from consecutive 2-D ultrasound images. We tested this technique by developing a system that localizes the fetal abdominal standard plane from ultrasound video by detecting three key anatomical structures: the stomach bubble, umbilical vein and spine. We first proposed a novel radial component-based model to describe the geometric constraints of these key anatomical structures. We then introduced a novel selective search method which exploits the vessel probability algorithm to produce probable locations for the spine and umbilical vein. Next, using component classifiers trained by random forests, we detected the key anatomical structures at their probable locations within the regions constrained by the radial component-based model. Finally, a second-level classifier combined the results from the component detection to identify an ultrasound image as either a "fetal abdominal standard plane" or a "non- fetal abdominal standard plane." Experimental results on 223 fetal abdomen videos showed that the detection accuracy of our method was as high as 85.6% and significantly outperformed both the full abdomen and the separate anatomy detection methods without geometric constraints. The experimental results demonstrated that our system shows great promise for application to clinical practice. Copyright © 2014 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.

  5. Randomized trial testing a worksite sun protection program in an outdoor recreation industry.

    Science.gov (United States)

    Buller, David B; Andersen, Peter A; Walkosz, Barbara J; Scott, Michael D; Cutter, Gary R; Dignan, Mark B; Zarlengo, Elizabeth M; Voeks, Jenifer H; Giese, Aimee J

    2005-08-01

    Health communication campaigns intended to reduce chronic and severe exposure to ultraviolet radiation in sunlight and prevent skin cancer are a national priority. Outdoor workers represent an unaddressed, high-risk population. Go Sun Smart (GSS), a worksite sun safety program largely based on the diffusion-of-innovations theory, was evaluated in a pair-matched, group-randomized, pretest-posttest controlled design enrolling employees at 26 ski areas in Western North America. Employees at the intervention ski areas were more aware of GSS (odds ratio [OR] = 8.27, p .05) of reduced sunburning in a mediational analysis. Analyses of nonrespondents, including intent-to-treat analyses, further supported the success of GSS.

  6. Force Lines in Plane Stress

    DEFF Research Database (Denmark)

    Rathkjen, Arne

    A state of plane stress is illustrated by means of two families of curves, each family representing constant values of a derivative of Airy's stress function. The two families of curves form a map giving in the first place an overall picture of regions of high and low stress, and in the second pl...

  7. Plane and parabolic solar panels

    OpenAIRE

    Sales, J. H. O.; Suzuki, A. T.

    2009-01-01

    We present a plane and parabolic collector that absorbs radiant energy and transforms it in heat. Therefore we have a panel to heat water. We study how to increment this capture of solar beams onto the panel in order to increase its efficiency in heating water.

  8. Algebraic Methods in Plane Geometry

    Indian Academy of Sciences (India)

    Srimath

    group, taxicab number, Carmi- chael number. Algebraic Methods in Plane Geometry. 2. Cubic Curves. Shailesh A Shirali. Shailesh Shirali heads a. Community Mathematics. Center at Rishi Valley. School (KFI). He has a ..... Ian Stewart and David Tall, Algebraic Number Theory and Fermat's Last. Theorem, A K Peters, 2002.

  9. Test-enhanced web-based learning: optimizing the number of questions (a randomized crossover trial).

    Science.gov (United States)

    Cook, David A; Thompson, Warren G; Thomas, Kris G

    2014-01-01

    Questions enhance learning in Web-based courses, but preliminary evidence suggests that too many questions may interfere with learning. The authors sought to determine how varying the number of self-assessment questions affects knowledge outcomes in a Web-based course. The authors conducted a randomized crossover trial in one internal medicine and one family medicine residency program between January 2009 and July 2010. Eight Web-based modules on ambulatory medicine topics were developed, with varying numbers of self-assessment questions (0, 1, 5, 10, or 15). Participants completed modules in four different formats each year, with sequence randomly assigned. Participants completed a pretest for half their modules. Outcomes included knowledge, completion time, and module ratings. One hundred eighty residents provided data. The mean (standard error) percent correct knowledge score was 53.2 (0.8) for pretests and 73.7 (0.5) for posttests. In repeated-measures analysis pooling all data, mean posttest knowledge scores were highest for the 10- and 15-question formats (75.7 [1.1] and 74.4 [1.0], respectively) and lower for 0-, 1-, and 5-question formats (73.1 [1.3], 72.9 [1.0], and 72.8 [1.5], respectively); P = .04 for differences across all modules. Modules with more questions generally took longer to complete and were rated higher, although differences were small. Residents most often identified 10 questions as ideal. Posttest knowledge scores were higher for modules that included a pretest (75.4 [0.9] versus 72.2 [0.9]; P = .0002). Increasing the number of self-assessment questions improves learning until a plateau beyond which additional questions do not add value.

  10. Random regression analysis of test-day milk yields in the first and second lactations of Brazilian Gyr cows.

    Science.gov (United States)

    Gonzalez-Herrera, L G; El Faro, L; Bignardi, A B; Pereira, R J; Machado, C H C; Albuquerque, L G

    2015-12-09

    The objective of the present study was to estimate the genetic parameters for test-day milk yields (TDMY) in the first and second lactations using random regression models (RRM) in order to contribute to the application of these models in genetic evaluation of milk yield in Gyr cattle. A total of 53,328 TDMY records from 7118 lactations of 5853 Gyr cows were analyzed. The model included the direct additive, permanent environmental, and residual random effects. In addition, contemporary group and linear and quadratic effects of the age of cows at calving were included as fixed effects. A random regression model fitting fourth-order Legendre polynomials for additive genetic and permanent environmental effects, with five classes of residual variance, was applied. In the first lactation, the heritabilities increased from early lactation (0.26) until TDMY3 (0.38), followed by a decrease until the end of lactation. In the second lactation, the estimates increased from the first (0.29) to the fifth test day (0.36), with a slight decrease thereafter, and again increased on the last two test days (0.34 and 0.41). There were positive and high genetic correlations estimated between first-lactation TDMY and the remaining TDMY of the two lactations. The moderate heritability estimates, as well as the high genetic correlations between half the first-lactation TDMY and all TDMY of the two lactations, suggest that the selection based only on first lactation TDMY is the best selection strategy to increase milk production across first and second lactations of Gyr cows.

  11. Random regression models to estimate genetic parameters for test-day milk yield in Brazilian Murrah buffaloes.

    Science.gov (United States)

    Sesana, R C; Bignardi, A B; Borquis, R R A; El Faro, L; Baldi, F; Albuquerque, L G; Tonhati, H

    2010-10-01

    The objective of this work was to estimate covariance functions for additive genetic and permanent environmental effects and, subsequently, to obtain genetic parameters for buffalo's test-day milk production using random regression models on Legendre polynomials (LPs). A total of 17 935 test-day milk yield (TDMY) from 1433 first lactations of Murrah buffaloes, calving from 1985 to 2005 and belonging to 12 herds located in São Paulo state, Brazil, were analysed. Contemporary groups (CGs) were defined by herd, year and month of milk test. Residual variances were modelled through variance functions, from second to fourth order and also by a step function with 1, 4, 6, 22 and 42 classes. The model of analyses included the fixed effect of CGs, number of milking, age of cow at calving as a covariable (linear and quadratic) and the mean trend of the population. As random effects were included the additive genetic and permanent environmental effects. The additive genetic and permanent environmental random effects were modelled by LP of days in milk from quadratic to seventh degree polynomial functions. The model with additive genetic and animal permanent environmental effects adjusted by quintic and sixth order LP, respectively, and residual variance modelled through a step function with six classes was the most adequate model to describe the covariance structure of the data. Heritability estimates decreased from 0.44 (first week) to 0.18 (fourth week). Unexpected negative genetic correlation estimates were obtained between TDMY records at first weeks with records from middle to the end of lactation, being the values varied from -0.07 (second with eighth week) to -0.34 (1st with 42nd week). TDMY heritability estimates were moderate in the course of the lactation, suggesting that this trait could be applied as selection criteria in milking buffaloes. Copyright 2010 Blackwell Verlag GmbH.

  12. Analgesic effect of ultrasound-guided transversus abdominis plane block after total abdominal hysterectomy

    DEFF Research Database (Denmark)

    Røjskjaer, Jesper O; Gade, Erik; Kiel, Louise B

    2015-01-01

    OBJECTIVE: To assess the effect of bilateral ultrasound-guided transversus abdominis plane block with ropivacaine compared with placebo as part of a multimodal analgesic regimen. DESIGN: A randomized, double-blind, placebo-controlled trial following the CONSORT criteria. SETTING: Hvidovre...... an ultrasound-guided transversus abdominis plane block in women undergoing total abdominal hysterectomy. As part of a multimodal regimen the transversus abdominis plane block showed some effect on pain scores at rest only in the early postoperative period....

  13. A multicenter cluster randomized controlled trial of strategies to improve thyroid function testing.

    Science.gov (United States)

    Daucourt, Valentin; Saillour-Glénisson, Florence; Michel, Philippe; Jutand, Marthe-Aline; Abouelfath, Abdelilah

    2003-03-01

    This project aimed to compare the independent and combined effectiveness of two implementation interventions of guidelines for ordering thyroid function tests: a Memorandum Pocket Card (MPC) and a Test Request Form (TRF). Intervention groups were wards. The study used an experimental 2*2 factorial design with matching hospitals according to size and activity and wards according to preintervention appropriateness for test ordering. Four ward groups were established: the dual intervention group, the order form group, the pocket card group and the control group. Physicians in all groups received guidelines and were invited to a local information meeting. The main outcome measure of effectiveness was the Guideline Conformity Rate (GCR). Six hospitals participated in the study (two middle-sized hospitals, two small-sized hospitals and two psychiatric hospitals). A total of 1412 orders for thyroid function tests were collected. GCR was 78% in the dual intervention group, 83% in the order form group, 73% in the pocket card group and 62% in the control group. The interaction between TRF and MPC was not significant (beta = -0.70; P = 0.21). Compared with simple information, TRF was effective in increasing GCR (OR, 2.65; 95% CI, 1.52-4.62), unlike MPC (OR, 1.28; CI, 0.75-2.19). Using a robust design, our study shows the greater effectiveness of TRF than MPC and their association in implementing thyroid function test guidelines.

  14. Experimental Investigation of the Effect of Bedding Planes on Hydraulic Fracturing Under True Triaxial Stress

    Science.gov (United States)

    Huang, Bingxiang; Liu, Jiangwei

    2017-10-01

    A bedding plane effect occurs when hydraulic fractures encounter the bedding plane. True triaxial hydraulic fracturing experiments were conducted with test blocks containing bedding planes. The effects of bedding plane properties and stress state on fracture propagation were analyzed. When hydraulic fracture encounters the bedding plane in sedimentary stratum, it usually propagates along the bedding plane at first. When the hydraulic pressure increases to a critical value in the direction of main hydraulic fracture, the main hydraulic fracture continues propagating along the original direction. The length of the long axial of the hydraulic fracture propagating along the bedding plane is greater than the length of the main hydraulic fracture before penetrating the bedding plane, and both of them are greater than the length of the main hydraulic fracture after penetrating the bedding plane. Three-dimensional propagation models were established. Three propagation forms of hydraulic fractures existed when encountering bedding planes: (1) propagation along the bedding plane; (2) initial propagation along the bedding plane followed by penetration of the bedding plane and propagation along the principal direction; and (3) direct penetration of the bedding plane and propagation along the principal direction.

  15. Random Generation of Response Patterns under Computerized Adaptive Testing with the R Package catR

    Directory of Open Access Journals (Sweden)

    David Magis

    2012-05-01

    Full Text Available This paper outlines a computerized adaptive testing (CAT framework and presents an R package for the simulation of response patterns under CAT procedures. This package, called catR, requires a bank of items, previously calibrated according to the four-parameter logistic (4PL model or any simpler logistic model. The package proposes several methods to select the early test items, several methods for next item selection, different estimators of ability (maximum likelihood, Bayes modal, expected a posteriori, weighted likelihood, and three stopping rules (based on the test length, the precision of ability estimates or the classification of the examinee. After a short description of the different steps of a CAT process, the commands and options of the catR package are presented and practically illustrated.

  16. The influence of two different invitation letters on Chlamydia testing participation: randomized controlled trial

    NARCIS (Netherlands)

    ten Hoor, Gill; Hoebe, Christian Jpa; van Bergen, Jan Eam; Brouwers, Elfi Ehg; Ruiter, Robert Ac; Kok, Gerjo

    2014-01-01

    In The Netherlands, screening for chlamydia (the most prevalent sexually transmitted infection worldwide) is a relatively simple and free procedure. Via an invitation letter sent by the public health services (PHS), people are asked to visit a website to request a test kit. They can then do a

  17. Multidimensional Classification of Examinees Using the Mixture Random Weights Linear Logistic Test Model

    Science.gov (United States)

    Choi, In-Hee; Wilson, Mark

    2015-01-01

    An essential feature of the linear logistic test model (LLTM) is that item difficulties are explained using item design properties. By taking advantage of this explanatory aspect of the LLTM, in a mixture extension of the LLTM, the meaning of latent classes is specified by how item properties affect item difficulties within each class. To improve…

  18. Rotating out-of-plane micromirror

    Science.gov (United States)

    Oak, Sahil; Edmiston, Greg; Sivakumar, Ganapathy; Ramirez, Gabriel; Dallas, Tim

    2010-02-01

    This paper presents a novel, micro-actuated system for beam steering or optical multiplexing applications. The system consists of polysilicon micromirror which is held at ~45° angle on a gear which has a rotational freedom of 360°. In this work, we use serpentine springs attached to a mirror with position specific "catch blocks" to hold the mirror at a desired angle on top of a rotating gear. Out-of-plane assembly is achieved using a simple, postprocessing procedure. The mirror platform is driven by an electrostatically actuated rotary drive. The mirror was tested for robustness and optical performance. Good correlation was found between experiment and various simulations.

  19. An open-label randomized-controlled trial of low dose aspirin with an early screening test for pre-eclampsia and growth restriction (TEST): Trial protocol.

    Science.gov (United States)

    Mone, Fionnuala; Mulcahy, Cecilia; McParland, Peter; Stanton, Alice; Culliton, Marie; Downey, Paul; McCormack, Dorothy; Tully, Elizabeth; Dicker, Patrick; Breathnach, Fionnuala; Malone, Fergal D; McAuliffe, Fionnuala M

    2016-07-01

    Pre-eclampsia remains a worldwide cause of maternal and perinatal morbidity and mortality. Low dose aspirin (LDA) can reduce the occurrence of pre-eclampsia in women with identifiable risk factors. Emerging screening tests can determine the maternal risk of developing placental disease, such as pre-eclampsia from the first trimester of pregnancy. The aim of this study is to determine if it is more beneficial in terms of efficacy and acceptability to routinely prescribe LDA to nulliparous low-risk women compared to test indicated LDA on the basis of a positive screening test for placental disease. We propose a three armed multi-center open-labeled randomized control trial of; (i) routine LDA, (ii) no aspirin, and (iii) LDA on the basis of a positive first trimester pre-eclampsia screening test. LDA (75mg once daily) shall be given from the first trimester until 36-week gestation. The primary outcome measures include; (i) the proportion of eligible women that agree to participate (acceptability), (ii) compliance with study protocol (acceptability and feasibility), (iii) the proportion of women in whom it is possible to obtain first trimester trans-abdominal uterine artery Doppler examination (feasibility) and (iv) the proportion of women with a completed screening test that are issued the screening result within one week of having the test performed (feasibility). This will be the first clinical trial to determine the efficacy and acceptability in low-risk women of taking routine LDA versus no aspirin versus LDA based on a positive first trimester screening test for the prevention of placental disease. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. The role of the random dot Stereo Butterfly test as an adjunct test for the detection of constant strabismus in vision screening.

    Science.gov (United States)

    Moll, Angela M; Rao, Rajesh C; Rotberg, Leemor B; Roarty, John D; Bohra, Lisa I; Baker, John D

    2009-08-01

    A goal of vision screening is the detection of amblyopia risk factors, including strabismus. The random dot Stereo Butterfly test requires no instruction, has a simple pass/fail response with no monocular clues, and is easily administered. The purpose of this study was to determine whether this test could be used as a cost-effective and reliable component of preschool vision screening. The Stereo Butterfly was presented to children with no previous history of ocular problems or treatment. The test was presented with the use of polarized glasses at a 16-inch testing distance. A "pass" was recorded if the patient reported seeing a butterfly; a "refer" was denoted otherwise. Vision and motility measurements were recorded, and the patient underwent a complete eye examination with cycloplegic refraction. A total of 281 children 3 to 6 years of age were tested: 221 children passed the test. Of those who passed, 7 (3.2%) had intermittent strabismus, 1 had a small-angle constant strabismus, 60 failed screening for constant strabismus (of whom 24 [40%] had constant strabismus), and 6 were false-negative results. The sensitivity of the Stereo Butterfly for detecting constant strabismus was 96%; the specificity, 86%. The Stereo Butterfly test may be a valuable adjunctive tool in vision screening programs for the detection of manifest strabismus because it is easy to administer and effectively detects constant strabismus. It has a high specificity for detection of constant strabismus but, if used alone, the low positive predictive value would allow for many false-positive results.

  1. Preference option randomized design (PORD) for comparative effectiveness research: Statistical power for testing comparative effect, preference effect, selection effect, intent-to-treat effect, and overall effect.

    Science.gov (United States)

    Heo, Moonseong; Meissner, Paul; Litwin, Alain H; Arnsten, Julia H; McKee, M Diane; Karasz, Alison; McKinley, Paula; Rehm, Colin D; Chambers, Earle C; Yeh, Ming-Chin; Wylie-Rosett, Judith

    2017-01-01

    Comparative effectiveness research trials in real-world settings may require participants to choose between preferred intervention options. A randomized clinical trial with parallel experimental and control arms is straightforward and regarded as a gold standard design, but by design it forces and anticipates the participants to comply with a randomly assigned intervention regardless of their preference. Therefore, the randomized clinical trial may impose impractical limitations when planning comparative effectiveness research trials. To accommodate participants' preference if they are expressed, and to maintain randomization, we propose an alternative design that allows participants' preference after randomization, which we call a "preference option randomized design (PORD)". In contrast to other preference designs, which ask whether or not participants consent to the assigned intervention after randomization, the crucial feature of preference option randomized design is its unique informed consent process before randomization. Specifically, the preference option randomized design consent process informs participants that they can opt out and switch to the other intervention only if after randomization they actively express the desire to do so. Participants who do not independently express explicit alternate preference or assent to the randomly assigned intervention are considered to not have an alternate preference. In sum, preference option randomized design intends to maximize retention, minimize possibility of forced assignment for any participants, and to maintain randomization by allowing participants with no or equal preference to represent random assignments. This design scheme enables to define five effects that are interconnected with each other through common design parameters-comparative, preference, selection, intent-to-treat, and overall/as-treated-to collectively guide decision making between interventions. Statistical power functions for testing

  2. The learning effectiveness of nursing students using online testing as an assistant tool: a cluster randomized controlled trial.

    Science.gov (United States)

    Chen, Hsiang-Yang; Chuang, Chao-Hua

    2012-04-01

    With the rapid development of the Internet, online testing is becoming more widely-used in education. The purpose of this study is to explore the learning effectiveness of nursing students using online testing as an assistant tool. The participants were 146 junior college nursing students aged 19 to 20 taking the community health nursing course. With a class as the unit, three classes were randomized and allocated to one experimental group and two control groups. Two structured questionnaires were used to obtain the basic data, and the groups' examination results were also collected. The results of this study showed that before the intervention, there were no significant differences between the experimental and two control groups. After the intervention and adjusting for potential confounders, the score of midterm test in the experimental group was significantly better than those of the control groups. Over half of the students felt that answering 21 to 30 questions in 31 to 60 min for one unit of testing were appropriate. The results of this study showed that online testing is feasible for use as an assistant tool for learning. However, the positive effects of this approach appeared to be short- rather than long-term, and thus more studies are required in future. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. [Use of a rapid rotavirus test in prescription of antibiotics in acute diarrhea in pediatrics: an observational, randomized, controlled study].

    Science.gov (United States)

    Bucher, Andrea; Rivara, Gustavo; Briceño, Diego; Huicho, Luis

    2012-01-01

    To determine the impact of a rapid and accurate rotavirus test in the emergency ward on the reduction of antibiotic prescription in children under 5 years old with acute diarrhea at "Arzobispo Loayza National Hospital", Lima, Peru. We performed an observational prospective randomized controlled study, from July 2008 to January 2009. Stool samples from patients with diarrhea lasting less than 5 days were analyzed. Out of 201 cases, 101 were classified in Group A (with fecal leukocytes test performed) and 100 in Group B (with fecal leukocytes test and rotavirus/adenovirus test performed). We aimed to associate the signs and symptoms with the decision of prescribing antibiotics and with hospitalization risk. Both groups were comparable with regard to age, weight and illness duration. In patients with rotavirus infection, fecal leukocytes were positive in 46.9% of cases. Frequency of antibiotic use was directly associated with the number of fecal leukocytes (Pdiarrhea-attributable deaths were reported. The use of rotavirus test in the pediatric emergency room decreased antibiotic prescription in children with diarrhea.

  4. TESTING HISTOLOGICAL IMAGES OF MAMMARY TISSUES ON COMPATIBILITY WITH THE BOOLEAN MODEL OF RANDOM SETS

    Directory of Open Access Journals (Sweden)

    Tomáš Mrkvička

    2011-03-01

    Full Text Available Methods for testing the Boolean model assumption from binary images are briefly reviewed. Two hundred binary images of mammary cancer tissue and 200 images of mastopathic tissue were tested individually on the Boolean model assumption. In a previous paper, it had been found that a Monte Carlo method based on the approximation of the envelopes by a multi-normal distribution with the normalized intrinsic volume densities of parallel sets as a summary statistics had the highest power for this purpose. Hence, this method was used here as its first application to real biomedical data. It was found that mastopathic tissue deviates from the Boolean model significantly more strongly than mammary cancer tissue does.

  5. Promoting STI testing among senior vocational students in Rotterdam, the Netherlands: effects of a cluster randomized study

    Directory of Open Access Journals (Sweden)

    Wolfers Mireille

    2011-12-01

    Full Text Available Abstract Background Adolescents are a risk group for acquiring sexually transmitted infections (STIs. In the Netherlands, senior vocational school students are particular at risk. However, STI test rates among adolescents are low and interventions that promote testing are scarce. To enhance voluntary STI testing, an intervention was designed and evaluated in senior vocational schools. The intervention combined classroom health education with sexual health services at the school site. The purpose of this study was to assess the combined and single effects on STI testing of health education and school-based sexual health services. Methods In a cluster-randomized study the intervention was evaluated in 24 schools, using three experimental conditions: 1 health education, 2 sexual health services; 3 both components; and a control group. STI testing was assessed by self reported behavior and registrations at regional sexual health services. Follow-up measurements were performed at 1, 3, and 6-9 months. Of 1302 students present at baseline, 739 (57% completed at least 1 follow-up measurement, of these students 472 (64% were sexually experienced, and considered to be susceptible for the intervention. Multi-level analyses were conducted. To perform analyses according to the principle of intention-to-treat, missing observations at follow-up on the outcome measure were imputed with multiple imputation techniques. Results were compared with the complete cases analysis. Results Sexually experienced students that received the combined intervention of health education and sexual health services reported more STI testing (29% than students in the control group (4% (OR = 4.3, p Conclusions Despite a low dose of intervention that was received by the students and a high attrition, we were able to show an intervention effect among sexually experienced students on STI testing. This study confirmed our hypothesis that offering health education to vocational students

  6. TESTING BRAND VALUE MEASUREMENT METHODS IN A RANDOM COEFFICIENT MODELING FRAMEWORK

    OpenAIRE

    Szõcs Attila

    2014-01-01

    Our objective is to provide a framework for measuring brand equity, that is, the added value to the product endowed by the brand. Based on a demand and supply model, we propose a structural model that enables testing the structural effect of brand equity (demand side effect) on brand value (supply side effect), using Monte Carlo simulation. Our main research question is which of the three brand value measurement methods (price premium, revenue premium and profit premium) is more suitable from...

  7. A randomized controlled trial testing the efficacy of an HIV/AIDS symptom management manual.

    Science.gov (United States)

    Wantland, Dean J; Holzemer, William L; Moezzi, Shahnaz; Willard, Suzanne S; Arudo, John; Kirksey, Kenn M; Portillo, Carmen J; Corless, Inge B; Rosa, María E; Robinson, Linda L; Nicholas, Patrice K; Hamilton, Mary Jane; Sefcik, Elizabeth F; Human, Sarie; Rivero, Marta M; Maryland, Mary; Huang, Emily

    2008-09-01

    This study investigates whether using an HIV/AIDS symptom management manual with self-care strategies for 21 common symptoms, compared to a basic nutrition manual, had an effect on reducing symptom frequency and intensity. A 775-person, repeated measures, randomized controlled trial was conducted over three months in 12 sites from the United States, Puerto Rico, and Africa to assess the relationship between symptom intensity with predictors for differences in initial symptom status and change over time. A mixed model growth analysis showed a significantly greater decline in symptom frequency and intensity for the group using the symptom management manual (intervention) compared to those using the nutrition manual (control) (t=2.36, P=0.018). The models identified three significant predictors for increased initial symptom intensities and in intensity change over time: (1) protease inhibitor-based therapy (increased mean intensity by 28%); (2) having comorbid illness (nearly twice the mean intensity); and (3) being Hispanic receiving care in the United States (increased the mean intensity by 2.5 times). In addition, the symptom manual showed a significantly higher helpfulness rating and was used more often compared to the nutrition manual. The reduction in symptom intensity scores provides evidence of the need for palliation of symptoms in individuals with HIV/AIDS, as well as symptoms and treatment side effects associated with other illnesses. The information from this study may help health care providers become more aware of self-management strategies that are useful to persons with HIV/AIDS and help them to assist patients in making informed choices.

  8. Hydrodynamics of planing monohull watercraft

    CERN Document Server

    Vorus, William S

    2017-01-01

    This book addresses the principles involved in the design and engineering of planing monohull power boats, with an emphasis on the theoretical fundamentals that readers need in order to be fully functional in marine design and engineering. Author William Vorus focuses on three topics: boat resistance, seaway response, and propulsion and explains the physical principles, mathematical details, and theoretical details that support physical understanding. In particular, he explains the approximations and simplifications in mathematics that lead to success in the applications of planing craft design engineering, and begins with the simplest configuration that embodies the basic physics. He leads readers, step-by-step, through the physical complications that occur, leading to a useful working knowledge of marine design and engineering. Included in the book are a wealth of examples that exemplify some of the most important naval architecture and marine engineering problems that challenge many of today’s engineers.

  9. SETI in the Ecliptic Plane

    Science.gov (United States)

    Conn Henry, Richard; Kilston, S.; Shostak, S.

    2008-05-01

    The strong advantages of SETI searches in the ecliptic plane have been pointed out by Kilston, Shostak, and Henry (2008). In our poster we show one possible history of civilizations in the galaxy, from birth, through galactic colonization, up to death - and even beyond. Should this scenario be correct, the pattern suggests that the best hope for success in SETI is exploration of the possibility that there are a few extremely ancient but non-colonizing civilizations; civilizations that, aeons ago, detected the existence of Earth (oxygen, and hence life) and of its Moon (stabilizing Earth's rotation) via observations of transits of the Sun (hence, ecliptic, which is stable over millions of years [Laskar et al. 2004]), and have been beaming voluminous information in our direction ever since, in their faint hope (now realized) that a technological "receiving” species would appear. To maintain such a targeted broadcast would be extremely cheap for an advanced civilization. A search of a swath centered on our ecliptic plane should easily find such civilizations, if they exist. We hope to carry out such a search, using the Allen Telescope Array. http://henry.pha.jhu.edu/poster.SETI.pdf References: Kilston, Steven; Shostak, Seth; & Henry, Richard Conn; "Who's Looking at You, Kid?: SETI Advantages near the Ecliptic Plane," AbSciCon 2008, April 14-17, Santa Clara, CA.; Laskar, J., et al., A&A 428, 261, 2004 This work was supported by Maryland Space Grant Consortium.

  10. Intervention to Match Young Black Men and Transwomen Who Have Sex With Men or Transwomen to HIV Testing Options (All About Me): Protocol for a Randomized Controlled Trial.

    Science.gov (United States)

    Koblin, Beryl; Hirshfield, Sabina; Chiasson, Mary Ann; Wilton, Leo; Usher, DaShawn; Nandi, Vijay; Hoover, Donald R; Frye, Victoria

    2017-12-19

    HIV testing is a critical component of HIV prevention and care. Interventions to increase HIV testing rates among young black men who have sex with men (MSM) and black transgender women (transwomen) are needed. Personalized recommendations for an individual's optimal HIV testing approach may increase testing. This randomized trial tests the hypothesis that a personalized recommendation of an optimal HIV testing approach will increase HIV testing more than standard HIV testing information. A randomized trial among 236 young black men and transwomen who have sex with men or transwomen is being conducted. Participants complete a computerized baseline assessment and are randomized to electronically receive a personalized HIV testing recommendation or standard HIV testing information. Follow-up surveys are conducted online at 3 and 6 months after baseline. The All About Me randomized trial was launched in June 2016. Enrollment is completed and 3-month retention is 92.4% (218/236) and has exceeded study target goals. The All About Me intervention is an innovative approach to increase HIV testing by providing a personalized recommendation of a person's optimal HIV testing approach. If successful, optimizing this intervention for mobile devices will widen access to large numbers of individuals. ClinicalTrial.gov NCT02834572; https://clinicaltrials.gov/ct2/show/NCT02834572 (Archived by WebCite at http://www.webcitation.org/6vLJWOS1B).

  11. The effect of test kit provision, and individual and family education on the uptake rates of fecal occult blood test in an Asian population: a randomized controlled trial.

    Science.gov (United States)

    Ha, Tam Cam; Yong, Sook Kwin; Yeoh, Kheng-Wei; Kamberakis, Kay; Yeo, Richard Ming Chert; Koh, Gerald Choon-Huat

    2014-11-01

    The purpose of the study was to investigate whether fecal occult blood test (FOBT) home-delivery and individual education or combined with family education increases FOBT uptake rates in Singapore. This is a randomized controlled intervention study of Singaporean residents aged 50 years and above, conducted in May 2012 till May 2013. Eligible individuals in randomly selected households were screened, and one member was randomly selected and allocated to one of the four arms: Group A (individual and family education, FOBT kits provided), Group B (individual education only, FOBT kits provided), Group C (no education, FOBT kits provided) and Group D (no education or FOBT kits provided). Overall response rate was 74.7 %. The FOBT return rates for groups A, B, C and D were 24.5 % [CI 16.2-34.4 %], 25.3 % [CI 16.4-36.0 %], 10.7 % [CI 4.7-19.9 %] and 2.2 % [CI 0.3-7.7 %], respectively. Respondents who were provided education and home-delivered FOBT kits were 15 times more likely to return FOBT kits [Group A: OR 15.0 (3.4-66.2); Group B: OR 15.5 (3.5-68.8)] and those provided with home-delivered FOBT without education were five times more likely to return FOBT kits [Group C: OR 5.8 (1.2-28.3)] than those without education and FOBT kits (Group D). There was no significant difference in return of FOBT kits whether education was provided to subject with or without a family member. Home delivery of FOBT kits increased FOBT return rates and individual education combined with home-delivered FOBT increased FOBT return rates even further. However, additional combination with family education did not increase FOBT rates further.

  12. Hepatitis C Virus Testing for Case Identification in Persons Born during 1945-1965: Results from Three Randomized Controlled Trials.

    Science.gov (United States)

    Yartel, Anthony K; Rein, David B; Ann Brown, Kimberly; Krauskopf, Katherine; Massoud, Omar I; Jordan, Cynthia; Kil, Natalie; Federman, Alex D; Nerenz, David R; Brady, Joanne E; Kruger, Danielle L; Smith, Bryce D

    2017-09-23

    CDC and U.S. Preventive Services Task Force recommend one-time hepatitis C virus (HCV) testing for persons born during 1945-1965 (birth cohort). However, few studies estimate the effect of birth cohort (BC) testing implementation on HCV diagnoses in primary care settings. We aimed to determine the probability of identifying HCV infections in primary care using targeted BC testing compared with usual care at three academic medical centers. From December 2012 to March 2014, each center compared one of three distinct interventions to usual care using an independently-designed randomized controlled trial. Across centers, BC patients with no clinical documentation of previous HCV testing or diagnosis were randomly assigned to receive a one-time offering of HCV antibody (anti-HCV) testing via one of three independent implementation strategies (repeated-mailing outreach, EMR-integrated provider best practice alert [BPA], and direct patient-solicitation) or assigned to receive usual care. We estimated model-adjusted risk ratios (aRR) of anti-HCV positive (anti-HCV+) identification using BC testing versus usual care. In the repeated-mailing trial, 8,992 patients (intervention=2,993; control=5,999) were included in the analysis. The intervention was eight times as likely to identify anti-HCV+ patients compared with control (aRR 8.0, 95%CI 2.8-23.0; adjusted probabilities: intervention=0.27%; control=0.03%). In the BPA trial, data from 14,475 patients (BC=8,928; control=5,547) were analyzed. The intervention was 2.6 times as likely to identify anti-HCV+ patients versus control (aRR 2.6, 95%CI 1.1-6.4; adjusted probabilities: intervention=0.29%; control=0.11%). In the patient-solicitation trial, 8,873 patients (BC=4,307; control=4,566) were analyzed. The intervention was five times as likely to identify anti-HCV+ patients compared with control (aRR 5.3, 95%CI 2.3-12.3; adjusted probabilities: intervention=0.68%; control=0.11%). BC testing was effective in identifying

  13. NCC-RANSAC: A Fast Plane Extraction Method for 3-D Range Data Segmentation

    Science.gov (United States)

    Qian, Xiangfei; Ye, Cang

    2015-01-01

    This paper presents a new plane extraction (PE) method based on the random sample consensus (RANSAC) approach. The generic RANSAC-based PE algorithm may over-extract a plane, and it may fail in case of a multistep scene where the RANSAC procedure results in multiple inlier patches that form a slant plane straddling the steps. The CC-RANSAC PE algorithm successfully overcomes the latter limitation if the inlier patches are separate. However, it fails if the inlier patches are connected. A typical scenario is a stairway with a stair wall where the RANSAC plane-fitting procedure results in inliers patches in the tread, riser, and stair wall planes. They connect together and form a plane. The proposed method, called normal-coherence CC-RANSAC (NCC-RANSAC), performs a normal coherence check to all data points of the inlier patches and removes the data points whose normal directions are contradictory to that of the fitted plane. This process results in separate inlier patches, each of which is treated as a candidate plane. A recursive plane clustering process is then executed to grow each of the candidate planes until all planes are extracted in their entireties. The RANSAC plane-fitting and the recursive plane clustering processes are repeated until no more planes are found. A probabilistic model is introduced to predict the success probability of the NCC-RANSAC algorithm and validated with real data of a 3-D time-of-flight camera–SwissRanger SR4000. Experimental results demonstrate that the proposed method extracts more accurate planes with less computational time than the existing RANSAC-based methods. PMID:24771605

  14. Global Stratigraphy of Venus: Analysis of a Random Sample of Thirty-Six Test Areas

    Science.gov (United States)

    Basilevsky, Alexander T.; Head, James W., III

    1995-01-01

    The age relations between 36 impact craters with dark paraboloids and other geologic units and structures at these localities have been studied through photogeologic analysis of Magellan SAR images of the surface of Venus. Geologic settings in all 36 sites, about 1000 x 1000 km each, could be characterized using only 10 different terrain units and six types of structures. These units and structures form a major stratigraphic and geologic sequence (from oldest to youngest): (1) tessera terrain; (2) densely fractured terrains associated with coronae and in the form of remnants among plains; (3) fractured and ridged plains and ridge belts; (4) plains with wrinkle ridges; (5) ridges associated with coronae annulae and ridges of arachnoid annulae which are contemporary with wrinkle ridges of the ridged plains; (6) smooth and lobate plains; (7) fractures of coronae annulae, and fractures not related to coronae annulae, which disrupt ridged and smooth plains; (8) rift-associated fractures; and (9) craters with associated dark paraboloids, which represent the youngest 1O% of the Venus impact crater population (Campbell et al.), and are on top of all volcanic and tectonic units except the youngest episodes of rift-associated fracturing and volcanism; surficial streaks and patches are approximately contemporary with dark-paraboloid craters. Mapping of such units and structures in 36 randomly distributed large regions (each approximately 10(exp 6) sq km) shows evidence for a distinctive regional and global stratigraphic and geologic sequence. On the basis of this sequence we have developed a model that illustrates several major themes in the history of Venus. Most of the history of Venus (that of its first 80% or so) is not preserved in the surface geomorphological record. The major deformation associated with tessera formation in the period sometime between 0.5-1.0 b.y. ago (Ivanov and Basilevsky) is the earliest event detected. In the terminal stages of tessera fon

  15. Regularized plane-wave least-squares Kirchhoff migration

    KAUST Repository

    Wang, Xin

    2013-09-22

    A Kirchhoff least-squares migration (LSM) is developed in the prestack plane-wave domain to increase the quality of migration images. A regularization term is included that accounts for mispositioning of reflectors due to errors in the velocity model. Both synthetic and field results show that: 1) LSM with a reflectivity model common for all the plane-wave gathers provides the best image when the migration velocity model is accurate, but it is more sensitive to the velocity errors, 2) the regularized plane-wave LSM is more robust in the presence of velocity errors, and 3) LSM achieves both computational and IO saving by plane-wave encoding compared to shot-domain LSM for the models tested.

  16. A new dimension to cephalometry: DW plane

    Directory of Open Access Journals (Sweden)

    Shruti K Hatewar

    2015-01-01

    Full Text Available Context: An accurate jaw relationship is critically important in orthodontic diagnosis and treatment planning. Various angular and linear measurements that have been proposed can be erroneous because they depend on various factors. Aim: The purpose of this study is to establish a new cephalometric measurement to assess the skeletal jaw discrepancy using Walker's point. Settings and Design: Lateral cephalogram of 100 Indian subjects with age range (8–11, 12–18, 19-27 were obtained. Inclusion criteria were – clinically Class I occlusion; normal overjet and overbite; orthoganthic profile; competent lips and cephalometrically normal ANB; Wits appraisal; Rakosi Jarabak's angle of inclination and mandibular plane angle. Materials and Methods: Four skeletal landmarks: Point A, Point B, Walker's point (W and Wing point (w were used to indicate the severity and type of skeletal dysplasia. Double W (DW was constructed joining the Walker's and Wing point. Statistical Analysis Used: Analysis of variance test and Student's t-test was applied which showed significant results. Results: The difference between Walker's perpendicular to A Point and Walker's perpendicular to B Point gave the sagittal jaw discrepancy and was found to be 8.2 ± 0.9 mm. This measurement remained relatively constant throughout life. Conclusions: DW plane is an effective way to accurately establish the skeletal jaw relationship. It analyses the variance between linear measurements to determine the sagittal jaw relationship, linear measurements for vertical maxillary height and angular measurements to determine rotational jaw changes.

  17. Mailed outreach and facilitated test ordering to promote cholesterol screening in community health centers: A randomized trial.

    Science.gov (United States)

    Persell, Stephen D; Brown, Tiffany; Lee, Ji Young; Henley, Eric; Long, Timothy; Sanchez, Thomas; Knight, Regina

    2017-06-01

    Lipid screening is central to cardiovascular risk assessment. We sought to determine whether a simple mailed outreach message and facilitated test ordering increase cholesterol screening among federally qualified community health center patients with no recent cholesterol screening test performed. Using a patient-randomized controlled trial, we examined the effects of delivering a simple mailed outreach intervention promoting cholesterol testing and facilitated test ordering (without requiring an office visit). Participants were adult patients 50 to 75 years old, with no diagnosed cardiovascular disease or diabetes, and no cholesterol test within 5 years who had received care from community health centers in Illinois and Arizona. The intervention took place in 2014 and was powered to detect a 10% increase in screening due to the intervention. Participants' (n = 480) mean age was 57.5 years, 51.0% were male, and 43.8% were smokers. There was no significant difference between groups in the primary study outcome-completion of total cholesterol and high-density lipoprotein cholesterol tests or complete lipid panel within 3 months; 32 participants (13.3%) in intervention group versus 26 (10.8%) in control group met the primary outcome, with absolute difference of 2.5 percentage points (95% confidence interval -6.6 to 11.6). This outreach intervention promoting cholesterol screening was ineffective. Interventions that attempt to minimize barriers to cholesterol screening on multiple fronts and that are more compelling to patients are needed. © 2016 John Wiley & Sons, Ltd.

  18. Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial.

    Science.gov (United States)

    Dalal, Anuj K; Roy, Christopher L; Poon, Eric G; Williams, Deborah H; Nolido, Nyryan; Yoon, Cathy; Budris, Jonas; Gandhi, Tejal; Bates, David W; Schnipper, Jeffrey L

    2014-01-01

    Physician awareness of the results of tests pending at discharge (TPADs) is poor. We developed an automated system that notifies responsible physicians of TPAD results via secure, network email. We sought to evaluate the impact of this system on self-reported awareness of TPAD results by responsible physicians, a necessary intermediary step to improve management of TPAD results. We conducted a cluster-randomized controlled trial at a major hospital affiliated with an integrated healthcare delivery network in Boston, Massachusetts. Adult patients with TPADs who were discharged from inpatient general medicine and cardiology services were assigned to the intervention or usual care arm if their inpatient attending physician and primary care physician (PCP) were both randomized to the same study arm. Patients of physicians randomized to discordant study arms were excluded. We surveyed these physicians 72 h after all TPAD results were finalized. The primary outcome was awareness of TPAD results by attending physicians. Secondary outcomes included awareness of TPAD results by PCPs, awareness of actionable TPAD results, and provider satisfaction. We analyzed data on 441 patients. We sent 441 surveys to attending physicians and 353 surveys to PCPs and received 275 and 152 responses from 83 different attending physicians and 112 different PCPs, respectively (attending physician survey response rate of 63%). Intervention attending physicians and PCPs were significantly more aware of TPAD results (76% vs 38%, adjusted/clustered OR 6.30 (95% CI 3.02 to 13.16), pemail notification represents a promising strategy for managing TPAD results, potentially mitigating an unresolved patient safety concern. ClinicalTrials.gov (NCT01153451).

  19. Propulsion technology for National Aero-Space Plane

    Science.gov (United States)

    Anderson, C. W.; Mcclinton, Charles R.; Guy, R. W.

    1990-01-01

    The National Aerospace Plane (NASP) program is briefly reviewed, including its growth, objectives, team organization, and schedule. The NASP propulsion technology is discussed, and the results of engine module tests are described. Future large-scale and higher-speed testing needs are examined.

  20. A plane stress yield function for anisotropic sheet material by interpolation of biaxial stress states

    NARCIS (Netherlands)

    Vegter, H.; van den Boogaard, Antonius H.

    2006-01-01

    An anisotropic plane stress yield function based on interpolation by second order Bézier curves is proposed. The parameters for the model are readily derived by four mechanical tests: a uniaxial, an equi-biaxial and a plane strain tensile test and a shear test. In case of planar anisotropy, this set

  1. Some Considerations Regarding Plane to Plane Parallelism Error Effects in Robotic Systems

    Directory of Open Access Journals (Sweden)

    Stelian Alaci

    2015-06-01

    Full Text Available The paper shows that by imposing the parallelism constraint between the measured plane and the reference plane, the position of the current plane is not univocal specified and is impossible to specify the way to attain the parallelism errors imposed by accuracy constrains. The parameters involved in the calculus of plane to plane parallelism error can be used to set univocal the relative position between the two planes.

  2. Binary pseudo-random grating as a standard test surface formeasurement of modulation transfer function of interferometricmicroscopes

    Energy Technology Data Exchange (ETDEWEB)

    Yashchuk, Valeriy V.; McKinney, Wayne R.; Takacs, Peter Z.

    2007-07-25

    The task of designing high performance X-ray optical systemsrequires the development of sophisticated X-ray scattering calculationsbased on rigorous information about the optics. One of the mostinsightful approaches to these calculations is based on the powerspectral density (PSD) distribution of the surface height. The majorproblem of measurement of a PSD distribution with an interferometricand/or atomic force microscope arises due to the unknown ModulationTransfer Function (MTF) of the instruments. The MTF characterizes theperturbation of the PSD distribution at higher spatial frequencies. Here,we describe a new method and dedicated test surfaces for calibration ofthe MTF of a microscope. The method is based on use of a speciallydesigned Binary Pseudo-random (BPR) grating. Comparison of atheoretically calculated PSD spectrum of a BPR grating with a spectrummeasured with the grating provides the desired calibration of theinstrumental MTF. The theoretical background of the method, as well asresults of experimental investigations are presented.

  3. A study of parallelism of the occlusal plane and ala-tragus line.

    Science.gov (United States)

    Sadr, Katayoun; Sadr, Makan

    2009-01-01

    Orientation of the occlusal plane is one of the most important clinical procedures in prostho-dontic rehabilitation of edentulous patients. The aim of this study was to define the best posterior reference point of ala-tragus line for orientation of occlusal plane for complete denture fabrication. Fifty-three dental students (27 females and 26 males) with complete natural dentition and Angel's Class I occlusal relationship were selected. The subjects were photographed in natural head position while clenching on a Fox plane. After tracing the photographs, the angles between the following lines were measured: the occlusal plane (Fox plane) and the superior border of ala-tragus, the occlusal plane (Fox plane) and the middle of ala-tragus as well as the occlusal plane (Fox plane) and the inferior border of ala-tragus. Descriptive statistics, one sample t-test and independent t-test were used. P value less than 0.05 was considered significant. There was no parallelism between the occlusal plane and ala-tragus line with three different posterior ends and one sample t-test showed that the angles between them were significantly different from zero (pparallel to the occlusal plane. The superior border of the tragus is suggested as the posterior reference for ala-tragus line.

  4. Fast Random Permutation Tests Enable Objective Evaluation of Methods for Single-Subject fMRI Analysis

    Directory of Open Access Journals (Sweden)

    Anders Eklund

    2011-01-01

    Full Text Available Parametric statistical methods, such as Z-, t-, and F-values, are traditionally employed in functional magnetic resonance imaging (fMRI for identifying areas in the brain that are active with a certain degree of statistical significance. These parametric methods, however, have two major drawbacks. First, it is assumed that the observed data are Gaussian distributed and independent; assumptions that generally are not valid for fMRI data. Second, the statistical test distribution can be derived theoretically only for very simple linear detection statistics. With nonparametric statistical methods, the two limitations described above can be overcome. The major drawback of non-parametric methods is the computational burden with processing times ranging from hours to days, which so far have made them impractical for routine use in single-subject fMRI analysis. In this work, it is shown how the computational power of cost-efficient graphics processing units (GPUs can be used to speed up random permutation tests. A test with 10000 permutations takes less than a minute, making statistical analysis of advanced detection methods in fMRI practically feasible. To exemplify the permutation-based approach, brain activity maps generated by the general linear model (GLM and canonical correlation analysis (CCA are compared at the same significance level.

  5. Fast Random Permutation Tests Enable Objective Evaluation of Methods for Single-Subject fMRI Analysis

    Science.gov (United States)

    Eklund, Anders; Andersson, Mats; Knutsson, Hans

    2011-01-01

    Parametric statistical methods, such as Z-, t-, and F-values, are traditionally employed in functional magnetic resonance imaging (fMRI) for identifying areas in the brain that are active with a certain degree of statistical significance. These parametric methods, however, have two major drawbacks. First, it is assumed that the observed data are Gaussian distributed and independent; assumptions that generally are not valid for fMRI data. Second, the statistical test distribution can be derived theoretically only for very simple linear detection statistics. With nonparametric statistical methods, the two limitations described above can be overcome. The major drawback of non-parametric methods is the computational burden with processing times ranging from hours to days, which so far have made them impractical for routine use in single-subject fMRI analysis. In this work, it is shown how the computational power of cost-efficient graphics processing units (GPUs) can be used to speed up random permutation tests. A test with 10000 permutations takes less than a minute, making statistical analysis of advanced detection methods in fMRI practically feasible. To exemplify the permutation-based approach, brain activity maps generated by the general linear model (GLM) and canonical correlation analysis (CCA) are compared at the same significance level. PMID:22046176

  6. Cultural values and random breath tests as moderators of the social influence on drunk driving in 15 countries.

    Science.gov (United States)

    Cestac, Julien; Kraïem, Sami; Assailly, Jean-Pascal

    2016-02-01

    The social influence on drunk driving has been previously observed in several countries. It is noteworthy, however, that the prevalence of alcohol in road fatalities is not the same in all countries. The present study aimed to explore whether cultural values and the number of roadside breath tests moderate the link between the perceived drunk driving of one's peers and self-reported behavior. Based on the European survey SARTRE 4, the responses of 10,023 car drivers from 15 countries were analyzed. Two cultural values, "tradition" and "conformism," were identified as possibly being linked to social influence. Country scores for these values were taken from the European Social Survey. The number of random roadside breath tests per inhabitant was used as an indicator of drunk-driving enforcement in each country. A hierarchical multilevel modeling analysis confirmed the link between friends' drunk driving and one's own drunk driving in all countries, but the strength of the link was much stronger in some countries (e.g., Italy, Cyprus, and Israel) than in others (e.g., Finland, Estonia, and Sweden). Both the measured value of "tradition" and the number of alcohol breath tests were found to moderate the link between friends' and one's own drunk driving. European stakeholders should take into account cultural specificities of target countries when designing campaigns against drunk driving. Copyright © 2015. Published by Elsevier Ltd.

  7. Chocolate or orange juice for non-reactive non-stress test (NST) patterns: a randomized prospective controlled study.

    Science.gov (United States)

    Esin, Sertac; Baser, Eralp; Cakir, Caner; Ustun Tuncal, Gul Nihal; Kucukozkan, Tuncay

    2013-06-01

    The objective of the study was to compare bitter chocolate and orange juice with the control group for non-reactive non-stress test (NST) patterns and for maternal perception of fetal movements. Pregnant women who were followed-up on an outpatient basis and admitted for a NST and had a non-reactive result were randomized prospectively into bitter chocolate, orange juice and control groups. 180 patients were evaluable for the final analysis. Although there was a trend for orange juice group for having higher percentages of reactive NST patterns on control, there was no statistically significant difference between three groups (p = 0.159). Besides this, maternal perception of increased fetal movements was similar between groups (p = 0.755). The control group had lower post-test capillary blood glucose concentrations when compared with chocolate and orange juice groups (p = 0.01) and after post-hoc tests, this difference was found to be between orange juice and control groups. Although orange juice resulted in higher blood glucose levels, this was not synonymous with better NST results on control; in such a way that bitter chocolate, orange juice and no intervention had similar effects on non-reactive NST patterns and also on maternal perception of fetal movements.

  8. SNAP Satellite Focal Plane Development

    Energy Technology Data Exchange (ETDEWEB)

    Bebek, C.; Akerlof, C.; Aldering, G.; Amanullah, R.; Astier, P.; Baltay, C.; Barrelet, E.; Basa, S.; Bercovitz, J.; Bergstrom, L.; Berstein, G.P.; Bester, M.; Bohlin, R.; Bonissent, A.; Bower, C.; Campbell, M.; Carithers, W.; Commins, E.; Day, C.; Deustua, S.; DiGennaro, R.; Ealet, A.; Ellis, R.; Emmett, W.; Eriksson, M.; Fouchez,D.; Fruchter, A.; Genat, J-F.; Goldhaber, G.; Goobar, A.; Groom, D.; Heetderks, H.; Holland, S.; Huterer, D.; Johnson, W.; Kadel, R.; Karcher,A.; Kim, A.; Kolbe, W.; Lafever, R.; Lamoureaux, J.; Lampton, M.; Lefevre, O.; Levi, M.; Levin, D.; Linder, E.; Loken, S.; Malina, R.; Mazure, A.; McKay, T.; McKee, S.; Miquel, R.; Morgan, N.; Mortsell, E.; Mostek, N.; Mufson, S.; Musser, J.; Roe, N.; Nugent, P.; Oluseyi, H.; Pain, R.; Palaio, N.; Pankow, D.; Perlmutter, S.; Prieto, E.; Rabinowitz,D.; Refregier, A.; Rhodes, J.; Schubnell, M.; Sholl, M.; Smadja, G.; Smith, R.; Smoot, G.; Snyder, J.; Spadafora, A.; Szymkowiak, A.; Tarle,G.; Taylor, K.; Tilquin, A.; Tomasch, A.; Vincent, D.; von der Lippe, H.; Walder, J-P.; Wang, G.

    2003-07-07

    The proposed SuperNova/Acceleration Probe (SNAP) mission will have a two-meter class telescope delivering diffraction-limited images to an instrumented 0.7 square degree field in the visible and near-infrared wavelength regime. The requirements for the instrument suite and the present configuration of the focal plane concept are presented. A two year R&D phase, largely supported by the Department of Energy, is just beginning. We describe the development activities that are taking place to advance our preparedness for mission proposal in the areas of detectors and electronics.

  9. Combinatorial geometry in the plane

    CERN Document Server

    Hadwiger, Hugo; Klee, Victor

    2014-01-01

    Geared toward advanced undergraduates familiar with analysis and college geometry, this concise book discusses theorems on topics restricted to the plane such as convexity, coverings, and graphs. In addition to helping students cultivate rigorous thought, the text encourages the development of mathematical intuition and clarifies the nature of mathematical research.The two-part treatment begins with specific topics including integral distances, covering problems, point set geometry and convexity, simple paradoxes involving point sets, and pure combinatorics, among other subjects. The second pa

  10. Simulation Exploration through Immersive Parallel Planes: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Brunhart-Lupo, Nicholas; Bush, Brian W.; Gruchalla, Kenny; Smith, Steve

    2016-03-01

    We present a visualization-driven simulation system that tightly couples systems dynamics simulations with an immersive virtual environment to allow analysts to rapidly develop and test hypotheses in a high-dimensional parameter space. To accomplish this, we generalize the two-dimensional parallel-coordinates statistical graphic as an immersive 'parallel-planes' visualization for multivariate time series emitted by simulations running in parallel with the visualization. In contrast to traditional parallel coordinate's mapping the multivariate dimensions onto coordinate axes represented by a series of parallel lines, we map pairs of the multivariate dimensions onto a series of parallel rectangles. As in the case of parallel coordinates, each individual observation in the dataset is mapped to a polyline whose vertices coincide with its coordinate values. Regions of the rectangles can be 'brushed' to highlight and select observations of interest: a 'slider' control allows the user to filter the observations by their time coordinate. In an immersive virtual environment, users interact with the parallel planes using a joystick that can select regions on the planes, manipulate selection, and filter time. The brushing and selection actions are used to both explore existing data as well as to launch additional simulations corresponding to the visually selected portions of the input parameter space. As soon as the new simulations complete, their resulting observations are displayed in the virtual environment. This tight feedback loop between simulation and immersive analytics accelerates users' realization of insights about the simulation and its output.

  11. Simulation Exploration through Immersive Parallel Planes

    Energy Technology Data Exchange (ETDEWEB)

    Brunhart-Lupo, Nicholas J [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Bush, Brian W [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Gruchalla, Kenny M [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Smith, Steve [Los Alamos Visualization Associates

    2017-05-25

    We present a visualization-driven simulation system that tightly couples systems dynamics simulations with an immersive virtual environment to allow analysts to rapidly develop and test hypotheses in a high-dimensional parameter space. To accomplish this, we generalize the two-dimensional parallel-coordinates statistical graphic as an immersive 'parallel-planes' visualization for multivariate time series emitted by simulations running in parallel with the visualization. In contrast to traditional parallel coordinate's mapping the multivariate dimensions onto coordinate axes represented by a series of parallel lines, we map pairs of the multivariate dimensions onto a series of parallel rectangles. As in the case of parallel coordinates, each individual observation in the dataset is mapped to a polyline whose vertices coincide with its coordinate values. Regions of the rectangles can be 'brushed' to highlight and select observations of interest: a 'slider' control allows the user to filter the observations by their time coordinate. In an immersive virtual environment, users interact with the parallel planes using a joystick that can select regions on the planes, manipulate selection, and filter time. The brushing and selection actions are used to both explore existing data as well as to launch additional simulations corresponding to the visually selected portions of the input parameter space. As soon as the new simulations complete, their resulting observations are displayed in the virtual environment. This tight feedback loop between simulation and immersive analytics accelerates users' realization of insights about the simulation and its output.

  12. Drug testing athletes to prevent substance abuse: background and pilot study results of the SATURN (Student Athlete Testing Using Random Notification) study.

    Science.gov (United States)

    Goldberg, Linn; Elliot, Diane L; MacKinnon, David P; Moe, Esther; Kuehl, Kerry S; Nohre, Liva; Lockwood, Chondra M

    2003-01-01

    To assess the deterrent effect of mandatory, random drug testing among high school (HS) athletes in a controlled setting. Two high schools, one with mandatory drug testing (DT) consent before sports participation, and a control school (C), without DT, were assessed during the 1999-2000 school year. Athletes (A) and nonathletes (NA) in each school completed confidential (A) or anonymous (NA) questionnaires developed for this study, respectively, at the beginning and end of the school year. Positive alcohol or drug tests required parent notification and mandatory counseling without team or school suspension. Thirty percent of the DT athletes were tested. Data were analyzed using the end of the school year measure, adjusted for the initial questionnaire results. Demographics of the athlete sample revealed that mean age was 15.5 years with 81.5% white, 9.6% Hispanic, 4.5% Asian, 2.6% American Indian/Native Alaskan, 1.3% African-American, and 1.3% Native Hawaiian/Pacific Islander. A (n = 276) and NA (n = 507) were assessed at the beginning (baseline) and at the end of the school year (A, n = 159; NA, n = 338). The past 30-day index of illicit drugs (4-fold difference) and athletic enhancing substances (3-fold difference) were lower (p athletes at follow-up without difference in alcohol use. However, most drug use risk factors, including norms of use, belief in lower risk of drugs, and poorer attitudes toward the school, increased among DT athletes (p drug use index was present among nonathletes at the DT school, at the end of the school year, it did not achieve statistical significance (p athletes. However, worsening of risk factors and small sample size suggests caution to this drug prevention approach. A larger long-term study to confirm these findings is necessary. Copyright Society for Adolescent Medicine, 2003

  13. The effect of montelukast on wheal reactions in skin prick tests: a double-blind-placebo-controlled randomized trial.

    Science.gov (United States)

    Bulan, Keziban; Aydogan, Metin; Siraneci, Rengin; Aydogmus, Cigdem Yilmaz

    2013-10-01

    It is well-known that number of drugs may interfere with wheal reactions in skin prick test. However, the effect of long-term use of montelukast, a cystenil leukotriene receptor antagonist, on skin prick test hasn't been full elucidated. The aim of present study was to demonstrate the effect of montelukast on skin prick tests (SPT). This is a single-center, randomized, double-blinded, placebo-controlled study including two treatment periods with a wash-out interval. The subjects received montelukast (5 mg per day), fexofenadine HCl (60 mg per day) and placebo (lactose) with a double-blinded manner during 7- and 21-days treatment periods with a 14 days wash-out period. Dermatophagoides farinae (D. farinae) was used as the skin test material, while histamine as positive control and normal saline as negative control. Overall, 7 skin prick tests were performed at following time points: before treatment periods, on the last days of both treatment periods, 24 h after completion of treatment periods, and on the last day of 14-days interval. Sixty house dust mite (HDM) allergic children (23 girls and 37 boys) with allergic rhinitis and/or asthma completed the study. Mean age was 8.3 ± 2.0 years. In the fexofenadine group, a significant suppression was observed in post-treatment values when compared to baseline values in SPT with D. farinae (p = 0.019). In the montelukast group, no significant suppression was observed in SPT with D. farinae at all time points when compared to baseline. Our results showed that montelukast had no effect on measurements of SPT. Thus, we concluded that there is no need to discontinue the treatment in order to perform SPT in patients receiving montelukast, even in those on montelukast treatment for at least 21 days. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  14. Oscillation phenomenon of transition temperatures of coupled magnetic planes

    Directory of Open Access Journals (Sweden)

    H. Moradi

    2004-06-01

    Full Text Available   Oscillatory behavior of transition temperature in supper lattice, Ni/Au/Ni, has been observed as a function of spacer layer, Au. The observed oscillation period is almost the half period of interlayer exchange coupling. The high temperature susceptibility of a two - dimensional lattice is evaluated within the Bethe-Peierls-Wiess approximation in the presence of a random field with square distribution. This susceptibility is used to evaluate the transition temperature of coupled planes as a function of spacer thickness. The calculated transition temperature of coupled planes oscillates as half period of interlayer exchange coupling and falls below the results of the uncoupled films at some values of the average spacer thickness that were experimentally observed. Additionally, the transition temperature depends on the distribution function of random field at the small thickness of spacer.

  15. Perceptions and experiences of random breath testing in Queensland and the self-reported deterrent impact on drunk driving.

    Science.gov (United States)

    Watson, Barry; Freeman, James

    2007-03-01

    The present study explored the impact of random breath testing (RBT) on the attitudes, perceptions, and self-reported behavior of motorists in the Australian state of Queensland. Particular attention was given to how exposure to RBT impacted motorists' perceived risk of apprehension and self-reported behavior, relative to other variables of interest such as alcohol consumption. The study involved a telephone survey of 780 motorists drawn from throughout the state of Queensland. Participants were volunteers recruited from a random sample of all listed telephone numbers in the state, adjusted according to district population figures. The survey questionnaire collected information relating to the participants' socio-demographic characteristics, drinking and drunk driving behaviors, attitudes toward drunk driving and RBT, and experiences and perceptions of RBT. The analysis indicated that a large proportion of the sample had both observed RBT and been breath tested within the last six months and believed the practice served an important role in improving road safety. However, a considerable percentage also reported drunk driving at least once in the last six months without being detected, with further analysis indicating that the threat of apprehension associated with RBT did not appear to greatly influence their offending behavior. Rather, a higher frequency of alcohol consumption, combined with more favorable attitudes to drunk driving and lower levels of support for RBT, appeared to be associated with offending behavior. While the results confirm the high levels of exposure to RBT achieved in Queensland, the direct impact of recent exposure on drunk driving behavior appears less important than other factors such as alcohol consumption and attitudes to drunk driving and RBT. Further research is required to better understand how recent and lifetime exposure to RBT impacts on motorists' perceived risk of apprehension and subsequent drunk driving behavior.

  16. Contact Cohomology of the Projective Plane

    OpenAIRE

    Ernström, Lars; Kennedy, Gary

    1997-01-01

    We construct an associative ring which is a deformation of the quantum cohomology ring of the projective plane. Just as the quantum cohomology encodes the incidence characteristic numbers of rational plane curves, the contact cohomology encodes the tangency characteristic numbers.

  17. Nutritional status and random blood glucose, cholesterol and triglyceride test among Malaysian Army (MA) personnel in Kuala Lumpur

    Energy Technology Data Exchange (ETDEWEB)

    Nadiy, I.; Razalee, S.; Zalifah, M. K. [Nutrition Programme, School of Chemical Sciences and Food Technology, Faculty of Science and Technology, Universiti Kebangsaan Malaysia,43600, Selangor (Malaysia); Zulkeffeli, M. J. [Department of Health Service, Ministry of Defense, Level 11, Menara Park, 50450 (Malaysia)

    2013-11-27

    With the rising trend of obesity among the general population, it is also important to assess the obesity and health status among military population. The aim of this study was to determine the prevalence of overweight and obesity among Malaysian Army (MA) personnel as well as the relationship between selected socio-demographics factors, antropometric profiles, body composition and random blood test value. A cross sectional study involving 378 male military personnel aged between 20 to 48 years old was conducted at two MA bases in Kuala Lumpur between November and December 2012. Antropometric measurements included height, weight and waist circumference (WC). Body fat percentage was measured using bioelectrical impedance analysis method (Tanita TBF-300A). Mean height, weight, BMI, WC, body fat percentage, age, monthly income and duration of service were 1.71 ± 0.6 m, 71.7 ± 12.2 kg, 24.6 ± 4.1 kg/m{sup 2}, 87.0 ± 10.0 cm, 23.4 ± 6.6%, 29.1 ± 5.5 years, RM 2115.12 ± 860.70 and 9.9 ± 5.6 years respectively. According to WHO (1998) classification of BMI, 3.2% of the subjects were underweight, 54.8% normal, 32.8% overweight and 9.3% obese. It was obeserved that 40.2% of the subjects had waist circumference value of 90 cm or more and were considered high risk for diebetes and cardiovascular diseases. This study found that BMI was highly correlated with weight (r=0.925, p<0.05), WC (r=0.852, p<0.05) and body fat percentage. Body fat percentage also show high correlation with weight (r=0.759, p<0.05) and WC (r=0.768, p<0.05. The result from 173 of 378 subjects that were selected for random blood test found that 4.6%, 3.5% and 26.0% had diabetes, high cholesterol and high triglyceride respectively. There was a weak correlation between random blood glucose level with weight (r=0.221, p<0.05), BMI (r=0.243, p<0.05), WC (r=0.298, p<0.05), body fat percentage (r=0.163, p<0.05) and age (r=0.223, p<0.05). Random blood cholesterol level had significant correlation with

  18. Testing the leadership and organizational change for implementation (LOCI) intervention in substance abuse treatment: a cluster randomized trial study protocol.

    Science.gov (United States)

    Aarons, Gregory A; Ehrhart, Mark G; Moullin, Joanna C; Torres, Elisa M; Green, Amy E

    2017-03-03

    Evidence-based practice (EBP) implementation represents a strategic change in organizations that requires effective leadership and alignment of leadership and organizational support across organizational levels. As such, there is a need for combining leadership development with organizational strategies to support organizational climate conducive to EBP implementation. The leadership and organizational change for implementation (LOCI) intervention includes leadership training for workgroup leaders, ongoing implementation leadership coaching, 360° assessment, and strategic planning with top and middle management regarding how they can support workgroup leaders in developing a positive EBP implementation climate. This test of the LOCI intervention will take place in conjunction with the implementation of motivational interviewing (MI) in 60 substance use disorder treatment programs in California, USA. Participants will include agency executives, 60 program leaders, and approximately 360 treatment staff. LOCI will be tested using a multiple cohort, cluster randomized trial that randomizes workgroups (i.e., programs) within agency to either LOCI or a webinar leadership training control condition in three consecutive cohorts. The LOCI intervention is 12 months, and the webinar control intervention takes place in months 1, 5, and 8, for each cohort. Web-based surveys of staff and supervisors will be used to collect data on leadership, implementation climate, provider attitudes, and citizenship. Audio recordings of counseling sessions will be coded for MI fidelity. The unit of analysis will be the workgroup, randomized by site within agency and with care taken that co-located workgroups are assigned to the same condition to avoid contamination. Hierarchical linear modeling (HLM) will be used to analyze the data to account for the nested data structure. LOCI has been developed to be a feasible and effective approach for organizations to create a positive climate and

  19. The characteristic numbers of quartic plane curves

    OpenAIRE

    Vakil, Ravi

    1998-01-01

    The characteristic numbers of smooth plane quartics are computed using intersection theory on a component of the moduli space of stable maps. This completes the verification of Zeuthen's prediction of characteristic numbers of smooth plane curves. A short sketch of a computation of the characteristic numbers of plane cubics is also given as an illustration.

  20. Updated Meta-Analysis of Randomized Trials Comparing Safety and Efficacy of Intraoperative Defibrillation Testing with No Defibrillation Testing On Implantable Cardioverter-Defibrillator Implantation

    Directory of Open Access Journals (Sweden)

    Carlo Bonanno

    2017-11-01

    Full Text Available Introduction: There is an ongoing debate regarding the need to conduct intraoperative defibrillation testing (DFT at the time of implantable cardioverter-defibrillator (ICD implantation. To provide sufficiently strong evidence for the feasibility of omitting intraoperative DFT in clinical practice, we conducted a meta-analysis of randomized controlled trials (RCT comparing patients with DFT and no-DFT.Methods: We systematically searched Medline (via PubMed, ClinicalTrial.gov, the Cochrane Central Register of Controlled Trials, and Embase for studies evaluating DFT vs. no-DFT on ICD implantation with regard to total mortality and arrhythmic death, efficacy of first and any appropriate shock in interrupting ventricular tachycardia (VT/ventricular fibrillation (VF, and procedural adverse events. Effect estimates [risk ratio (RR with 95% confidence intervals (CI] were pooled using the random-effects model.Results: Our meta-analysis included 4 RCTs comprising 3770 patients (1896 with DFT and 1874 without DFT. Total mortality (RR = 1.00, 95% CI 0.86–1.17; P = 0.98 and arrhythmic death (RR = 1.60, 95% CI 0.46-5.59: P = 0.46 were not statistically different. Both first (RR = 0.94, 95% CI 0.89–0.98; P = 0.004 and any appropriate ICD shock (RR = 0.97, 95% CI 0.95–1.00; P = 0.02 significantly increased the rate of VT/VF interruption in the group with no-DFT in comparison with DFT. Finally, the incidence of adverse events was lower in no-DFT patients (RR = 1.23; 95% CI 1.00–1.51; P = 0.05.Conclusions: The practice of DFT (as opposed to no-DFT did not yield benefits in mortality or the overall rate of conversion of VT/VT. Moreover, a slightly higher incidence of perioperative adverse events was observed in the DFT group.

  1. Femoral bowing plane adaptation to femoral anteversion

    Directory of Open Access Journals (Sweden)

    Alp Akman

    2017-01-01

    Full Text Available Background: Femoral bowing plane (FBP is the unattended subject in the literature. More over the femoral shaft with its bowing is neglected in established anteversion determination methods. There is limited information about the relationship between FBP and anteversion. Thus we focused on this subject and hypothesized that there could be an adaptation of FBP to anteversion. Materials and Methods: FBP is determined on three-dimensional solid models derived from the left femoral computerized tomography data of 47 patients which were taken before for another reason and comparatively evaluated with anteversion. There were 20 women and 27 men. The mean age of patients was 56 years (range 21-84 years. Results: The anteversion values were found as the angle between a distal condylar axis (DCA and femoral neck anteversion axis (FNAA along an imaginary longitudinal femoral axis (LFA in the true cranio-caudal view. The FBP was determined as a plane that passes through the centre-points of three pre-determinated sections on the femoral shaft. The angles between DCA, FNAA and FBP were comparatively evaluated. The independent samples t-test was used for statistical analysis. At the end, it was found that FBP lies nearly perpendicular to the anteversion axis for the mean of our sample which is around 89° in females and 93° in males (range 78-102°. On the other hand, FBP does not lie close to the sagittal femoral plane (SFP; instead, there is an average 12.5° external rotation relative to the SFP. FBP is correlated well with anteversion in terms of FBP inclination from SFP and femoral torsion (i.e., angle between FBP and femoral neck anteversion axis (P0 < 0.001; r = 0.680 and r = −0.682, respectively. Combined correlation is perfect (R[2] = 1 as the FBP, SFP, and posterior femoral plane forms a triangle in the cranio-caudal view. Conclusions: We found that FBP adapts to anteversion. As FBP lies close to perpendicularity for the mean, femoral component

  2. Promoting Patient-Centered Counseling to Reduce Use of Low-Value Diagnostic Tests: A Randomized Clinical Trial.

    Science.gov (United States)

    Fenton, Joshua J; Kravitz, Richard L; Jerant, Anthony; Paterniti, Debora A; Bang, Heejung; Williams, Donna; Epstein, Ronald M; Franks, Peter

    2016-02-01

    Low-value diagnostic tests have been included on primary care specialty societies' "Choosing Wisely" Top Five lists. To evaluate the effectiveness of a standardized patient (SP)-based intervention designed to enhance primary care physician (PCP) patient-centeredness and skill in handling patient requests for low-value diagnostic tests. Randomized clinical trial of 61 general internal medicine or family medicine residents at 2 residency-affiliated primary care clinics at an academic medical center in California. Two simulated visits with SP instructors portraying patients requesting inappropriate spinal magnetic resonance imaging for low back pain or screening dual-energy x-ray absorptiometry. The SP instructors provided personalized feedback to residents regarding use of 6 patient-centered techniques to address patient concerns without ordering low-value tests. Control group physicians received SP visits without feedback and were emailed relevant clinical guidelines. The primary outcome was whether resident PCPs ordered SP-requested low-value tests during up to 3 unannounced SP clinic visits over 3 to 12 months follow-up, with patients requesting spinal magnetic resonance imaging, screening dual-energy x-ray absorptiometry, or headache neuroimaging. Secondary outcomes included PCP patient-centeredness and use of targeted techniques (both coded from visit audiorecordings), and SP satisfaction with the visit (0-10 scale). Of 61 randomized resident PCPs (31 control group and 30 intervention group), 59 had encounters with 155 SPs during follow-up. Compared with control PCPs, intervention PCPs had similar patient-centeredness (Measure of Patient-Centered Communication, 43.9 [95% CI, 42.0 to 45.7] vs 43.7 [95% CI, 41.8 to 45.6], adjusted mean difference, -0.2 [95% CI, -2.9 to 2.5]; P = .90) and used a similar number of targeted techniques (5.4 [95% CI, 4.9 to 5.8] vs 5.4 [95% CI, 4.9 to 5.8] on a 0-9 scale, adjusted mean difference, 0 [95% CI, -0.7 to 0.6]; P = .96

  3. Behavioral Determinants of Switching to Arsenic-Safe Water Wells: An Analysis of a Randomized Controlled Trial of Health Education Interventions Coupled With Water Arsenic Testing

    Science.gov (United States)

    George, Christine Marie; Inauen, Jennifer; Perin, Jamie; Tighe, Jennifer; Hasan, Khaled; Zheng, Yan

    2017-01-01

    More than 100 million people globally are estimated to be exposed to arsenic in drinking water that exceeds the World Health Organization guideline of 10 µg/L. In an effort to develop and test a low-cost sustainable approach for water arsenic testing in Bangladesh, we conducted a randomized controlled trial which found arsenic educational…

  4. An introduction to finite projective planes

    CERN Document Server

    Albert, Abraham Adrian

    2015-01-01

    Geared toward both beginning and advanced undergraduate and graduate students, this self-contained treatment offers an elementary approach to finite projective planes. Following a review of the basics of projective geometry, the text examines finite planes, field planes, and coordinates in an arbitrary plane. Additional topics include central collineations and the little Desargues' property, the fundamental theorem, and examples of finite non-Desarguesian planes.Virtually no knowledge or sophistication on the part of the student is assumed, and every algebraic system that arises is defined and

  5. Physical activity in the pregnant woman and her relationship with the Apgar test in the newborn: a randomized clinical trial.

    Directory of Open Access Journals (Sweden)

    Raquel Rodriguez-Blanque

    2017-05-01

    Full Text Available Introduction: In 1952 Virginia Apgar devised a scoring system to provide birth attendants with a quick and convenient method for reporting newborn status and response to resuscitation. Objective: To evaluate the influence of the physical exercise during the pregnancy on the general state of the neonate through the puncture of Apgar to the 1 minute and to the 5 minutes of life. Material and methods: Randomized clinical trial with 140 healthy pregnant women, aged between 21 and 43 years and divided into two groups, Intervention (n = 70 and Control (n = 70. A Simple Random Sampling is followed, without replenishment. The women were attracted at 12 weeks of gestation in the first trimester ultrasound control in the different obstetrical services in Granada. They joined the programme at week 20 of gestation and ended at week 37. The general assessment of the newborn was performed with the Apgar Test, extracting their score from the medical history of the mother and the newborn. Results: The Apgar score of the Control Group at minute 1 is 9[8-9] and the score of the Intervention Group is 9 [9-9], where p=0.072. Regarding the variable Apgar at minute 5 we see that in the Control Group it is 9[9-10] and in the Intervention Group it is 10[10-10], p <0.001. Conclusion: Moderate intensity physical exercise performed during pregnancy does not present statistically significant differences according to Apgar in the first minute. In this case the APGAR of the fifth minute has a significant difference but does not reach clinical repercussions. That means that physical exercise in a moderate intensity aquatic environment has not influenced the general state of the neonate after childbirth.

  6. Experimental In-Plane Evaluation of Light Timber Walls Panels

    Directory of Open Access Journals (Sweden)

    Jorge M. Branco

    2017-07-01

    Full Text Available In general, the satisfactory seismic performance of timber buildings can be partially attributed to the material characteristics of the wood itself and to the lightness of its own structure. The aim of this paper is to analyze the in-plane behavior of light timber walls panels through a series of monotonic and cyclic tests, and to evaluate how the sheathing material and the fixation to the base influence the overall response of the wall. Five tests are presented and discussed while the reliability of an analytical method to predict the response of the walls is studied. The sheathing material revealed to be important in the overall response of the wall. Moreover, the type of fixation to the base also revealed to be important in the in-plane response of timber walls. In-plane stiffnesses, static ductility, energy dissipation and damping ratio have been quantified.

  7. Testing use of payers to facilitate evidence-based practice adoption: protocol for a cluster-randomized trial.

    Science.gov (United States)

    Molfenter, Todd; Kim, Jee-Seon; Quanbeck, Andrew; Patel-Porter, Terry; Starr, Sandy; McCarty, Dennis

    2013-05-10

    investigates the role of payers in evidence-based practice implementation using a randomized controlled design instead of case examples. The testing of the Advancing Recovery Framework is designed to broaden the understanding of the impact payers have on evidence-based practice (EBP) adoption. http://NCT01702142 (ClinicalTrials.gov registry, USA).

  8. Economic evaluation of a randomized controlled trial of pharmacist-supervized patient self-testing of warfarin therapy.

    Science.gov (United States)

    Gallagher, J; Mc Carthy, S; Woods, N; Ryan, F; O' Shea, S; Byrne, S

    2015-02-01

    The increase in numbers of patients requiring oral anti-coagulation testing in outpatient clinics has focused attention on alternative flexible systems of anti-coagulation management. One option is pharmacist led patient self-testing (PST) of international normalised ratio (INR) levels. PST has demonstrated improvements in anti-coagulation control, but its cost-effectiveness is inconclusive. This study reports the first cost-effectiveness evaluation of a randomized controlled trial of an automated direct-to-patient expert system, enabling remote and effective management of patients on oral anti-coagulation therapy. We conducted an economic evaluation alongside a randomised controlled trial investigating a pharmacist led PST method. The primary outcome was to determine the cost effectiveness of PST in comparison with usual care (management in a hospital based anti-coagulation clinic). Long term anti-coagulation patients were recruited to a 6 month cross over study between PST and routine care in an anti-coagulation clinic. Economic evaluation was from the healthcare payer perspective. On a per patient basis over a 6 month period, PST resulted in an incremental cost of €59.08 in comparison with routine care. Patients achieved a significantly higher time in therapeutic range (TTR) during the PST arm in comparison with routine care, (72 ± 19.7% vs. 59 ± 13.5%). Overall cost of managing a patient through pharmacist supervised PST for a 6 month period is €226.45. Additional analysis of strategies from a societal perspective indicated that PST was the dominant strategy. Pharmacist led patient self-testing is a viable method of management. It provides significant increases in anti-coagulation control for a minimal increase in cost. © 2014 John Wiley & Sons Ltd.

  9. Simultaneous quantitative evaluation of in-plane and out-of-plane deformation by use of a carrier method of large image-shearing shearography

    Science.gov (United States)

    Sun, Ping; Liu, Ruijin; Han, Qing; Wang, Xiaofeng

    2006-12-01

    A carrier method for separating out-of-plane displacement from in-plane components based on large image-shearing shearography is presented. A reference surface is fixed on the side of a test object. They are illuminated by two expanded symmetric illuminations respectively. The carrier is introduced by rotating the reference surface to modulate the displacement of an object. By using Fourier transform to demodulate the modulated fringe pattern, two phase maps, which include out-of-plane and in-plane displacements, can be obtained. Then the out-of-plane displacement can be easily separated from in-plane displacement by subtraction and addition of the two unwrapped phase distributions. The principle of the method is presented and proved by a typical three-point-bending experiment. Experimental results show that the method enjoys high visibility of carrier fringes. The system does not need a special beam as a reference light and has simple optical setup.

  10. Sagittal plane biomechanics cannot injure the ACL during sidestep cutting.

    Science.gov (United States)

    McLean, Scott G; Huang, Xuemei; Su, Anne; Van Den Bogert, Antonie J

    2004-10-01

    Knee joint sagittal plane forces are a proposed mechanism of anterior cruciate ligament injury during sport movements such as sidestep cutting. Ligament force magnitudes for these movements however, remain unknown. The need to examine injury-causing events suggests elucidation via model-based investigations is possible. Using this approach, the current study determined whether sagittal plane knee loading during sidestep cutting could in isolation injure the anterior cruciate ligament. Experiments were performed on subject-specific forward dynamic musculoskeletal models, generated from data obtained from 10 male and 10 female athletes. Models were optimized to simulate subject-specific cutting movements. Random perturbations (n=5000) were applied to initial contact conditions and quadriceps/hamstrings activation levels to simulate their effect on peak 3D knee loads. Injury via the sagittal plane mechanism was based on the criterion of an anterior drawer force greater than 2000 N. Realistic neuromuscular perturbations produced significant increases in external knee anterior force and valgus and internal rotation moments. Peak anterior drawer force never exceeded 2000 N in any model, and thus failed to cause anterior cruciate ligament injuries. Valgus loads reached values that were high enough to rupture the ligament, occurring more frequently in females than in males. Sagittal plane knee joint forces cannot rupture the anterior cruciate ligament during sidestep cutting. The interaction between muscle and joint mechanics and external ground reaction forces in this plane, places a ceiling on ligament loads. Valgus loading is a more likely injury mechanism, especially in females. Modifying sagittal plane biomechanics will thus unlikely contribute to the prevention of anterior cruciate ligament injuries.

  11. Hypersonic characteristics of an advanced aerospace plane

    Science.gov (United States)

    Mccandless, R. S.; Cruz, C. I.

    1985-01-01

    A series of hypersonic wind-tunnel tests have been conducted in the NASA Langley Hypersonic Facilities Complex to obtain the static longitudinal and lateral-directional aerodynamic characteristics of an advanced aerospace plane. Data were obtained at 0 to 20 deg angles of attack and -3 to 3 deg angles of sideslip at Mach numbers of 6 and 10 in air and 20 in helium. Results show that stable trim capability exists at angles of attack near maximum lift-drag ratio (L/D). Both performance and stability exhibited some Mach number dependency. The vehicle was longitudinally unstable at low angles of attack but stable at angles of attack near and above maximum L/D. It was directionally unstable with positive dihedral effect. The rudder showed an inability to provide lateral-directional control, and removing the vertical tail resulted in increased directional instability. Analytical predictions of the static longitudinal aerodynamic coefficients gave relatively good comparisons with the experimental data.

  12. Comparison of mailed invitation strategies to improve fecal occult blood test participation in men: protocol for a randomized controlled trial.

    Science.gov (United States)

    Duncan, Amy; Zajac, Ian; Flight, Ingrid; Stewart, Benjamin J R; Wilson, Carlene; Turnbull, Deborah

    2013-07-31

    Men have a significantly increased risk of being diagnosed with, and dying from, colorectal cancer (CRC) than women. Men also participate in fecal occult blood test (FOBT) screening at a lower rate than women. This study will determine whether strategies that target men's attitudes toward screening, and matched to stage of readiness to screen, increase men's FOBT participation compared to a standard approach. Eligible trial participants will be a national sample of 9,200 men aged 50 to 74 years, living in urban Australia and randomly selected from the Australian electoral roll. Trial participants will be mailed an advance notification letter, followed 2 weeks later by an invitation letter and a free fecal immunochemical test (FIT) kit. The intervention is a factorial design, randomized controlled trial (RCT) with four trial arms, including a control. The content of the advance notification and invitation letters will differ by trial arm as follows: 1) standard advance notification and standard invitation (control arm); 2) targeted advance notification and standard invitation; 3) standard advance notification and targeted invitation; and 4) targeted advance notification and targeted invitation. The standard letters will replicate as closely as possible the letters included in the Australian National Bowel Cancer Screening Program (NBCSP). Modified advance notification and invitation letters will incorporate additional messages to target men in the precontemplation (advance notification) and contemplation stages (invitation). The primary outcome is return of the completed FIT within 12 weeks of invitation. Analysts will be blinded to trial assignment and participants will be blinded to the use of varying invitational materials. Subsamples from each trial arm will complete baseline and endpoint surveys to measure the psychological impact of the intervention, and qualitative interviews will be conducted to evaluate attitudes toward the intervention. The outcomes of

  13. Home-based versus mobile clinic HIV testing and counseling in rural Lesotho: a cluster-randomized trial.

    Science.gov (United States)

    Labhardt, Niklaus Daniel; Motlomelo, Masetsibi; Cerutti, Bernard; Pfeiffer, Karolin; Kamele, Mashaete; Hobbins, Michael A; Ehmer, Jochen

    2014-12-01

    The success of HIV programs relies on widely accessible HIV testing and counseling (HTC) services at health facilities as well as in the community. Home-based HTC (HB-HTC) is a popular community-based approach to reach persons who do not test at health facilities. Data comparing HB-HTC to other community-based HTC approaches are very limited. This trial compares HB-HTC to mobile clinic HTC (MC-HTC). The trial was powered to test the hypothesis of higher HTC uptake in HB-HTC campaigns than in MC-HTC campaigns. Twelve clusters were randomly allocated to HB-HTC or MC-HTC. The six clusters in the HB-HTC group received 30 1-d multi-disease campaigns (five villages per cluster) that delivered services by going door-to-door, whereas the six clusters in MC-HTC group received campaigns involving community gatherings in the 30 villages with subsequent service provision in mobile clinics. Time allocation and human resources were standardized and equal in both groups. All individuals accessing the campaigns with unknown HIV status or whose last HIV test was >12 wk ago and was negative were eligible. All outcomes were assessed at the individual level. Statistical analysis used multivariable logistic regression. Odds ratios and p-values were adjusted for gender, age, and cluster effect. Out of 3,197 participants from the 12 clusters, 2,563 (80.2%) were eligible (HB-HTC: 1,171; MC-HTC: 1,392). The results for the primary outcomes were as follows. Overall HTC uptake was higher in the HB-HTC group than in the MC-HTC group (92.5% versus 86.7%; adjusted odds ratio [aOR]: 2.06; 95% CI: 1.18-3.60; p = 0. 011). Among adolescents and adults ≥ 12 y, HTC uptake did not differ significantly between the two groups; however, in children HTC uptake was higher in the HB-HTC arm (87.5% versus 58.7%; aOR: 4.91; 95% CI: 2.41-10.0; pHTC, 114 (4.9%) tested HIV-positive, 39 (3.6%) in the HB-HTC arm and 75 (6.2%) in the MC-HTC arm (aOR: 0.64; 95% CI: 0.48-0.86; p = 0.002). Ten (25.6%) and 19 (25

  14. Automated Control Surface Design and Sizing for the Prandtl Plane

    NARCIS (Netherlands)

    Van Ginneken, D.A.J.; Voskuijl, M.; Van Tooren, M.J.L.; Frediani, A.

    2010-01-01

    This paper presents a methodology for the design of the primary flight control surfaces, in terms of size, number and location, for fixed wing aircraft (conventional or unconventional). As test case, the methodology is applied to a 300 passenger variant of the Prandtl Plane. This box wing aircraft

  15. Test day-milk yields variance component estimation using repeatability or random regression models in the Rendena breed

    Directory of Open Access Journals (Sweden)

    Roberto Mantovani

    2010-01-01

    Full Text Available This study has aimed to compare Repeatability (RP-TDm and Random-Regression Test Day models (RR-TDm in genetic evaluations of milk (M, fat (F and protein (P yields in Rendena breed. Variance estimations for Milk (M, Fat (F and Protein (P were obtained on a sample of 43,842 TD belonging to 2,692 animals controlled over 15 years (1990-2005. RP-TDm estimates of h2 were of 0.21 for M and 0.17 for both F and P, whereas RR-TDM provided a trend of h2 ranging from 0.15-0.34 for M, 0.15-0.31 for F and 0.10-0.24 for P. Both RP-TDm and RR-TDm results agreed with literature, even though RR-TDm provided a pattern of h2 along the lactation different from other studies, with the lowest h2 at the beginning and at the end of lactation. PSB, MAD and -2Log L parameters revealed lower power of RP-TDm as compare with the RR-TDm.

  16. Improving the social and emotional climate of classrooms: a clustered randomized controlled trial testing the RULER Approach.

    Science.gov (United States)

    Rivers, Susan E; Brackett, Marc A; Reyes, Maria R; Elbertson, Nicole A; Salovey, Peter

    2013-02-01

    The RULER Approach ("RULER") is a setting-level, social and emotional learning program that is grounded in theory and evidence. RULER is designed to modify the quality of classroom social interactions so that the climate becomes more supportive, empowering, and engaging. This is accomplished by integrating skill-building lessons and tools so that teachers and students develop their emotional literacy. In a clustered randomized control trial, we tested the hypothesis that RULER improves the social and emotional climate of classrooms. Depending upon condition assignment, 62 schools either integrated RULER into fifth- and sixth-grade English language arts (ELA) classrooms or served as comparison schools, using their standard ELA curriculum only. Multi-level modeling analyses showed that compared to classrooms in comparison schools, classrooms in RULER schools were rated as having higher degrees of warmth and connectedness between teachers and students, more autonomy and leadership among students, and teachers who focused more on students' interests and motivations. These findings suggest that RULER enhances classrooms in ways that can promote positive youth development.

  17. BINERY PSEUDO-RANDOM GRATING AS A STANDARD TEST SURFACE FOR MEASUREMENT OF MODULATION TRANSFER FUNCTION OF INTERFEROMETRIC MICROSCOPES.

    Energy Technology Data Exchange (ETDEWEB)

    YASHCHUK,V.V.; MCKINNEY, W.R.; TAKACS, P.Z.

    2007-08-01

    The task of designing high performance X-ray optical systems requires the development of sophisticated X-ray scattering calculations based on rigorous information about the optics. One of the most insightful approaches to these calculations is based on the power spectral density (PSD) distribution of the surface height. The major problem of measurement of a PSD distribution with an interferometric and/or atomic force microscope arises due to the unknown Modulation Transfer Function (MTF) of the instruments. The MTF characterizes the perturbation of the PSD distribution at higher spatial frequencies. Here, we describe a new method and dedicated test surfaces for calibration of the MTF of a microscope. The method is based on use of a specially designed Binary Pseudo-random (BPR) grating. Comparison of a theoretically calculated PSD spectrum of a BPR grating with a spectrum measured with the grating provides the desired calibration of the instrumental MTF. The theoretical background of the method, as well as results of experimental investigations are presented.

  18. The effects of paracetamol (acetaminophen) on hepatic tests in patients who chronically abuse alcohol - a randomized study.

    Science.gov (United States)

    Dart, R C; Green, J L; Kuffner, E K; Heard, K; Sproule, B; Brands, B

    2010-08-01

    Retrospective accounts suggest that therapeutic doses of paracetamol can produce severe hepatic injury in patients with putative high-risk conditions, including alcoholism and infectious hepatitis. Metabolism of paracetamol to its hepatotoxic metabolite is enhanced in patients who abuse alcohol, who also have compromised liver defences from depressed hepatic glutathione. To determine the effect of paracetamol on serum liver tests of newly abstinent subjects who abuse alcohol, including subjects with hepatitis C infection. A randomized, double-blind, placebo-controlled study. Adult alcohol abusers with a current drinking episode longer than 7 days received either placebo or paracetamol 4 g/day for 5 days. Of 142 subjects enrolled, 74 received paracetamol and 68 received placebo. Mean ALT activity during treatment increased from 48 to 62 IU/L in the paracetamol group and from 47 to 49 IU/L in the placebo group. Maximum ALT was 238 and 249 IU/L in the paracetamol and control groups respectively. The INR remained unchanged and serum bilirubin decreased in both groups. Subgroup analyses for subjects with alcoholic hepatitis, hepatitis C virus antibody and other subgroups showed no statistical difference between groups. Administration of paracetamol 4 g/day appears safe in newly abstinent patients who abuse alcohol.

  19. A randomized clinical trial to test the efficacy of a family-focused, culturally informed therapy for schizophrenia.

    Science.gov (United States)

    Weisman de Mamani, Amy; Weintraub, Marc J; Gurak, Kayla; Maura, Jessica

    2014-12-01

    Research strongly suggests that family interventions can benefit patients with schizophrenia, yet current interventions often fail to consider the cultural context and spiritual practices that may make them more effective and relevant to ethnic minority populations. We have developed a family focused, culturally informed treatment for schizophrenia (CIT-S) patients and their caregivers to address this gap. Sixty-nine families were randomized to either 15 sessions of CIT-S or to a 3-session psychoeducation (PSY-ED) control condition. Forty-six families (66.7%) completed the study. The primary aim was to test whether CIT-S would outperform PSY-ED in reducing posttreatment symptom severity (controlling for baseline symptoms) on the Brief Psychiatric Rating Scale. Secondary analyses were conducted to test whether treatment efficacy would be moderated by ethnicity and whether patient-therapist ethnic match would relate to efficacy and patient satisfaction with treatment. Patients included 40 Hispanic/Latinos, 14 Whites, 11 Blacks, and 4 patients who identified as "other." In line with expectations, results from an ANCOVA indicated that patients assigned to the CIT-S condition had significantly less severe psychiatric symptoms at treatment termination than did patients assigned to the PSY-ED condition. Patient ethnicity and patient-therapist ethnic match (vs. mismatch) did not relate to treatment efficacy or satisfaction with the intervention. Results suggest that schizophrenia may respond to culturally informed psychosocial interventions. The treatment appears to work equally well for Whites and minorities alike. Follow-up research with a matched length control condition is needed. Further investigation is also needed to pinpoint specific mechanisms of change.

  20. Randomized controlled trial for endoscopy with propofol versus midazolam on psychometric tests and critical flicker frequency in people with cirrhosis.

    Science.gov (United States)

    Agrawal, Amit; Sharma, Barjesh Chander; Sharma, Praveen; Uppal, Rajiv; Sarin, Shiv Kumar

    2012-11-01

    People with cirrhosis are at increased risk of development of complications related to sedation. The aim of the present study was to compare the effects of sedation for upper gastrointestinal endoscopy (UGIE) with propofol and midazolam on psychometric tests and critical flicker frequency (CFF) in people with cirrhosis. A total of 127 people with cirrhosis were randomized into three groups: propofol group (n = 40), midazolam group (n = 42) and no sedation (n = 45). All patients underwent CFF test and combination of psychometry (number connection test-A and B [NCT-A,B]; digit symbol test [DST], line tracing test [LTT] and serial dotting test [SDT]) at baseline and at 2 h post-endoscopy. CFF was done at 30 min and repeated every 30 min for 2 h. In the propofol group there was no deterioration in psychometry (NCT-A [55.6 ± 18.7 vs 56.4 ± 19.0 s], NCT-B [98.2 ± 35.1 vs 97.8 ± 34.6 s], DST [26.7 ± 5.7 vs 26.3 ± 5.3], LTT [112.9 ± 35.7 vs 113.7 ± 36.6 s], SDT [94.6 ± 34.1 vs 95.2 ± 34.5 s]). Significant deterioration from baseline (39.8 ± 2.9 Hz) was seen in CFF at 30 min (38.8 ± 2.3 Hz) and 1 h (39.2 ± 2.4 Hz), P = 0.01 but no difference thereafter. In the midazolam group, significant deterioration was observed on psychometry (NCT-A [56.0 ± 18.5 vs 60.4 ± 19.8 s], NCT-B [99.9 ± 29.1 vs 105.9.6 ± 30.3 s], DST [26.1 ± 4.7 vs 25.2 ± 4.3], LTT [129.1 ± 34.5 vs 132.9 ± 35.4 s], SDT [95.6 ± 34.2]). No deterioration was observed in psychometry and CFF in people with cirrhosis without sedation. Propofol sedation for UGIE was associated with earlier recovery compared with midazolam, which causes deterioration of psychometric tests and CFF for a longer time in comparison with propofol. © 2012 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.

  1. A Collaborative Knowledge Plane for Autonomic Networks

    Science.gov (United States)

    Mbaye, Maïssa; Krief, Francine

    Autonomic networking aims to give network components self-managing capabilities. Several autonomic architectures have been proposed. Each of these architectures includes sort of a knowledge plane which is very important to mimic an autonomic behavior. Knowledge plane has a central role for self-functions by providing suitable knowledge to equipment and needs to learn new strategies for more accuracy.However, defining knowledge plane's architecture is still a challenge for researchers. Specially, defining the way cognitive supports interact each other in knowledge plane and implementing them. Decision making process depends on these interactions between reasoning and learning parts of knowledge plane. In this paper we propose a knowledge plane's architecture based on machine learning (inductive logic programming) paradigm and situated view to deal with distributed environment. This architecture is focused on two self-functions that include all other self-functions: self-adaptation and self-organization. Study cases are given and implemented.

  2. Radioactivity in the galactic plane

    Science.gov (United States)

    Walraven, G. D.; Haymes, R. C.

    1976-01-01

    The paper reports the detection of a large concentration of interstellar radioactivity during balloon-altitude measurements of gamma-ray energy spectra in the band between 0.02 and 12.27 MeV from galactic and extragalactic sources. Enhanced counting rates were observed in three directions towards the plane of the Galaxy; a power-law energy spectrum is computed for one of these directions (designated B 10). A large statistical deviation from the power law in a 1.0-FWHM interval centered near 1.16 MeV is discussed, and the existence of a nuclear gamma-ray line at 1.15 MeV in B 10 is postulated. It is suggested that Ca-44, which emits gamma radiation at 1.156 MeV following the decay of radioactive Sc-44, is a likely candidate for this line, noting that Sc-44 arises from Ti-44 according to explosive models of supernova nucleosynthesis. The 1.16-MeV line flux inferred from the present data is shown to equal the predicted flux for a supernova at a distance of approximately 3 kpc and an age not exceeding about 100 years.

  3. Testing the Efficacy of OurSpace, a Brief, Group Dynamics-Based Physical Activity Intervention: A Randomized Controlled Trial.

    Science.gov (United States)

    Irwin, Brandon; Kurz, Daniel; Chalin, Patrice; Thompson, Nicholas

    2016-05-06

    Emerging technologies (ie, mobile phones, Internet) may be effective tools for promoting physical activity (PA). However, few interventions have provided effective means to enhance social support through these platforms. Face-to-face programs that use group dynamics-based principles of behavior change have been shown to be highly effective in enhancing social support through promoting group cohesion and PA, but to date, no studies have examined their effects in Web-based programs. The aim was to explore proof of concept and test the efficacy of a brief, online group dynamics-based intervention on PA in a controlled experiment. We expected that the impact of the intervention on PA would be moderated by perceptions of cohesion and the partner's degree of presence in the online media. Participants (n=135) were randomized into same-sex dyads and randomly assigned to one of four experimental conditions: standard social support (standard), group dynamics-based-high presence, group dynamics-based-low presence, or individual control. Participants performed two sets of planking exercises (pre-post). Between sets, participants in partnered conditions interacted with a virtual partner using either a standard social support app or a group dynamics-based app (group dynamics-based-low presence and group dynamics-based-high presence), the latter of which they participated in a series of online team-building exercises. Individual participants were given an equivalent rest period between sets. To increase presence during the second set, participants in the group dynamics-based-high presence group saw a live video stream of their partner exercising. Perceptions of cohesion were measured using a modified PA Group Environment Questionnaire. Physical activity was calculated as the time persisted during set 2 after controlling for persistence in set 1. Perceptions of cohesion were higher in the group dynamics-based-low presence (overall mean 5.81, SD 1.04) condition compared to the

  4. Unsedated peroral wireless pH capsule placement vs. standard pH testing: A randomized study and cost analysis

    Directory of Open Access Journals (Sweden)

    Andrews Christopher N

    2012-05-01

    Full Text Available Abstract Background Wireless capsule pH-metry (WC is better tolerated than standard nasal pH catheter (SC, but endoscopic placement is expensive. Aims: to confirm that non-endoscopic peroral manometric placement of WC is as effective and better tolerated than SC and to perform a cost analysis of the available esophageal pH-metry methods. Methods Randomized trial at 2 centers. Patients referred for esophageal pH testing were randomly assigned to WC with unsedated peroral placement or SC after esophageal manometry (ESM. Primary outcome was overall discomfort with pH-metry. Costs of 3 different pH-metry strategies were analyzed: 1 ESM + SC, 2 ESM + WC and 3 endoscopically placed WC (EGD + WC using publicly funded health care system perspective. Results 86 patients (mean age 51 ± 2 years, 71% female were enrolled. Overall discomfort score was less in WC than in SC patients (26 ± 4 mm vs 39 ± 4 mm VAS, respectively, p = 0.012 but there were no significant group differences in throat, chest, or overall discomfort during placement. Overall failure rate was 7% in the SC group vs 12% in the WC group (p = 0.71. Per patient costs ($Canadian were $1475 for EGD + WC, $1014 for ESM + WC, and $906 for ESM + SC. Decreasing the failure rate of ESM + WC from 12% to 5% decreased the cost of ESM + WC to $991. The ESM + SC and ESM + WC strategies became equivalent when the cost of the WC device was dropped from $292 to $193. Conclusions Unsedated peroral WC insertion is better tolerated than SC pH-metry both overall and during placement. Although WC is more costly, the extra expense is partially offset when the higher patient and caregiver time costs of SC are considered. Trial registration Clinicaltrials.gov Identifier NCT01364610

  5. RF/Optical Demonstration: Focal Plane Assembly

    Science.gov (United States)

    Hoppe, D. J.; Chung, S.; Kovalik, J.; Gama, E.; Fernandez, M. M.

    2016-11-01

    In this article, we describe the second-generation focal plane optical assembly employed in the RF/optical demonstration at DSS-13. This assembly receives reflected light from the two mirror segments mounted on the RF primary. The focal plane assembly contains a fast steering mirror (FSM) to stabilize the focal plane spot, a pupil camera to aid in aligning the two segments, and several additional cameras for receiving the optical signal prior to as well as after the FSM loop.

  6. Canal plane dynamic visual acuity in superior canal dehiscence.

    Science.gov (United States)

    Janky, Kristen L; Zuniga, M Geraldine; Ward, Bryan; Carey, John P; Schubert, Michael C

    2014-06-01

    1) To characterize normal, horizontal active dynamic visual acuity (DVA) and passive canal plane head thrust DVA (htDVA) across ages to establish appropriate control data and 2) to determine whether horizontal active DVA and passive canal plane htDVA are significantly different in individuals with superior canal dehiscence syndrome (SCDS) before and after surgical repair in the acute (within 10 d) and nonacute stage (>6 wk). Prospective study. Tertiary referral center Patients diagnosed with SCDS (n = 32) and healthy control subjects (n = 51). Surgical canal plugging on a subset of patients. Static visual acuity (SVA), active horizontal DVA, and canal plane htDVA. Visual acuity (SVA, active DVA, and htDVA) declines with age. In SCDS, SVA and active DVA are not significantly affected in individuals after surgical canal plugging; however, htDVA in the plane of the affected canal is significantly worse after canal plugging. Age-based normative data are necessary for DVA testing. In SCDS, htDVA in the plane of the affected canal is normal before surgery but permanently reduced afterward.

  7. Large Format Uncooled Focal Plane Array Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Black Forest Engineering has identified innovative modifications in uncooled focal plane array (UFPA) architecture and processing that allows development of large...

  8. Effect of Oral Methylprednisolone on Clinical Outcomes in Patients With IgA Nephropathy: The TESTING Randomized Clinical Trial.

    Science.gov (United States)

    Lv, Jicheng; Zhang, Hong; Wong, Muh Geot; Jardine, Meg J; Hladunewich, Michelle; Jha, Vivek; Monaghan, Helen; Zhao, Minghui; Barbour, Sean; Reich, Heather; Cattran, Daniel; Glassock, Richard; Levin, Adeera; Wheeler, David; Woodward, Mark; Billot, Laurent; Chan, Tak Mao; Liu, Zhi-Hong; Johnson, David W; Cass, Alan; Feehally, John; Floege, Jürgen; Remuzzi, Giuseppe; Wu, Yangfeng; Agarwal, Rajiv; Wang, Hai-Yan; Perkovic, Vlado

    2017-08-01

    Guidelines recommend corticosteroids in patients with IgA nephropathy and persistent proteinuria, but the effects remain uncertain. To evaluate the efficacy and safety of corticosteroids in patients with IgA nephropathy at risk of progression. The Therapeutic Evaluation of Steroids in IgA Nephropathy Global (TESTING) study was a multicenter, double-blind, randomized clinical trial designed to recruit 750 participants with IgA nephropathy (proteinuria greater than 1 g/d and estimated glomerular filtration rate [eGFR] of 20 to 120 mL/min/1.73 m2 after at least 3 months of blood pressure control with renin-angiotensin system blockade] and to provide follow-up until 335 primary outcomes occurred. Patients were randomized 1:1 to oral methylprednisolone (0.6-0.8 mg/kg/d; maximum, 48 mg/d) (n = 136) or matching placebo (n = 126) for 2 months, with subsequent weaning over 4 to 6 months. The primary composite outcome was end-stage kidney disease, death due to kidney failure, or a 40% decrease in eGFR. Predefined safety outcomes were serious infection, new diabetes, gastrointestinal hemorrhage, fracture/osteonecrosis, and cardiovascular events. The mean required follow-up was estimated to be 5 years. After randomization of 262 participants (mean age, 38.6 [SD, 11.1] years; 96 [37%] women; eGFR, 59.4 mL/min/1.73 m2; urine protein excretion, 2.40 g/d) and 2.1 years' median follow-up, recruitment was discontinued because of excess serious adverse events. Serious events occurred in 20 participants (14.7%) in the methylprednisolone group vs 4 (3.2%) in the placebo group (P = .001; risk difference, 11.5% [95% CI, 4.8%-18.2%]), mostly due to excess serious infections (11 [8.1%] vs 0; risk difference, 8.1% [95% CI, 3.5%-13.9%]; P < .001), including 2 deaths. The primary renal outcome occurred in 8 participants (5.9%) in the methylprednisolone group vs 20 (15.9%) in the placebo group (hazard ratio, 0.37 [95% CI, 0.17-0.85]; risk difference, 10.0% [95% CI, 2

  9. An empirical test of pseudo random number generators by means of an exponential decaying process; Una prueba empirica de generadores de numeros pseudoaleatorios mediante un proceso de decaimiento exponencial

    Energy Technology Data Exchange (ETDEWEB)

    Coronel B, H.F.; Hernandez M, A.R.; Jimenez M, M.A. [Facultad de Fisica e Inteligencia Artificial, Universidad Veracruzana, A.P. 475, Xalapa, Veracruz (Mexico); Mora F, L.E. [CIMAT, A.P. 402, 36000 Guanajuato (Mexico)]. e-mail: hcoronel@uv.mx

    2007-07-01

    Empirical tests for pseudo random number generators based on the use of processes or physical models have been successfully used and are considered as complementary to theoretical tests of randomness. In this work a statistical methodology for evaluating the quality of pseudo random number generators is presented. The method is illustrated in the context of the so-called exponential decay process, using some pseudo random number generators commonly used in physics. (Author)

  10. Baryons and their Effects on Planes of Satellites Around Milky Way-Mass Galaxies

    Science.gov (United States)

    Ahmed, Sheehan H.

    2017-01-01

    Both the Milky Way and Andromeda have thin, coherently rotating planes of satellites. In this study I try to find similar satellite planes around four different Milky Way-mass simulations, each run both as dark matter-only and with baryons included. In all halos I am able to identify a planar configuration that significantly maximizes the number of satellites that are members of a plane. The member satellites that make up this maximum plane are consistently different between the dark matter-only and baryonic versions of the same run. In the baryonic runs, satellites are more likely to be destroyed through interactions with the disk, and substructure tends to infall later. Hence, studying satellite planes in dark matter-only simulations is misleading, because they will be composed of different satellite members than those that would exist if baryons were included. Additionally, baryonic runs tend to have less radially concentrated satellite distributions. Since all planes pass through the center of the galaxy, it is much harder to create a plane containing a large number of satellites from a random distribution if the satellites have a low radial concentration. Andromeda’s low radial satellite concentration is possibly a key reason behind why the plane in Andromeda is highly significant. Despite this, when co-rotation is considered, none of the satellite planes identified for the simulated galaxies are as statistically significant as the observed planes around the Milky Way and Andromeda. I will then show that co-rotation in our satellite planes can be attributed to how the satellites are accreted through filaments from the cosmic web. When two sets of opposing filaments contribute, coherent planes are more likely to form, when there are no well-defined filaments, there is a lack of coherent satellite rotation.

  11. Alternative Methods for Estimating Plane Parameters Based on a Point Cloud

    Science.gov (United States)

    Stryczek, Roman

    2017-12-01

    Non-contact measurement techniques carried out using triangulation optical sensors are increasingly popular in measurements with the use of industrial robots directly on production lines. The result of such measurements is often a cloud of measurement points that is characterized by considerable measuring noise, presence of a number of points that differ from the reference model, and excessive errors that must be eliminated from the analysis. To obtain vector information points contained in the cloud that describe reference models, the data obtained during a measurement should be subjected to appropriate processing operations. The present paperwork presents an analysis of suitability of methods known as RANdom Sample Consensus (RANSAC), Monte Carlo Method (MCM), and Particle Swarm Optimization (PSO) for the extraction of the reference model. The effectiveness of the tested methods is illustrated by examples of measurement of the height of an object and the angle of a plane, which were made on the basis of experiments carried out at workshop conditions.

  12. Impact of the European Randomized Study of Screening for Prostate Cancer (ERSPC) on prostate-specific antigen (PSA) testing by Dutch general practitioners

    NARCIS (Netherlands)

    Van der Meer, Saskia; Kollen, Boudewijn J.; Hirdes, Willem H.; Steffens, Martijn G.; Hoekstra-Weebers, Josette E. H. M.; Nijman, Rien M.; Blanker, Marco H.

    Objective To determine the impact of the European Randomized Study of Screening for Prostate Cancer (ERSPC) publication in 2009 on prostate-specific antigen (PSA) level testing by Dutch general practitioners (GPs) in men aged 40 years. Materials and Methods Retrospective study with a Dutch insurance

  13. A randomized controlled trial to test the effect of multispecies probiotics on cognitive reactivity to sad mood.

    Science.gov (United States)

    Steenbergen, Laura; Sellaro, Roberta; van Hemert, Saskia; Bosch, Jos A; Colzato, Lorenza S

    2015-08-01

    Recent insights into the role of the human microbiota in cognitive and affective functioning have led to the hypothesis that probiotic supplementation may act as an adjuvant strategy to ameliorate or prevent depression. Heightened cognitive reactivity to normal, transient changes in sad mood is an established marker of vulnerability to depression and is considered an important target for interventions. The present study aimed to test if a multispecies probiotic containing Bifidobacterium bifidum W23, Bifidobacterium lactis W52, Lactobacillus acidophilus W37, Lactobacillus brevis W63, Lactobacillus casei W56, Lactobacillus salivarius W24, and Lactococcus lactis (W19 and W58) may reduce cognitive reactivity in non-depressed individuals. In a triple-blind, placebo-controlled, randomized, pre- and post-intervention assessment design, 20 healthy participants without current mood disorder received a 4-week probiotic food-supplement intervention with the multispecies probiotics, while 20 control participants received an inert placebo for the same period. In the pre- and post-intervention assessment, cognitive reactivity to sad mood was assessed using the revised Leiden index of depression sensitivity scale. Compared to participants who received the placebo intervention, participants who received the 4-week multispecies probiotics intervention showed a significantly reduced overall cognitive reactivity to sad mood, which was largely accounted for by reduced rumination and aggressive thoughts. These results provide the first evidence that the intake of probiotics may help reduce negative thoughts associated with sad mood. Probiotics supplementation warrants further research as a potential preventive strategy for depression. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

  14. Nutritional status and random blood glucose, cholesterol and triglyceride test among Malaysian Army (MA) personnel in Kuala Lumpur

    Science.gov (United States)

    Nadiy, I.; Razalee, S.; Zalifah, M. K.; Zulkeffeli, M. J.

    2013-11-01

    With the rising trend of obesity among the general population, it is also important to assess the obesity and health status among military population. The aim of this study was to determine the prevalence of overweight and obesity among Malaysian Army (MA) personnel as well as the relationship between selected socio-demographics factors, antropometric profiles, body composition and random blood test value. A cross sectional study involving 378 male military personnel aged between 20 to 48 years old was conducted at two MA bases in Kuala Lumpur between November and December 2012. Antropometric measurements included height, weight and waist circumference (WC). Body fat percentage was measured using bioelectrical impedance analysis method (Tanita TBF-300A). Mean height, weight, BMI, WC, body fat percentage, age, monthly income and duration of service were 1.71 ± 0.6 m, 71.7 ± 12.2 kg, 24.6 ± 4.1 kg/m2, 87.0 ± 10.0 cm, 23.4 ± 6.6%, 29.1 ± 5.5 years, RM 2115.12 ± 860.70 and 9.9 ± 5.6 years respectively. According to WHO (1998) classification of BMI, 3.2% of the subjects were underweight, 54.8% normal, 32.8% overweight and 9.3% obese. It was obeserved that 40.2% of the subjects had waist circumference value of 90 cm or more and were considered high risk for diebetes and cardiovascular diseases. This study found that BMI was highly correlated with weight (r=0.925, pintervention from the aspect of nutritional education and health awareness can benefit thus optimizing the health status of MA military personnel.

  15. An interesterified palm olein test meal decreases early-phase postprandial lipemia compared to palm olein: a randomized controlled trial.

    Science.gov (United States)

    Hall, Wendy L; Brito, Marcela Fiuza; Huang, Junlan; Wood, Lucy V; Filippou, Androulla; Sanders, Thomas A B; Berry, Sarah E E

    2014-09-01

    Palm oil that has been interesterified to produce a higher proportion of palmitic acid (16:0) in the sn-2 position reduces postprandial lipemia in young, normolipidemic men and women, but effects in older subjects with higher fasting triacylglycerol (TAG) concentrations are unknown. We tested the hypothesis that high-fat meals rich in interesterified palm olein (IPO) decrease lipemia and alter plasma lipoprotein fraction composition compared to native palm olein (NPO) in men aged 40-70 years with fasting TAG concentrations ≥1.2 mmol/L. Postprandial changes in plasma lipids following meals containing 75 g fat (NPO and IPO) were compared using a randomized, double-blind crossover design (n = 11). Although there were no significant differences in plasma TAG concentrations between meals over the total 6-h postprandial measurement period, IPO resulted in a decreased plasma TAG response during the first 4 h of the postprandial period (iAUC 1.65 mmol/L h, 95% CI 1.01-2.29) compared to NPO (iAUC 2.33 mmol/L h, 95% CI 1.58-3.07); meal effect P = 0.024. Chylomicron fraction TAG concentrations at 4-6 h were slightly reduced following IPO compared to NPO [NPO-IPO mean difference 0.29 mmol/L (95% CI -0.01-0.59), P = 0.055]. There were no differences in IDL fraction TAG, cholesterol or apolipoprotein B48 concentrations following IPO compared with NPO. In conclusion, consuming a meal containing palm olein with a higher proportion of 16:0 in the sn-2 position decreases postprandial lipemia compared to native palm olein during the early phase of the postprandial period in men with higher than optimal fasting triacylglycerol concentrations.

  16. Comparison among the efficacy of interventions for the return rate to receive the pap test report: randomized controlled clinical trial.

    Science.gov (United States)

    Vasconcelos, Camila Teixeira Moreira; Pinheiro, Ana Karina Bezerra; Nicolau, Ana Izabel Oliveira; Lima, Thaís Marques; Barbosa, Denise de Fátima Fernandes

    2017-03-02

    to test the effects of a behavioral, an educative and a comparative intervention on women's adherence to the return appointment to receive the pap test report. randomized controlled clinical trial at a Primary Health Care Service, involving three groups: EG (educative session and test demonstration), BG (recall ribbon) and standard intervention (card containing the return appointment - graphical reminder), called comparative group here (CG). To select the sample, the following was established: having started sexual activity and undergoing the pap smear during the study, resulting in 775 women. among the 775 women, 585 (75.5%) returned to receive the test result within 65 days. The educative group presented the highest return rate (EG=82%/CG=77%/BG=66%), statistically significant only when compared to the behavioral group (p=0.000). The educative group obtained the smallest interval (pmujeres a la consulta de retorno para recibir el laudo de citología vaginal. estudio experimental aleatorizado controlado en una Unidad de Atención Primaria de Salud con tres grupos: GE (sesión educativa y demonstración del examen), GCP (cinta recuerdo) e intervención estándar (tarjeta con la fecha de la consulta de retorno - recuerdo gráfico), llamado de grupo comparativo (GCA). Para seleccionar la muestra, fue establecido: haber iniciado actividad sexual y hacer la citología vaginal durante el estudio, resultando en 775 mujeres. entre las 775 mujeres, 585 (75,5%) regresaron para recibir el resultado del examen con hasta 65 días. El grupo educativo presentó el mayor porcentaje de retorno (GE=82%/GCA=77%/GCP=66%), con significancia estadística sólo cuando comparado al comportamental (p=0,000). El grupo educativo alcanzó menor intervalo (pmujeres regresaron más precozmente, pero la intervención comportamental se mostró la menos eficaz. Registro Brasileño de Ensayo Clínico: RBR-93ykhs. testar os efeitos de uma intervenção comportamental (GCP), educativa (GE) e outra

  17. Focal-plane sensor-processor chips

    CERN Document Server

    Zarándy, Ákos

    2011-01-01

    Focal-Plane Sensor-Processor Chips explores both the implementation and application of state-of-the-art vision chips. Presenting an overview of focal plane chip technology, the text discusses smart imagers and cellular wave computers, along with numerous examples of current vision chips.

  18. The variability plane of accreting compact objects

    NARCIS (Netherlands)

    Körding, E.G.; Migliari, S.; Fender, R.; Belloni, T.; Knigge, C.; McHardy, I.

    2007-01-01

    Recently, it has been shown that soft-state black hole X-ray binaries and active galactic nuclei populate a plane in the space defined by the black hole mass, accretion rate and characteristic frequency. We show that this plane can be extended to hard-state objects if one allows a constant offset

  19. Apriori feasibility testing of randomized clinical trial design in patients with cleft deformities and Class III malocclusion.

    Science.gov (United States)

    McIlvaine, Elizabeth; Borzabadi-Farahani, Ali; Lane, Christianne J; Azen, Stanley P; Yen, Stephen L-K

    2014-05-01

    To assess the feasibility of randomizing treatment (surgical vs. non-surgical) for correction of a Class III malocclusion (underbite) resulting from an earlier repair of cleft lip and palate. Surveys about willingness to accept randomized treatment during adolescence were mailed to the parents of cleft lip and palate patients under the care of Children's Hospital Los Angeles between 2005 and 2010. The inclusion criteria were patients with cleft lip and palate, Class III malocclusion due to maxillary deficiency, and absence of medical and cognitive contraindications to treatment. Out of 287 surveys, 82 (28%) were completed and returned; 47% of the subjects held a strong treatment preference (95% CI, 35-58%), while 30% were willing to accept randomization (95% CI, 20-41%). Seventy-eight percent would drop out of a randomized trial if dissatisfied with the assigned treatment (95% CI, 67-86%). The three most commonly cited reasons for being unwilling to accept random treatment assignment were 1) the desire for doctors to choose the best treatment, 2) the desire for parents to have input on treatment, and 3) the desire to correct the underbite as early as possible. Based on this study, parents and patients would be unwilling to accept a randomly assigned treatment and would not remain in an assigned group if treatment did not meet expectations. This highlight the limitations associated with randomization trials involving surgical modalities and provide justification for other research models (e.g., cohort studies) to compare two treatment options when randomization is not feasible. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  20. A cluster-randomized trial of provider-initiated (opt-out) HIV counseling and testing of tuberculosis patients in South Africa.

    Science.gov (United States)

    Pope, Diana S; Deluca, Andrea N; Kali, Paula; Hausler, Harry; Sheard, Carol; Hoosain, Ebrahim; Chaudhary, Mohammad A; Celentano, David D; Chaisson, Richard E

    2008-06-01

    To determine whether implementation of provider-initiated human immunodeficiency virus (HIV) counseling would increase the proportion of tuberculosis (TB) patients who received HIV counseling and testing. Cluster-randomized trial with clinic as the unit of randomization. Twenty, medium-sized primary care TB clinics in the Nelson Mandela Metropolitan Municipality, Port Elizabeth, Eastern Cape Province, South Africa. A total of 754 adults (18 years and older) newly registered as TB patients in the 20 study clinics. Implementation of provider-initiated HIV counseling and testing. Percentage of TB patients HIV counseled and tested. SECONDARY: Percentage of patients with HIV test positive, and percentage of those who received cotrimoxazole and who were referred for HIV care. : A total of 754 adults newly registered as TB patients were enrolled. In clinics randomly assigned to implement provider-initiated HIV counseling and testing, 20.7% (73/352) patients were counseled versus 7.7% (31/402) in the control clinics (P = 0.011), and 20.2% (n = 71) versus 6.5% (n = 26) underwent HIV testing (P = 0.009). Of those patients counseled, 97% in the intervention clinics accepted testing versus 79% in control clinics (P = 0.12). The proportion of patients identified as HIV infected in intervention clinics was 8.5% versus 2.5% in control clinics (P = 0.044). Fewer than 40% of patients with a positive HIV test were prescribed cotrimoxazole or referred for HIV care in either study arm. Provider-initiated HIV counseling significantly increased the proportion of adult TB patients who received HIV counseling and testing, but the magnitude of the effect was small. Additional interventions to optimize HIV testing for TB patients urgently need to be evaluated.

  1. A cluster randomized trial of provider-initiated (Opt-out) HIV counseling and testing of tuberculosis patients in South Africa

    Science.gov (United States)

    Pope, Diana S.; DeLuca, Andrea N.; Kali, Paula; Hausler, Harry; Sheard, Carol; Hoosain, Ebrahim; Chaudhary, Mohammed A.; Celentano, David D.; Chaisson, Richard E.

    2008-01-01

    Objective To determine whether implementation of provider-initiated HIV counseling would increase the proportion of tuberculosis patients that received HIV counseling and testing. Design Cluster-randomized trial with clinic as unit of randomization Setting Twenty, medium-sized primary care TB clinics in the Nelson Mandela Metropolitan Municipality, Port Elizabeth, Eastern Cape Province, South Africa Subjects A total of 754 adults (≥ 18 years) newly registered as tuberculosis patients the twenty study clinics Intervention Implementation of provider-initiated HIV counseling and testing. Main outcome measures Percentage of TB patients HIV counseled and tested. Secondary Percentage of patients HIV test positive and percentage of those that received cotrimoxazole and who were referred for HIV care. Results A total of 754 adults newly registered as tuberculosis patients were enrolled. In clinics randomly assigned to implement provider-initiated HIV counseling and testing, 20.7% (73/352) patients were counseled versus 7.7% (31/402) in the control clinics (p = 0.011), and 20.2 % (n = 71) versus 6.5% (n = 26) underwent HIV testing (p = 0.009). Of those patients counseled, 97% in the intervention clinics accepted testing versus 79% in control clinics (p =0.12). The proportion of patients identified as HIV-infected in intervention clinics was 8.5% versus 2.5% in control clinics (p=0.044). Fewer than 40% of patients with a positive HIV test were prescribed cotrimoxazole or referred for HIV care in either study arm. Conclusions Provider-initiated HIV counseling significantly increased the proportion of adult TB patients that received HIV counseling and testing, but the magnitude of the effect was small. Additional interventions to optimize HIV testing for TB patients urgently need to be evaluated. PMID:18520677

  2. ECLAIRs detection plane: current state of development

    Science.gov (United States)

    Lacombe, K.; Pons, R.; Amoros, C.; Atteia, J.-L.; Barret, D.; Billot, M.; Bordon, S.; Cordier, B.; Gevin, O.; Godet, O.; Gonzalez, F.; Houret, B.; Mercier, K.; Mandrou, P.; Marty, W.; Nasser, G.; Rambaud, D.; Ramon, P.; Rouaix, G.; Waegebaert, V.

    2014-07-01

    presented homogeneous spectral properties and that a lowenergy threshold of 4 keV for each detector could be reached. In conclusion, our hybrid module has obtained the performance required at the SVOM mission level and successfully withstood the space environment tests (TRL 6/7). This development phase has given us the opportunity to build a detector's array prototype (Engineering Model) equipped with 50 hybrid modules. Thanks to this prototype we are in the process of validating a complete detection chain (from the detectors to the backend electronics) and checking the performance. In addition it enables us to consolidate the instrument's mechanical and thermal design, and to write preliminary versions of the quality procedures required for integration, functional tests and calibration steps. At the end of this prototype development and testing, we will be ready to start the detailed design of the detection plane Flight Model.

  3. Slipping and rolling on an inclined plane

    Energy Technology Data Exchange (ETDEWEB)

    Aghamohammadi, Cina [Department of Electrical Engineering, Sharif University of Technology, PO Box 11365-11155, Tehran (Iran, Islamic Republic of); Aghamohammadi, Amir, E-mail: mohamadi@alzahra.ac.ir [Department of Physics, Alzahra University, Tehran 19938-91176 (Iran, Islamic Republic of)

    2011-07-15

    In the first part of the paper, using a direct calculation two-dimensional motion of a particle sliding on an inclined plane is investigated for general values of friction coefficient ({mu}). A parametric equation for the trajectory of the particle is also obtained. In the second part of the paper, the motion of a sphere on the inclined plane is studied. It is shown that the evolution equation for the contact point of a sliding sphere is similar to that of a point particle sliding on an inclined plane whose friction coefficient is 7/2 {mu}. If {mu} > 2/7 tan {theta}, for any arbitrary initial velocity and angular velocity, the sphere will roll on the inclined plane after some finite time. In other cases, it will slip on the inclined plane. In the case of rolling, the centre of the sphere moves on a parabola. Finally the velocity and angular velocity of the sphere are exactly computed.

  4. The out-of-plane compressive response of Dyneema (R) composites

    OpenAIRE

    Attwood, J. P.; Khaderi, S. N.; Karthikeyan, K.; Fleck, N. A.; O'Masta, M. R.; Wadley, H. N. G.; Deshpande, V. S.

    2014-01-01

    Out-of-plane compression tests were conducted on six grades of ultra high molecular weight polyethylene fibre composites (Dyneema®Dyneema®) with varying grades of fibre and matrix, ply thickness, and ply stacking sequence. The composites with a [0°r/90°] lay-up had an out-of-plane compressive strength that was dictated by in-plane tensile fibre fracture. By contrast, the out-of-plane compressive strength of the uni-directional composites was significantly lower and was not associated with fib...

  5. ARBITRARY INTERACTION OF PLANE SUPERSONIC FLOWS

    Directory of Open Access Journals (Sweden)

    P. V. Bulat

    2015-11-01

    Full Text Available Subject of study.We consider the Riemann problem for parameters at collision of two plane flows at a certain angle. The problem is solved in the exact statement. Most cases of interference, both stationary and non-stationary gas-dynamic discontinuities, followed by supersonic flows can be reduced to the problem of random interaction of two supersonic flows. Depending on the ratio of the parameters in the flows, outgoing discontinuities turn out to be shock waves, or rarefactionwaves. In some cases, there is no solution at all. It is important to know how to find the domain of existence for the relevant decisions, as the type of shock-wave structures in these domains is known in advance. The Riemann problem is used in numerical methods such as the method of Godunov. As a rule, approximate solution is used, known as the Osher solution, but for a number of problems with a high precision required, solution of this problem needs to be in the exact statement. Main results.Domains of existence for solutions with different types of shock-wave structure have been considered. Boundaries of existence for solutions with two outgoing shock waves are analytically defined, as well as with the outgoing shock wave and rarefaction wave. We identify the area of Mach numbers and angles at which the flows interact and there is no solution. Specific flows with two outgoing rarefaction waves are not considered. Practical significance. The results supplement interference theory of stationary gas-dynamic discontinuities and can be used to develop new methods of numerical calculation with extraction of discontinuities.

  6. Clinical efficacy of semiconductor laser application as an adjunct to conventional scaling and root planing.

    Science.gov (United States)

    Kreisler, Matthias; Al Haj, Haitham; d'Hoedt, Bernd

    2005-12-01

    The aim of the in vitro study was to examine the clinical efficacy of semiconductor laser periodontal pocket irradiation as an adjunct to conventional scaling and root planing. Twenty-two healthy patients with a need of periodontal treatment (15 women, 7 men, mean age 45.0 +/- 10.8 years) with at least four teeth in all quadrants, were included. All of them underwent a conventional periodontal treatment including scaling and root planing. Using a split mouth design, two randomly chosen quadrants (one upper and the corresponding lower one) were subsequently treated with an 809 nm GaAlAs laser operated at a power output of 1.0 Watt using a 0.6 mm optical fiber. The teeth in the control quadrants were rinsed with saline. The clinical outcome was evaluated by means of plaque index (PI), gingival index (GI), bleeding on probing (BOP), sulcus fluid flow rate (SFFR), Periotest (PT), probing pocket depth (PPD), and clinical attachment loss (CAL) at baseline and at 3 months after treatment. A total of 492 teeth in both groups were evaluated and differences between the laser and the control teeth were analyzed using the Wilcoxon test (P gingival index, bleeding on probing, and the sulcus fluid flow rate. The higher reduction in tooth mobility and probing depths is probably not predominantly related to bacterial reduction in the periodontal pockets but to the de-epithelization of the periodontal pockets leading to an enhanced connective tissue attachment. The application of the diode laser in the treatment of inflammatory periodontitis at the irradiation parameters described above is a safe clinical procedure and can be recommended as an adjunct to conventional scaling and root planing. (c) 2005 Wiley-Liss, Inc.

  7. Ground penetrating radar antenna measurements based on plane-wave expansions

    DEFF Research Database (Denmark)

    Lenler-Eriksen, Hans-Rudolph; Meincke, Peter

    2005-01-01

    The plane-wave transmitting spectrum of the system consisting of the ground penetrating radar (GPR) antenna and the air-soil interface is measured using a loop buried in the soil. The plane-wave spectrum is used to determine various parameters characterizing the radiation of the GPR antenna...... into the soil. The procedure is tested on a spiral atenna....

  8. A pilot randomized clinical trial testing integrated 12-Step facilitation (iTSF) treatment for adolescent substance use disorder.

    Science.gov (United States)

    Kelly, John F; Kaminer, Yifrah; Kahler, Christopher W; Hoeppner, Bettina; Yeterian, Julie; Cristello, Julie V; Timko, Christine

    2017-12-01

    The integration of 12-Step philosophy and practices is common in adolescent substance use disorder (SUD) treatment programs, particularly in North America. However, although numerous experimental studies have tested 12-Step facilitation (TSF) treatments among adults, no studies have tested TSF-specific treatments for adolescents. We tested the efficacy of a novel integrated TSF. Explanatory, parallel-group, randomized clinical trial comparing 10 sessions of either motivational enhancement therapy/cognitive-behavioral therapy (MET/CBT; n = 30) or a novel integrated TSF (iTSF; n = 29), with follow-up assessments at 3, 6 and 9 months following treatment entry. Out-patient addiction clinic in the United States. Adolescents [n = 59; mean age = 16.8 (1.7) years; range = 14-21; 27% female; 78% white]. The iTSF integrated 12-Step with motivational and cognitive-behavioral strategies, and was compared with state-of-the-art MET/CBT for SUD. Primary outcome: percentage days abstinent (PDA); secondary outcomes: 12-Step attendance, substance-related consequences, longest period of abstinence, proportion abstinent/mostly abstinent, psychiatric symptoms. Primary outcome: PDA was not significantly different across treatments [b = 0.08, 95% confidence interval (CI) = -0.08 to 0.24, P = 0.33; Bayes' factor = 0.28). during treatment, iTSF patients had substantially greater 12-Step attendance, but this advantage declined thereafter (b = -0.87; 95% CI = -1.67 to 0.07, P = 0.03). iTSF did show a significant advantage at all follow-up points for substance-related consequences (b = -0.42; 95% CI = -0.80 to -0.04, P attendance was associated significantly with longer abstinence during (r = 0.39, P = 0.008), and early following (r = 0.30, P = 0.049), treatment. Compared with motivational enhancement therapy/cognitive-behavioral therapy (MET/CBT), in terms of abstinence, a novel integrated 12-Step facilitation treatment for adolescent substance use

  9. [Reproducibility and repeatability of the determination of occlusal plane on digital dental models].

    Science.gov (United States)

    Qin, Yi-fei; Xu, Tian-min

    2015-06-18

    To assess the repeatability(intraobserver comparison)and reproducibility(interobserver comparison)of two different methods for establishing the occlusal plane on digital dental models. With Angle's classification as a stratification factor,48 cases were randomly extracted from 806 ones which had integrated clinical data and had their orthodontic treatment from July 2004 to August 2008 in Department of Orthodontics ,Peking University School and Hospital of Stomatology.Post-treatment plaster casts of 48 cases were scanned by Roland LPX-1200 3D laser scanner to generate geometry data as research subjects.In a locally developed software package,one observer repeated 5 times at intervals of at least one week to localize prescriptive landmarks on each digital model to establish a group of functional occlusal planes and a group of anatomic occlusal planes, while 6 observers established two other groups of functional and anatomic occlusal planes independently.Standard deviations of dihedral angles of each group on each model were calculated and compared between the related groups.The models with the five largest standard deviations of each group were studied to explore possible factors that might influence the identification of the landmarks on the digital models. Significant difference of intraobserver variability was not detected between the functional occlusal plane and the anatomic occlusal plane (P>0.1), while that of interobserver variability was detected (P0.1), while the anatomic occlusal plane's variability of the intraobserver was significantly smaller than that of the interobserver (Pmodels,both the functional and the anatomic occlusal planes are suitable as a conference plane with equal repeatability. When several observers measure a large number of digital models,the functional occlusal plane is more reproducible than the anatomic occlusal plane ,but the difference is small.

  10. Increasing participation in cervical cancer screening: offering a HPV self-test to long-term non-attendees as part of RACOMIP, a Swedish randomized controlled trial.

    Science.gov (United States)

    Broberg, Gudrun; Gyrd-Hansen, Dorte; Miao Jonasson, Junmei; Ryd, Mare-Liis; Holtenman, Mikael; Milsom, Ian; Strander, Björn

    2014-05-01

    RACOMIP is a population-based, randomized trial of the effectiveness and cost-effectiveness of different interventions aimed at increasing participation in a well-run cervical cancer screening program in western Sweden. In this article, we report results from one intervention, offering non-attendees a high-risk human papillomavirus (HPV) self-test. Comparison was made with standard screening invitation routine or standard routine plus a telephone call. Women (8,800), aged 30-62, were randomly selected among women without a registered Pap smear in the two latest screening rounds. These women were randomized 1:5:5 to one of three arms: 800 were offered a high-risk HPV self-test, 4,000 were randomized to a telephone call (reported previously) and 4,000 constituted a control group (standard screening invitation routine). Results were based on intention to treat analysis and cost-effectiveness was calculated as marginal cost per cancer case prevented. The endpoint was the frequency of testing. The total response rate in the self-testing arm was 24.5%, significantly higher than in the telephone arm (18%, RR 1.36, 95% CI 1.19-1.57) and the control group (10.6%, RR 2.33, 95% CI 2.00-2.71). All nine women who tested positive for high-risk HPV attended for a cervical smear and colposcopy. From the health-care sector perspective, the intervention will most likely lead to no additional cost. Offering a self-test for HPV as an alternative to Pap smears increases participation among long-term non-attendees. Offering various screening options can be a successful method for increasing participation in this group. © 2013 UICC.

  11. Introducing rapid diagnostic tests for malaria into drug shops in Uganda: design and implementation of a cluster randomized trial.

    Science.gov (United States)

    Mbonye, Anthony K; Magnussen, Pascal; Chandler, Clare I R; Hansen, Kristian S; Lal, Sham; Cundill, Bonnie; Lynch, Caroline A; Clarke, Siân E

    2014-07-29

    An intervention was designed to introduce rapid diagnostics tests for malaria (mRDTs) into registered drug shops in Uganda to encourage rational and appropriate treatment of malaria with artemisinin-based combination therapy (ACT). We conducted participatory training of drug shop vendors and implemented supporting interventions to orientate local communities (patients) and the public sector (health facility staff and district officials) to the behavioral changes in diagnosis, treatment and referral being introduced in drug shops. The intervention was designed to be evaluated through a cluster randomized trial. In this paper, we present detailed design, implementation and evaluation experiences in order to help inform future studies of a complex nature. Three preparatory studies (formative, baseline and willingness-to-pay) were conducted to explore perceptions on diagnosis and treatment of malaria at drug shops, and affordable prices for mRDTs and ACTs in order to inform the design of the intervention and implementation modalities. The intervention required careful design with the intention to be acceptable, sustainable and effective. Critical components of intervention were: community sensitization and creating awareness, training of drug shop vendors to diagnose malaria with mRDTs, treat and refer customers to formal health facilities, giving pre-referral rectal artesunate and improved record-keeping. The primary outcome was the proportion of patients receiving appropriately-targeted treatment with ACT, evaluated against microscopy on a research blood slide. Introducing mRDTs in drug shops may seem simple, but our experience of intervention design, conduct and evaluation showed this to be a complex process requiring multiple interventions and evaluation components drawing from a combination of epidemiological, social science and health economics methodologies. The trial was conducted in phases sequenced such that each benefited from the other. The main challenges

  12. The continuous reaction time test for minimal hepatic encephalopathy validated by a randomized controlled multi-modal intervention-A pilot study

    DEFF Research Database (Denmark)

    Lauridsen, M M; Mikkelsen, S; Svensson, T

    2017-01-01

    Background: Minimal hepatic encephalopathy (MHE) is clinically undetectable and the diagnosis requires psychometric tests. However, a lack of clarity exists as to whether the tests are in fact able to detect changes in cognition. Aim: To examine if the continuous reaction time test (CRT) can detect...... stratified 44 patients with liver cirrhosis and without clinically manifest HE according to a normal (n = 22) or abnormal (n = 22) CRT. Each stratum was then block randomized to receive multimodal anti-HE intervention (lactulose+branched-chain amino acids+rifaximin) or triple placebos for 3 months...... in a double-blinded fashion. The CRT is a simple PC-based test and the test result, the CRT index (normal threshold > 1.9), describes the patient’s stability of alertness during the 10–minute test. Our study outcome was the change in CRT index in each group at study exit. The portosystemic encephalopathy (PSE...

  13. Green tea extract decreases starch digestion and absorption from a test meal in humans: a randomized, placebo-controlled crossover study.

    Science.gov (United States)

    Lochocka, Klaudia; Bajerska, Joanna; Glapa, Aleksandra; Fidler-Witon, Ewa; Nowak, Jan K; Szczapa, Tomasz; Grebowiec, Philip; Lisowska, Aleksandra; Walkowiak, Jaroslaw

    2015-07-30

    Green tea is known worldwide for its beneficial effects on human health. However, objective data evaluating this influence in humans is scarce. The aim of the study was to assess the impact of green tea extract (GTE) on starch digestion and absorption. The study comprised of 28 healthy volunteers, aged 19 to 28 years. In all subjects, a starch (13)C breath test was performed twice. Subjects randomly ingested naturally (13)C-abundant cornflakes during the GTE test (GTE 4 g) or placebo test. The cumulative percentage dose recovery (CPDR) was significantly lower for the GTE test than for the placebo test (median [interquartile range]: 11.4% [5.5-15.5] vs. 16.1% [12.7-19.5]; p = 0.003). Likewise, CPDR expressed per hour was considerably lower in each point of the measurement. In conclusion, a single dose of green tea extract taken with a test meal decreases starch digestion and absorption.

  14. Biomechanical differences between incline and plane hopping.

    Science.gov (United States)

    Kannas, Theodoros M; Kellis, Eleftherios; Amiridis, Ioannis G

    2011-12-01

    Kannas, TM, Kellis, E, and Amiridis, IG. Biomechanical differences between incline and plane hopping. J Strength Cond Res 25(12): 3334-3341, 2011-The need for the generation of higher joint power output during performance of dynamic activities led us to investigate the force-length relationship of the plantar flexors during consecutive stretch-shortening cycles of hopping. The hypothesis of this study was that hopping (consecutive jumps with the knee as straight as possible) on an inclined (15°) surface might lead to a better jumping performance compared with hopping on a plane surface (0°). Twelve active men performed 3 sets of 10 consecutive hops on both an incline and plane surface. Ground reaction forces; ankle and knee joint kinematics; electromyographic (EMG) activity from the medial gastrocnemius (MG), soleus (Sol) and tibialis anterior (TA); and architectural data from the MG were recorded. The results showed that participants jumped significantly higher (p plane surface (27.52 ± 4.97 cm). No differences in temporal characteristics between the 2 types of jumps were observed. Incline hopping induced significantly greater ankle dorsiflexion and knee extension at takeoff compared with plane hopping (p propulsion phase were significantly higher during incline compared with that during plane hopping (p plane surface.

  15. Direct provision versus facility collection of HIV self-tests among female sex workers in Uganda: A cluster-randomized controlled health systems trial.

    Directory of Open Access Journals (Sweden)

    Katrina Ortblad

    2017-11-01

    Full Text Available HIV self-testing allows HIV testing at any place and time and without health workers. HIV self-testing may thus be particularly useful for female sex workers (FSWs, who should test frequently but face stigma and financial and time barriers when accessing healthcare facilities.We conducted a cluster-randomized controlled health systems trial among FSWs in Kampala, Uganda, to measure the effect of 2 HIV self-testing delivery models on HIV testing and linkage to care outcomes. FSW peer educator groups (1 peer educator and 8 participants were randomized to either (1 direct provision of HIV self-tests, (2 provision of coupons for free collection of HIV self-tests in a healthcare facility, or (3 standard of care HIV testing. We randomized 960 participants in 120 peer educator groups from October 18, 2016, to November 16, 2016. Participants' median age was 28 years (IQR 24-32. Our prespecified primary outcomes were self-report of any HIV testing at 1 month and at 4 months; our prespecified secondary outcomes were self-report of HIV self-test use, seeking HIV-related medical care and ART initiation. In addition, we analyzed 2 secondary outcomes that were not prespecified: self-report of repeat HIV testing-to understand the intervention effects on frequent testing-and self-reported facility-based testing-to quantify substitution effects. Participants in the direct provision arm were significantly more likely to have tested for HIV than those in the standard of care arm, both at 1 month (risk ratio [RR] 1.33, 95% CI 1.17-1.51, p < 0.001 and at 4 months (RR 1.14, 95% CI 1.07-1.22, p < 0.001. Participants in the direct provision arm were also significantly more likely to have tested for HIV than those in the facility collection arm, both at 1 month (RR 1.18, 95% CI 1.07-1.31, p = 0.001 and at 4 months (RR 1.03, 95% CI 1.01-1.05, p = 0.02. At 1 month, fewer participants in the intervention arms had sought medical care for HIV than in the standard of care arm

  16. Influence of mandibular fixation method on stability of the maxillary occlusal plane after occlusal plane alteration.

    Science.gov (United States)

    Yosano, Akira; Katakura, Akira; Takaki, Takashi; Shibahara, Takahiko

    2009-05-01

    In this study, we investigated how method of mandibular fixation influenced longterm postoperative stability of the maxilla in Class III cases. In particular, we investigated change in the maxillary occlusal plane after Occlusal Plane Alteration. Therefore, we focused on change in the palatal plane to evaluate stability of the maxillary occlusal plane, as the position of the palatal plane affects the maxillary occlusal plane. This study included 16 patients diagnosed with mandibular protrusion. Alteration of the occlusal plane was achieved by clockwise rotation of the maxilla by Le Fort I osteotomy and mandibular setback was performed by bilateral sagittal split ramus osteotomy. We analyzed and examined lateral cephalometric radiographs taken at 1 month, 3 months, 6 months, and 1 year after surgery. Stability achieved by two methods of mandibular fixation was compared. In one group of patients (group S) titanium screws were used, and in the other group (group P) titanium-locking mini-plates were used. No significant displacement was recognized in group S, whereas an approximately 0.7mm upward vertical displacement was recognized in the anterior nasal spine in group P. As a result, not only the angle of the palatal plane and S-N plane, but also occlusal plane angle in group P showed a greater decrease than that in group S. The results suggest that fixing the mandible with screws yielded greater stability of the maxilla and maxillary occlusal plane than fixing the mandible with titanium plates.

  17. Geometry of the plane Cremona maps

    CERN Document Server

    Alberich-Carramiñana, Maria

    2002-01-01

    This book provides a self-contained exposition of the theory of plane Cremona maps, reviewing the classical theory. The book updates, correctly proves and generalises a number of classical results by allowing any configuration of singularities for the base points of the plane Cremona maps. It also presents some material which has only appeared in research papers and includes new, previously unpublished results. This book will be useful as a reference text for any researcher who is interested in the topic of plane birational maps.

  18. Terahertz detectors and focal plane arrays

    Science.gov (United States)

    Rogalski, A.; Sizov, F.

    2011-09-01

    Terahertz (THz) technology is one of emerging technologies that will change our life. A lot of attractive applications in security, medicine, biology, astronomy, and non-destructive materials testing have been demonstrated already. However, the realization of THz emitters and receivers is a challenge because the frequencies are too high for conventional electronics and the photon energies are too small for classical optics. As a result, THz radiation is resistant to the techniques commonly employed in these well established neighbouring bands. In the paper, issues associated with the development and exploitation of THz radiation detectors and focal plane arrays are discussed. Historical impressive progress in THz detector sensitivity in a period of more than half century is analyzed. More attention is put on the basic physical phenomena and the recent progress in both direct and heterodyne detectors. After short description of general classification of THz detectors, more details concern Schottky barrier diodes, pair braking detectors, hot electron mixers and field-effect transistor detectors, where links between THz devices and modern technologies such as micromachining are underlined. Also, the operational conditions of THz detectors and their upper performance limits are reviewed. Finally, recent advances in novel nanoelectronic materials and technologies are described. It is expected that applications of nanoscale materials and devices will open the door for further performance improvement in THz detectors.

  19. NASA's Orbital Space Plane Risk Reduction Strategy

    Science.gov (United States)

    Dumbacher, Dan

    2003-01-01

    This paper documents the transformation of NASA s Space Launch Initiative (SLI) Second Generation Reusable Launch Vehicle Program under the revised Integrated Space Transportation Plan, announced November 2002. Outlining the technology development approach followed by the original SLI, this paper gives insight into the current risk-reduction strategy that will enable confident development of the Nation s first orbital space plane (OSP). The OSP will perform an astronaut and contingency cargo transportation function, with an early crew rescue capability, thus enabling increased crew size and enhanced science operations aboard the International Space Station. The OSP design chosen for full-scale development will take advantage of the latest innovations American industry has to offer. The OSP Program identifies critical technologies that must be advanced to field a safe, reliable, affordable space transportation system for U.S. access to the Station and low-Earth orbit. OSP flight demonstrators will test crew safety features, validate autonomous operations, and mature thermal protection systems. Additional enabling technologies may be identified during the OSP design process as part of an overall risk-management strategy. The OSP Program uses a comprehensive and evolutionary systems acquisition approach, while applying appropriate lessons learned.

  20. Hydrodynamic Characteristics of a Low-drag, Planing-tail Flying-boat Hull

    Science.gov (United States)

    Suydam, Henry B

    1948-01-01

    The hydrodynamic characteristics of a flying-boat incorporating a low-drag, planing-tail hull were determined from model tests made in Langley tank number 2 and compared with tests of the same flying boat incorporating a conventional-type hull. The planing-tail model, with which stable take-offs were possible for a large range of elevator positions at all center-of-gravity locations tested, had more take-off stability than the conventional model. No upper-limit porpoising was encountered by the planing-tail model. The maximum changes in rise during landings were lower for the planing-tail model than for the conventional model at most contact trims, an indication of improved landing stability for the planing-tail model. The hydrodynamic resistance of the planing-tail hull was lower than the conventional hull at all speeds, and the load-resistance ratio was higher for the planing-tail hull, being especially high at the hump. The static trim of the planing-tail hull was much higher than the conventional hull, but the variation of trim with speed during take-off was smaller.

  1. Automatic location of microscopic focal planes for computerized stereology

    Science.gov (United States)

    Elozory, Daniel T.; Bonam, Om Pavithra; Kramer, Kurt; Goldgof, Dmitry B.; Hall, Lawrence O.; Mangual, Osvaldo; Mouton, Peter R.

    2011-03-01

    When applying design-based stereology to biological tissue, there are two primary applications for an auto-focusing function in the software of computerized stereology system. The system must first locate the in-focus optical planes at the upper and lower surfaces of stained tissue sections, thus identifying the top and bottom as well as the thickness of the tissue. Second, the system must find the start and end along the Z-axis of stained objects within a Z-stack of images through tissue sections. In contrast to traditional autofocus algorithms that seek a global maximum or peak on the focus curve, the goal of this study was to find the two "knees" of the focus curve that represent the "just out-of-focus" focal planes. The upper surface of the tissue section is defined as the image just before focus is detected moving down the Z-stack. Continuing down, the lower surface is defined as the first image of the last set of adjacent images where focus is no longer detected. The performance of seven focus algorithms in locating the top and bottom focal planes of tissue sections was analyzed by comparing each algorithm on 34 Z-stacks including a total of 828 images. The Thresholded Absolute Gradient algorithm outperformed all others, correctly identifying the top or bottom focal plane within an average of 1 μm on the training data as well as the test data.

  2. Quantum-Well Infrared Photodetector (QWIP) Focal Plane Assembly

    Science.gov (United States)

    Jhabvala, Murzy; Jhabvala, Christine A.; Ewin, Audrey J.; Hess, Larry A.; Hartmann, Thomas M.; La, Anh T.

    2012-01-01

    A paper describes the Thermal Infrared Sensor (TIRS), a QWIP-based instrument intended to supplement the Operational Land Imager (OLI) for the Landsat Data Continuity Mission (LDCM). The TIRS instrument is a far-infrared imager operating in the pushbroom mode with two IR channels: 10.8 and 12 microns. The focal plane will contain three 640x512 QWIP arrays mounted on a silicon substrate. The silicon substrate is a custom-fabricated carrier board with a single layer of aluminum interconnects. The general fabrication process starts with a 4-in. (approx.10-cm) diameter silicon wafer. The wafer is oxidized, a single substrate contact is etched, and aluminum is deposited, patterned, and alloyed. This technology development is aimed at incorporating three large-format infrared detecting arrays based on GaAs QWIP technology onto a common focal plane with precision alignment of all three arrays. This focal plane must survive the rigors of flight qualification and operate at a temperature of 43 K (-230 C) for five years while orbiting the Earth. The challenges presented include ensuring thermal compatibility among all the components, designing and building a compact, somewhat modular system and ensuring alignment to very tight levels. The multi-array focal plane integrated onto a single silicon substrate is a new application of both QWIP array development and silicon wafer scale integration. The Invar-based assembly has been tested to ensure thermal reliability.

  3. Monte Carlo Random-Walk Experiments as a Test of Chaotic Orbits of Maps of the Interval

    Science.gov (United States)

    Arneodo, A.; Sornette, D.

    1984-05-01

    We have performed Monte Carlo random-walk experiments on a one-dimensional periodic lattice with a trapping site using the logistic map as a generator of pseudorandom numbers. Comparison with analytical results indicates that, when it has sensitive dependence to the initial conditions, this map provides a true pseudorandom generator.

  4. Effect of weave tightness and structure on the in-plane and through-plane air permeability of woven carbon fibers for gas diffusion layers

    Energy Technology Data Exchange (ETDEWEB)

    Caston, Terry B.; Murphy, Andrew R.; Harris, Tequila A.L. [Department of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA (United States)

    2011-01-15

    In this study, woven gas diffusion layers (GDLs) with varying weave type and tightness are investigated. Plain and twill weave patterns were manufactured in-house. The in-plane and through-plane air permeability of the woven samples were tested, and mercury intrusion porosimetry (MIP) tests were performed to study the pore structure. It was found that the twill weave has a higher permeability than the plain weave, which is consistent with literature. Like non-woven carbon papers, woven GDLs have higher in-plane permeability than through-plane permeability; however it has been shown that it is possible to manufacture a GDL with higher through-plane permeability than in-plane permeability. It was also concluded that the percentage of macropores in the weave is the driving factor in determining the through-plane air permeability. This work lays the groundwork for future studies to attempt to characterize the relationship between the weave structure and the air permeability in woven GDLs. (author)

  5. The NO Regular Defibrillation testing In Cardioverter Defibrillator Implantation (NORDIC ICD) trial: concept and design of a randomized, controlled trial of intra-operative defibrillation testing during de novo defibrillator implantation.

    Science.gov (United States)

    Bänsch, Dietmar; Bonnemeier, Hendrik; Brandt, Johan; Bode, Frank; Svendsen, Jesper Hastrup; Felk, Angelika; Hauser, Tino; Wegscheider, Karl

    2015-01-01

    Although defibrillation (DF) testing is still considered a standard procedure during implantable cardioverter-defibrillator (ICD) insertion and has been an essential element of all trials that demonstrated the survival benefit of ICD therapy, there are no large randomized clinical trials demonstrating that DF testing improves clinical outcome and if the outcome would remain the same by omitting DF testing. Between February 2011 and July 2013, we randomly assigned 1077 patients to ICD implantation with (n = 540) or without (n = 537) DF testing. The intra-operative DF testing was standardized across all participating centres. After inducing a fast ventricular tachycardia (VT) with a heart rate ≥240 b.p.m. or ventricular fibrillation (VF) with a low-energy T-wave shock, DF was attempted with an initial 15 J shock. If the shock reversed the VT or VF, DF testing was considered successful and terminated. If unsuccessful, two effective 24 J shocks were administered. If DF was unsuccessful, the system was reconfigured and another DF testing was performed. An ICD shock energy of 40 J had to be programmed in all patients for treatment of spontaneous VT/VF episodes. The primary endpoint was the average efficacy of the first ICD shock for all true VT/VF episodes in each patient during follow-up. The secondary endpoints included the frequency of system revisions, total fluoroscopy, implantation time, procedural serious adverse events, and all-cause, cardiac, and arrhythmic mortality during follow-up. Home Monitoring was used in all patients to continuously monitor the system integrity, device programming and performance. The NO Regular Defibrillation testing In Cardioverter Defibrillator Implantation (NORDIC ICD) trial is one of two large prospective randomized trials assessing the effect of DF testing omission during ICD implantation. NCT01282918. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email

  6. Titanium Heat Pipe Thermal Plane Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The objective of the Phase II program is to complete the development of the titanium heat pipe thermal plane and establish all necessary steps for production of this...

  7. Large Format Uncooled Focal Plane Array Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Uncooled focal plane arrays have improved dramatically and array sizes of 320x240 elements in a 50-?m pitch are commercially available at affordable cost. Black...

  8. Titanium Heat Pipe Thermal Plane Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Thermacore Inc. proposes an innovative titanium heat pipe thermal plane for passive thermal control of individual cells within a fuel cell stack. The proposed...

  9. Causal inheritence in plane wave quotients

    Energy Technology Data Exchange (ETDEWEB)

    Hubeny, Veronika E.; Rangamani, Mukund; Ross, Simon F.

    2003-11-24

    We investigate the appearance of closed timelike curves in quotients of plane waves along spacelike isometries. First we formulate a necessary and sufficient condition for a quotient of a general spacetime to preserve stable causality. We explicitly show that the plane waves are stably causal; in passing, we observe that some pp-waves are not even distinguishing. We then consider the classification of all quotients of the maximally supersymmetric ten-dimensional plane wave under a spacelike isometry, and show that the quotient will lead to closed timelike curves iff the isometry involves a translation along the u direction. The appearance of these closed timelike curves is thus connected to the special properties of the light cones in plane wave spacetimes. We show that all other quotients preserve stable causality.

  10. A prospective, randomized, double-blind trial of intranasal dexmedetomidine and oral chloral hydrate for sedated auditory brainstem response (ABR) testing.

    Science.gov (United States)

    Reynolds, Jason; Rogers, Amber; Medellin, Eduardo; Guzman, Jonathan A; Watcha, Mehernoor F

    2016-03-01

    Dexmedetomidine is increasingly used by various routes for pediatric sedation. However, there are few randomized controlled trials comparing the efficacy of dexmedetomidine to other commonly used sedatives. To compare the efficacy of sedation with intranasal dexmedetomidine to oral chloral hydrate for auditory brainstem response (ABR) testing. In this double-blind, double-dummy study, children undergoing ABR testing were randomized to receive intranasal dexmedetomidine 3 mcg · kg(-1) plus oral placebo (Group IN DEX) or oral chloral hydrate 50 mg · kg(-1) plus intranasal saline placebo (Group CH). We recorded demographic data, times from sedative administration to start and completion of testing, quality of sedation, occurrence of predefined adverse events, discharge times, and return to baseline activity on the day of testing. Testing completion rates with a single dose of medication were higher in the IN DEX group (89% vs 66% for CH, odds ratio with 95% confidence intervals 4.04 [1.3-12.6], P = 0.018). The median [95% CI)] time to successful testing start was shorter (25 [20-29] min vs 30 [20-49] min for IN DEX and CH, respectively, log rank test P = 0.02) and the proportion of children whose parents reported a return to baseline activity on the day of testing was greater for the IN DEX than the CH group (89% vs 64%, OR [95% CI] 4.71 [1.34-16.6], P = 0.02). There were no major adverse events in either group and no significant differences in the incidence of minor events. Intranasal dexmedetomidine is an effective alternative to oral chloral hydrate sedation for ABR testing, with the advantages of a higher incidence of testing completion with a single dose, shorter time to desired sedation level, and with significantly more patients reported to return to baseline activity on the same day. © 2016 John Wiley & Sons Ltd.

  11. Slip patterns and preferred dislocation boundary planes

    DEFF Research Database (Denmark)

    Winther, G.

    2003-01-01

    The planes of deformation induced extended planar dislocation boundaries are analysed in two different co-ordinate systems, namely the macroscopic system defined by the deformation axes and the crystallographic system given by the crystallographic lattice. The analysis covers single and polycryst......The planes of deformation induced extended planar dislocation boundaries are analysed in two different co-ordinate systems, namely the macroscopic system defined by the deformation axes and the crystallographic system given by the crystallographic lattice. The analysis covers single...

  12. Attitude analysis in Flatland: The plane truth

    Science.gov (United States)

    Shuster, Malcolm D.

    1993-01-01

    Many results in attitude analysis are still meaningful when the attitude is restricted to rotations about a single axis. Such a picture corresponds to attitude analysis in the Euclidean plane. The present report formalizes the representation of attitude in the plane and applies it to some well-known problems. In particular, we study the connection of the 'additive' and 'multiplicative' formulations of the differential corrector for the quaternion in its two-dimensional setting.

  13. Carroll symmetry of plane gravitational waves

    OpenAIRE

    Duval, C.; Gibbons, G W; Horvathy, P. A.; Zhang, P. -M.

    2017-01-01

    The well-known 5-parameter isometry group of plane gravitational waves in $4$ dimensions is identified as Levy-Leblond's Carroll group in $2+1$ dimensions with no rotations. Our clue is that plane waves are Bargmann spaces into which Carroll manifolds can be embedded. We also comment on the scattering of light by a gravitational wave and calculate its electric permittivity considered as an impedance-matched metamaterial.

  14. Large Focal Plane Arrays for Future Missions

    OpenAIRE

    Scowen, Paul A.; Nikzad, Shouleh; Hoenk, Michael; Gontijo, Ivair; Shapiro, Andrew; Greer, Frank; Jones, Todd; Seshadri, Suresh; Jacquot, Blake; Monacos, Steve; Lisman, Doug; Dickie, Matthew; Blacksberg, Jordana

    2009-01-01

    We outline the challenges associated with the development and construction of large focal plane arrays for use both on the ground and in space. Using lessons learned from existing JPL-led and ASU/JPL partnership efforts to develop technology for, and design such arrays and imagers for large focal planes, we enumerate here the remaining problems that need to be solved to make such a venture viable. Technologies we consider vital for further development include: (1) architectures, processes, ci...

  15. The Zwicky Transient Facility Galactic Plane Survey

    Science.gov (United States)

    Prince, Thomas; Zwicky Transient Facility (ZTF) Project Team

    2018-01-01

    The Zwicky Transient Faciility (ZTF) is a new survey camera mounted on the 1.2m Oschin Schmidt Telescope on Mount Palomar. The camera has a 47 square degree field of view and is expected to start public survey observations in early 2018. The public surveys are undertaken with support provided by the NSF MSIP program. One of the two public surveys is a twice nightly scan of the central Galactic Plane visible from Mount Palomar, one scan in r-band and one in g-band. Publicly accessible data from the survey will be one of two types: (1) prompt alerts of variable activity of Galactic Plane sources using image difference source identification, and (2) photometric light curves of Galactic Plane sources extracted from calibrated images. Data will be made accessible through the Caltech Image Processing and Analysis Center (IPAC). The ZTF Galactic Plane Survey, combined with Gaia and PanSTARRS data, will be an exciting new resource for time domain astronomy observations of Galactic sources.We will describe the details of the ZTF Galactic Plane survey, including estimated coverage of the plane and light curve sampling. We will also describe plans for public access to the data, as well as comment on some of the important science that will be possible using the survey data.

  16. Deep plane facelifting for facial rejuvenation.

    Science.gov (United States)

    Gordon, Neil; Adam, Stewart

    2014-08-01

    The purpose of this article is to provide the facial plastic surgeon with anatomical and embryologic evidence to support the use of the deep plane technique for optimal treatment of facial aging. A detailed description of the procedure is provided to allow safe and consistent performance. Insights into anatomical landmarks, technical nuances, and alternative approaches for facial variations are presented. The following points will be further elucidated in the article. The platysma muscle/submuscular aponeurotic system/galea are the continuous superficial cervical fascia encompassing the majority of facial fat, and this superficial soft tissue envelope is poorly anchored to the face. The deep cervical fascia binds the structural aspects of the face and covers the facial nerve and buccal fat pad. Facial aging is mainly due to gravity's long-term effects on the superficial soft tissue envelope, with more subtle effects on the deeper structural compartments. The deep plane is the embryologic cleavage plane between these fascial layers, and is the logical place for facial dissection. The deep plane allows access to the buccal fat pad for treatment of jowling. Soft tissue mobilization is maximized in deep plane dissections and requires careful hairline planning. Flap advancement creates tension only at the fascia level allowing natural, tension-free skin closure, and long-lasting outcomes. The deep plane advancement flap is well vascularized and resistant to complications. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  17. Community Mobilization for HIV Testing Uptake: Results From a Community Randomized Trial of a Theory-Based Intervention in Rural South Africa.

    Science.gov (United States)

    Lippman, Sheri A; Neilands, Torsten B; MacPhail, Catherine; Peacock, Dean; Maman, Suzanne; Rebombo, Dumisani; Twine, Rhian; Selin, Amanda; Leslie, Hannah H; Kahn, Kathleen; Pettifor, Audrey

    2017-01-01

    HIV testing uptake in South Africa is below optimal levels. Community mobilization (CM) may increase and sustain demand for HIV testing, however, little rigorous evidence exists regarding the effect of CM interventions on HIV testing and the mechanisms of action. We implemented a theory-driven CM intervention in 11 of 22 randomly-selected villages in rural Mpumalanga Province. Cross-sectional surveys including a community mobilization measure were conducted before (n = 1181) and after (n = 1175) a 2-year intervention (2012-2014). We assessed community-level intervention effects on reported HIV testing using multilevel logistic models. We used structural equation models to explore individual-level effects, specifically whether intervention assignment and individual intervention exposure were associated with HIV testing through community mobilization. Reported testing increased equally in both control and intervention sites: the intervention effect was null in primary analyses. However, the hypothesized pathway, CM, was associated with higher HIV testing in the intervention communities. Every standard deviation increase in village CM score was associated with increased odds of reported HIV testing in intervention village participants (odds ratio: 2.6, P = mobilization scores. There was no evidence of community-wide gains in HIV testing due to the intervention. However, a significant intervention effect on HIV testing was noted in residents who were personally exposed to the intervention and who evidenced higher community mobilization. Research is needed to understand whether CM interventions can be diffused within communities over time.

  18. Design of a randomized trial of diabetes genetic risk testing to motivate behavior change: the Genetic Counseling/lifestyle Change (GC/LC) Study for Diabetes Prevention.

    Science.gov (United States)

    Grant, Richard W; Meigs, James B; Florez, Jose C; Park, Elyse R; Green, Robert C; Waxler, Jessica L; Delahanty, Linda M; O'Brien, Kelsey E

    2011-10-01

    The efficacy of diabetes genetic risk testing to motivate behavior change for diabetes prevention is currently unknown. This paper presents key issues in the design and implementation of one of the first randomized trials (The Genetic Counseling/Lifestyle Change (GC/LC) Study for Diabetes Prevention) to test whether knowledge of diabetes genetic risk can motivate patients to adopt healthier behaviors. Because individuals may react differently to receiving 'higher' vs 'lower' genetic risk results, we designed a 3-arm parallel group study to separately test the hypotheses that: (1) patients receiving 'higher' diabetes genetic risk results will increase healthy behaviors compared to untested controls, and (2) patients receiving 'lower' diabetes genetic risk results will decrease healthy behaviors compared to untested controls. In this paper we describe several challenges to implementing this study, including: (1) the application of a novel diabetes risk score derived from genetic epidemiology studies to a clinical population, (2) the use of the principle of Mendelian randomization to efficiently exclude 'average' diabetes genetic risk patients from the intervention, and (3) the development of a diabetes genetic risk counseling intervention that maintained the ethical need to motivate behavior change in both 'higher' and 'lower' diabetes genetic risk result recipients. Diabetes genetic risk scores were developed by aggregating the results of 36 diabetes-associated single nucleotide polymorphisms. Relative risk for type 2 diabetes was calculated using Framingham Offspring Study outcomes, grouped by quartiles into 'higher', 'average' (middle two quartiles) and 'lower' genetic risk. From these relative risks, revised absolute risks were estimated using the overall absolute risk for the study group. For study efficiency, we excluded all patients receiving 'average' diabetes risk results from the subsequent intervention. This post-randomization allocation strategy was

  19. Number of Published Randomized Controlled Multi Center Trials Testing Pharmacological Interventions or Devices Is Increasing in Both Medical and Surgical Specialties

    DEFF Research Database (Denmark)

    Danielsen, Anne Kjaergaard; Okholm, Cecilie; Pommergaard, Hans-Christian

    2014-01-01

    BACKGROUND: In general, there is a need for testing new interventions in large randomized controlled trials. Depending on the research question it may be advantageous to establish multicenter studies as a way of organizing clinical trials in order to increase study power. MAIN OBJECTIVES......: The object of this study was to investigate the development in the organization of multicenter studies, the distribution of studies within different clinical specialties, across continents, and investigate the differences related to testing various interventions. METHODS AND MATERIALS: A literature search...

  20. Phosphatidylethanol Compared with Other Blood Tests as a Biomarker of Moderate Alcohol Consumption in Healthy Volunteers : A Prospective Randomized Study.

    OpenAIRE

    Kechagias, Stergios; Dernroth, Dženeta Nezirević; Blomgren, Anders; Hansson, Therese; Isaksson, Anders; Walther, Lisa; Kronstrand, Robert; Kågedal, Bertil; Nystrom, Fredrik H

    2015-01-01

    AIM: It is generally agreed that traditional alcohol biomarkers lack in sensitivity to detect hazardous alcohol consumption. The present study was undertaken to evaluate the ability of phosphatidylethanol (PEth) and traditional alcohol markers to detect moderate alcohol consumption and to distinguish between moderate alcohol consumption and abstinence. METHODS: Forty-four subjects, 32 females and 12 males, were included in the study. They were randomized to alcohol abstention or to alcohol co...

  1. Digital image plane holography (DIPH) for two-phase flow diagnostics in multiple planes

    Science.gov (United States)

    Palero, V.; Lobera, J.; Arroyo, M. P.

    2005-08-01

    A technique for measuring the size and displacement of the disperse phase in two planes of a two-phase flow is presented. Digital image plane holography (DIPH) is used for the simultaneous recording and independent reconstruction of both planes. Each fluid plane is illuminated with two laser sheets propagating in opposite directions. The defocused image fields are holographically recorded at 90°, and can be reconstructed either in a defocused or in the best-focused plane. The analysis of the images in a defocused plane provides the sizes, while the cross-correlation of the focused images provides the velocity field, as in a regular particle image velocimetry (PIV) experiment. For air bubbles freely drifting in glycerine, diameters from 50 μm to 400 μm and displacements of up to 300 μm have been measured.

  2. Intra-operative defibrillation testing and clinical shock efficacy in patients with implantable cardioverter-defibrillators: the NORDIC ICD randomized clinical trial.

    Science.gov (United States)

    Bänsch, Dietmar; Bonnemeier, Hendrik; Brandt, Johan; Bode, Frank; Svendsen, Jesper Hastrup; Táborský, Miloš; Kuster, Stefan; Blomström-Lundqvist, Carina; Felk, Angelika; Hauser, Tino; Suling, Anna; Wegscheider, Karl

    2015-10-01

    This trial was designed to test the hypothesis that shock efficacy during follow-up is not impaired in patients implanted without defibrillation (DF) testing during first implantable cardioverter-defibrillator (ICD) implantation. Between February 2011 and July 2013, 1077 patients were randomly assigned (1 : 1) to first time ICD implantation with (n = 540) or without (n = 537) DF testing. The intra-operative DF testing was standardized across all participating centres, and all ICD shocks were programmed to 40 J irrespective of DF test results. The primary end point was the average first shock efficacy (FSE) for all true ventricular tachycardia and fibrillation (VT/VF) episodes during follow-up. The secondary end points included procedural data, serious adverse events, and mortality. During a median follow-up of 22.8 months, the model-based FSE was found to be non-inferior in patients with an ICD implanted without a DF test, with a difference in FSE of 3.0% in favour of the no DF test [confidence interval (CI) -3.0 to 9.0%, Pnon-inferiority Defibrillation efficacy during follow-up is not inferior in patients with a 40 J ICD implanted without DF testing. Defibrillation testing during first time ICD implantation should no longer be recommended for routine left-sided ICD implantation. © The Author 2015. Published by Oxford University Press on behalf of the European Society of Cardiology.

  3. Tibiofibular syndesmosis in acute ankle fractures: additional value of an oblique MR image plane

    Energy Technology Data Exchange (ETDEWEB)

    Hermans, John J.; Ginai, Abida Z. [Erasmus University Medical Center, Department of Radiology, Rotterdam (Netherlands); Beumer, Annechien; Moonen, Adrianus F.C.M. [Amphia Hospital, Department of Orthopaedics, Breda (Netherlands); Hop, Wim C.J. [Erasmus University Medical Center, Department of Biostatistics, Rotterdam (Netherlands)

    2012-02-15

    To evaluate the additional value of a 45 oblique MRI scan plane for assessing the anterior and posterior distal tibiofibular syndesmotic ligaments in patients with an acute ankle fracture. Prospectively, data were collected for 44 consecutive patients with an acute ankle fracture who underwent a radiograph (AP, lateral, and mortise view) as well as an MRI in both the standard three orthogonal planes and in an additional 45 oblique plane. The fractures on the radiographs were classified according to Lauge-Hansen (LH). The anterior (ATIFL) and posterior (PTIFL) distal tibiofibular ligaments, as well as the presence of a bony avulsion in both the axial and oblique planes was evaluated on MRI. MRI findings regarding syndesmotic injury in the axial and oblique planes were compared to syndesmotic injury predicted by LH. Kappa and the agreement score were calculated to determine the interobserver agreement. The Wilcoxon signed rank test and McNemar's test were used to compare the two scan planes. The interobserver agreement ({kappa}) and agreement score [AS (%)] regarding injury of the ATIFL and PTIFL and the presence of a fibular or tibial avulsion fracture were good to excellent in both the axial and oblique image planes ({kappa} 0.61-0.92, AS 84-95%). For both ligaments the oblique image plane indicated significantly less injury than the axial plane (p < 0.001). There was no significant difference in detection of an avulsion fracture in the axial or oblique plane, neither anteriorly (p=0.50) nor posteriorly (p=1.00). With syndesmotic injury as predicted by LH as comparison, the specificity in the oblique MR plane increased for both anterior (to 86% from 7%) and posterior (to 86% from 48%) syndesmotic injury when compared to the axial plane. Our results show the additional value of an 45 oblique MR image plane for detection of injury of the anterior and posterior distal tibiofibular syndesmoses in acute ankle fractures. Findings of syndesmotic injury in the oblique

  4. Same-day HIV testing with initiation of antiretroviral therapy versus standard care for persons living with HIV: A randomized unblinded trial.

    Science.gov (United States)

    Koenig, Serena P; Dorvil, Nancy; Dévieux, Jessy G; Hedt-Gauthier, Bethany L; Riviere, Cynthia; Faustin, Mikerlyne; Lavoile, Kerlyne; Perodin, Christian; Apollon, Alexandra; Duverger, Limathe; McNairy, Margaret L; Hennessey, Kelly A; Souroutzidis, Ariadne; Cremieux, Pierre-Yves; Severe, Patrice; Pape, Jean W

    2017-07-01

    Attrition during the period from HIV testing to antiretroviral therapy (ART) initiation is high worldwide. We assessed whether same-day HIV testing and ART initiation improves retention and virologic suppression. We conducted an unblinded, randomized trial of standard ART initiation versus same-day HIV testing and ART initiation among eligible adults ≥18 years old with World Health Organization Stage 1 or 2 disease and CD4 count ≤500 cells/mm3. The study was conducted among outpatients at the Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic infections (GHESKIO) Clinic in Port-au-Prince, Haiti. Participants were randomly assigned (1:1) to standard ART initiation or same-day HIV testing and ART initiation. The standard group initiated ART 3 weeks after HIV testing, and the same-day group initiated ART on the day of testing. The primary study endpoint was retention in care 12 months after HIV testing with HIV-1 RNA standard and 347 in the same-day ART groups. In the standard ART group, 156 (44%) participants were retained in care with 12-month HIV-1 RNA standard ART group, and the unadjusted RR for being retained with HIV-1 RNA <1,000 copies was 1.18 (95% CI: 1.04, 1.31; p = 0.012). The main limitation of this study is that it was conducted at a single urban clinic, and the generalizability to other settings is uncertain. Same-day HIV testing and ART initiation is feasible and beneficial in this setting, as it improves retention in care with virologic suppression among patients with early clinical HIV disease. This study is registered with ClinicalTrials.gov number NCT01900080.

  5. Does acetaminophen/hydrocodone affect cold pulpal testing in patients with symptomatic irreversible pulpitis? A prospective, randomized, double-blind, placebo-controlled study.

    Science.gov (United States)

    Fowler, Sara; Fullmer, Spencer; Drum, Melissa; Reader, Al

    2014-12-01

    The purpose of this prospective randomized, double-blind, placebo-controlled study was to determine the effects of a combination dose of 1000 mg acetaminophen/10 mg hydrocodone on cold pulpal testing in patients experiencing symptomatic irreversible pulpitis. One hundred emergency patients in moderate to severe pain diagnosed with symptomatic irreversible pulpitis of a mandibular posterior tooth randomly received, in a double-blind manner, identical capsules of either a combination of 1000 mg acetaminophen/10 hydrocodone or placebo. Cold testing with Endo-Ice (1,1,1,2 tetrafluoroethane; Hygenic Corp, Akron, OH) was performed at baseline and every 10 minutes for 60 minutes. Pain to cold testing was recorded by the patient using a Heft-Parker visual analog scale. Patients' reaction to the cold application was also rated. Cold testing at baseline and at 10 minutes resulted in severe pain for both the acetaminophen/hydrocodone and placebo groups. Although pain ratings decreased from 20-60 minutes, the ratings still resulted in moderate pain. Patient reaction to cold testing showed that 56%-62% had a severe reaction. Although the reactions decreased in severity over the 60 minutes, 20%-34% still had severe reactions at 60 minutes. Regarding pain and patients' reactions to cold testing, there were no significant differences between the combination acetaminophen/hydrocodone and placebo groups at any time period. A combination dose of 1000 mg of acetaminophen/10 mg of hydrocodone did not statistically affect cold pulpal testing in patients presenting with symptomatic irreversible pulpitis. Patients experienced moderate to severe pain and reactions to cold testing. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  6. Chi-Squared Test of Fit and Sample Size-A Comparison between a Random Sample Approach and a Chi-Square Value Adjustment Method.

    Science.gov (United States)

    Bergh, Daniel

    2015-01-01

    Chi-square statistics are commonly used for tests of fit of measurement models. Chi-square is also sensitive to sample size, which is why several approaches to handle large samples in test of fit analysis have been developed. One strategy to handle the sample size problem may be to adjust the sample size in the analysis of fit. An alternative is to adopt a random sample approach. The purpose of this study was to analyze and to compare these two strategies using simulated data. Given an original sample size of 21,000, for reductions of sample sizes down to the order of 5,000 the adjusted sample size function works as good as the random sample approach. In contrast, when applying adjustments to sample sizes of lower order the adjustment function is less effective at approximating the chi-square value for an actual random sample of the relevant size. Hence, the fit is exaggerated and misfit under-estimated using the adjusted sample size function. Although there are big differences in chi-square values between the two approaches at lower sample sizes, the inferences based on the p-values may be the same.

  7. The use of a random regression model on the estimation of genetic parameters for weight at performance test in Appenninica sheep breed

    Directory of Open Access Journals (Sweden)

    Francesca M. Sarti

    2015-07-01

    Full Text Available The Appenninica breed is an Italian meat sheep; the rams are approved according to a phenotypic index that is based on an average daily gain at performance test. The 8546 live weights of 1930 Appenninica male lambs tested in the performance station of the ASSONAPA (National Sheep Breeders Association, Italy from 1986 to 2010 showed a great variability in age at weighing and in number of records by year. The goal of the study is to verify the feasibility of the estimation of a genetic index for weight in the Appenninica sheep by a mixed model, and to explore the use of random regression to avoid the corrections for weighing at different ages. The heritability and repeatability (mean±SE of the average live weight were 0.27±0.04 and 0.54±0.08 respectively; the heritabilities of weights recorded at different weighing days ranged from 0.27 to 0.58, while the heritabilities of weights at different ages showed a narrower variability (0.29÷0.41. The estimates of live weight heritability by random regressions ranged between 0.34 at 123 d of age and 0.52 at 411 d. The results proved that the random regression model is the most adequate to analyse the data of Appenninica breed.

  8. Whole-Body Electromyostimulation to Fight Osteopenia in Elderly Females: The Randomized Controlled Training and Electrostimulation Trial (TEST-III)

    OpenAIRE

    Simon von Stengel; Michael Bebenek; Klaus Engelke; Wolfgang Kemmler

    2015-01-01

    Whole-body electromyostimulation (WB-EMS) has been shown to be effective in increasing muscle strength and mass in elderly women. Because of the interaction of muscles and bones, these adaptions might be related to changes in bone parameters. 76 community-living osteopenic women 70 years and older were randomly assigned to either a WB-EMS group (n = 38) or a control group (CG: n = 38). The WB-EMS group performed 3 sessions every 14 days for one year while the CG performed gymnastics containin...

  9. The horizontal plane appearances of scoliosis

    DEFF Research Database (Denmark)

    Illés, Tamás S.; Burkus, Máté; Somoskeőy, Szabolcs

    2017-01-01

    Purpose: A posterior-anterior vertebral vector is proposed to facilitate visualization and understanding of scoliosis. The aim of this study was to highlight the interest of using vertebral vectors, especially in the horizontal plane, in clinical practice. Methods: We used an EOS two-/three-dimen......Purpose: A posterior-anterior vertebral vector is proposed to facilitate visualization and understanding of scoliosis. The aim of this study was to highlight the interest of using vertebral vectors, especially in the horizontal plane, in clinical practice. Methods: We used an EOS two...... cases of a normal spine and a thoracic scoliosis are presented. Results: For a normal spine, vector projections in the transverse plane are aligned with the posterior-anterior anatomical axis. For a scoliotic spine, vector projections in the horizontal plane provide information on the lateral...... of scoliosis. The approach used is simple. These results are sufficient for a first visual analysis furnishing significant clinical information in all three anatomical planes. This visualization represents a reasonable compromise between mathematical purity and practical use....

  10. High-resolution holographic imaging technology by microscopic image plane holography

    Science.gov (United States)

    Wang, Xuhui; Gong, Wendi; Liu, Feifei; Wang, Huaying

    2010-11-01

    The imaging technology of digital microscopic image plane holography (DMIPH) is studied in this paper. The point spread function expression and the recording conditions of DMIPH system are derived. The quadratic phase factor which introduced by the microscope objective lens can be eliminated through choosing the proper position of the reference point source when the hologram is recorded by spherical reference waves. By using plane waves and spherical waves as reference waves respectively two image plane holographic recording systems are built. Using a USAF test target as microscopic object, the recorded digital holograms are reconstructed by angular spectrum algorithm. The experimental results show that in the case of spherical reference waves if the distance from the equivalent of lighting point source to CCD plane is equal to the distance between the reference point source and CCD plane the quadratic phase distortion introduced by the microscope objective lens can be removed and that DMIPH is superior to common digital holographic microscopy.

  11. A simple technique to generate in-plane forming limit curves and selected applications

    Science.gov (United States)

    Raghavan, K. S.

    1995-08-01

    A simple technique to generate in-plane forming limit curves has been developed. This technique is based on the Marciniak biaxial stretch test using a single punch/die configuration, but the specimen and washer geometries have been modified in order to achieve failure in both drawing and stretching deformation modes. The experimental technique is described, and the advantages of using this inplane method over the conventional out-of-plane dome method are discussed. It is shown that (a) sheet thickness has an intrinsic influence on forming limits that is not related to small bending strain variations with thickness or to deformation in the presence of friction and curvature, (b) plastic anisotropy (bar r value) does not substantially affect forming limits, and (c) in-plane forming limits are slightly lower (5 to 6 pct) than out-of-plane forming limits near plane strain; these differences are smaller than previously reported values (12 to 15 pct) in the literature.

  12. Wave-equation Migration Velocity Analysis Using Plane-wave Common Image Gathers

    KAUST Repository

    Guo, Bowen

    2017-06-01

    Wave-equation migration velocity analysis (WEMVA) based on subsurface-offset, angle domain or time-lag common image gathers (CIGs) requires significant computational and memory resources because it computes higher dimensional migration images in the extended image domain. To mitigate this problem, a WEMVA method using plane-wave CIGs is presented. Plane-wave CIGs reduce the computational cost and memory storage because they are directly calculated from prestack plane-wave migration, and the number of plane waves is often much smaller than the number of shots. In the case of an inaccurate migration velocity, the moveout of plane-wave CIGs is automatically picked by a semblance analysis method, which is then linked to the migration velocity update by a connective function. Numerical tests on two synthetic datasets and a field dataset validate the efficiency and effectiveness of this method.

  13. Stability characteristics of a conical aerospace plane concept

    Science.gov (United States)

    Hahne, David E.; Luckring, James M.; Covell, Peter F.; Phillips, W. Pelham; Gatlin, Gregory M.

    1989-01-01

    Data on stability characteristics of a conical aerospace plane concept were collected for a number of model geometry variations and test conditions, using several NASA-Langley wind tunnels spanning Mach range 0.1-6. The baseline configuration of this plane concept incorporated a 5-deg cone forebody, a 75.96-deg delta wing, a 16-deg leading-edge sweep deployable canard, and a centerline vertical tail. The key results pertinent to stability considerations about all three axes of the model are presented together with data on the effect of the canard on pitch stability, the effect of vertical tail on lateral-directional stability, and the effect of forebody geometry on yaw asymmetries. The experimental stability data are compared with the results from an engineering predictive code.

  14. Optimized electrode configuration for current-in-plane characterization of magnetic tunnel junction stacks

    DEFF Research Database (Denmark)

    Cagliani, Alberto; Kjær, Daniel; Østerberg, Frederik Westergaard

    2017-01-01

    The current-in-plane tunneling technique (CIPT) has been a crucial tool in the development of magnetic tunnel junction stacks suitable for magnetic random access memories (MRAM) for more than a decade. The MRAM development has now reached the maturity to make the transition from the R&D phase...

  15. The transversus abdominis plane block provides effective postoperative analgesia in patients undergoing total abdominal hysterectomy.

    LENUS (Irish Health Repository)

    Carney, John

    2008-12-01

    Patients undergoing total abdominal hysterectomy suffer significant postoperative pain. The transversus abdominis plane (TAP) block is a recently described approach to providing analgesia to the anterior abdominal wall. We evaluated the analgesic efficacy of the TAP block in patients undergoing total abdominal hysterectomy via a transverse lower abdominal wall incision, in a randomized, controlled, double-blind clinical trial.

  16. From Dot to Line to Plane: Constellating Unconscious Imagery in Art Therapy

    Science.gov (United States)

    Steinhardt, Lenore

    2017-01-01

    In this article I describe an art-based procedure with a gradual sequence of drawing tasks that guides an art therapy client through graphic stages from point, to line, to plane. The client begins by making random dots, connecting them one to another with an unbroken line that reaches all the dots, perceiving abstract or figurative imagery in the…

  17. Comparison of transversus abdominis plane block vs spinal morphine for pain relief after Caesarean section.

    LENUS (Irish Health Repository)

    McMorrow, R C N

    2011-05-01

    Transversus abdominis plane (TAP) block is an alternative to spinal morphine for analgesia after Caesarean section but there are few data on its comparative efficacy. We compared the analgesic efficacy of the TAP block with and without spinal morphine after Caesarean section in a prospective, randomized, double-blinded placebo-controlled trial.

  18. On-site bundled rapid HIV/HCV testing in substance use disorder treatment programs: study protocol for a hybrid design randomized controlled trial.

    Science.gov (United States)

    Frimpong, Jemima A; D'Aunno, Thomas; Perlman, David C; Strauss, Shiela M; Mallow, Alissa; Hernandez, Diana; Schackman, Bruce R; Feaster, Daniel J; Metsch, Lisa R

    2016-03-03

    More than 1.2 million people in the United States are living with human immunodeficiency virus (HIV), and 3.2 million are living with hepatitis C virus (HCV). An estimated 25 % of persons living with HIV also have HCV. It is therefore of great public health importance to ensure the prompt diagnosis of both HIV and HCV in populations that have the highest prevalence of both infections, including individuals with substance use disorders (SUD). In this theory-driven, efficacy-effectiveness-implementation hybrid study, we will develop and test an on-site bundled rapid HIV/HCV testing intervention for SUD treatment programs. Its aim is to increase the receipt of HIV and HCV test results among SUD treatment patients. Using a rigorous process involving patients, providers, and program managers, we will incorporate rapid HCV testing into evidence-based HIV testing and linkage to care interventions. We will then test, in a randomized controlled trial, the extent to which this bundled rapid HIV/HCV testing approach increases receipt of HIV and HCV test results. Lastly, we will conduct formative research to understand the barriers to, and facilitators of, the adoption, implementation, and sustainability of the bundled rapid testing strategy in SUD treatment programs. Novel approaches that effectively integrate on-site rapid HIV and rapid HCV testing are needed to address both the HIV and HCV epidemics. If feasible and efficacious, bundled rapid HIV/HCV testing may offer a scalable, potentially cost-effective approach to testing high-risk populations, such as patients of SUD treatment programs. It may ultimately lead to improved linkage to care and progress through the HIV and HCV care and treatment cascades. ClinicalTrials.gov: NCT02355080 . (30 January 2015).

  19. A new specimen for out-of-plane shear strength of advanced high strength steel sheets

    Science.gov (United States)

    Gu, B.; He, J.; Li, S. H.; Zhao, Y. X.; Li, Y. F.; Zeng, D.; Xia, Z. C.; Lin, Z. Q.

    2017-09-01

    Compared with the conventional steels, “shear fracture” is one of the main issues for advanced high strength steels (AHSS). Due to rolling, anisotropy is an intrinsic property for sheet metals. Not only the plastic responses of sheet metals but also the fracture strengths are orientation dependent. In the small radius forming process, for example, the stretch-bending deformation of sheet metals under small radius condition, the normal stress cannot be neglected. Three-dimensional loading condition constructs complex shear stress states of sheet metals especially the out-of-plane shear stress. The out-of-plane performance must be considered in order to better understand the “shear fracture” phenomenon of AHSS. Compared to in-plane shear test, the out-of-plane shear test is more difficult to carry out due to the severe restriction of the dimensions in the thickness direction. In this paper, a new specimen is presented for out-of-plane shear test. Failure of the specimen occurs in shear between two centrally located notches machined halfway through its thickness from opposing sides. Meanwhile, the finite element (FE) model and possible failure modes of this specimen are investigated in detail. At last, brief experimental results between out-of-plane shear fracture strength and the in-plane shear fracture strength are compared for DP980 sheets.

  20. Comparison of Fixed Regression and Random Regression Test-Day Models for genetic evaluation of milk yield trait in Holstein cows Razavi Khorasan province

    Directory of Open Access Journals (Sweden)

    Y Shamshirgaran

    2011-12-01

    Full Text Available The Fixed Regression Test-Day Model (FRM and Random Regression Test-Day Model (RRM for genetic evaluation of milk yield trait of dairy cattle in Khorasan Razavi province were studied. Breeding values and genetic parameters of milk yield trait from two models were compared. A total of 164391 monthly test day milk records (three times milking per day obtained from 19217 Holstein cows distributed in 172 herds and calved from 1991 to 2008, were used to estimate genetic parameters and to predict breeding values. The contemporary group of herd- year- month of production was fitted as fixed effects in the models. Also linear and quadratic forms of age at calving and Holstein gene percentage were fitted as covariate. The random factors of the models were additive genetic and permanent environmental effects. In the random regression model, orthogonal legendre polynomial up to order 4(cubic was implemented to take account of genetic and environmental aspects of milk production over the course of lactation. Heritability estimates resulted from the FRM was 0.15. The average heritability estimates resulted from the RRM of monthly test day milk production for the second half of the lactation was higher than that of the first half of lactation period. The highest and lowest heritability values were found for the first (0.102 and sixth (0.235 month of lactation. Breeding value of animals predicted from FRM and RRM were also compared. The results showed similar ranking of animals based on their breeding values from both models.

  1. Random sampler M-estimator algorithm with sequential probability ratio test for robust function approximation via feed-forward neural networks.

    Science.gov (United States)

    El-Melegy, Moumen T

    2013-07-01

    This paper addresses the problem of fitting a functional model to data corrupted with outliers using a multilayered feed-forward neural network. Although it is of high importance in practical applications, this problem has not received careful attention from the neural network research community. One recent approach to solving this problem is to use a neural network training algorithm based on the random sample consensus (RANSAC) framework. This paper proposes a new algorithm that offers two enhancements over the original RANSAC algorithm. The first one improves the algorithm accuracy and robustness by employing an M-estimator cost function to decide on the best estimated model from the randomly selected samples. The other one improves the time performance of the algorithm by utilizing a statistical pretest based on Wald's sequential probability ratio test. The proposed algorithm is successfully evaluated on synthetic and real data, contaminated with varying degrees of outliers, and compared with existing neural network training algorithms.

  2. Wide field focal plane arrays for UKIRT and VISTA

    Science.gov (United States)

    Ives, D.; Laidlaw, K.; Bezawada, N. N.

    This paper briefly describes the focal plane arrays of the UKIRT Wide Field Camera and the IR camera for the Visible and Infrared Survey Telescope for Astronomy (VISTA). Laboratory test results on the HAWAII-2 engineering grade detector are summarised. The interference problems resulting from the on-axis wavefront/autoguider sensors and their controllers (autoguider, wavefront sensor, etc.) are anticipated and possible options to eliminate or attenuate these effects are presented. Laboratory tests on the Electromagnetic Interference (EMI) issues are also reported.

  3. Material hardship and children's social-emotional development: Testing mitigating effects of Child Development Accounts in a randomized experiment.

    Science.gov (United States)

    Huang, J; Kim, Y; Sherraden, M

    2017-01-01

    Research has established a negative association between household material hardship and children's mental health. This study examines whether Child Development Accounts (CDAs), an economic intervention that encourages families to accumulate assets for children's long-term development, mitigate the association between material hardship and children's social-emotional development. Researchers conducted a randomized experiment of CDAs in Oklahoma, USA, with a probability sample (N = 7328) of all infants born in two 3-month periods in 2007. After agreeing to participate in the experiment, caregivers of 2704 infants completed a baseline survey and were assigned randomly to the treatment (n = 1358) or control group (n = 1346). The intervention exposed the treatment group to a CDA, which consisted of an Oklahoma 529 College Savings Plan account, financial incentives and financial information. Material hardship has a negative association with the social-emotional development of children around the age of 4 years. Estimates from regression analysis indicate that CDAs mitigate about 50% of the negative association between material hardship and children's social-emotional development. Although they do not provide direct support for consumption in households experiencing material hardship, CDAs may improve child development by influencing parenting practices and parents' expectations for their children. We discuss the implications of using asset-building programmes to improve child development. © 2016 John Wiley & Sons Ltd.

  4. Recruiting participants to a randomized controlled trial testing an intervention in palliative cancer care - The perspectives of health care professionals.

    Science.gov (United States)

    Holm, Maja; Alvariza, Anette; Fürst, Carl-Johan; Wengström, Yvonne; Årestedt, Kristofer; Öhlen, Joakim; Goliath, Ida

    2017-12-01

    The recruitment of participants to randomized controlled trials (RCTs) in palliative cancer care by health care professionals is often unsuccessful, which could result in failure to achieve study power. The purpose of this paper is to describe how health care professionals experienced recruiting patients and family caregivers to an RCT in palliative cancer care. The study had a qualitative explorative design. Ten palliative home care settings were involved in the RCT and data were generated through focus group discussions and interviews with health care professionals who were responsible for the recruitment. The transcripts were analyzed with interpretive descriptive principles. The experiences of the health care professionals reveal that communicating the RCT-design to patients and family caregivers was a challenging part of the recruitment but was considered a process of learning over time. The delicate situation that participants were living under added to the challenge and health care professionals believed that the randomized design was contrary to their normal approach to always offer the best possible support. The results contribute valuable knowledge for future trials in palliative cancer care. To promote successful recruitment, health care professionals may be in need of more training to improve their communication skills and it may be necessary to consider other research designs than the RCT. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Online smoking cessation program for Korean Americans: Randomized trial to test effects of incentives for program completion and interim surveys.

    Science.gov (United States)

    Moskowitz, Joel M; McDonnell, Diana D; Kazinets, Gene; Lee, Hyun-Ju

    2016-05-01

    Smoking is prevalent among Korean American men. Quitting is Winning, an Internet-based, cognitive-behavioral smoking cessation program, was developed using community-based participatory research principles. A randomized controlled trial was used to evaluate whether participants were more likely to complete the program and quit smoking at 6-months of follow-up with additional reinforcement. The main outcomes were the proportion of participants who completed the online program and the proportion who quit smoking for at least 30days, 26weeks after enrollment, among those randomized into the high-reinforcement (HR) condition compared with those in the low-reinforcement (LR) condition. The study achieved a final enrollment of 403 participants including 56 women. Program completion was greater for the HR as compared to the LR condition (17% vs. 10%, p=.035). There was no significant difference in 30-day smoking cessation (intent-to-treat [ITT]) between the HR and LR conditions (9% vs. 8%, ns). Smoking cessation was greater among program completers as compared to those who did not complete the program (28% vs. 5%, psurveys and financial incentives for interim survey completion and program completion significantly increased the likelihood of program completion. Moreover, program completers were significantly more likely to quit smoking. Although smoking cessation rates did not significantly differ between the HR and LR conditions, the results suggest that future studies should explore the efficacy of larger financial incentives for program completion (Clinical Trial #NCT02584127). Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Phosphatidylethanol Compared with Other Blood Tests as a Biomarker of Moderate Alcohol Consumption in Healthy Volunteers: A Prospective Randomized Study.

    Science.gov (United States)

    Kechagias, Stergios; Dernroth, Dženeta Nezirević; Blomgren, Anders; Hansson, Therese; Isaksson, Anders; Walther, Lisa; Kronstrand, Robert; Kågedal, Bertil; Nystrom, Fredrik H

    2015-07-01

    It is generally agreed that traditional alcohol biomarkers lack in sensitivity to detect hazardous alcohol consumption. The present study was undertaken to evaluate the ability of phosphatidylethanol (PEth) and traditional alcohol markers to detect moderate alcohol consumption and to distinguish between moderate alcohol consumption and abstinence. Forty-four subjects, 32 females and 12 males, were included in the study. They were randomized to alcohol abstention or to alcohol consumption. Female participants consumed 150 ml of red wine (equivalent to 16 g of alcohol) per 24 h and the male participants double the amount. The study lasted for 3 months. Blood samples were drawn at the start and at the end of the study period. Blood samples were analysed for PEth, carbohydrate-deficient transferrin (CDT), mean corpuscular volume (MCV), γ-glutamyltransferase (GGT), aspartate aminotransferase (AST) and alanine aminotransferase (ALT). ROC curves for the various biochemical markers were plotted in order to assess their ability to discriminate between abstention and moderate daily consumption of alcohol. PEth and CDT were the only markers with AUROCs significantly higher than 0.5, and PEth was detected in all participants randomized to alcohol consumption. PEth was the only marker that could detect moderate intake and the present results also indicate that PEth probably can distinguish moderate alcohol consumption from abstinence. © The Author 2015. Medical Council on Alcohol and Oxford University Press. All rights reserved.

  7. 2-tier in-plane motion correction and out-of-plane motion filtering for contrast-enhanced ultrasound.

    Science.gov (United States)

    Ta, Casey N; Eghtedari, Mohammad; Mattrey, Robert F; Kono, Yuko; Kummel, Andrew C

    2014-11-01

    Contrast-enhanced ultrasound (CEUS) cines of focal liver lesions (FLLs) can be quantitatively analyzed to measure tumor perfusion on a pixel-by-pixel basis for diagnostic indication. However, CEUS cines acquired freehand and during free breathing cause nonuniform in-plane and out-of-plane motion from frame to frame. These motions create fluctuations in the time-intensity curves (TICs), reducing the accuracy of quantitative measurements. Out-of-plane motion cannot be corrected by image registration in 2-dimensional CEUS and degrades the quality of in-plane motion correction (IPMC). A 2-tier IPMC strategy and adaptive out-of-plane motion filter (OPMF) are proposed to provide a stable correction of nonuniform motion to reduce the impact of motion on quantitative analyses. A total of 22 cines of FLLs were imaged with dual B-mode and contrast specific imaging to acquire a 3-minute TIC. B-mode images were analyzed for motion, and the motion correction was applied to both B-mode and contrast images. For IPMC, the main reference frame was automatically selected for each cine, and subreference frames were selected in each respiratory cycle and sequentially registered toward the main reference frame. All other frames were sequentially registered toward the local subreference frame. Four OPMFs were developed and tested: subsample normalized correlation (NC), subsample sum of absolute differences, mean frame NC, and histogram. The frames that were most dissimilar to the OPMF reference frame using 1 of the 4 above criteria in each respiratory cycle were adaptively removed by thresholding against the low-pass filter of the similarity curve. Out-of-plane motion filter was quantitatively evaluated by an out-of-plane motion metric (OPMM) that measured normalized variance in the high-pass filtered TIC within the tumor region-of-interest with low OPMM being the goal. Results for IPMC and OPMF were qualitatively evaluated by 2 blinded observers who ranked the motion in the cines

  8. Preliminary Study to Determine the Reference Plane of Patients With a Unilateral Cleft Lip and Palate.

    Science.gov (United States)

    Kim, Na-Ri; Park, Soo-Byung; Shin, Sang Min; Choi, Yong-Seok; Kim, Seong-Sik; Son, Woo-Sung; Kim, Yong-Il

    2017-11-01

      The objective of this study was to determine the three-dimensional midsagittal reference planes for unilateral cleft lip and palate (UCLP) patients that can be easily applied in a clinical setting.   This was a retrospective analysis.   There were 35 UCLP patients (25 men, 10 women; 28.1 ± 6.9 years old) in this study.   With landmark's three-dimensional coordinates obtained from cone-beam computed tomography, the symmetric midsagittal reference planes were calculated by applying the ordinary Procrustes superimposition method using the original and mirror images. Procrustes analysis was also used to find the closest landmarks to the calculated symmetric midsagittal reference plane and test its compatibility with the symmetrical midsagittal reference plane.   The three nearest landmarks to the symmetric midsagittal reference plane were Opisthion, Basion, and Nasion.   The averages of the sums of the squared Euclidean distance and squared Procrustes distance differences between the two configurations and shapes fabricated by the symmetrical and landmark-based midsagittal reference planes, respectively, were calculated as 1.836 ± 3.295 and 1.519 × 10-5 ± 2.351 × 10-5.   It was confirmed that the midsagittal reference planes from these selected landmarks for UCLP patients were compatible with symmetric midsagittal reference planes from the Procrustes analysis and the asymmetric measurements.

  9. In-Plane Shear Test for Composite Materials.

    Science.gov (United States)

    1978-07-01

    bloch nu.b.t) I ( SEE REVERSE SIDE) ~~~~~~ 1473 1T10h1 oFI~~b9Isou4()~Ej u d~~~IISIrICi~tt ~ F~~~~~ AGE (IINon Pot. Ent.,.d...QAS . Mr . F. Fitzs i~~~vs Cu~~~ader. U.S. Army Elect ro nics Reieercts and Oenelop.ent I 0500.8-SCM. Mr . 2. 0. Carr ieC~~~ nd, for t Nni~ Outh. New...Army Depot , iierlousg , Calif orni a 96113 Chi ef , kflet Weapons Laboratory. LCWSL . liSA A*ADCDM, 1 ATIN: SOSSI-OQA.5 weterellet Arsenal

  10. Preliminary Hydrodynamic Model Tests of Several LVA Planing Hull Concepts

    Science.gov (United States)

    1975-10-01

    stern, CG, and bow were measured with linear accelerometers with a frequency response flat to 100 hertz. A standard Davidson Laboratory resistance...Future analysis of LVA acceleration data will be made using standard , consistant techniques. Mean Effective Horsepower (EHP) in Waves: Figure 17...732 6.6 2-7 20.0 238 15-0 14-98 16250 748 13-6 1.3 20.5 345 15.0 20.03 12830 789 10.2 2-2 20.0 238 ^^M^^^^^^^^^^^^^^^^^^^flMH^UHMf R-1840 TABLE 7

  11. Test

    DEFF Research Database (Denmark)

    Bendixen, Carsten

    2014-01-01

    Bidrag med en kortfattet, introducerende, perspektiverende og begrebsafklarende fremstilling af begrebet test i det pædagogiske univers.......Bidrag med en kortfattet, introducerende, perspektiverende og begrebsafklarende fremstilling af begrebet test i det pædagogiske univers....

  12. Utilization of services in a randomized trial testing phone- and web-based interventions for smoking cessation.

    Science.gov (United States)

    Zbikowski, Susan M; Jack, Lisa M; McClure, Jennifer B; Deprey, Mona; Javitz, Harold S; McAfee, Timothy A; Catz, Sheryl L; Richards, Julie; Bush, Terry; Swan, Gary E

    2011-05-01

    Phone counseling has become standard for behavioral smoking cessation treatment. Newer options include Web and integrated phone-Web treatment. No prior research, to our knowledge, has systematically compared the effectiveness of these three treatment modalities in a randomized trial. Understanding how utilization varies by mode, the impact of utilization on outcomes, and predictors of utilization across each mode could lead to improved treatments. One thousand two hundred and two participants were randomized to phone, Web, or combined phone-Web cessation treatment. Services varied by modality and were tracked using automated systems. All participants received 12 weeks of varenicline, printed guides, an orientation call, and access to a phone supportline. Self-report data were collected at baseline and 6-month follow-up. Overall, participants utilized phone services more often than the Web-based services. Among treatment groups with Web access, a significant proportion logged in only once (37% phone-Web, 41% Web), and those in the phone-Web group logged in less often than those in the Web group (mean = 2.4 vs. 3.7, p = .0001). Use of the phone also was correlated with increased use of the Web. In multivariate analyses, greater use of the phone- or Web-based services was associated with higher cessation rates. Finally, older age and the belief that certain treatments could improve success were consistent predictors of greater utilization across groups. Other predictors varied by treatment group. Opportunities for enhancing treatment utilization exist, particularly for Web-based programs. Increasing utilization more broadly could result in better overall treatment effectiveness for all intervention modalities.

  13. A randomized controlled pilot study testing three types of health coaches for obesity treatment: Professional, Peer, and Mentor

    Science.gov (United States)

    Leahey, Tricia M.; Wing, Rena R.

    2012-01-01

    Despite their popularity, empirical support for health coaches is limited. This study examined the feasibility and preliminary efficacy of 3 types of coaching models for obesity treatment. Participants (N=44) were randomized to 6 months of reduced intensity group behavioral weight loss (rBWL) plus 1 of 3 types of health coaches: a) Professional (rBWL interventionist); b) Peer (group members randomly paired and coached one another); or c) Mentor (successful weight loser). Groups met weekly for the first 6-weeks, biweekly for the next 6-weeks, and monthly thereafter, for a total of 12 meetings. During weeks that group did not meet, participants emailed their weight loss information to their coach and received feedback. Coaches were trained on appropriate coaching strategies and feedback delivery. Retention was 95%. Participants emailed their progress to their coach 10.8±1.9 out of the 12 weeks that there were no group meetings. Coaches responded with feedback 94% of the time. Percent weight losses at 6-months were 9.6±8.1, 9.1±5.0, and 5.7±5.6 for the Professional, Peer, and Mentor conditions, respectively. More participants in the Professional and Peer conditions lost 10% of their initial body weight (Professional: 56%; Peer: 50%; Mentor: 17%), with a statistically significant difference between the Professional and Mentor conditions (p=0.03). These preliminary data suggest that combining a reduced intensity BWL program with health coaching may hold significant promise as a cost-effective obesity treatment paradigm. Larger trials are needed to conclusively determine whether adding coaches improves weight loss outcomes in reduced intensity treatments and to examine which type of coach is most effective. PMID:23784896

  14. Facilitating decision-making in women undergoing genetic testing for hereditary breast cancer: BRECONDA randomized controlled trial results.

    Science.gov (United States)

    Sherman, Kerry A; Kilby, Christopher J; Shaw, Laura-Kate; Winch, Caleb; Kirk, Judy; Tucker, Kathy; Elder, Elisabeth

    2017-12-01

    Decision-making concerning risk-reducing mastectomy for women at hereditary risk of breast cancer entails complex personal choices. Deciding whether and how to restore breast shape after risk-reducing mastectomy is a key part of this process. We developed a web-based decision aid, BRECONDA (Breast Reconstruction Decision Aid), to assist women in decision-making regarding breast reconstruction. This study assessed the efficacy of BRECONDA to assist women at increased risk of breast cancer in making decisions regarding risk-reducing mastectomy in terms of decisional conflict, knowledge, and satisfaction with information. Women at hereditary risk of breast cancer (N = 64) were recruited into this randomized controlled trial from four Australian hereditary cancer clinics. Participants initially provided online consent and completed baseline questionnaires assessing decisional conflict, knowledge, and satisfaction with information. They were then randomly assigned to either: 1) Intervention - unlimited access to BRECONDA, with usual care; or, 2) Control - usual care. At 2-months follow-up (N = 60) the outcomes were re-assessed. Intervention participants also completed user acceptability ratings for the intervention overall and specific key modules. MANCOVA analyses indicated that Intervention participants reported lower decisional conflict (P = 0.027), and greater knowledge (P = 0.019) and satisfaction with information (P < 0.0005) at 2-months follow-up compared with Controls. Intervention participants reported high user acceptability and satisfaction with the intervention. BRECONDA benefits women considering risk-reducing mastectomy by reducing decisional conflict, and improving knowledge and satisfaction with information. These benefits, coupled with high user acceptability, demonstrate the feasibility of implementing BRECONDA in the hereditary cancer risk context. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Efficacy and safety of hepano tablet in liver disorder patients with abnormal liver function test: A randomized active controlled prospective clinical study

    Directory of Open Access Journals (Sweden)

    Satyendra Kumar

    2017-01-01

    Full Text Available Objective: Hepano Tablet is an Ayurvedic herbal formulation studied in pre-clinical models for safety and hepatoprotective efficacy. The current study was a randomized, active controlled, multicentre, prospective clinical study that aimed to evaluate hepatoprotective efficacy and safety of Hepano Tablets. Materials and Methods: Male and female liver diseases patients (18-65 years with abnormal liver function tests were randomized to receive two tablets twice daily orally of either Hepano or a marketed comparator for 8 weeks with follow up at day 7, 14, 28 & 56 during treatment period and thereafter at day 84. Results were assessed from baseline to end of treatment basis changes in liver function tests and improvement in clinical symptoms of icterus in both the groups. Safety was assessed at all the visits basis changes in laboratory parameters and adverse event reporting for all cases who took at least one dose of the study drug. Results: Hepano Tablet and marketed comparator showed significant improvement in Liver functions - Serum Aspartate transaminase (AST, Alanine transaminase (ALT and Total, Direct and Indirect Bilirubin Levels and a significant reduction in clinical symptoms of icterus that was comparable at all the visits. Conclusion: Hepano Tablets can significantly improve Liver Function Tests and clinical symptoms in liver disease patients and could be consumed safely.

  16. Evaluation of the reliability of preoperative descriptive airway assessment tests in prediction of the Cormack-Lehane score: A prospective randomized clinical study.

    Science.gov (United States)

    Selvi, Onur; Kahraman, Tugce; Senturk, Ozgur; Tulgar, Serkan; Serifsoy, Ercan; Ozer, Zeliha

    2017-02-01

    In this study we investigated and compared the predictive values of different airway assessments tests including thyromental height measurement test, which has been recently suggested, in difficult laryngoscopy (Cormack and Lehane [C-L] scores 3 and 4). In addition, we compared the effectiveness of methods and C-L scores, by IDS, in terms of predicting difficult intubation. Prospective, blinded study. Maltepe University. Four hundred fifty-one patients selected randomly who underwent general anesthesia. In this study we compared predictive value of thyromental height measurement test (TMH), which has been recently suggested, modified Mallampati test (MMT), upper lip bite test (ULBT), and thyromental distance measurement test (TMD) in difficult laryngoscopy. Final C-L scores were compared with intubation difficulty scale (IDS) in terms of predicting difficult intubation. Patient's American Society of Anesthesiology score, age and weight were recorded. TMH, TMD, MMT, ULBT, IDS and C-L scores were measured and determined. The optimal cut-off point for TMH for predicting difficult laryngoscopy was 43.5 mm and for TMD was 82.06 mm. Use of TMH <43.5 with MMT has the highest sensitivity for predicting difficult intubation (78.38) with 75.36% specificity and 97.50% negative predictive value. TMH showed sensitivity of 91.89% and specificity 52.17% at 50 mm cut-off value. In the comparison of the area under the receiver operating characteristic curve values, none of the tests came forth individually or in combination with MMT test. The present study demonstrates the practicality of TMH as a digitalized test however the clinical benefits of TMH in daily medical practice are drawn into question. The additional variable of race may have had some bearing on this and further studies, larger in patient sample size, may need to use different methodology concerning age-, sex-, and race-dependent variables in evaluating these tests. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Randomized trial assessing home use of two pregnancy tests for determining early medical abortion outcomes at 3, 7 and 14days after mifepristone.

    Science.gov (United States)

    Blum, Jennifer; Sheldon, Wendy R; Ngoc, Nguyen Thi Nhu; Winikoff, Beverly; Nga, Nguyen Thi Bach; Martin, Roxanne; Van Thanh, Le; Blumenthal, Paul D

    2016-08-01

    To evaluate the accuracy, feasibility and acceptability of two urine pregnancy tests in assessing abortion outcomes at three time points after mifepristone administration. This randomized trial enrolled women seeking early medical abortion at two hospitals in Vietnam. Investigators randomly allocated participants to at-home administration of a multilevel urine pregnancy test (MLPT) or a high sensitivity urine pregnancy test (HSPT) to assess their abortion outcomes. A baseline test was administered on the same day as mifepristone. Participants performed and interpreted results of pregnancy tests taken 3, 7 and 14days after mifepristone. Ultrasound exam determined continuing pregnancy. Six hundred women enrolled, and 300 received each test. A percentage of 97.4 (584) had follow-up, of whom 13 women had continuing pregnancies. The specificity of MLPT at detecting absence of continuing pregnancy was 63.9%, 90.4% and 97.1% at study day 3, 7 and 14. The specificity of HSPT was 6.0%, 19.8% and 62.2%, respectively. The positive predictive value (PPV) of MLPT at detecting continuing pregnancy was 6.4% at day 3 and rose to 46.7% at day 14. In contrast, the PPV for HSPT was 2.2% at day 3 and rose to 6.5% at day 14. At all three time points, the sensitivity and negative predictive values for both tests were 100.0%. Most women found their assigned tests easy to use and would prefer future home follow-up with a pregnancy test. The MLPT enables women to assess their abortion outcomes more reliably than with HSPT. With MLPT, women can know their outcomes as early as 3 days after mifepristone. Medical abortion service delivery with an MLPT to obtain a baseline (preabortion) human chorionic gonadotropin (hCG) estimate and a second follow-up MLPT 1 to 2 weeks later can establish whether there has been a drop in hCG, signifying absence of a continuing pregnancy. Used this way, MLPTs can enable women to assess their abortion status outside of a clinic setting and without serum h

  18. The additional value of an oblique image plane for MRI of the anterior and posterior distal tibiofibular syndesmosis

    Energy Technology Data Exchange (ETDEWEB)

    Hermans, John J.; Ginai, Abida Z.; Wentink, Noortje [Erasmus University Medical Center, Department of Radiology, Rotterdam (Netherlands); Hop, Wim C.J. [Erasmus University Medical Center, Department of Epidemiology and Biostatistics, Rotterdam (Netherlands); Beumer, Annechien [Amphia Ziekenhuis, Department of Orthopaedics, Upper Limb Unit, Breda (Netherlands)

    2011-01-15

    The optimal MRI scan planes of collateral ligaments of the ankle have been described extensively, with the exception of the syndesmotic ligaments. We assessed the optimal scan plane for depicting the distal tibiofibular syndesmosis. In order to determine the optimal oblique caudal-cranial and lateral-medial MRI scan plane, two fresh frozen cadaveric ankles were used. The angle of the scan plane that demonstrated the anterior and posterior distal tibiofibular ligament uninterrupted in their full length was determined. In a prospective study this oblique scan plane was then used in addition to the axial and coronal planes, for MRI scans of both ankles in 21 healthy volunteers. Two observers independently evaluated the anterior tibiofibular ligament (ATIFL) and posterior tibiofibular ligament (PTIFL) regarding the continuity of the individual fascicles, thickness and wavy contour of the ligaments in both the axial and the oblique plane. Kappa was calculated to determine the interobserver agreement. McNemar's test was used to statistically quantify the significance of the two scan planes. In the axial plane the ATIFL was in 31% (13/42) partly and in 69% (29/42) completely discontinuous; in the oblique plane the ATIFL was continuous in 88% (37/42) and partly discontinuous in 12% (5/42). Compared with the axial plane, the oblique plane demonstrated significantly less discontinuity (p < 0.001), but not significantly less thickening (p = 1.00) or less wavy contour (p = 0.06) of the ATIFL. In the axial scan plane the PTIFL was continuous in 76% (32/42), partially discontinuous in 19% (8/42) and completely discontinuous in 5% (2/42); in the oblique plane the PTIFL was continuous in 100% (42/42). Compared with the axial plane, the oblique plane demonstrated significantly less discontinuity (p = 0.002), but not significantly less thickening (p = 1.00) or less wavy contour (p = 0.50) of the PTIFL. The interobserver agreement score and kappa ({kappa}) regarding the

  19. Is a pacemaker indicated for vasovagal patients with severe cardioinhibitory reflex as identified by the ATP test? A preliminary randomized trial.

    Science.gov (United States)

    Flammang, D; Antiel, M; Church, T; Chassing, A; Hamani, D; Donal, E; Waynberger, M

    1999-04-01

    A previous observational study suggested that, in syncopal elderly patients with vasovagal syndrome, a test using adenosine-5'-triphosphate (intravenous ATP 20 mg. 2 ml-1) could identify a subgroup of patients at high risk of severe cardioinhibitory response and guide the therapeutic strategy. To test one aspect of these results prospectively, we designed a small study focusing only on vasovagal patients with abnormal response to ATP testing. Twenty patients hospitalized for syncope, which was considered to be vasovagal, and exhibiting an abnormal ATP test--defined by a longer than 10 s cardiac pause--were randomized to two groups: half to implantation with a dual-chamber pacemaker and half to usual medical care. All patients who were not hospitalized for recurrences were assessed every 6 months in the clinic or by telephone. At baseline, the randomized patient groups were similar in their demographic and health characteristics and in the results of their ATP tests, for example the mean cardiac pause (21.4 +/- 9.3 vs 15.9 +/- 3.7 s) and the mean interval between escape beats during the pause (7.29 +/- 4.2 vs 7.48 +/- 3.3 s). During a mean follow-up of 52 months, recurrences appeared in six of the 10 usual-care patients (range 0.2-29 months) but in none of the implanted patients (P vasovagal patients, a cardiac pause of longer than 10 s in patients administered ATP identifies those at high risk of symptomatic vagal cardiac inhibition.

  20. Treatment of chronically depressed patients: A multisite randomized controlled trial testing the effectiveness of 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP for chronic depressions versus usual secondary care

    Directory of Open Access Journals (Sweden)

    Penninx Brenda WJH

    2008-03-01

    Full Text Available Abstract Background 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP is a form of psychotherapy specifically developed for patients with chronic depression. In a study in the U.S., remarkable favorable effects of CBASP have been demonstrated. However, no other studies have as yet replicated these findings and CBASP has not been tested outside the United States. This protocol describes a randomized controlled trial on the effectiveness of CBASP in the Netherlands. Methods/Design The purpose of the present paper is to report the study protocol of a multisite randomized controlled trial testing the effectiveness of 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP for chronic depression in the Netherlands. In this study, CBASP in combination with medication, will be tested versus usual secondary care in combination with medication. The aim is to recruit 160 patients from three mental health care organizations. Depressive symptoms will be assessed at baseline, after 8 weeks, 16 weeks, 32 weeks and 52 weeks, using the 28-item Inventory for Depressive Symptomatology (IDS. Effect modification by co morbid anxiety, alcohol consumption, general and social functioning and working alliance will be tested. GEE analyses of covariance, controlling for baseline value and center will be used to estimate the overall treatment effectiveness (difference in IDS score at post-treatment and follow up. The primary analysis will be by 'intention to treat' using double sided tests. An economic analysis will compare the two groups in terms of mean costs and cost-effectiveness from a societal perspective. Discussion The study will provide an answer to the question whether the favorable effects of CBASP can be replicated outside the US. Trial Registration The Dutch Cochrane Center, NTR1090.

  1. Treatment of chronically depressed patients: a multisite randomized controlled trial testing the effectiveness of 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP) for chronic depressions versus usual secondary care.

    Science.gov (United States)

    Wiersma, Jenneke E; van Schaik, Digna J F; van Oppen, Patricia; McCullough, James P; Schoevers, Robert A; Dekker, Jack J; Blom, Marc B J; Maas, Kristel; Smit, Johannes H; Penninx, Brenda W J H; Beekman, Aartjan T F

    2008-03-25

    'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP) is a form of psychotherapy specifically developed for patients with chronic depression. In a study in the U.S., remarkable favorable effects of CBASP have been demonstrated. However, no other studies have as yet replicated these findings and CBASP has not been tested outside the United States. This protocol describes a randomized controlled trial on the effectiveness of CBASP in the Netherlands. The purpose of the present paper is to report the study protocol of a multisite randomized controlled trial testing the effectiveness of 'Cognitive Behavioral Analysis System of Psychotherapy' (CBASP) for chronic depression in the Netherlands. In this study, CBASP in combination with medication, will be tested versus usual secondary care in combination with medication. The aim is to recruit 160 patients from three mental health care organizations. Depressive symptoms will be assessed at baseline, after 8 weeks, 16 weeks, 32 weeks and 52 weeks, using the 28-item Inventory for Depressive Symptomatology (IDS). Effect modification by co morbid anxiety, alcohol consumption, general and social functioning and working alliance will be tested. GEE analyses of covariance, controlling for baseline value and center will be used to estimate the overall treatment effectiveness (difference in IDS score) at post-treatment and follow up. The primary analysis will be by 'intention to treat' using double sided tests. An economic analysis will compare the two groups in terms of mean costs and cost-effectiveness from a societal perspective. The study will provide an answer to the question whether the favorable effects of CBASP can be replicated outside the US. The Dutch Cochrane Center, NTR1090.

  2. Plane-wave Least-squares Reverse Time Migration

    KAUST Repository

    Dai, Wei

    2012-11-04

    Least-squares reverse time migration is formulated with a new parameterization, where the migration image of each shot is updated separately and a prestack image is produced with common image gathers. The advantage is that it can offer stable convergence for least-squares migration even when the migration velocity is not completely accurate. To significantly reduce computation cost, linear phase shift encoding is applied to hundreds of shot gathers to produce dozens of planes waves. A regularization term which penalizes the image difference between nearby angles are used to keep the prestack image consistent through all the angles. Numerical tests on a marine dataset is performed to illustrate the advantages of least-squares reverse time migration in the plane-wave domain. Through iterations of least-squares migration, the migration artifacts are reduced and the image resolution is improved. Empirical results suggest that the LSRTM in plane wave domain is an efficient method to improve the image quality and produce common image gathers.

  3. A Deep-Cutting-Plane Technique for Reverse Convex Optimization.

    Science.gov (United States)

    Moshirvaziri, K; Amouzegar, M A

    2011-08-01

    A large number of problems in engineering design and in many areas of social and physical sciences and technology lend themselves to particular instances of problems studied in this paper. Cutting-plane methods have traditionally been used as an effective tool in devising exact algorithms for solving convex and large-scale combinatorial optimization problems. Its utilization in nonconvex optimization has been also promising. A cutting plane, essentially a hyperplane defined by a linear inequality, can be used to effectively reduce the computational efforts in search of a global solution. Each cut is generated in order to eliminate a large portion of the search domain. Thus, a deep cut is intuitively superior in which it will exclude a larger set of extraneous points from consideration. This paper is concerned with the development of deep-cutting-plane techniques applied to reverse-convex programs. An upper bound and a lower bound for the optimal value are found, updated, and improved at each iteration. The algorithm terminates when the two bounds collapse or all the generated subdivisions have been fathomed. Finally, computational considerations and numerical results on a set of test problems are discussed. An illustrative example, walking through the steps of the algorithm and explaining the computational process, is presented.

  4. Trigonometric Characterization of Some Plane Curves

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 20; Issue 3. Trigonometric Characterization of Some Plane Curves. B Barua J Das. General Article Volume 20 ... Author Affiliations. B Barua1 J Das1. Indian Society of Nonlinear Analysts (INSA), 248 B, B B Chatterjee Road, Kolkata 700 042, W B, India ...

  5. Copernican Revolution in the Complex Plane

    Indian Academy of Sciences (India)

    IAS Admin

    Starting from a simplified model of the Ptole- maic system in the complex plane, we show that. Copernicus' innovation did not merely consist of choosing a reference frame in which the plan- etary motions were simpler, but in finding the size of the planetary orbits expressed in what we now call astronomical units. In modern ...

  6. End Site Control Plane Subsystem (ESCPS)

    Energy Technology Data Exchange (ETDEWEB)

    Swany, Douglas Martin [Univ. of Delaware, Newark, DE (United States)

    2014-08-12

    This project researched extending the control plane for dynamic networks into end sites like campuses and laboratories. Key aspects of consideration were signaling over local area network technologies, application integration and monitoring. We studied design considerations for such environments and developed and demonstrated a useful proof of concept implementation and documented implementation strategies for heterogeneous networks.

  7. Optical interconnections to focal plane arrays

    Energy Technology Data Exchange (ETDEWEB)

    Rienstra, J.L.; Hinckley, M.K.

    2000-11-01

    The authors have successfully demonstrated an optical data interconnection from the output of a focal plane array to the downstream data acquisition electronics. The demonstrated approach included a continuous wave laser beam directed at a multiple quantum well reflectance modulator connected to the focal plane array analog output. The output waveform from the optical interconnect was observed on an oscilloscope to be a replica of the input signal. They fed the output of the optical data link to the same data acquisition system used to characterize focal plane array performance. Measurements of the signal to noise ratio at the input and output of the optical interconnection showed that the signal to noise ratio was reduced by a factor of 10 or more. Analysis of the noise and link gain showed that the primary contributors to the additional noise were laser intensity noise and photodetector receiver noise. Subsequent efforts should be able to reduce these noise sources considerably and should result in substantially improved signal to noise performance. They also observed significant photocurrent generation in the reflectance modulator that imposes a current load on the focal plane array output amplifier. This current loading is an issue with the demonstrated approach because it tends to negate the power saving feature of the reflectance modulator interconnection concept.

  8. Plane Smoothers for Multiblock Grids: Computational Aspects

    Science.gov (United States)

    Llorente, Ignacio M.; Diskin, Boris; Melson, N. Duane

    1999-01-01

    Standard multigrid methods are not well suited for problems with anisotropic discrete operators, which can occur, for example, on grids that are stretched in order to resolve a boundary layer. One of the most efficient approaches to yield robust methods is the combination of standard coarsening with alternating-direction plane relaxation in the three dimensions. However, this approach may be difficult to implement in codes with multiblock structured grids because there may be no natural definition of global lines or planes. This inherent obstacle limits the range of an implicit smoother to only the portion of the computational domain in the current block. This report studies in detail, both numerically and analytically, the behavior of blockwise plane smoothers in order to provide guidance to engineers who use block-structured grids. The results obtained so far show alternating-direction plane smoothers to be very robust, even on multiblock grids. In common computational fluid dynamics multiblock simulations, where the number of subdomains crossed by the line of a strong anisotropy is low (up to four), textbook multigrid convergence rates can be obtained with a small overlap of cells between neighboring blocks.

  9. Techniques to measure complex-plane fields

    CSIR Research Space (South Africa)

    Dudley, Angela L

    2014-09-25

    Full Text Available In this work we construct coherent superpositions of Gaussian and vortex modes which can be described to occupy the complex-plane. We demonstrate how these fields can be experimentally constructed in a digital, controllable manner with a spatial...

  10. In plane oscillation of a bifilar pendulum

    Science.gov (United States)

    Hinrichsen, Peter F.

    2016-11-01

    The line tensions, the horizontal and vertical accelerations as well as the period of large angle oscillations parallel to the plane of a bifilar suspension are presented and have been experimentally investigated using strain gauges and a smart phone. This system has a number of advantages over the simple pendulum for studying large angle oscillations, and for measuring the acceleration due to gravity.

  11. Plane strain problem in microstretch elastic solid

    Indian Academy of Sciences (India)

    R. Narasimhan (Krishtel eMaging) 1461 1996 Oct 15 13:05:22

    MS received 17 February 2000; revised 1 August 2003. Abstract. The eigenvalue approach is developed for the two-dimensional plane strain problem in a microstretch elastic medium. Applying Laplace and Fourier transforms, an infinite space subjected to a concentrated force is studied. The inte- gral transforms are ...

  12. Copernican Revolution in the Complex Plane

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 17; Issue 11. Copernican Revolution in the Complex Plane - An Algebraic Way to Show the "Chief Point" of Copernican Innovation. Giorgio Goldoni. General Article Volume 17 Issue 11 November 2012 pp 1065-1084 ...

  13. Southwest, Frontier planes clip wings in Phoenix

    National Research Council Canada - National Science Library

    Ben Mutzabaugh

    2017-01-01

    ... reports did not specify which one. Video from ABC 15 of Phoenix showed damage to the wing tip of the Southwest plane. A separate image tweeted by CBS 5 of Phoenix indicated that the wing of the Frontier aircraft also was damaged. The Frontier flight was bound for Denver, and the carrier put passengers on a replacement aircraft. Passengers on Southwest's ...

  14. Laser Dazzling of Focal Plane Array Cameras

    NARCIS (Netherlands)

    Schleijpen, H.M.A.; Dimmeler, A.; Eberle, B; Heuvel, J.C. van den; Mieremet, A.L.; Bekman, H.H.P.T.; Mellier, B.

    2007-01-01

    Laser countermeasures against infrared focal plane array cameras aim to saturate the full camera image. In this paper we will discuss the results of dazzling experiments performed with MWIR lasers. In the “low energy” pulse regime we observe an increasing saturated area with increasing power. The

  15. Deep-Plane Lipoabdominoplasty in East Asians.

    Science.gov (United States)

    Kim, June-Kyu; Jang, Jun-Young; Hong, Yoon Gi; Sim, Hyung Bo; Sun, Sang Hoon

    2016-07-01

    The objective of this study was to develop a new surgical technique by combining traditional abdominoplasty with liposuction. This combination of operations permits simpler and more accurate management of various abdominal deformities. In lipoabdominoplasty, the combination of techniques is of paramount concern. Herein, we introduce a new combination of liposuction and abdominoplasty using deep-plane flap sliding to maximize the benefits of both techniques. Deep-plane lipoabdominoplasty was performed in 143 patients between January 2007 and May 2014. We applied extensive liposuction on the entire abdomen followed by a sliding flap through the deep plane after repairing the diastasis recti. The abdominal wound closure was completed with repair of Scarpa's fascia. The average amount of liposuction aspirate was 1,400 mL (700-3,100 mL), and the size of the average excised skin ellipse was 21.78×12.81 cm (from 15×10 to 25×15 cm). There were no major complications such as deep-vein thrombosis or pulmonary embolism. We encountered 22 cases of minor complications: one wound infection, one case of skin necrosis, two cases of undercorrection, nine hypertrophic scars, and nine seromas. These complications were solved by conservative management or simple revision. The use of deep-plane lipoabdominoplasty can correct abdominal deformities more effectively and with fewer complications than traditional abdominoplasty.

  16. Trigonometric Characterization of Some Plane Curves

    Indian Academy of Sciences (India)

    IAS Admin

    In this section, various types of families of algebraic curves are considered. Equations of these curves are written either in Cartesian coordinates (x, y) or in terms of plane polar coordinates (r, θ). In some cases, para- metric equations are also considered. 3.1 Astroid. In Cartesian coordinates, the equation of an astroid (Fig-.

  17. Deep-Plane Lipoabdominoplasty in East Asians

    Directory of Open Access Journals (Sweden)

    June-Kyu Kim

    2016-07-01

    Full Text Available BackgroundThe objective of this study was to develop a new surgical technique by combining traditional abdominoplasty with liposuction. This combination of operations permits simpler and more accurate management of various abdominal deformities. In lipoabdominoplasty, the combination of techniques is of paramount concern. Herein, we introduce a new combination of liposuction and abdominoplasty using deep-plane flap sliding to maximize the benefits of both techniques.MethodsDeep-plane lipoabdominoplasty was performed in 143 patients between January 2007 and May 2014. We applied extensive liposuction on the entire abdomen followed by a sliding flap through the deep plane after repairing the diastasis recti. The abdominal wound closure was completed with repair of Scarpa's fascia.ResultsThe average amount of liposuction aspirate was 1,400 mL (700–3,100 mL, and the size of the average excised skin ellipse was 21.78×12.81 cm (from 15×10 to 25×15 cm. There were no major complications such as deep-vein thrombosis or pulmonary embolism. We encountered 22 cases of minor complications: one wound infection, one case of skin necrosis, two cases of undercorrection, nine hypertrophic scars, and nine seromas. These complications were solved by conservative management or simple revision.ConclusionsThe use of deep-plane lipoabdominoplasty can correct abdominal deformities more effectively and with fewer complications than traditional abdominoplasty.

  18. VLBI Ecliptic Plane Survey: VEPS-1

    Science.gov (United States)

    Shu, Fengchun; Petrov, Leonid; Jiang, Wu; Xia, Bo; Jiang, Tianyu; Cui, Yuzhu; Takefuji, Kazuhiro; McCallum, Jamie; Lovell, Jim; Yi, Sang-oh; Hao, Longfei; Yang, Wenjun; Zhang, Hua; Chen, Zhong; Li, Jinling

    2017-06-01

    We present here the results of the first part of the VLBI Ecliptic Plane Survey (VEPS) program. The goal of the program is to find all compact sources within 7\\buildrel{\\circ}\\over{.} 5 of the ecliptic plane that are suitable as calibrators for anticipated phase referencing observations of spacecraft, and determine their positions with accuracy at the 1.5 nrad level. We run the program in two modes: search and refine. In the search mode, a complete sample of all sources brighter than 50 mJy at 5 GHz listed in the Parkes-MIT-NRAO and Green Bank 6 cm (GB6) catalogs, except those previously detected with VLBI, is observed. In the refining mode, the positions of all ecliptic plane sources, including those found in the search mode, are improved. By 2016 October, thirteen 24 hr sessions that targeted all sources brighter than 100 mJy have been observed and analyzed. Among 3320 observed target sources, 555 objects have been detected. We also conducted a number of follow-up VLBI experiments in the refining mode and improved the positions of 249 ecliptic plane sources.

  19. Testing two different doses of tiotropium Respimat® in cystic fibrosis: phase 2 randomized trial results.

    Directory of Open Access Journals (Sweden)

    Judy M Bradley

    Full Text Available Tiotropium is a once-daily, long-acting anticholinergic bronchodilator with the potential to alleviate airway obstruction in cystic fibrosis. Our objective was to evaluate the efficacy and safety of 2.5 and 5 µg once-daily tiotropium delivered via the Respimat Soft Mist Inhaler vs. placebo in people with cystic fibrosis.This phase 2, 12-week, randomized, double-blind, placebo-controlled parallel-group study of tiotropium Respimat as add-on to usual cystic fibrosis maintenance therapy included people with cystic fibrosis with pre-bronchodilator forced expiratory volume in 1 second (FEV1 ≥ 25% predicted. Co-primary efficacy end points were change from baseline in percent-predicted FEV1 area under the curve from 0 to 4 hours (FEV1 AUC0-4h, and trough FEV1 at the end of week 12.A total of 510 subjects with cystic fibrosis aged 5-69 years were randomized. Both doses of tiotropium resulted in significant improvement compared with placebo in the co-primary efficacy end points at the end of week 12 (change from baseline in percent-predicted FEV1 AUC0-4h: 2.5 µg: 2.94%, 95% confidence interval 1.19-4.70, p = 0.001; 5 µg: 3.39%, 95% confidence interval 1.67-5.12, p = 0.0001; in percent-predicted trough FEV1 ∶ 2.5 µg: 2.24%, p = 0.2; 5 µg: 2.22%, p = 0.02. There was a greater benefit with tiotropium 5 vs. 2.5 µg. No treatment-related adverse events or unexpected safety findings were observed in patients taking tiotropium.Tiotropium significantly improved lung function in people with cystic fibrosis. The improvement was greater with the higher dose than the lower dose, with no difference in adverse events.ClinicalTrials.gov NCT00737100 EudraCT 2008-001156-43.

  20. Construction and assembly of the wire planes for the MicroBooNE Time Projection Chamber

    Energy Technology Data Exchange (ETDEWEB)

    Acciarri, R.; Adams, C.; Asaadi, J.; Danaher, J.; Fleming, B. T.; Gardner, R.; Gollapinni, S.; Grosso, R.; Guenette, R.; Littlejohn, B. R.; Lockwitz, S.; Raaf, J. L.; Soderberg, M.; John, J. St.; Strauss, T.; Szelc, A. M.; Yu, B.

    2017-03-01

    In this paper we describe how the readout planes for the MicroBooNE Time Projection Chamber were constructed, assembled and installed. We present the individual wire preparation using semi-automatic winding machines and the assembly of wire carrier boards. The details of the wire installation on the detector frame and the tensioning of the wires are given. A strict quality assurance plan ensured the integrity of the readout planes. The different tests performed at all stages of construction and installation provided crucial information to achieve the successful realization of the MicroBooNE wire planes.

  1. Plane stress calculations with a two dimensional elastic-plastic computer program. [HEMP

    Energy Technology Data Exchange (ETDEWEB)

    Wilkins, M.L.; Guinan, M.W.

    1976-04-05

    In the study of ductile fracture it is useful to simulate fracture on the computer under plane stress conditions. In general, this is a three dimensional problem. Presented here is a method for adapting a two dimensional elastic-plastic computer program to calculate problems in plane stress as well as plane strain geometry. A simulation of a tension test of a flat aluminum plate pulled to failure is calculated with the modified two dimensional program. The results are compared with a fully three dimensional calculation. Finally a comparison is made with an experiment to demonstrate the effectiveness of the computational methods for studying fracture of work hardening materials.

  2. Frontal plane stability following UKA in a biomechanical study.

    Science.gov (United States)

    Heyse, Thomas J; Tucker, Scott M; Rajak, Yogesh; Kia, Mohammad; Lipman, Joseph D; Imhauser, Carl W; Westrich, Geoffrey H

    2015-06-01

    Function and kinematics following unicondylar knee arthroplasty (UKA) have been reported to be close to the native knee. Gait, stair climbing and activities of daily living expose the knee joint to a combination of varus and valgus moments. Replacement of the medial compartment via UKA is likely to change the physiologic knee stability and its ability to respond to varus and valgus moments. It was hypothesized that UKA implantation would stiffen the knee and decrease range of motion in the frontal plane. Six fresh frozen cadaver knees were prepared and mounted in a six-degrees-of-freedom robot. An axial load of 200 N was applied with the knee in 15°, 45° and 90° of flexion. Varus and valgus moments were added, respectively, before and after implantation of medial UKA. Tests were than redone with a thicker polyethylene inlay to simulate overstuffing of the medial compartment. Range of motion in the frontal plane and the tibial response to moments were recorded via the industrial robot. The range of motion in the frontal plane was decreased with both, balanced and overstuffed UKA and shifted towards valgus. When exposed to valgus moments, knees following UKA were stiffer in comparison with the native knee. The effect was even more pronounced with medial overstuffing. In UKA, the compressive anatomy is replaced by much stiffer components. This lack of medial compression and relative overstuffing leads to a tighter medial collateral ligament. This drives the trend towards a stiffer joint as documented by a decrease in frontal plane range of motion. Overstuffing should strictly be avoided when performing UKA.

  3. A Randomized Controlled Trial of Acceptance-Based Behavior Therapy and Cognitive Therapy for Test Anxiety: A Pilot Study

    Science.gov (United States)

    Brown, Lily A.; Forman, Evan M.; Herbert, James D.; Hoffman, Kimberly L.; Yuen, Erica K.; Goetter, Elizabeth M.

    2011-01-01

    Many university students suffer from test anxiety that is severe enough to impair performance. Given mixed efficacy results of previous cognitive-behavior therapy (CBT) trials and a theoretically driven rationale, an acceptance-based behavior therapy (ABBT) approach was compared to traditional CBT (i.e., Beckian cognitive therapy; CT) for the…

  4. "Familias: Preparando La Nueva Generación": A Randomized Control Trial Testing the Effects on Positive Parenting Practices

    Science.gov (United States)

    Marsiglia, Flavio F.; Williams, Lela Rankin; Ayers, Stephanie L.; Booth, Jaime M.

    2014-01-01

    Objectives: This article reports the effects of a culturally grounded parenting intervention to strengthen positive parenting practices. Method: The intervention was designed and tested with primarily Mexican origin parents in a large urban setting of the southwestern United States using an ecodevelopmental approach. Parents (N = 393) were…

  5. An in vivo study to correlate the relationship of the extraoral and intraoral anatomical landmarks with the occlusal plane in dentulous subjects

    National Research Council Canada - National Science Library

    Jain, Ruchi; Shigli, Kamal

    2015-01-01

    ... to check parallelism of the interpupillary line, ala-tragus line, buccinator groove with the occlusal plane. Relation of retromolar pad with the occlusal plane was checked with the metallic scale. Statistical Analysis: Chi-square test. Results: In 20.0% subjects, the occlusal plane was parallel to the interpupillary line. The posterior r...

  6. VERIFICATION OF THE SENTINEL-4 FOCAL PLANE SUBSYSTEM

    Directory of Open Access Journals (Sweden)

    C. Williges

    2017-05-01

    Full Text Available The Sentinel-4 payload is a multi-spectral camera system which is designed to monitor atmospheric conditions over Europe. The German Aerospace Center (DLR in Berlin, Germany conducted the verification campaign of the Focal Plane Subsystem (FPS on behalf of Airbus Defense and Space GmbH, Ottobrunn, Germany. The FPS consists, inter alia, of two Focal Plane Assemblies (FPAs, one for the UV-VIS spectral range (305 nm … 500 nm, the second for NIR (750 nm … 775 nm. In this publication, we will present in detail the opto-mechanical laboratory set-up of the verification campaign of the Sentinel-4 Qualification Model (QM which will also be used for the upcoming Flight Model (FM verification. The test campaign consists mainly of radiometric tests performed with an integrating sphere as homogenous light source. The FPAs have mainly to be operated at 215 K ± 5 K, making it necessary to exploit a thermal vacuum chamber (TVC for the test accomplishment. This publication focuses on the challenge to remotely illuminate both Sentinel-4 detectors as well as a reference detector homogeneously over a distance of approximately 1 m from outside the TVC. Furthermore selected test analyses and results will be presented, showing that the Sentinel-4 FPS meets specifications.

  7. Verification of the SENTINEL-4 Focal Plane Subsystem

    Science.gov (United States)

    Williges, C.; Hohn, R.; Rossmann, H.; Hilbert, S.; Uhlig, M.; Buchwinkler, K.; Reulke, R.

    2017-05-01

    The Sentinel-4 payload is a multi-spectral camera system which is designed to monitor atmospheric conditions over Europe. The German Aerospace Center (DLR) in Berlin, Germany conducted the verification campaign of the Focal Plane Subsystem (FPS) on behalf of Airbus Defense and Space GmbH, Ottobrunn, Germany. The FPS consists, inter alia, of two Focal Plane Assemblies (FPAs), one for the UV-VIS spectral range (305 nm … 500 nm), the second for NIR (750 nm … 775 nm). In this publication, we will present in detail the opto-mechanical laboratory set-up of the verification campaign of the Sentinel-4 Qualification Model (QM) which will also be used for the upcoming Flight Model (FM) verification. The test campaign consists mainly of radiometric tests performed with an integrating sphere as homogenous light source. The FPAs have mainly to be operated at 215 K ± 5 K, making it necessary to exploit a thermal vacuum chamber (TVC) for the test accomplishment. This publication focuses on the challenge to remotely illuminate both Sentinel-4 detectors as well as a reference detector homogeneously over a distance of approximately 1 m from outside the TVC. Furthermore selected test analyses and results will be presented, showing that the Sentinel-4 FPS meets specifications.

  8. Finding Oxygen Reservoir by Using Extremely Small Test Cell Structure for Resistive Random Access Memory with Replaceable Bottom Electrode.

    Science.gov (United States)

    Kinoshita, Kentaro; Koh, Sang-Gyu; Moriyama, Takumi; Kishida, Satoru

    2015-12-22

    Although the presence of an oxygen reservoir (OR) is assumed in many models that explain resistive switching of resistive random access memory (ReRAM) with electrode/metal oxide (MO)/electrode structures, the location of OR is not clear. We have previously reported a method, which involved the use of an AFM cantilever, for preparing an extremely small ReRAM cell that has a removable bottom electrode (BE). In this study, we used this cell structure to specify the location of OR. Because an anode is often assumed to work as OR, we investigated the effect of changing anodes without changing the MO layer and the cathode on the occurrence of reset. It was found that the reset occurred independently of the catalytic ability and Gibbs free energy (ΔG) of the anode. Our proposed structure enabled to determine that the reset was caused by repairing oxygen vacancies of which a filament consists due to the migration of oxygen ions from the surrounding area when high ΔG anode metal is used, whereas by oxidizing the anode due to the migration of oxygen ions from the MO layer when low ΔG anode metal is used, suggesting the location of OR depends on ΔG of the anode.

  9. How useful are the stages of change for targeting interventions? Randomized test of a brief intervention to reduce smoking.

    Science.gov (United States)

    Armitage, Christopher J; Arden, Madelynne A

    2008-11-01

    To see whether the stages of change are useful for targeting a brief intervention to reduce smoking based on implementation intentions. A second objective was to rule out demand characteristics as an alternative explanation for the findings of intervention studies based on the transtheoretical model and implementation intentions. Participants (N = 350) were randomized to a passive control condition (questionnaire only), active control condition (questionnaire plus instruction to plan to quit), or experimental condition (questionnaire, plan to quit, form an implementation intention). Their behavior and psychosocial orientation to quit were measured at baseline and at 2-month follow-up. Theory of planned behavior variables, nicotine dependence, and quitting. Significantly more people quit smoking in the experimental condition than in the control conditions, and the planning instructions changed intention to quit and perceived control over quitting, but not behavior. Stage of change moderated these effects such that implementation intentions worked best for individuals who were in the preparation stage at baseline. Harnessing both motivational and volitional processes seems to enhance the effectiveness of smoking cessation programs, although further work is required to clarify inconsistencies in the literature using the stages of change.

  10. A Randomized Experiment Testing the Efficacy of a Scheduling Nudge in a Massive Open Online Course (MOOC

    Directory of Open Access Journals (Sweden)

    Rachel Baker

    2016-10-01

    Full Text Available An increasing number of students are taking classes offered online through open-access platforms; however, the vast majority of students who start these classes do not finish. The incongruence of student intentions and subsequent engagement suggests that self-control is a major contributor to this stark lack of persistence. This study presents the results of a large-scale field experiment (N = 18,043 that examines the effects of a self-directed scheduling nudge designed to promote student persistence in a massive open online course. We find that random assignment to treatment had no effects on near-term engagement and weakly significant negative effects on longer-term course engagement, persistence, and performance. Interestingly, these negative effects are highly concentrated in two groups of students: those who registered close to the first day of class and those with .edu e-mail addresses. We consider several explanations for these findings and conclude that theoretically motivated interventions may interact with the diverse motivations of individual students in possibly unintended ways.

  11. Test-retest of computerized health status questionnaires frequently used in the monitoring of knee osteoarthritis: a randomized crossover trial

    Directory of Open Access Journals (Sweden)

    Christensen Robin

    2011-08-01

    Full Text Available Abstract Background To compare data based on touch screen to data based on traditional paper versions of questionnaires frequently used to examine patient reported outcomes in knee osteoarthritis patients and to examine the impact of patient characteristics on this comparison Methods Participants were recruited from an ongoing trial (http://ClinicalTrials.Gov Identifier: NCT00655941. 20 female participants, mean age 67 (SD 7, completed KOOS, VAS pain, function and patient global, SF-36, Physical Activity Scale, painDETECT, and the ADL Taxonomy. Patients were randomly assigned to one of two subgroups, completing either the paper or touch screen version first. Mean, mean differences (95% CI, median, median differences and Intraclass Correlation Coefficients (ICCs were calculated for all questionnaires. Results ICCs between data based on computerized and paper versions ranged from 0.86 to 0.99. Analysis revealed a statistically significant difference between versions of the ADL Taxonomy, but not for the remaining questionnaires. Age, computer experience or education-level had no significant impact on the results. The computerized questionnaires were reported to be easier to use. Conclusion The computerized questionnaires gave comparable results to answers given on paper. Patient characteristics did not influence results and implementation was feasible.

  12. Effect of a Price Transparency Intervention in the Electronic Health Record on Clinician Ordering of Inpatient Laboratory Tests: The PRICE Randomized Clinical Trial.

    Science.gov (United States)

    Sedrak, Mina S; Myers, Jennifer S; Small, Dylan S; Nachamkin, Irving; Ziemba, Justin B; Murray, Dana; Kurtzman, Gregory W; Zhu, Jingsan; Wang, Wenli; Mincarelli, Deborah; Danoski, Daniel; Wells, Brian P; Berns, Jeffrey S; Brennan, Patrick J; Hanson, C William; Dine, C Jessica; Patel, Mitesh S

    2017-07-01

    Many health systems are considering increasing price transparency at the time of order entry. However, evidence of its impact on clinician ordering behavior is inconsistent and limited to single-site evaluations of shorter duration. To test the effect of displaying Medicare allowable fees for inpatient laboratory tests on clinician ordering behavior over 1 year. The Pragmatic Randomized Introduction of Cost data through the electronic health record (PRICE) trial was a randomized clinical trial comparing a 1-year intervention to a 1-year preintervention period, and adjusting for time trends and patient characteristics. The trial took place at 3 hospitals in Philadelphia between April 2014 and April 2016 and included 98 529 patients comprising 142 921 hospital admissions. Inpatient laboratory test groups were randomly assigned to display Medicare allowable fees (30 in intervention) or not (30 in control) in the electronic health record. Primary outcome was the number of tests ordered per patient-day. Secondary outcomes were tests performed per patient-day and Medicare associated fees. The sample included 142 921 hospital admissions representing patients who were 51.9% white (74 165), 38.9% black (55 526), and 56.9% female (81 291) with a mean (SD) age of 54.7 (19.0) years. Preintervention trends of order rates among the intervention and control groups were similar. In adjusted analyses of the intervention group compared with the control group over time, there were no significant changes in overall test ordering behavior (0.05 tests ordered per patient-day; 95% CI, -0.002 to 0.09; P = .06) or associated fees ($0.24 per patient-day; 95% CI, -$0.42 to $0.91; P = .47). Exploratory subset analyses found small but significant differences in tests ordered per patient-day based on patient intensive care unit (ICU) stay (patients with ICU stay: -0.16; 95% CI, -0.31 to -0.01; P = .04; patients without ICU stay: 0.13; 95% CI, 0.08-0.17; P < .001) and the

  13. Testing the efficacy of a brief sexual risk reduction intervention among high-risk American Indian adults: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Rachel Chambers

    2016-04-01

    Full Text Available Abstract Background American Indian adults are more likely to experience co-occurring mental health and substance use disorders than adults of other racial/ethnic groups and are disproportionately burdened by the most common sexually transmitted infections, namely chlamydia and gonorrhea. Several behavioral interventions are proven efficacious in lowering risk for sexually transmitted infection in various populations and, if adapted to address barriers experienced by American Indian adults who suffer from mental health and substance use problems, may be useful for dissemination in American Indian communities. The proposed study aims to examine the efficacy of an adapted evidence-based intervention to increase condom use and decrease sexual risk-taking and substance use among American Indian adults living in a reservation-based community in the Southwestern United States. Methods/Design The proposed study is a randomized controlled trial to test the efficacy of an adapted evidence-based intervention compared to a control condition. Participants will be American Indian adults ages 18–49 years old who had a recent episode of binge substance use and/or suicide ideation. Participants will be randomized to the intervention, a two-session risk-reduction counseling intervention or the control condition, optimized standard care. All participants will be offered a self-administered sexually transmitted infection test. Participants will complete assessments at baseline, 3 and 6 months follow-up. The primary outcome measure is condom use at last sex. Discussion This is one of the first randomized controlled trials to assess the efficacy of an adapted evidence-based intervention for reducing sexual risk behaviors among AI adults with substance use and mental health problems. If proven successful, there will be an efficacious program for reducing risk behaviors among high-risk adults that can be disseminated in American Indian communities as well as other

  14. Van de Hulst Essay: The DDA, the RTE, and the computation of scattering by plane parallel layers of particles

    Science.gov (United States)

    Mackowski, Daniel

    2017-03-01

    A formulation and computational algorithm, based on the discrete dipole approximation (DDA), is presented for directly simulating the electromagnetic wave reflection, transmission, and absorption properties of plane parallel layers of random particulate media. The method is intended for situations in which the characteristic size of the particles is comparable to the radiation wavelength, yet no restriction is made regarding the concentration of the particles. In particular, the application is specifically intended for high particle concentrations characteristic of regolith, pigment layers, functional thin films, and so on. Strategies for reducing the memory and time requirements of the computations are developed. Test calculations show that the method can reproduce direct simulation predictions of hemispherical reflectance from layers of spherical particles as calculated by multiple sphere superposition solution. The method also correctly asymptotes to the radiative transport regime in the limit of small particle volume fraction. The connection of the formulation to those for discrete particle scattering, and the radiative transport equation (RTE), is discussed.

  15. Repeated testing improves achievement in a blended learning approach for risk competence training of medical students: results of a randomized controlled trial.

    Science.gov (United States)

    Spreckelsen, C; Juenger, J

    2017-09-26

    Adequate estimation and communication of risks is a critical competence of physicians. Due to an evident lack of these competences, effective training addressing risk competence during medical education is needed. Test-enhanced learning has been shown to produce marked effects on achievements. This study aimed to investigate the effect of repeated tests implemented on top of a blended learning program for risk competence. We introduced a blended-learning curriculum for risk estimation and risk communication based on a set of operationalized learning objectives, which was integrated into a mandatory course "Evidence-based Medicine" for third-year students. A randomized controlled trial addressed the effect of repeated testing on achievement as measured by the students' pre- and post-training score (nine multiple-choice items). Basic numeracy and statistical literacy were assessed at baseline. Analysis relied on descriptive statistics (histograms, box plots, scatter plots, and summary of descriptive measures), bootstrapped confidence intervals, analysis of covariance (ANCOVA), and effect sizes (Cohen's d, r) based on adjusted means and standard deviations. All of the 114 students enrolled in the course consented to take part in the study and were assigned to either the intervention or control group (both: n = 57) by balanced randomization. Five participants dropped out due to non-compliance (control: 4, intervention: 1). Both groups profited considerably from the program in general (Cohen's d for overall pre vs. post scores: 2.61). Repeated testing yielded an additional positive effect: while the covariate (baseline score) exhibits no relation to the post-intervention score, F(1, 106) = 2.88, p > .05, there was a significant effect of the intervention (repeated tests scenario) on learning achievement, F(1106) = 12.72, p blended learning approach can be improved significantly by implementing a test-enhanced learning design, namely repeated testing. As

  16. Addition of atropine to submaximal exercise stress testing in patients evaluated for suspected ischaemia with SPECT imaging: a randomized, placebo-controlled trial

    Energy Technology Data Exchange (ETDEWEB)

    Manganelli, Fiore; Sauro, Rosario; Di Lorenzo, Emilio; Rosato, Giuseppe [San Giuseppe Moscati Hospital, Department of Cardiology and Heart Surgery, Avellino (Italy); Spadafora, Marco; Varrella, Paola; Peluso, Giuseppina [San Giuseppe Moscati Hospital, Nuclear Medicine Unit, Avellino (Italy); Daniele, Stefania [Institute of Diagnostic and Nuclear Development (SDN), Naples (Italy); Cuocolo, Alberto [Institute of Diagnostic and Nuclear Development (SDN), Naples (Italy); University Federico II, Department of Biomorphological and Functional Sciences, Naples (Italy); National Council of Research, Institute of Biostructures and Bioimages, Naples (Italy)

    2011-02-15

    To evaluate the effects of the addition of atropine to exercise testing in patients who failed to achieve their target heart rate (HR) during stress myocardial perfusion imaging with single-photon emission computed tomography (SPECT). The study was a prospective, randomized, placebo-controlled design. Patients with suspected or known coronary artery disease who failed to achieve a target HR ({>=}85% of maximal predicted HR) during exercise SPECT imaging were randomized to receive intravenous atropine (n = 100) or placebo (n = 101). The two groups of patients did not differ with respect to demographic or clinical characteristics. A higher proportion of patients in the atropine group achieved the target HR compared to the placebo group (60% versus 3%, p < 0.0001). SPECT imaging was abnormal in a higher proportion of patients in the atropine group as compared to the placebo group (57% versus 42%, p < 0.05). Stress-induced myocardial ischaemia was present in more patients in the atropine group as compared to placebo (47% versus 29%, p < 0.01). In both groups of patients, no major side effects occurred. The addition of atropine at the end of exercise testing is more effective than placebo in raising HR to adequate levels, without additional risks of complications. The use of atropine in patients who initially failed to achieve their maximal predicted HR is associated with a higher probability of achieving a diagnostic myocardial perfusion study. (orig.)

  17. Application of single-step genomic best linear unbiased prediction with a multiple-lactation random regression test-day model for Japanese Holsteins.

    Science.gov (United States)

    Baba, Toshimi; Gotoh, Yusaku; Yamaguchi, Satoshi; Nakagawa, Satoshi; Abe, Hayato; Masuda, Yutaka; Kawahara, Takayoshi

    2017-08-01

    This study aimed to evaluate a validation reliability of single-step genomic best linear unbiased prediction (ssGBLUP) with a multiple-lactation random regression test-day model and investigate an effect of adding genotyped cows on the reliability. Two data sets for test-day records from the first three lactations were used: full data from February 1975 to December 2015 (60 850 534 records from 2 853 810 cows) and reduced data cut off in 2011 (53 091 066 records from 2 502 307 cows). We used marker genotypes of 4480 bulls and 608 cows. Genomic enhanced breeding values (GEBV) of 305-day milk yield in all the lactations were estimated for at least 535 young bulls using two marker data sets: bull genotypes only and both bulls and cows genotypes. The realized reliability (R 2 ) from linear regression analysis was used as an indicator of validation reliability. Using only genotyped bulls, R 2 was ranged from 0.41 to 0.46 and it was always higher than parent averages. The very similar R 2 were observed when genotyped cows were added. An application of ssGBLUP to a multiple-lactation random regression model is feasible and adding a limited number of genotyped cows has no significant effect on reliability of GEBV for genotyped bulls. © 2016 Japanese Society of Animal Science.

  18. Long-term impact of pre-operative physical rehabilitation protocol on the 6-min walk test of patients with adolescent idiopathic scoliosis: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    V.L. dos Santos Alves

    2015-05-01

    Full Text Available Background: Monitored physical activities in patients with adolescent idiopathic scoliosis (AIS have been shown to improve physical performance, endurance and cardiopulmonary function and may be assessed by the 6-min walk test (6MWT. We aimed to evaluate the long-term results of the 6MWT after a rehabilitation protocol employed before surgical correction for AIS. Methods: This prospective randomized clinical trial studied the impact of a 4-month pre-operative physical rehabilitation protocol on post-operative cardiopulmonary function and physical endurance, by using the 6MWT, in patients with AIS submitted to surgical correction, comparing them to matched controls without physical rehabilitation. Studied variables were heart and respiratory rate, systolic and diastolic blood pressure, peripheral blood oxygen saturation, Borg score, and distance walked. Patients were assessed at baseline, after 4 months of rehabilitation, and 3, 6 and 12 months post-operatively. Results: A total of 50 patients with AIS were included in the study and allocated blindly, by simple randomization, into either one of the two groups, with 25 patients each: study group (pre-operative physical rehabilitation and control group. The physical rehabilitation protocol promoted significant progressive improvement in heart and respiratory rate, peripheral blood oxygen saturation, distance walked, and level of effort assessed by the Borg scale after surgery. Conclusions: Post-surgical recovery, evaluated by 6MWT, was significantly better in patients who underwent a 4-month pre-operative physical rehabilitation protocol. Keywords: Scoliosis, Exercise, Exercise movement techniques, Exercise therapy, Exercise test

  19. Whole-Body Electromyostimulation to Fight Osteopenia in Elderly Females: The Randomized Controlled Training and Electrostimulation Trial (TEST-III).

    Science.gov (United States)

    von Stengel, Simon; Bebenek, Michael; Engelke, Klaus; Kemmler, Wolfgang

    2015-01-01

    Whole-body electromyostimulation (WB-EMS) has been shown to be effective in increasing muscle strength and mass in elderly women. Because of the interaction of muscles and bones, these adaptions might be related to changes in bone parameters. 76 community-living osteopenic women 70 years and older were randomly assigned to either a WB-EMS group (n = 38) or a control group (CG: n = 38). The WB-EMS group performed 3 sessions every 14 days for one year while the CG performed gymnastics containing identical exercises without EMS. Primary study endpoints were bone mineral density (BMD) at lumbar spine (LS) and total hip (thip) as assessed by DXA. After 54 weeks of intervention, borderline nonsignificant intergroup differences were determined for LS-BMD (WB-EMS: 0.6 ± 2.5% versus CG -0.7 ± 2.5%, P = .051) but not for thip-BMD (WB-EMS: -1.1 ± 1.9% versus CG: -0.8 ± 2.3%, P = .771). With respect to secondary endpoints, there was a gain in lean body mass (LBM) of 1.5% (P = .006) and an increase in grip strength of 8.4% (P = .000) in the WB-EMS group compared to CG. WB-EMS effects on bone are less pronounced than previously reported effects on muscle mass. However, for subjects unable or unwilling to perform intense exercise programs, WB-EMS may be an option for maintaining BMD at the LS.

  20. Promoting Physical Activity in Low-Active Adolescents via Facebook: A Pilot Randomized Controlled Trial to Test Feasibility.

    Science.gov (United States)

    Wójcicki, Thomas R; Grigsby-Toussaint, Diana; Hillman, Charles H; Huhman, Marian; McAuley, Edward

    2014-10-30

    The World Wide Web is an effective method for delivering health behavior programs, yet major limitations remain (eg, cost of development, time and resource requirements, limited interactivity). Social media, however, has the potential to deliver highly customizable and socially interactive behavioral interventions with fewer constraints. Thus, the evaluation of social media as a means to influence health behaviors is warranted. The objective of this trial was to examine and demonstrate the feasibility of using an established social networking platform (ie, Facebook) to deliver an 8 week physical activity intervention to a sample of low-active adolescents (N=21; estimated marginal mean age 13.48 years). Participants were randomized to either an experimental (ie, Behavioral) or attentional control (ie, Informational) condition. Both conditions received access to a restricted-access, study-specific Facebook group where the group's administrator made two daily wall posts containing youth-based physical activity information and resources. Primary outcomes included physical activity as assessed by accelerometry and self-report. Interactions and main effects were examined, as well as mean differences in effect sizes. Analyses revealed significant improvements over time on subjectively reported weekly leisure-time physical activity (F1,18=8.426, P=.009, η2 = .319). However, there was no interaction between time and condition (F1,18=0.002, P=.968, η2 = .000). There were no significant time or interaction effects among the objectively measured physical activity variables. Examination of effect sizes revealed moderate-to-large changes in physical activity outcomes. Results provide initial support for the feasibility of delivery of a physical activity intervention to low-active adolescents via social media. Whether by employing behavioral interventions via social media can result in statistically meaningful changes in health-related behaviors and outcomes remains to be

  1. Depressed Adolescents Treated with Exercise (DATE): A pilot randomized controlled trial to test feasibility and establish preliminary effect sizes

    Science.gov (United States)

    Hughes, Carroll W.; Barnes, Shauna; Barnes, Conrad; DeFina, Laura F.; Nakonezny, Paul; Emslie, Graham J.

    2013-01-01

    The Depressed Adolescents Treated with Exercise (DATE) study evaluated a standardized aerobic exercise protocol to treat nonmedicated adolescents that met DSM-IV-TR criteria for major depressive disorder. From an initial screen of 90 individuals, 30 adolescents aged 12-18 years were randomized to either vigorous exercise (EXER) (>12 kg/kcal/week [KKW]) or a control stretching (STRETCH) activity (Depression Rating Scale – Revised (CDRS-R) to assess depression severity and Actical (KKW) accelerometry 24hr/7days a week to assess energy expenditure and adherence. Follow-up evaluations occurred at weeks 26 and 52. The EXER group averaged 77% adherence and the STRETCH group 81% for meeting weekly target goals for the 12 week intervention based on weekly sessions completed and meeting KKW requirements. There was a significant increase in overall weekly KKW expenditures (p Depressive symptoms were significantly reduced from baseline for both groups with the EXER group improving more rapidly than STRETCH after six weeks (p exercise group had a 100% response rate (86% remission), whereas the stretch group response rate was 67% (50% remission) (p = .02). Both groups had improvements in multiple areas of psychosocial functioning related to school and relationships with parents and peers. Anthropometry reflected decreased waist, hip and thigh measurements (p = .02), more so for females than males (p = .05), but there were no weight changes for either gender. The EXER group sustained 100% remission at week 26 and 52. The STRETCH group had 80% response and 70% remission rates at week 26 and by week 52 only one had not fully responded. The study provides support for the use of exercise as a non-medication intervention for adolescents with major depressive disorders when good adherence and energy expenditure (KKW) are achieved. PMID:24244220

  2. Depressed Adolescents Treated with Exercise (DATE): A pilot randomized controlled trial to test feasibility and establish preliminary effect sizes.

    Science.gov (United States)

    Hughes, Carroll W; Barnes, Shauna; Barnes, Conrad; Defina, Laura F; Nakonezny, Paul; Emslie, Graham J

    2013-06-01

    The Depressed Adolescents Treated with Exercise (DATE) study evaluated a standardized aerobic exercise protocol to treat nonmedicated adolescents that met DSM-IV-TR criteria for major depressive disorder. From an initial screen of 90 individuals, 30 adolescents aged 12-18 years were randomized to either vigorous exercise (EXER) (>12 kg/kcal/week [KKW]) or a control stretching (STRETCH) activity (Depression Rating Scale - Revised (CDRS-R) to assess depression severity and Actical (KKW) accelerometry 24hr/7days a week to assess energy expenditure and adherence. Follow-up evaluations occurred at weeks 26 and 52. The EXER group averaged 77% adherence and the STRETCH group 81% for meeting weekly target goals for the 12 week intervention based on weekly sessions completed and meeting KKW requirements. There was a significant increase in overall weekly KKW expenditures (p Depressive symptoms were significantly reduced from baseline for both groups with the EXER group improving more rapidly than STRETCH after six weeks (p exercise group had a 100% response rate (86% remission), whereas the stretch group response rate was 67% (50% remission) (p = .02). Both groups had improvements in multiple areas of psychosocial functioning related to school and relationships with parents and peers. Anthropometry reflected decreased waist, hip and thigh measurements (p = .02), more so for females than males (p = .05), but there were no weight changes for either gender. The EXER group sustained 100% remission at week 26 and 52. The STRETCH group had 80% response and 70% remission rates at week 26 and by week 52 only one had not fully responded. The study provides support for the use of exercise as a non-medication intervention for adolescents with major depressive disorders when good adherence and energy expenditure (KKW) are achieved.

  3. Whole-Body Electromyostimulation to Fight Osteopenia in Elderly Females: The Randomized Controlled Training and Electrostimulation Trial (TEST-III

    Directory of Open Access Journals (Sweden)

    Simon von Stengel

    2015-01-01

    Full Text Available Whole-body electromyostimulation (WB-EMS has been shown to be effective in increasing muscle strength and mass in elderly women. Because of the interaction of muscles and bones, these adaptions might be related to changes in bone parameters. 76 community-living osteopenic women 70 years and older were randomly assigned to either a WB-EMS group (n=38 or a control group (CG: n=38. The WB-EMS group performed 3 sessions every 14 days for one year while the CG performed gymnastics containing identical exercises without EMS. Primary study endpoints were bone mineral density (BMD at lumbar spine (LS and total hip (thip as assessed by DXA. After 54 weeks of intervention, borderline nonsignificant intergroup differences were determined for LS-BMD (WB-EMS: 0.6±2.5% versus CG -0.7±2.5%, P=.051 but not for thip-BMD (WB-EMS: -1.1±1.9% versus CG: -0.8±2.3%, P=.771. With respect to secondary endpoints, there was a gain in lean body mass (LBM of 1.5% (P=.006 and an increase in grip strength of 8.4% (P=.000 in the WB-EMS group compared to CG. WB-EMS effects on bone are less pronounced than previously reported effects on muscle mass. However, for subjects unable or unwilling to perform intense exercise programs, WB-EMS may be an option for maintaining BMD at the LS.

  4. Whole-Body Electromyostimulation to Fight Osteopenia in Elderly Females: The Randomized Controlled Training and Electrostimulation Trial (TEST-III)

    Science.gov (United States)

    von Stengel, Simon; Bebenek, Michael

    2015-01-01

    Whole-body electromyostimulation (WB-EMS) has been shown to be effective in increasing muscle strength and mass in elderly women. Because of the interaction of muscles and bones, these adaptions might be related to changes in bone parameters. 76 community-living osteopenic women 70 years and older were randomly assigned to either a WB-EMS group (n = 38) or a control group (CG: n = 38). The WB-EMS group performed 3 sessions every 14 days for one year while the CG performed gymnastics containing identical exercises without EMS. Primary study endpoints were bone mineral density (BMD) at lumbar spine (LS) and total hip (thip) as assessed by DXA. After 54 weeks of intervention, borderline nonsignificant intergroup differences were determined for LS-BMD (WB-EMS: 0.6 ± 2.5% versus CG −0.7 ± 2.5%, P = .051) but not for thip-BMD (WB-EMS: −1.1 ± 1.9% versus CG: −0.8 ± 2.3%, P = .771). With respect to secondary endpoints, there was a gain in lean body mass (LBM) of 1.5% (P = .006) and an increase in grip strength of 8.4% (P = .000) in the WB-EMS group compared to CG. WB-EMS effects on bone are less pronounced than previously reported effects on muscle mass. However, for subjects unable or unwilling to perform intense exercise programs, WB-EMS may be an option for maintaining BMD at the LS. PMID:25785225

  5. Same day ART initiation versus clinic-based pre-ART assessment and counselling for individuals newly tested HIV-positive during community-based HIV testing in rural Lesotho - a randomized controlled trial (CASCADE trial).

    Science.gov (United States)

    Labhardt, Niklaus Daniel; Ringera, Isaac; Lejone, Thabo Ishmael; Masethothi, Phofu; Thaanyane, T'sepang; Kamele, Mashaete; Gupta, Ravi Shankar; Thin, Kyaw; Cerutti, Bernard; Klimkait, Thomas; Fritz, Christiane; Glass, Tracy Renée

    2016-04-14

    Achievement of the UNAIDS 90-90-90 targets in Sub-Sahara Africa is challenged by a weak care-cascade with poor linkage to care and retention in care. Community-based HIV testing and counselling (HTC) is widely used in African countries. However, rates of linkage to care and initiation of antiretroviral therapy (ART) in individuals who tested HIV-positive are often very low. A frequently cited reason for non-linkage to care is the time-consuming pre-ART assessment often requiring several clinic visits before ART-initiation. This two-armed open-label randomized controlled trial compares in individuals tested HIV-positive during community-based HTC the proposition of same-day community-based ART-initiation to the standard of care pre-ART assessment at the clinic. Home-based HTC campaigns will be conducted in catchment areas of six clinics in rural Lesotho. Households where at least one individual tested HIV positive will be randomized. In the standard of care group individuals receive post-test counselling and referral to the nearest clinic for pre-ART assessment and counselling. Once they have started ART the follow-up schedule foresees monthly clinic visits. Individuals randomized to the intervention group receive on the spot point-of-care pre-ART assessment and adherence counselling with the proposition to start ART that same day. Once they have started ART, follow-up clinic visits will be less frequent. First primary outcome is linkage to care (individual presents at the clinic at least once within 3 months after the HIV test). The second primary outcome is viral suppression 12 months after enrolment in the study. We plan to enrol a minimum of 260 households with 1:1 allocation and parallel assignment into both arms. This trial will show if in individuals tested HIV-positive during community-based HTC campaigns the proposition of same-day ART initiation in the community, combined with less frequent follow-up visits at the clinic could be a pragmatic approach to

  6. Same day ART initiation versus clinic-based pre-ART assessment and counselling for individuals newly tested HIV-positive during community-based HIV testing in rural Lesotho – a randomized controlled trial (CASCADE trial

    Directory of Open Access Journals (Sweden)

    Niklaus Daniel Labhardt

    2016-04-01

    Full Text Available Abstract Background Achievement of the UNAIDS 90-90-90 targets in Sub-Sahara Africa is challenged by a weak care-cascade with poor linkage to care and retention in care. Community-based HIV testing and counselling (HTC is widely used in African countries. However, rates of linkage to care and initiation of antiretroviral therapy (ART in individuals who tested HIV-positive are often very low. A frequently cited reason for non-linkage to care is the time-consuming pre-ART assessment often requiring several clinic visits before ART-initiation. Methods This two-armed open-label randomized controlled trial compares in individuals tested HIV-positive during community-based HTC the proposition of same-day community-based ART-initiation to the standard of care pre-ART assessment at the clinic. Home-based HTC campaigns will be conducted in catchment areas of six clinics in rural Lesotho. Households where at least one individual tested HIV positive will be randomized. In the standard of care group individuals receive post-test counselling and referral to the nearest clinic for pre-ART assessment and counselling. Once they have started ART the follow-up schedule foresees monthly clinic visits. Individuals randomized to the intervention group receive on the spot point-of-care pre-ART assessment and adherence counselling with the proposition to start ART that same day. Once they have started ART, follow-up clinic visits will be less frequent. First primary outcome is linkage to care (individual presents at the clinic at least once within 3 months after the HIV test. The second primary outcome is viral suppression 12 months after enrolment in the study. We plan to enrol a minimum of 260 households with 1:1 allocation and parallel assignment into both arms. Discussion This trial will show if in individuals tested HIV-positive during community-based HTC campaigns the proposition of same-day ART initiation in the community, combined with less frequent follow

  7. Thyroid Hormones and Cortisol Concentrations in Offspring are Influenced by Maternal Supranutritional Selenium and Nutritional Plane in Sheep

    Directory of Open Access Journals (Sweden)

    Kimberly A. Vonnahme

    2013-01-01

    Full Text Available To determine the effects of maternal supranutritional selenium (Se supplementation and maternal nutritional plane on offspring growth potential, ewes were randomly assigned to 1 of 6 treatments in a 2 × 3 factorial arrangement [dietary Se (adequate Se; 9.5 μg/kg body weight vs. high Se; 81.8 μg/kg body weight initiated at breeding and plane of nutrition [60%, 100%, or 140% of requirements; initiated on day 50 of gestation

  8. A plane mirror experiment inspired by a comic strip

    Science.gov (United States)

    Lúcio Prados Ribeiro, Jair

    2016-01-01

    A comic strip about a plane mirror was used in a high school optics test, and it was perceived that a large portion of the students believed that the mirror should be larger than the object so the virtual image could be entirely visible. Inspired on the comic strip, an experimental demonstration with flat mirrors was developed, in order to readdress this topic learning. Students were encouraged to create their own investigation of the phenomenon with a simple instrumental apparatus and also suggest different experimental approaches.

  9. Nodular cast iron fatigue lifetime in cyclic plane bending

    Directory of Open Access Journals (Sweden)

    Marian Kokavec

    2012-05-01

    Full Text Available The fatigue behavior of a component is strongly dependent on the material and its surface condition. Therefore, the manner in which the surface is prepared during component manufacturing (surface roughness, residual stresses etc. has a decisive role in dictating the initiation time for fatigue cracks. The fatigue behavior of the same material, a nodular cast iron, with three different surface conditions (fine ground, sand blast and as-cast has been investigated under cyclic plane bending. The results show differences in fatigue strength, which are associated with the surface conditions. The characteristics of the surface layers of the different test specimens were examined by metallography.

  10. Effects of aspirin on adverse pregnancy outcome in patients with abnormal aneuploidy screening biochemistry tests: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Fatemeh Mirzaei

    2016-09-01

    Full Text Available Subject: The aim of this research is to study the effects of low dose aspirin on preventing any adverse pregnancy outcome in women with aneuploidy abnormal screening tests in second quarter and to compare the effects of aspirin on normal and abnormal Doppler.Method: This clinical trial study was performed on pregnant women with abnormal aneuploidy screening tests and normal Karyotype at the gestational age 15-18 week. It consists of 83 persons in aspirin receiving group and 84 persons in control group. Doppler ultrasound was simultaneously done on them to survey the Doppler results. Any adverse pregnancy outcome (APO was compared between two groups.Results: The frequency of APO was 32.8% in aspirin receiving group and 41.7% in control group (p=o.o14, RR=0.438. The frequency of preterm delivery before 37th week in the group receiving aspirin with normal Doppler was 8.07% and in the control group was 32.7% (P=0.025. The frequency of NICU reception with normal Doppler was 5.8% in aspirin group and 19.7% in control group (p=0.015. APO frequency in the group with many abnormal factors was 11.5% in the group receiving aspirin and 53.8% in control group (p=0.015. APO frequency in abnormal Doppler group was 46.7% in the group receiving aspirin and 50% in control group (p=0.849, RR=0.112.Conclusion: Low dose of aspirin reduces APO. It reduces preterm delivery and reference of pregnant women to NICU with abnormal aneuploidy screening tests.

  11. Testing the implementation and sustainment facilitation (ISF strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC strategy: study protocol for a cluster randomized trial

    Directory of Open Access Journals (Sweden)

    Bryan R. Garner

    2017-11-01

    Full Text Available Abstract Background Improving the extent to which evidence-based practices (EBPs—treatments that have been empirically shown to be efficacious or effective—are integrated within routine practice is a well-documented challenge across numerous areas of health. In 2014, the National Institute on Drug Abuse funded a type 2 effectiveness–implementation hybrid trial titled the substance abuse treatment to HIV Care (SAT2HIV Project. Aim 1 of the SAT2HIV Project tests the effectiveness of a motivational interviewing-based brief intervention (MIBI for substance use as an adjunct to usual care within AIDS service organizations (ASOs as part of its MIBI Experiment. Aim 2 of the SAT2HIV Project tests the effectiveness of implementation and sustainment facilitation (ISF as an adjunct to the Addiction Technology Transfer Center (ATTC model for training staff in motivational interviewing as part of its ISF Experiment. The current paper describes the study protocol for the ISF Experiment. Methods Using a cluster randomized design, case management and leadership staff from 39 ASOs across the United States were randomized to receive either the ATTC strategy (control condition or the ATTC + ISF strategy (experimental condition. The ATTC strategy is staff-focused and includes 10 discrete strategies (e.g., provide centralized technical assistance, conduct educational meetings, provide ongoing consultation. The ISF strategy is organization-focused and includes seven discrete strategies (e.g., use an implementation advisor, organize implementation team meetings, conduct cyclical small tests of change. Building upon the exploration–preparation–implementation–sustainment (EPIS framework, the effectiveness of the ISF strategy is examined via three staff-level measures: (1 time-to-proficiency (i.e., preparation phase outcome, (2 implementation effectiveness (i.e., implementation phase outcome, and (3 level of sustainment (i.e., sustainment phase outcome

  12. Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy: study protocol for a cluster randomized trial.

    Science.gov (United States)

    Garner, Bryan R; Zehner, Mark; Roosa, Mathew R; Martino, Steve; Gotham, Heather J; Ball, Elizabeth L; Stilen, Patricia; Speck, Kathryn; Vandersloot, Denna; Rieckmann, Traci R; Chaple, Michael; Martin, Erika G; Kaiser, David; Ford, James H

    2017-11-17

    Improving the extent to which evidence-based practices (EBPs)-treatments that have been empirically shown to be efficacious or effective-are integrated within routine practice is a well-documented challenge across numerous areas of health. In 2014, the National Institute on Drug Abuse funded a type 2 effectiveness-implementation hybrid trial titled the substance abuse treatment to HIV Care (SAT2HIV) Project. Aim 1 of the SAT2HIV Project tests the effectiveness of a motivational interviewing-based brief intervention (MIBI) for substance use as an adjunct to usual care within AIDS service organizations (ASOs) as part of its MIBI Experiment. Aim 2 of the SAT2HIV Project tests the effectiveness of implementation and sustainment facilitation (ISF) as an adjunct to the Addiction Technology Transfer Center (ATTC) model for training staff in motivational interviewing as part of its ISF Experiment. The current paper describes the study protocol for the ISF Experiment. Using a cluster randomized design, case management and leadership staff from 39 ASOs across the United States were randomized to receive either the ATTC strategy (control condition) or the ATTC + ISF strategy (experimental condition). The ATTC strategy is staff-focused and includes 10 discrete strategies (e.g., provide centralized technical assistance, conduct educational meetings, provide ongoing consultation). The ISF strategy is organization-focused and includes seven discrete strategies (e.g., use an implementation advisor, organize implementation team meetings, conduct cyclical small tests of change). Building upon the exploration-preparation-implementation-sustainment (EPIS) framework, the effectiveness of the ISF strategy is examined via three staff-level measures: (1) time-to-proficiency (i.e., preparation phase outcome), (2) implementation effectiveness (i.e., implementation phase outcome), and (3) level of sustainment (i.e., sustainment phase outcome). Although not without limitations, the ISF

  13. Testing a videogame intervention to recalibrate physician heuristics in trauma triage: study protocol for a randomized controlled trial.

    Science.gov (United States)

    Mohan, Deepika; Rosengart, Matthew R; Fischhoff, Baruch; Angus, Derek C; Farris, Coreen; Yealy, Donald M; Wallace, David J; Barnato, Amber E

    2016-11-11

    Between 30 and 40 % of patients with severe injuries receive treatment at non-trauma centers (under-triage), largely because of physician decision making. Existing interventions to improve triage by physicians ignore the role that intuition (heuristics) plays in these decisions. One such heuristic is to form an initial impression based on representativeness (how typical does a patient appear of one with severe injuries). We created a video game (Night Shift) to recalibrate physician's representativeness heuristic in trauma triage. We developed Night Shift in collaboration with emergency medicine physicians, trauma surgeons, behavioral scientists, and game designers. Players take on the persona of Andy Jordan, an emergency medicine physician, who accepts a new job in a small town. Through a series of cases that go awry, they gain experience with the contextual cues that distinguish patients with minor and severe injuries (based on the theory of analogical encoding) and receive emotionally-laden feedback on their performance (based on the theory of narrative engagement). The planned study will compare the effect of Night Shift with that of an educational program on physician triage decisions and on physician heuristics. Psychological theory predicts that cognitive load increases reliance on heuristics, thereby increasing the under-triage rate when heuristics are poorly calibrated. We will randomize physicians (n = 366) either to play the game or to review an educational program, and will assess performance using a validated virtual simulation. The validated simulation includes both control and cognitive load conditions. We will compare rates of under-triage after exposure to the two interventions (primary outcome) and will compare the effect of cognitive load on physicians' under-triage rates (secondary outcome). We hypothesize that: a) physicians exposed to Night Shift will have lower rates of under-triage compared to those exposed to the educational program

  14. Tear volume estimation using a modified Schirmer test: a randomized, multicenter, double-blind trial comparing 3% diquafosol ophthalmic solution and artificial tears in dry eye patients

    Directory of Open Access Journals (Sweden)

    Miyake H

    2016-05-01

    Full Text Available Hideki Miyake,1 Yuri Kawano,2 Hiroshi Tanaka,2 Akihiro Iwata,3 Takahiro Imanaka,1 Masatsugu Nakamura1 1Ophthalmic Disease Area Strategy Department, 2Clinical Operations Department, 3Data Science Department, R&D Division, Santen Pharmaceutical Co., Ltd. Osaka, Japan Purpose: We aimed to evaluate the feasibility of using a modified Schirmer test to determine the increase in tear volume after administration of 3% diquafosol ophthalmic solution (diquafosol 3% in dry eye patients. Patients and methods: A randomized, multicenter, prospective, double-blind clinical study recruited 50 qualified subjects. They received diquafosol 3% in one eye and artificial tears in the other eye. The study protocol comprised a screening and treatment procedure completed within 1 day. The Schirmer test was performed on closed eyes three times a day. The primary efficacy end points were the second Schirmer test scores 10 minutes after the single dose. Secondary end points were the third Schirmer test scores 3 hours and 40 minutes after the single dose and the symptom scores prior to the second and third Schirmer tests. Results: According to the Schirmer test, 10 minutes after administration, diquafosol 3% significantly increased tear volume compared to artificial tears. Diquafosol 3% and artificial tears both showed significant improvements in the symptom scores compared to baseline. However, there was no significant difference in the symptoms score between diquafosol 3% and artificial tears. Conclusion: The modified Schirmer test can detect a minute change in tear volume in dry eye patients. These findings will be useful in the diagnosis of dry eye, assessment of treatment benefits in daily clinical practice, and the development of possible tear-secreting compounds for dry eye. Keywords: P2Y2, efficacy, Diquas®

  15. Unexpectedly high leprosy seroprevalence detected using a random surveillance strategy in midwestern Brazil: A comparison of ELISA and a rapid diagnostic test.

    Science.gov (United States)

    Frade, Marco Andrey C; de Paula, Natália A; Gomes, Ciro M; Vernal, Sebastian; Bernardes Filho, Fred; Lugão, Helena B; de Abreu, Marilda M M; Botini, Patrícia; Duthie, Malcolm S; Spencer, John S; Soares, Rosa Castália F R; Foss, Norma T

    2017-02-01

    Leprosy diagnosis is mainly based on clinical evaluation, although this approach is difficult, especially for untrained physicians. We conducted a temporary campaign to detect previously unknown leprosy cases in midwestern Brazil and to compare the performance of different serological tests. A mobile clinic was stationed at the main bus terminal in Brasília, Brazil. Volunteers were quizzed and given a clinical exam to allow categorization as either patients, known contacts of patients or non-contacts, and blood was collected to determine anti-PGL-I and anti-LID-1 antibody titers by ELISA and by the NDO-LID rapid test. New cases of leprosy and the impact of performing this broad random surveillance strategy were evaluated. Accuracy values and concordance between the test results were evaluated among all groups. Four hundred thirty-four individuals were evaluated, and 44 (10.1%) were diagnosed with leprosy. Borderline forms were the most frequent presentation. Both tests presented higher positivity in those individuals with multibacillary disease. Serological tests demonstrated specificities arround 70% for anti-PGL-1 and anti-LID ELISA; and arround 40% for NDO-LID. Sensitivities ranged from 48 to 62%. A substantial agreement between NDO-LID and ELISA with concomitant positive results was found within leprosy patients (Kappa index = 0.79 CI95% 0.36-1.22). The unexpectedly high leprosy prevalence in this population indicates ongoing community-based exposure to Mycobacterium leprae antigens and high rates of subclinical infection. All tests showed low specificity and sensitivity values and therefore cannot be considered for use as stand-alone diagnostics. Rather, considering their positivity among MB patients and non-patients, these tests can be considered effective tools for screening and identifying individuals at high risk who might benefit from regular monitoring.

  16. Starbugs: focal plane fiber positioning technology

    Science.gov (United States)

    Goodwin, Michael; Heijmans, Jeroen; Saunders, Ian; Brzeski, Jurek; Saunders, Will; Muller, Rolf; Haynes, Roger; Gilbert, James

    2010-07-01

    We report on the technological achievements of our latest Starbug prototypes and their implications for smart focal plane fiber positioning applications for wide-field astronomy. The Starbugs are innovative self-motile miniature robotic devices that can simultaneously and independently position fibers or payloads over a field plate located at the telescope's focal plane. The Starbugs concept overcomes many of the limitations associated with the traditional 'pick and place' positioners where a robot places fixed buttons onto the field plate. The new Starbug prototypes use piezoelectric actuators and have the following features: (i) new 'lift-and-step' method (discrete step) for accurate positioning over different surfaces; and (ii) operate in an inverted hanging position underneath a transparent field plate, removing the need for fibercable retractors. In this paper, we present aspects of the Starbug prototypes, including the theoretical model, mechanical design, experimental setup, algorithms, performance and applications for astronomical instrumentation.

  17. Structure analysis for plane geometry figures

    Science.gov (United States)

    Feng, Tianxiao; Lu, Xiaoqing; Liu, Lu; Li, Keqiang; Tang, Zhi

    2013-12-01

    As there are increasing numbers of digital documents for education purpose, we realize that there is not a retrieval application for mathematic plane geometry images. In this paper, we propose a method for retrieving plane geometry figures (PGFs), which often appear in geometry books and digital documents. First, detecting algorithms are applied to detect common basic geometry shapes from a PGF image. Based on all basic shapes, we analyze the structural relationships between two basic shapes and combine some of them to a compound shape to build the PGF descriptor. Afterwards, we apply matching function to retrieve candidate PGF images with ranking. The great contribution of the paper is that we propose a structure analysis method to better describe the spatial relationships in such image composed of many overlapped shapes. Experimental results demonstrate that our analysis method and shape descriptor can obtain good retrieval results with relatively high effectiveness and efficiency.

  18. Multi-planed unified switching topologies

    Science.gov (United States)

    Chen, Dong; Heidelberger, Philip; Sugawara, Yutaka

    2017-07-04

    An apparatus and method for extending the scalability and improving the partitionability of networks that contain all-to-all links for transporting packet traffic from a source endpoint to a destination endpoint with low per-endpoint (per-server) cost and a small number of hops. An all-to-all wiring in the baseline topology is decomposed into smaller all-to-all components in which each smaller all-to-all connection is replaced with star topology by using global switches. Stacking multiple copies of the star topology baseline network creates a multi-planed switching topology for transporting packet traffic. Point-to-point unified stacking method using global switch wiring methods connects multiple planes of a baseline topology by using the global switches to create a large network size with a low number of hops, i.e., low network latency. Grouped unified stacking method increases the scalability (network size) of a stacked topology.

  19. Waveguide metacouplers for in-plane polarimetry

    CERN Document Server

    Pors, Anders

    2016-01-01

    The state of polarization (SOP) is an inherent property of the vectorial nature of light and a crucial parameter in a wide range of remote sensing applications. Nevertheless, the SOP is rather cumbersome to probe experimentally, as conventional detectors only respond to the intensity of the light, hence loosing the phase information between orthogonal vector components. In this work, we propose a new type of polarimeter that is compact and well-suited for in-plane optical circuitry, while allowing for immediate determination of the SOP through simultaneous retrieval of the associated Stokes parameters. The polarimeter is based on plasmonic phase-gradient birefringent metasurfaces that facilitate normal incident light to launch in-plane photonic waveguide modes propagating in six predefined directions with the coupling efficiencies providing a direct measure of the incident SOP. The functionality and accuracy of the polarimeter, which essentially is an all-polarization sensitive waveguide metacoupler, is confi...

  20. A network-based method using a random walk with restart algorithm and screening tests to identify novel genes associated with Menière's disease.

    Science.gov (United States)

    Li, Lin; Wang, YanShu; An, Lifeng; Kong, XiangYin; Huang, Tao

    2017-01-01

    As a chronic illness derived from hair cells of the inner ear, Menière's disease (MD) negatively influences the quality of life of individuals and leads to a number of symptoms, such as dizziness, temporary hearing loss, and tinnitus. The complete identification of novel genes related to MD would help elucidate its underlying pathological mechanisms and improve its diagnosis and treatment. In this study, a network-based method was developed to identify novel MD-related genes based on known MD-related genes. A human protein-protein interaction (PPI) network was constructed using the PPI information reported in the STRING database. A classic ranking algorithm, the random walk with restart (RWR) algorithm, was employed to search for novel genes using known genes as seed nodes. To make the identified genes more reliable, a series of screening tests, including a permutation test, an interaction test and an enrichment test, were designed to select essential genes from those obtained by the RWR algorithm. As a result, several inferred genes, such as CD4, NOTCH2 and IL6, were discovered. Finally, a detailed biological analysis was performed on fifteen of the important inferred genes, which indicated their strong associations with MD.

  1. Scaling and root planing with enhanced root planing on healthcare for type 2 diabetes mellitus: A randomized controlled clinical trial

    Directory of Open Access Journals (Sweden)

    Huihui Zhang

    2013-09-01

    Conclusion: This study suggests that SRP can be of benefit for the improvement of glycemic control and periodontal condition. In addition, ERP can further improve the periodontal condition of patients with T2DM.

  2. Fundamento e desenho do teste randomizado PAINT Fundamento y diseño del test randomizado PAINT Rationale and design for the PAINT randomized trial

    Directory of Open Access Journals (Sweden)

    Pedro A. Lemos

    2009-12-01

    Aneous INTervention with biodegradable-polymer based paclitaxel-eluting or sirolimus-eluting versus bare stents for de novo coronary lesions - PAINT trial". OBJECTIVES: To evaluate two novel formulations of paclitaxel-eluting stent and the sirolimus-eluting stent against a stent with the same metallic structure but without polymer coating or drug elution. METHODS: The PAINT is a multicenter 3-arm randomized trial, conducted in Brazilian tertiary institutions, which included 275 patients allocated for the InfinniumR paclitaxel-eluting stent, the SupralimusR sirolimus-eluting stent or the Milennium MatrixR bare metal stent in a 2:2:1 ratio. Patients had de novo coronary lesions in native vessels with a diameter between 2.5 and 3.5 mm, amenable for treatment with a single stent of 29 mm or less in length. The primary objetive was to compare the in-stent late loss at 9 months of both paclitaxel- and sirolimus-eluting versus the late loss of control bare metal stents. Important secondary objectives included the comparison in outcomes between sirolimus and paclitaxel stents, as well as the analysis of the incidence of major adverse cardiac events. RESULTS AND CONCLUSIONS: The PAINT trial had a unique design that allowed for the evaluation of the safety and efficacy profiles of two novel drug-eluting stent formulations, with a biodegradable-polymer carrier and releasing paclitaxel or sirolimus, which were compared against a bare metal stent (primary objective. As the drug-eluting stents differed by the drug, but were identical otherwise, the trial also allowed the comparison of the anti-restenosis effects of sirolimus versus paclitaxel (secondary objective.

  3. 2-tier in-plane motion correction and out-of-plane motion filtering for contrast-enhanced ultrasound

    Science.gov (United States)

    Ta, Casey N.; Eghtedari, Mohammad; Mattrey, Robert F.; Kono, Yuko; Kummel, Andrew C.

    2014-01-01

    Objectives Contrast-enhanced ultrasound (CEUS) cines of focal liver lesions (FLL) can be quantitatively analyzed to measure tumor perfusion on a pixel-by-pixel basis for diagnostic indication. However, CEUS cines acquired freehand and during free breathing cause non-uniform in-plane and out-of-plane motion from frame to frame. These motions create fluctuations in the time-intensity curves (TIC), reducing accuracy of quantitative measurements. Out-of-plane motion cannot be corrected by image registration in 2D CEUS and degrades the quality of in-plane motion correction (IPMC). A 2-tier IPMC strategy and adaptive out-of-plane motion filter (OPMF) are proposed to provide a stable correction of non-uniform motion to reduce the impact of motion on quantitative analyses. Materials and Methods 22 cines of FLLs were imaged with dual B-mode and contrast specific imaging to acquire a 3-minute TIC. B-mode images were analyzed for motion, and the motion correction was applied to both B-mode and contrast images. For IPMC, the main reference frame was automatically selected for each cine, and subreference frames were selected in each respiratory cycle and sequentially registered toward the main reference frame. All other frames were sequentially registered toward the local subreference frame. Four OPMFs were developed and tested: subsample Normalized Correlation (NC), subsample Sum of Absolute Differences (SAD), mean frame NC, and histogram. The frames that were most dissimilar to the OPMF reference frame using one of the four above criteria in each respiratory cycle were adaptively removed by thresholding against the low-pass filter of the similarity curve. OPMF was quantitatively evaluated by an out-of-plane motion metric (OPMM) that measured normalized variance in the high-pass filtered time-intensity curve within the tumor region-of-interest with low OPMM being the goal. IPMC and OPMF results were qualitatively evaluated by two blinded observers who ranked the motion in the

  4. Morphological segmentation for sagittal plane image analysis.

    Science.gov (United States)

    Bezerra, F N; Paula, I C; Medeiros, F S; Ushizima, D M; Cintra, L S

    2010-01-01

    This paper introduces a morphological image segmentation method by applying watershed transform with markers to scale-space smoothed images and furthermore provides images for clinical monitoring and analysis of patients. The database comprises sagittal plane images taken from a digital camera of patients submitted to Global Postural Reeducation (GPR) physiotherapy treatment. Orthopaedic specialists can use these segmented images to diagnose posture problems, assess physiotherapy treatment evolution and thus reduce diagnostic errors due to subjective analysis.

  5. Wafer plane inspection for advanced reticle defects

    Science.gov (United States)

    Nagpal, Rajesh; Ghadiali, Firoz; Kim, Jun; Huang, Tracy; Pang, Song

    2008-05-01

    Readiness of new mask defect inspection technology is one of the key enablers for insertion & transition of the next generation technology from development into production. High volume production in mask shops and wafer fabs demands a reticle inspection system with superior sensitivity complemented by a low false defect rate to ensure fast turnaround of reticle repair and defect disposition (W. Chou et al 2007). Wafer Plane Inspection (WPI) is a novel approach to mask defect inspection, complementing the high resolution inspection capabilities of the TeraScanHR defect inspection system. WPI is accomplished by using the high resolution mask images to construct a physical mask model (D. Pettibone et al 1999). This mask model is then used to create the mask image in the wafer aerial plane. A threshold model is applied to enhance the inspectability of printing defects. WPI can eliminate the mask restrictions imposed on OPC solutions by inspection tool limitations in the past. Historically, minimum image restrictions were required to avoid nuisance inspection stops and/or subsequent loss of sensitivity to defects. WPI has the potential to eliminate these limitations by moving the mask defect inspections to the wafer plane. This paper outlines Wafer Plane Inspection technology, and explores the application of this technology to advanced reticle inspection. A total of twelve representative critical layers were inspected using WPI die-to-die mode. The results from scanning these advanced reticles have shown that applying WPI with a pixel size of 90nm (WPI P90) captures all the defects of interest (DOI) with low false defect detection rates. In validating CD predictions, the delta CDs from WPI are compared against Aerial Imaging Measurement System (AIMS), where a good correlation is established between WPI and AIMSTM.

  6. Nueva movilidad : Park & ride Les Planes

    OpenAIRE

    Guerrero Riveiro, Fermín Hernán

    2016-01-01

    El ejercicio nace con un extenso análisis sobre las realidades del Area Metropolitana de Barcelona que pone de manifiesto el déficit de estacionamientos de disuasión o "Parks and Rides" en torno a las estaciones de tren. Posteriormente se explora, a fondo, uno de estos puntos detectados (Les Planes) y se plantean una serie de intervenciones de mejora.

  7. Providing Quantitative Information and a Nudge to Undergo Stool Testing in a Colorectal Cancer Screening Decision Aid: A Randomized Clinical Trial.

    Science.gov (United States)

    Schwartz, Peter H; Perkins, Susan M; Schmidt, Karen K; Muriello, Paul F; Althouse, Sandra; Rawl, Susan M

    2017-08-01

    Guidelines recommend that patient decision aids should provide quantitative information about probabilities of potential outcomes, but the impact of this information is unknown. Behavioral economics suggests that patients confused by quantitative information could benefit from a "nudge" towards one option. We conducted a pilot randomized trial to estimate the effect sizes of presenting quantitative information and a nudge. Primary care patients (n = 213) eligible for colorectal cancer screening viewed basic screening information and were randomized to view (a) quantitative information (quantitative module), (b) a nudge towards stool testing with the fecal immunochemical test (FIT) (nudge module), (c) neither a nor b, or (d) both a and b. Outcome measures were perceived colorectal cancer risk, screening intent, preferred test, and decision conflict, measured before and after viewing the decision aid, and screening behavior at 6 months. Patients viewing the quantitative module were more likely to be screened than those who did not ( P = 0.012). Patients viewing the nudge module had a greater increase in perceived colorectal cancer risk than those who did not ( P = 0.041). Those viewing the quantitative module had a smaller increase in perceived risk than those who did not ( P = 0.046), and the effect was moderated by numeracy. Among patients with high numeracy who did not view the nudge module, those who viewed the quantitative module had a greater increase in intent to undergo FIT ( P = 0.028) than did those who did not. The limitations of this study were the limited sample size and single healthcare system. Adding quantitative information to a decision aid increased uptake of colorectal cancer screening, while adding a nudge to undergo FIT did not increase uptake. Further research on quantitative information in decision aids is warranted.

  8. A cluster randomized controlled trial aimed at implementation of local quality improvement collaboratives to improve prescribing and test ordering performance of general practitioners: Study Protocol

    Directory of Open Access Journals (Sweden)

    Winkens Ron

    2009-02-01

    Full Text Available Abstract Background The use of guidelines in general practice is not optimal. Although evidence-based methods to improve guideline adherence are available, variation in physician adherence to general practice guidelines remains relatively high. The objective for this study is to transfer a quality improvement strategy based on audit, feedback, educational materials, and peer group discussion moderated by local opinion leaders to the field. The research questions are: is the multifaceted strategy implemented on a large scale as planned?; what is the effect on general practitioners' (GPs test ordering and prescribing behaviour?; and what are the costs of implementing the strategy? Methods In order to evaluate the effects, costs and feasibility of this new strategy we plan a multi-centre cluster randomized controlled trial (RCT with a balanced incomplete block design. Local GP groups in the south of the Netherlands already taking part in pharmacotherapeutic audit meeting groups, will be recruited by regional health officers. Approximately 50 groups of GPs will be randomly allocated to two arms. These GPs will be offered two different balanced sets of clinical topics. Each GP within a group will receive comparative feedback on test ordering and prescribing performance. The feedback will be discussed in the group and working agreements will be created after discussion of the guidelines and barriers to change. The data for the feedback will be collected from existing and newly formed databases, both at baseline and after one year. Discussion We are not aware of published studies on successes and failures of attempts to transfer to the stakeholders in the field a multifaceted strategy aimed at GPs' test ordering and prescribing behaviour. This pragmatic study will focus on compatibility with existing infrastructure, while permitting a certain degree of adaptation to local needs and routines. Trial registration Nederlands Trial Register ISRCTN40008171

  9. A randomized controlled trial of Human Papillomavirus (HPV testing for cervical cancer screening: trial design and preliminary results (HPV FOCAL Trial

    Directory of Open Access Journals (Sweden)

    Smith Laurie W

    2010-03-01

    Full Text Available Abstract Background In the HPV FOCAL trial, we will establish the efficacy of hr-HPV DNA testing as a stand-alone screening test followed by liquid based cytology (LBC triage of hr-HPV-positive women compared to LBC followed by hr-HPV triage with ≥ CIN3 as the outcome. Methods/Design HPV-FOCAL is a randomized, controlled, three-armed study over a four year period conducted in British Columbia. It will recruit 33,000 women aged 25-65 through the province's population based cervical cancer screening program. Control arm: LBC at entry and two years, and combined LBC and hr-HPV at four years among those with initial negative results and hr-HPV triage of ASCUS cases; Two Year Safety Check arm: hr-HPV at entry and LBC at two years in those with initial negative results with LBC triage of hr-HPV positives; Four Year Intervention Arm: hr-HPV at entry and combined hr-HPV and LBC at four years among those with initial negative results with LBC triage of hr-HPV positive cases Discussion To date, 6150 participants have a completed sample and epidemiologic questionnaire. Of the 2019 women enrolled in the control arm, 1908 (94.5% were cytology negative. Women aged 25-29 had the highest rates of HSIL (1.4%. In the safety arm 92.2% of women were hr-HPV negative, with the highest rate of hr-HPV positivity found in 25-29 year old women (23.5%. Similar results were obtained in the intervention arm HPV FOCAL is the first randomized trial in North America to examine hr-HPV testing as the primary screen for cervical cancer within a population-based cervical cancer screening program. Trial Registration International Standard Randomised Controlled Trial Number Register, ISRCTN79347302

  10. Biomechanical characteristics, patient preference and activity level with different prosthetic feet: a randomized double blind trial with laboratory and community testing.

    Science.gov (United States)

    Raschke, Silvia U; Orendurff, Michael S; Mattie, Johanne L; Kenyon, David E A; Jones, O Yvette; Moe, David; Winder, Lorne; Wong, Angie S; Moreno-Hernández, Ana; Highsmith, M Jason; J Sanderson, David; Kobayashi, Toshiki

    2015-01-02

    Providing appropriate prosthetic feet to those with limb loss is a complex and subjective process influenced by professional judgment and payer guidelines. This study used a small load cell (Europa™) at the base of the socket to measure the sagittal moments during walking with three objective categories of prosthetic feet in eleven individuals with transtibial limb loss with MFCL K2, K3 and K4 functional levels. Forefoot stiffness and hysteresis characteristics defined the three foot categories: Stiff, Intermediate, and Compliant. Prosthetic feet were randomly assigned and blinded from participants and investigators. After laboratory testing, participants completed one week community wear tests followed by a modified prosthetics evaluation questionnaire to determine if a specific category of prosthetic feet was preferred. The Compliant category of prosthetic feet was preferred by the participants (P=0.025) over the Stiff and Intermediate prosthetic feet, and the Compliant and Intermediate feet had 15% lower maximum sagittal moments during walking in the laboratory (P=0.0011) compared to the Stiff feet. The activity level of the participants did not change significantly with any of the wear tests in the community, suggesting that each foot was evaluated over a similar number of steps, but did not inherently increase activity. This is the first randomized double blind study in which prosthetic users have expressed a preference for a specific biomechanical characteristic of prosthetic feet: those with lower peak sagittal moments were preferred, and specifically preferred on slopes, stairs, uneven terrain, and during turns and maneuvering during real world use. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  11. Out-of-plane chiral domain wall spin-structures in ultrathin in-plane magnets

    Science.gov (United States)

    Chen, Gong; Kang, Sang Pyo; Ophus, Colin; N'diaye, Alpha T.; Kwon, Hee Young; Qiu, Ryan T.; Won, Changyeon; Liu, Kai; Wu, Yizheng; Schmid, Andreas K.

    2017-05-01

    Chiral spin textures in ultrathin films, such as skyrmions or chiral domain walls, are believed to offer large performance advantages in the development of novel spintronics technologies. While in-plane magnetized films have been studied extensively as media for current- and field-driven domain wall dynamics with applications in memory or logic devices, the stabilization of chiral spin textures in in-plane magnetized films has remained rare. Here we report a phase of spin structures in an in-plane magnetized ultrathin film system where out-of-plane spin orientations within domain walls are stable. Moreover, while domain walls in in-plane films are generally expected to be non-chiral, we show that right-handed spin rotations are strongly favoured in this system, due to the presence of the interfacial Dzyaloshinskii-Moriya interaction. These results constitute a platform to explore unconventional spin dynamics and topological phenomena that may enable high-performance in-plane spin-orbitronics devices.

  12. Analytical modeling of PWAS in-plane and out-of-plane electromechanical impedance spectroscopy (EMIS)

    Science.gov (United States)

    Kamas, Tuncay; Lin, Bin; Giurgiutiu, Victor

    2013-04-01

    This paper discusses theoretical analysis of electro-mechanical impedance spectroscopy (EMIS) of piezoelectric wafer active sensor (PWAS). Both free and constrained PWAS EMIS models are developed for in-plane (lengthwise) and outof plane (thickness wise) mode. The paper starts with the general piezoelectric constitutive equations that express the linear relation between stress, strain, electric field and electric displacement. This is followed by the PWAS EMIS models with two assumptions: 1) constant electric displacement in thickness direction (D3) for out-of-plane mode; 2) constant electric field in thickness direction (E3) for in-plane mode. The effects of these assumptions on the free PWAS in-plane and out-of-plane EMIS models are studied and compared. The effects of internal damping of PWAS are considered in the analytical EMIS models. The analytical EMIS models are verified by Coupled Field Finite Element Method (CF-FEM) simulations and by experimental measurements. The extent of the agreement between the analytical and experimental EMIS results is discussed. The paper ends with summary, conclusions, and suggestions for future work.

  13. The Off-plane Grating Rocket Experiment

    Science.gov (United States)

    Donovan, Benjamin

    2018-01-01

    The next generation of X-ray spectrometers necessitate significant increases in both resolution and effective area to achieve the science goals set forth in the 2010 Decadal Survey and the 2013 Astrophysics Roadmap. The Off-plane Grating Rocket Experiment (OGRE), an X-ray spectroscopy suborbital rocket payload currently scheduled for launch in Q3 2020, will serve as a testbed for several key technologies which can help achieve the desired performance increases of future spectrometers. OGRE will be the first instrument to fly mono-crystalline silicon X-ray mirrors developed at NASA Goddard Space Flight Center. The payload will also utilize an array of off-plane gratings manufactured at The Pennsylvania State University. Additionally, the focal plane will be populated with an array of four electron-multiplying CCDs developed by the Open University and XCAM Ltd. With these key technologies, OGRE hopes to achieve the highest resolution on-sky soft X-ray spectrum to date. We discuss the optical design, expected performance, and the current status of the payload.

  14. Numerical Flow Analysis of Planing Boats

    Science.gov (United States)

    Brucker, Kyle; O'Shea, Thomas; Dommermuth, Douglas; Fu, Thomas

    2012-11-01

    The focus of this presentation is to describe the recent effort to validate the computer code Numerical Flow Analysis (NFA) for the prediction of hydrodynamic forces and moments associated with deep-V planing craft. This detailed validation effort was composed of two parts. The first part focuses on assessing NFA's ability to predict pressures on the surface of a 10 degree deadrise wedge during impact with an undisturbed free surface. Detailed comparisons to pressure gauges are presented for two different drop heights, 6 inches and 10 inches. Results show NFA accurately predicted pressures during the slamming event. The second part of the validation study focused on assessing how well NFA was able to accurately model the complex multiphase flow associated with high Froude number flows, specifically the formation of the spray sheet. NFA simulations of a planing hull fixed at various angles of roll (0 degrees, 10 degrees, 20 degrees, and 30 degrees) were compared to experiments from Judge (2012). Comparisons to underwater photographs illustrate NFA's ability to model the formation of the spray sheet and the free surface turbulence associated with planing boat hydrodynamics.

  15. Blackfolds, plane waves and minimal surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Armas, Jay [Physique Théorique et Mathématique, Université Libre de Bruxelles and International Solvay Institutes, ULB-Campus Plaine CP231, B-1050 Brussels (Belgium); Albert Einstein Center for Fundamental Physics, University of Bern,Sidlerstrasse 5, 3012 Bern (Switzerland); Blau, Matthias [Albert Einstein Center for Fundamental Physics, University of Bern,Sidlerstrasse 5, 3012 Bern (Switzerland)

    2015-07-29

    Minimal surfaces in Euclidean space provide examples of possible non-compact horizon geometries and topologies in asymptotically flat space-time. On the other hand, the existence of limiting surfaces in the space-time provides a simple mechanism for making these configurations compact. Limiting surfaces appear naturally in a given space-time by making minimal surfaces rotate but they are also inherent to plane wave or de Sitter space-times in which case minimal surfaces can be static and compact. We use the blackfold approach in order to scan for possible black hole horizon geometries and topologies in asymptotically flat, plane wave and de Sitter space-times. In the process we uncover several new configurations, such as black helicoids and catenoids, some of which have an asymptotically flat counterpart. In particular, we find that the ultraspinning regime of singly-spinning Myers-Perry black holes, described in terms of the simplest minimal surface (the plane), can be obtained as a limit of a black helicoid, suggesting that these two families of black holes are connected. We also show that minimal surfaces embedded in spheres rather than Euclidean space can be used to construct static compact horizons in asymptotically de Sitter space-times.

  16. Effects of a "test in-train out" walking program versus supervised standard rehabilitation in chronic stroke patients: a feasibility and pilot randomized study.

    Science.gov (United States)

    Malagoni, Anna M; Cavazza, Stefano; Ferraresi, Giovanni; Grassi, Guido; Felisatti, Michele; Lamberti, Nicola; Basaglia, Nino; Manfredini, Fabio

    2016-06-01

    The loss of normal ambulatory function after stroke, besides causing di