Laparoscopic management of a large torted ovarian cyst in an adolescent virgin: a case report

OpenAIRE

Sabry, Mohamed; Mahmoud,Eman; Al-Hendy,Ayman

2012-01-01

Mohamed Sabry,1,2 Abdou S Ait Allah,1 Eman Roshdy,2,3 Ayman Al-Hendy21Department of Obstetrics and Gynecology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt; 2Department of Obstetrics and Gynecology, Center for Women’s Health Research, Meharry Medical College, Nashville, TN, USA; 3Department of Public Health and Community Medicine, Sohag Faculty of Medicine, Sohag University, Sohag, EgyptAbstract: We report a case of a torted mature cystic teratoma in a 23-year-old, sexu...

Strategy for Strengthening Farmer Groups by Institutional Strengthening

Directory of Open Access Journals (Sweden)

Purbayu Budi Santoso

2015-08-01

Full Text Available Agriculture sector becomes a spotlight because this sector will be full of potential but the welfare of farmers who become the leading actor is not guaranteed and has a poor tendency. The purpose of this study is to formulate strategies to strengthen farmers' groups in order to create the marketing of the agricultural sector that benefit farmers. The method used to achieve this goal is to use a qualitative approach and Analytical Network Process. In addition to the secondary data obtained from several agencies, this study also uses primary data obtained by in-depth interviews and observations. This research results a priority of aspects of the institutional strengthening of farmer groups as well as priority issues and priorities of the solution of each aspect. In addition, the priority of alternative strategies resulted based on the problems and solutions that have been analyzed in order to solve the problems in the institutional strengthening of farmer groups in Demak.

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

Science.gov (United States)

2014-01-01

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

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

International Nuclear Information System (INIS)

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

2014-01-01

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

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

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Renata Kotynia

2018-02-01

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

Strengthening health workforce capacity through work-based training

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Matovu Joseph KB

2013-01-01

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

[Design and application of implantable medical device information management system].

Science.gov (United States)

Cao, Shaoping; Yin, Chunguang; Zhao, Zhenying

2013-03-01

Through the establishment of implantable medical device information management system, with the aid of the regional joint sharing of resources, we further enhance the implantable medical device traceability management level, strengthen quality management, control of medical risk.

The communicative dimension in medical training: A proposal to strengthen the doctor-patient relationship

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Jacinto Sánchez-Angarita

2017-10-01

Based on these approaches, a proposal is made to promote education considering the PBL teaching strategy that favors training in the communicative dimension, in order to promote the integration of disciplines, the construction of meaningful learning, interdisciplinary work, and problem solving with a holistic vision. Additionally, obtaining information to solve learning situations, making decisions and finding ways of communicating with patients is intended with the purpose of strengthening the doctor-patient relationship.

Brand strengthening decision making delved from brand-contacts in health services organizations.

Science.gov (United States)

Takayanagi, Kazue; Hagihara, Yukiko

2007-01-01

Under the Japanese Government's strong enforcement of Japanese national medical cost reduction, only hospitals which emphasize patient values, and creation of brands according to them can survive. This study extracted patients' expectations as brand from Campbell's Brand-Contact lists. The authors also proposed to add Brand-strengthening strategies both for short-term strategies (large improvement is not required) and for long-term strategies (restructuring hardware and systems). This method would enable hospitals to collect customers' underlying expectations, and would create high-value brands. Trustful medical service would provide mutual and synergetic medical care effects. It is already considered out of date to conduct qualitative patient satisfaction interviews on current medical services to current customers. It is the only way to survive that hospitals themselves produce their original brands to increase patient loyalty and customer satisfaction. In the process, customer value should be reconsidered from both aspects of the quality of clinical care and of other medically related services. Then hospitals would be able to satisfy both customers' output and process expectations.

Foot muscles strengthener

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Boris T. Glavač

2012-04-01

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

Equipping medical graduates to address health systems challenges ...

African Journals Online (AJOL)

Methods: We defined HSR and strengthening competencies for medical graduates through a literature review and expert consultations. Learning outcomes in terms of knowledge, skill or attitude in the 64 module guides of the curriculum were compared with the competencies required. A survey of recent medical graduates ...

[Humanities in medical education: between reduction and integration].

Science.gov (United States)

Han, Taehee

2015-09-01

Reductive logic has been a major reasoning style in development of modern biomedical sciences. However, when "medical humanities" is developed by reductive reasoning, integrative and holistic values of humanities tend to be weakened. In that sense, identity and significance of "medical humanities" continue to be controversial despite of its literal clarity. Humanities in medical education should be established by strengthening humanistic and socialistic aspects of regular medical curriculum as well as developing individual "medical humanities" programs.

Oxide dispersion-strengthened ferritic alloys

International Nuclear Information System (INIS)

Asbroeck, P. van.

1976-10-01

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

HIV communication capacity strengthening: a critical review.

Science.gov (United States)

Lettenmaier, Cheryl; Kraft, Joan Marie; Raisanen, Keris; Serlemitsos, Elizabeth

2014-08-15

HIV communication is most effective and sustainable when it is designed and implemented locally and tailored to the local context. This requires capacity strengthening at national, subnational, and community levels. Through a review of the published and selected "grey" literature, we examine HIV communication capacity strengthening: definitions, measurements, implementation, and effects. We found limited documentation of HIV communication capacity needs or systematic approaches to address them. Most HIV communication capacity strengthening to date has focused on building individual competencies to design and manage social and behavior change communication programs through training courses, often coupled with networking opportunities for participants, post-training mentoring, and technical assistance. A few of these efforts have been evaluated through pre- and post-training tests and qualitative interviews with participants and have shown potential for improvement in individual skills and knowledge. Health communication capacity assessment tools that measure individual and organizational competencies exist, but they have most often been used to identify capacity building needs, not for evaluating capacity strengthening efforts. A new definition of capacity strengthening, grown out of recent efforts to improve effectiveness of international health and development programs, focuses on improving organizational and societal systems that support performance and individual competencies. We propose a holistic model for HIV communication capacity strengthening and call for rigorous documentation and evaluation to determine and scale-up optimal capacity building interventions for strengthening social and behavior change communication for HIV prevention, care, and treatment in developing countries.

Assisting IAEA Member States to Strengthen Regulatory Control, Particularly in the Medical Area

International Nuclear Information System (INIS)

Johnston, P.

2016-01-01

As per its Statue and Mandate, IAEA is developing Safety Standards and is also providing assistance for their application in Member States. One target and very large audience of this programme is the community of national regulatory bodies for radiation safety, expected to be established in all 168 Member States. Ionizing radiation is being used throughout the world in medical practices and medical exposure is the most significant manmade source of exposure to the population from ionizing radiation. Radiation accidents involving medical uses have accounted for more injuries and early acute health effects than any other type of radiation accident, including accidents at nuclear facilities. With the constant emerging of new technologies using ionizing radiation for medical diagnostic and treatment, there are on-going challenges for Regulatory bodies. The presentation will highlight some figures related to the medical exposure worldwide, and then it will introduce the main safety standards and other publications developed specifically for Regulatory Bodies and focusing on medical practices. It will also highlight the most important and recent mechanisms (tools, peer reviews and advisory services, training courses, networks) that the Agency is offering to its Member States in order to cope with the main challenges worldwide, contributing thus to the efficiency and effectiveness of the regulatory oversight of medical facilities and activities. (author)

Medical Students' Experiences with Addicted Patients: A Web-Based Survey

Science.gov (United States)

Midmer, Deana; Kahan, Meldon; Wilson, Lynn

2008-01-01

Project CREATE was an initiative to strengthen undergraduate medical education in addictions. As part of a needs assessment, forty-six medical students at Ontario's five medical schools completed a bi-weekly, interactive web-based survey about addiction-related learning events. In all, 704 unique events were recorded, for an average of 16.7…

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

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

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

Strengthening student communication through pediatric simulated patient encounters

Directory of Open Access Journals (Sweden)

Ryan Whitt

2014-08-01

Full Text Available As medical students enter the role of physician, clinical outcomes not only rely on their mastery of clinical knowledge, but also on the effectiveness in which they can communicate with patients and family members. While students typically have numerous opportunities to practice clinical communication with adult patients, such practice in pediatric settings is limited. This study examines if simulated patient (SP encounters strengthen third-year medical students’ communication skills during the pediatrics clerkship. During 2011-2013, three SP encounters (comprising 3 pediatric scenarios were incorporated into a pediatrics clerkship at one United States medical school to give students a safe venue to practice advanced communication with observation and direct feedback. Third-year medical students engaged in the scenarios and received both written and oral feedback from an evaluator observing the encounter. With IRB approval, students’ self-perceived confidence and abilities at performing the advanced communication skills were measured using an eightitem, Likert scale questionnaire administered pre and post the SP encounter. Pre- and post-questionnaires (n = 215; response rate, 96% analyzed using a Wilcoxon-matched pairs signed-rank test demonstrated statistically significant increases in students’ perception of their confidence and abilities regarding their performance (P < 0.05; Bonferroni correction, P < 0.006. There was an increases in student confidence and self-perceived ability in: first, communicating with children and family members of young patients; second, managing confrontational situations involving parents; third, performing a thorough psychosocial history with an adolescent; and fourth, using Evidence Based Medicine to motivate parents.

Strengthening of RC bridge slabs using CFRP sheets

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Fahmy A. Fathelbab

2014-12-01

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

Numerical Investigation of Masonry Strengthened with Composites

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Giancarlo Ramaglia

2018-03-01

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

Sleep On It: How Snoozing Strengthens Memories

Science.gov (United States)

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

Critical role of developing national strategic plans as a guide to strengthen laboratory health systems in resource-poor settings.

Science.gov (United States)

Nkengasong, John N; Mesele, Tsehaynesh; Orloff, Sherry; Kebede, Yenew; Fonjungo, Peter N; Timperi, Ralph; Birx, Deborah

2009-06-01

Medical laboratory services are an essential, yet often neglected, component of health systems in developing countries. Their central role in public health, disease control and surveillance, and patient management is often poorly recognized by governments and donors. However, medical laboratory services in developing countries can be strengthened by leveraging funding from other sources of HIV/AIDS prevention, care, surveillance, and treatment programs. Strengthening these services will require coordinated efforts by national governments and partners and can be achieved by establishing and implementing national laboratory strategic plans and policies that integrate laboratory systems to combat major infectious diseases. These plans should take into account policy, legal, and regulatory frameworks; the administrative and technical management structure of the laboratories; human resources and retention strategies; laboratory quality management systems; monitoring and evaluation systems; procurement and maintenance of equipment; and laboratory infrastructure enhancement. Several countries have developed or are in the process of developing their laboratory plans, and others, such as Ethiopia, have implemented and evaluated their plan.

Strengthening of defected beam–column joints using CFRP

Directory of Open Access Journals (Sweden)

Mohamed H. Mahmoud

2014-01-01

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

Strengthening of defected beam-column joints using CFRP.

Science.gov (United States)

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

2014-01-01

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

Atomoxetine Treatment Strengthens an Anti-Correlated Relationship between Functional Brain Networks in Medication-Naïve Adults with Attention-Deficit Hyperactivity Disorder: A Randomized Double-Blind Placebo-Controlled Clinical Trial.

Science.gov (United States)

Lin, Hsiang-Yuan; Gau, Susan Shur-Fen

2015-09-16

Although atomoxetine demonstrates efficacy in individuals with attention-deficit hyperactivity disorder, its treatment effects on brain resting-state functional connectivity remain unknown. Therefore, we aimed to investigate major brain functional networks in medication-naïve adults with attention-deficit hyperactivity disorder and the efficacy of atomoxetine treatment on resting-state functional connectivity. After collecting baseline resting-state functional MRI scans from 24 adults with attention-deficit hyperactivity disorder (aged 18-52 years) and 24 healthy controls (matched in demographic characteristics), the participants with attention-deficit hyperactivity disorder were randomly assigned to atomoxetine (n=12) and placebo (n=12) arms in an 8-week, double-blind, placebo-controlled trial. The primary outcome was functional connectivity assessed by a resting-state functional MRI. Seed-based functional connectivity was calculated and compared for the affective, attention, default, and cognitive control networks. At baseline, we found atypical cross talk between the default, cognitive control, and dorsal attention networks and hypoconnectivity within the dorsal attention and default networks in adults with attention-deficit hyperactivity disorder. Our first-ever placebo-controlled clinical trial incorporating resting-state functional MRI showed that treatment with atomoxetine strengthened an anticorrelated relationship between the default and task-positive networks and modulated all major brain networks. The strengthened anticorrelations were associated with improving clinical symptoms in the atomoxetine-treated adults. Our results support the idea that atypical default mode network task-positive network interaction plays an important role in the pathophysiology of adult attention-deficit hyperactivity disorder. Strengthening this atypical relationship following atomoxetine treatment suggests an important pathway to treat attention-deficit hyperactivity

Growing partnerships: leveraging the power of collaboration through the Medical Education Partnership Initiative.

Science.gov (United States)

Olapade-Olaopa, Emiola Oluwabunmi; Baird, Sarah; Kiguli-Malwadde, Elsie; Kolars, Joseph C

2014-08-01

A major goal of the Medical Education Partnership Initiative (MEPI) is to improve local health systems by strengthening medical education in Sub-Saharan Africa. A new approach to collaboration was intended to overcome the one-sided nature of many partnerships that often provide more rewards to institutions from wealthy countries than to their Sub-Saharan African counterparts. The benefits of this MEPI approach are reflected in at least five positive outcomes. First, effective partnerships have been developed across a diverse group of MEPI stakeholders. Second, a "community of practice" has been established to continue strengthening medical education in Sub-Saharan Africa. Third, links have been strengthened among MEPI health science schools in Sub-Saharan Africa, their communities, and ministries of both health and education. Fourth, respect among partners in the United States for a culture of ownership and self-determinism among their African counterparts committed to improving education has been enhanced. And finally, performance metrics for strengthening of health science education in Sub-Saharan Africa have been advanced. Meanwhile, partner medical schools in the United States have witnessed the benefits of collaborating across traditional disciplinary boundaries, such as physicians working within highly functioning community-based health care teams with many of the participating schools in Sub-Saharan Africa. MEPI demonstrates that North-South as well as South-South partnerships, with an explicit focus on improving local health systems through better education, can be designed to empower partners in the South with support from collaborators in the North.

Strengthened glass for high average power laser applications

International Nuclear Information System (INIS)

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

1987-01-01

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

A Successful US Academic Collaborative Supporting Medical Education in a Postconflict Setting

Directory of Open Access Journals (Sweden)

Patricia McQuilkin MD

2014-12-01

Full Text Available This article describes a model employed by the Academic Collaborative to Support Medical Education in Liberia to augment medical education in a postconflict setting where the health and educational structures and funding are very limited. We effectively utilized a cohort of visiting US pediatric faculty and trainees for short-term but recurrent clinical work and teaching. This model allows US academic medical centers, especially those with smaller residency programs, to provide global health experiences for faculty and trainees while contributing to the strengthening of medical education in the host country. Those involved can work toward a goal of sustainable training with a strengthened host country specialty education system. Partnerships such as ours evolve over time and succeed by meeting the needs of the host country, even during unanticipated challenges, such as the Ebola virus outbreak in West Africa.

Evaluating the performance of skewed prestressed concrete bridge after strengthening

Science.gov (United States)

Naser, Ali Fadhil; Zonglin, Wang

2013-06-01

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

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

Science.gov (United States)

Bender, Matthew D.

Motivated by performance requirements of future medical stent applications, experimental research addresses the design of novel TiNi-based, superelastic shape-memory alloys employing nanoscale precipitation strengthening to minimize accommodation slip for cyclic stability and to increase output stress capability for smaller devices. Using a thermodynamic database describing the B2 and L21 phases in the Al-Ni-Ti-Zr system, Thermo-Calc software was used to assist modeling the evolution of phase composition during 600°C isothermal evolution of coherent L21 Heusler phase precipitation from supersaturated TiNi-based B2 phase matrix in an alloy experimentally characterized by atomic-scale Local Electrode Atom Probe (LEAP) microanalysis. Based on measured evolution of the alloy hardness (under conditions stable against martensitic transformation) a model for the combined effects of solid solution strengthening and precipitation strengthening was calibrated, and the optimum particle size for efficient strengthening was identified. Thermodynamic modeling of the evolution of measured phase fractions and compositions identified the interfacial capillary energy enabling thermodynamic design of alloy microstructure with the optimal strengthening particle size. Extension of alloy designs to incorporate Pt and Pd for reducing Ni content, enhancing radiopacity, and improving manufacturability were considered using measured Pt and Pd B2/L2 1 partitioning coefficients. After determining that Pt partitioning greatly increases interphase misfit, full attention was devoted to Pd alloy designs. A quantitative approach to radiopacity was employed using mass attenuation as a metric. Radiopacity improvements were also qualitatively observed using x-ray fluoroscopy. Transformation temperatures were experimentally measured as a function of Al and Pd content. Redlich-Kister polynomial modeling was utilized for the dependence of transformation reversion Af temperature on B2 matrix phase

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

Science.gov (United States)

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

2010-11-01

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

Timber Elements: Traditional and Modern Strengthening Techniques

Directory of Open Access Journals (Sweden)

Raluca Hohan

2010-01-01

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

The basis for the strengthening of safeguards

International Nuclear Information System (INIS)

Goldschmidt, P.

1999-01-01

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

Strengthening quitter self-identity: An experimental study.

Science.gov (United States)

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

2018-06-10

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

Strengthening medical education in haematology and blood transfusion: postgraduate programmes in Tanzania.

Science.gov (United States)

Makani, Julie; Lyimo, Magdalena; Magesa, Pius; Roberts, David J

2017-06-01

Haematology and blood transfusion, as a clinical and laboratory discipline, has a far-reaching impact on healthcare both through direct patient care as well as provision of laboratory and transfusion services. Improvement of haematology and blood transfusion may therefore be significant in achieving advances in health in Africa. In 2005, Tanzania had one of the lowest distributions of doctors in the world, estimated at 2·3 doctors per 100 000 of population, with only one haematologist, a medical doctor with postgraduate medical education in haematology and blood transfusion. Here, we describe the establishment and impact of a postgraduate programme centred on Master of Medicine and Master of Science programmes to build the capacity of postgraduate training in haematology and blood transfusion. The programme was delivered through Muhimbili University of Health and Allied Sciences (MUHAS) with partnership from visiting medical and laboratory staff from the UK and complemented by short-term visits of trainees from Tanzania to Haematology Departments in the UK. The programme had a significant impact on the development of human resources in haematology and blood transfusion, successfully training 17 specialists with a significant influence on delivery of health services and research. This experience shows how a self-sustaining, specialist medical education programme can be developed at low cost within Lower and Middle Income Countries (LMICs) to rapidly enhance delivery of capacity to provide specialist services. © 2017 John Wiley & Sons Ltd.

Cultural Differences between American and Israeli Medical Students Regarding Their Perceptions of the Medical Profession and Satisfaction with Studies

Directory of Open Access Journals (Sweden)

Eyal Lotan

2010-07-01

Conclusions:  Cultural differences affect students' perception of their studies, mentors and future careers. Medical educators should be sensitive to the effects of students' background which influence academic and professional attitudes and find ways to strengthen their commitment to the profession.

Cable strengthened arches

NARCIS (Netherlands)

Kamerling, M.W.

2013-01-01

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

Modeling of crack propagation in strengthened concrete disks

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Stang, Henrik

2013-01-01

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

Building Partner Capacity and Strengthening Security Through Medical Security Force Assistance

Science.gov (United States)

2013-06-01

initially .”..hailed by some as a creation as important to the theoretical development of the social sciences as the calculus had been to the...particularly medical and dental care, can have the unintended consequence of decreasing the population’s confidence in the

Ion exchange for glass strengthening

International Nuclear Information System (INIS)

Gy, Rene

2008-01-01

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

Ethics and the ethnography of medical research in Africa

Science.gov (United States)

Molyneux, Sassy; Geissler, P. Wenzel

2008-01-01

The ethics of medical research have grown as an area of expertise and debate in recent years, with two broad approaches emerging in relation to transnational research: (1) the refinement of guidelines and strengthening of review, processes primarily to protect the right of individual research participants and strengthen interpersonal relations at the micro-level; and (2) considering more centrally, as crucial ethical concerns, the wider interests of whole populations, the functioning of research institutions, the processes of collaboration, and the ethics of inequitable international relations. We see the two areas of debate and action as complementary, and believe that social science conducted in and around transnational medical research environments can bring these two perspectives together in a more ‘situated ethics’ of research. To explore this idea for medical research in Africa, we organized a conference in December 2005 in Kilifi, Kenya. In this introduction we outline the two emerging approaches to medical ethics, summarise each of seven papers selected from the conference for inclusion in this special issue on ethics and ethnography, and finally highlight two areas of lively debate at the conference itself: the appropriateness and value of ethics guidelines and review boards for medical research; and the ethical review of social science research. Together, the papers and debates point to the importance of focusing on the ethics of relationships and on justice in both biomedicine and social science research, and on giving greater voice and visibility to the field staff who often play a crucial and under-supported role in ‘doing ethics’ in the field. They also point to the potential value of social science research on the range of relationships operating at different levels and time scales in medical research, including those surrounding community engagement activities, and the role and functioning of ethics review boards. We conclude by highlighting

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

Science.gov (United States)

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

2017-11-01

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

Analysis of the Status Quo of Humanistic Quality-Oriented Education in Medical Colleges and Universities

Science.gov (United States)

Liu, Shulei; Li, Yamin

2012-01-01

With transformation of contemporary modern medical educational modes and improvement of requirement upon doctors' humanistic quality, it seems quite important to strengthen humanistic quality-oriented education in medical colleges and universities. Medical humanistic quality-oriented education in China started late, which determines that there are…

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

Science.gov (United States)

Yuasa, Motoyuki; Yamaguchi, Yoshie; Imada, Mihoko

2013-09-22

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

Optimal cost for strengthening or destroying a given network

Science.gov (United States)

Patron, Amikam; Cohen, Reuven; Li, Daqing; Havlin, Shlomo

2017-05-01

Strengthening or destroying a network is a very important issue in designing resilient networks or in planning attacks against networks, including planning strategies to immunize a network against diseases, viruses, etc. Here we develop a method for strengthening or destroying a random network with a minimum cost. We assume a correlation between the cost required to strengthen or destroy a node and the degree of the node. Accordingly, we define a cost function c (k ) , which is the cost of strengthening or destroying a node with degree k . Using the degrees k in a network and the cost function c (k ) , we develop a method for defining a list of priorities of degrees and for choosing the right group of degrees to be strengthened or destroyed that minimizes the total price of strengthening or destroying the entire network. We find that the list of priorities of degrees is universal and independent of the network's degree distribution, for all kinds of random networks. The list of priorities is the same for both strengthening a network and for destroying a network with minimum cost. However, in spite of this similarity, there is a difference between their pc, the critical fraction of nodes that has to be functional to guarantee the existence of a giant component in the network.

Strengthening Mechanisms in Microtruss Metals

Science.gov (United States)

Ng, Evelyn K.

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

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

NARCIS (Netherlands)

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

2011-01-01

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

STRENGTHENING OF A REINFORCED CONCRETE BRIDGE WITH PRESTRESSED STEEL WIRE ROPES

Directory of Open Access Journals (Sweden)

Kexin Zhang

2017-10-01

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

Condition assessment and strengthening of residential units

Directory of Open Access Journals (Sweden)

Tatheer Zahra

2014-01-01

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

Self-flowing mortar for ferrocement in strengthening applications

Directory of Open Access Journals (Sweden)

Shamir Sakir

2016-09-01

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

Effect of horizontal reinforcement in strengthening of masonry members

International Nuclear Information System (INIS)

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

2008-01-01

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

77 FR 52742 - Public Meeting-Strengthening the National Medical Device Postmarket Surveillance System; Request...

Science.gov (United States)

2012-08-30

... Contact Person) no later than September 5, 2012. No commercial or promotional material will be permitted... develop and implement a comprehensive medical device postmarket surveillance strategy to collect, analyze... implementing this strategy, FDA is holding a public meeting to discuss the current and future state of medical...

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

International Nuclear Information System (INIS)

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

2012-01-01

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

Improving the engineering strength of heat strengthened glass

NARCIS (Netherlands)

Veer, F.A.; Rodichev, YM

2016-01-01

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

New concept of critical infrastructure strengthening

International Nuclear Information System (INIS)

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

2016-01-01

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

New concept of critical infrastructure strengthening

Energy Technology Data Exchange (ETDEWEB)

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

2016-06-08

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

Strengthening Masonry Arches with Lime-Based Mortar Composite

Directory of Open Access Journals (Sweden)

Valerio Alecci

2017-06-01

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

Strengthening of metallic alloys with nanometer-size oxide dispersions

Science.gov (United States)

Flinn, John E.; Kelly, Thomas F.

1999-01-01

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

Practical approaches to implementing facility wide equipment strengthening programs

International Nuclear Information System (INIS)

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

1989-01-01

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

Strengthening of metallic alloys with nanometer-size oxide dispersions

Science.gov (United States)

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

1999-06-01

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

Polycrystalline strengthening

DEFF Research Database (Denmark)

Hansen, Niels

1985-01-01

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

RC T beams strengthened to shear with carbon fiber composites

Directory of Open Access Journals (Sweden)

L. A. Spagnolo JR

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

Nanostructured thin film coatings with different strengthening effects

Directory of Open Access Journals (Sweden)

Panfilov Yury

2017-01-01

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

Structural improvement of strengthened deck panels with externally bonded plates

International Nuclear Information System (INIS)

Sim, Jongsung; Oh, Hongseob

2005-01-01

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

Electron-microscopic investigations of dispersion-strengthened superalloys

International Nuclear Information System (INIS)

Schroeder, J.H.; Arzt, E.

1988-01-01

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

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

International Nuclear Information System (INIS)

2010-09-01

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

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

DEFF Research Database (Denmark)

Zhang, Xiaodan; Godfrey, Andy; Huang, Xiaoxu

2012-01-01

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

Initial Semantics for Strengthened Signatures

Directory of Open Access Journals (Sweden)

André Hirschowitz

2012-02-01

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

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

African Journals Online (AJOL)

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

ESTIMATION OF SUBGRADE STRENGTHENING INFLUENCE USING SOILCEMENT ELEMENTS

Directory of Open Access Journals (Sweden)

V. D. Petrenko

2016-08-01

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

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

Directory of Open Access Journals (Sweden)

Lila M. Abdel-Hafez

2015-08-01

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

Dislocation Strengthening without Ductility Trade-off in Metastable Austenitic Steels

Science.gov (United States)

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

2016-10-01

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

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

Science.gov (United States)

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

2014-03-01

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

Strengthening Leadership Competencies of Thai Secondary School Teachers

OpenAIRE

Chaiyot Wanutha; Kowat Tesaputa; Anan Sri-Ampai

2017-01-01

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

Squeeze strengthening of magnetorheological fluids using mixed mode operation

Science.gov (United States)

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

2015-05-01

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

Direct dorsal hippocampal-prelimbic cortex connections strengthen fear memories.

Science.gov (United States)

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

2017-01-01

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

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

Directory of Open Access Journals (Sweden)

Furuuchi H.

2012-01-01

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

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

Directory of Open Access Journals (Sweden)

Alaa Morsy

2013-09-01

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

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

DEFF Research Database (Denmark)

Blanksvärd, Thomas; Täljsten, Björn; Carolin, Anders

2009-01-01

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

FRP strengthening of RC walls with openings

DEFF Research Database (Denmark)

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

2009-01-01

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

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

Science.gov (United States)

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

2018-02-01

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

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

Science.gov (United States)

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

2018-06-01

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

FIRE PROTECTION OF TIMBER STRUCTURES STRENGTHENED WITH FRP MATERIALS

Directory of Open Access Journals (Sweden)

Radek Zigler

2015-12-01

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

Strengthening the sports data infrastructure

NARCIS (Netherlands)

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

2012-01-01

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

Behaviour of Strengthened RC Frames with Eccentric Steel Braced Frames

Science.gov (United States)

Kamanli, Mehmet; Unal, Alptug

2017-10-01

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

Strengthening health facilities for maternal and newborn care: experiences from rural eastern Uganda

Directory of Open Access Journals (Sweden)

Gertrude Namazzi

2015-03-01

Full Text Available Background: In Uganda maternal and neonatal mortality remains high due to a number of factors, including poor quality of care at health facilities. Objective: This paper describes the experience of building capacity for maternal and newborn care at a district hospital and lower-level health facilities in eastern Uganda within the existing system parameters and a robust community outreach programme. Design: This health system strengthening study, part of the Uganda Newborn Study (UNEST, aimed to increase frontline health worker capacity through district-led training, support supervision, and mentoring at one district hospital and 19 lower-level facilities. A once-off supply of essential medicines and equipment was provided to address immediate critical gaps. Health workers were empowered to requisition subsequent supplies through use of district resources. Minimal infrastructure adjustments were provided. Quantitative data collection was done within routine process monitoring and qualitative data were collected during support supervision visits. We use the World Health Organization Health System Building Blocks to describe the process of district-led health facility strengthening. Results: Seventy two per cent of eligible health workers were trained. The mean post-training knowledge score was 68% compared to 32% in the pre-training test, and 80% 1 year later. Health worker skills and competencies in care of high-risk babies improved following support supervision and mentoring. Health facility deliveries increased from 3,151 to 4,115 (a 30% increase in 2 years. Of 547 preterm babies admitted to the newly introduced kangaroo mother care (KMC unit, 85% were discharged alive to continue KMC at home. There was a non-significant declining trend for in-hospital neonatal deaths across the 2-year study period. While equipment levels remained high after initial improvement efforts, maintaining supply of even the most basic medications was a challenge, with

Strengthening Nordic-Baltic Defense Capabilities

DEFF Research Database (Denmark)

Breitenbauch, Henrik Ø.

2014-01-01

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

[Stigmatisation and mental illness: medical workers, politics and journalists].

Science.gov (United States)

Touzet, Patrick

2011-01-01

Stigmatisation of mental health patients results from our social representations. The destigmatisation for which medical workers aim towards falls within the political sphere of psychiatry. The other actors, journalists and politicians, also have an important role to play. They can strengthen stigmatisation when their personal interests go before their professional missions.

Microstructure and strengthening mechanisms in cold-drawn pearlitic steel wire

DEFF Research Database (Denmark)

Zhang, Xiaodan; Godfrey, Andy; Huang, Xiaoxu

2011-01-01

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

Behaviour of Strengthened RC Frames with Eccentric Steel Braced Frames

Directory of Open Access Journals (Sweden)

Kamanli Mehmet

2017-01-01

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

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

International Nuclear Information System (INIS)

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

1981-01-01

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

Strengthening method of concrete structure

Science.gov (United States)

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

2018-03-01

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

Strengthening the infrastructure for RI applications in cooperation with the IAEA

Energy Technology Data Exchange (ETDEWEB)

Park, Kyung Bae; Hong, Young Don; Kim, Seung Yun; Kim, Kyoung Pyo; Lee, Jeong Kong

2000-12-01

-going development and development project are actively implemented. They include RI production for medical and industrial use, research on atomic structures and dynamics of material by neutron beam application, development of advanced nuclear materials, analysis of infinitesimal quantity in various materials by NAA, development of food science and technology by radiation and development of nucleonic tracer technology. As the participation in the IAEA technical cooperation programs and IAEA CRP programs are expected to be expanded in the future, strategies for participation in the possible cooperation areas in radiation and RI application were presented, As for strategies for strengthening cooperation in RCA projects, strategies for activation of RCA projects, operation of research reactor school and strategies for effective participation in RCA projects, including active participation in the thematic projects, expanding domestic participation in the RCA projects and measures to host RCA events in Korea, were described. The IAEA's implementation direction for technical cooperation programs and strategies for strengthening technical cooperation between Korea and the IAEA can be utilized as a basic reference material for the effective planning and implementation of IAEA technical cooperation projects. In particular, as the current status and implementation direction for IAEA CRP programs is presenting the characteristics of IAEA CRP programs, it will help CRP project managers to implement their respective projects and is expected to be utilized as basic information source for the potential participants in the IAEA CRP program. It is hoped that this study will be widely utilized for expanding the IAEA project in radiation and RI application and for establishing a future direction for cooperation with IAEA by the governments, industries, academic circles and research institutions.

Strengthening the infrastructure for RI applications in cooperation with the IAEA

International Nuclear Information System (INIS)

Park, Kyung Bae; Hong, Young Don; Kim, Seung Yun; Kim, Kyoung Pyo; Lee, Jeong Kong

2000-12-01

implemented. They include RI production for medical and industrial use, research on atomic structures and dynamics of material by neutron beam application, development of advanced nuclear materials, analysis of infinitesimal quantity in various materials by NAA, development of food science and technology by radiation and development of nucleonic tracer technology. As the participation in the IAEA technical cooperation programs and IAEA CRP programs are expected to be expanded in the future, strategies for participation in the possible cooperation areas in radiation and RI application were presented, As for strategies for strengthening cooperation in RCA projects, strategies for activation of RCA projects, operation of research reactor school and strategies for effective participation in RCA projects, including active participation in the thematic projects, expanding domestic participation in the RCA projects and measures to host RCA events in Korea, were described. The IAEA's implementation direction for technical cooperation programs and strategies for strengthening technical cooperation between Korea and the IAEA can be utilized as a basic reference material for the effective planning and implementation of IAEA technical cooperation projects. In particular, as the current status and implementation direction for IAEA CRP programs is presenting the characteristics of IAEA CRP programs, it will help CRP project managers to implement their respective projects and is expected to be utilized as basic information source for the potential participants in the IAEA CRP program. It is hoped that this study will be widely utilized for expanding the IAEA project in radiation and RI application and for establishing a future direction for cooperation with IAEA by the governments, industries, academic circles and research institutions

Fracture mechanical analysis of strengthened concrete tension members with one crack

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Stang, Henrik

2012-01-01

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

Using the IRRS to Strengthen Regulatory Competence in Ireland

International Nuclear Information System (INIS)

Smith, K.

2016-01-01

In 2015, Ireland underwent an IRRS (Integrated Regulatory Review Service) review mission. The purpose of the mission was to review Ireland’s radiation and nuclear safety regulatory framework and activities against the relevant IAEA safety standards, to report on the regulatory effectiveness and to exchange information and experience in the areas covered by the IRRS. The review mission was well-timed as there had been recent changes in the regulatory infrastructure with the merger of the Radiological Protection Institute of Ireland (RPII) and the Environmental Protection Agency (EPA) in 2014, as well as the upcoming implementation of the new Euratom Basic Safety Standards (BSS) Directive. The key objectives of the mission were to enhance the national legal, governmental and regulatory framework for nuclear and radiation safety, and national arrangements for emergency preparedness and response. The agreed scope of the review covered all relevant facilities and activities regulated in Ireland and also included medical exposures and public exposure to radon. In advance of the mission, Ireland completed a process of self-assessment and review. This process identified strengths and weaknesses in the national regulatory framework compared with the international standards. In addition to the value of having Ireland’s radiation protection framework peer reviewed by senior international experts, the mission helped to further strengthen links between all the national bodies (government, licensees, regulatory) with a role in the regulation of radiation safety. The findings from the IRRS review team’s objective evaluation of Ireland’s regulatory infrastructure are being used to prioritise actions for strengthening the regulatory framework, to provide input into the transposition of the Euratom BSS, and to support the revision of the national emergency plan for nuclear accidents. It is planned to have addressed the findings of the IRRS mission in advance of a follow up

Modeling and characterization of strengthened concrete tension members

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Stang, Henrik

2011-01-01

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

Development of the strengthened safeguards system and the Additional Protocol

International Nuclear Information System (INIS)

Vidaurre-Henry, Jaime

2001-01-01

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

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

Directory of Open Access Journals (Sweden)

Hayder M.K.Al-Mutairee

2017-08-01

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

Dispersion strengthening

International Nuclear Information System (INIS)

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

1976-01-01

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

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

International Nuclear Information System (INIS)

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

2013-01-01

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

Strengthening the non proliferation regime: French views

International Nuclear Information System (INIS)

Delaune, P.

2013-01-01

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

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

LENUS (Irish Health Repository)

Fleming, Garry J P

2012-07-01

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

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

International Nuclear Information System (INIS)

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

2012-01-01

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

Internship Training in Community Medicine – Need For Reorientation and Strengthening

Directory of Open Access Journals (Sweden)

Subitha Lakshminarayanan

2014-12-01

Full Text Available Background: The goal of MBBS training program is to create a basic doctor, physicians of first contact for the community in the primary care setting both in urban as well as rural areas of our country. Internship is a phase of training wherein a graduate is expected to conduct actual practice of medical and health care and acquire skills under supervision so that he/she may become capable of functioning independently. In the context of public health practice, he should be oriented to provide preventive and promotive health care services to the community, demonstrate skills in monitoring of national health programs and develop leadership qualities to function effectively as a leader of the health team. Methods: This study is based on current status assessment and reviewed literature on internship training in India from PubMed, internet and other sources. The review is presented as need for scenario of internship training in Community Medicine, need for its strengthening, guidelines for internship training and conclusions. Results: There is no uniform pattern for internship training in community medicine, in terms of exposure, training and evaluation, at medical college departments and at rural training centers both in government and private medical colleges. This is further complicated by factors like lack of structured framework for need based training, reduced time period of training, preparation for postgraduate examinations and lack of post training assessment. Poor  facilities  at  rural  health  training centers  and  primary  health  centers  like transportation and laboratory facilities, lack of infrastructure and basic amenities to cater to the residential needs of interns pose additional difficulties. Internship training in community medicine should be appropriately structured to provide confidence to medical graduates to practice their profession in common and simple settings, and be able to deliver primary health care

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

Science.gov (United States)

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

2018-03-01

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

A Review on Strengthening Steel Beams Using FRP under Fatigue

Directory of Open Access Journals (Sweden)

Mohamed Kamruzzaman

2014-01-01

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

A review on strengthening steel beams using FRP under fatigue.

Science.gov (United States)

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

2014-01-01

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

A Review on Strengthening Steel Beams Using FRP under Fatigue

Science.gov (United States)

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

2014-01-01

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

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

Science.gov (United States)

Loprinzi, Paul D

2016-06-01

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

Cardiovascular fitness strengthening using portable device.

Science.gov (United States)

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

2016-08-01

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

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

Directory of Open Access Journals (Sweden)

Rajeh A. Al-Zaid

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

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

Science.gov (United States)

2012-06-26

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

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

DEFF Research Database (Denmark)

Liu, Fang; Rashidi, Masoud; Johansson, Lennart

2016-01-01

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

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

Directory of Open Access Journals (Sweden)

Husain Abbas

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

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

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

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

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

Science.gov (United States)

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

2014-01-01

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

Strengthening of Steel Columns under Load: Torsional-Flexural Buckling

Directory of Open Access Journals (Sweden)

Martin Vild

2016-01-01

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

The UNAM M. Sc. program in Medical Physics enters its teen years

Science.gov (United States)

Brandan, María-Ester

2010-12-01

The M.Sc. (Medical Physics) program at the National Autonomous University of Mexico UNAM, created in 1997, has graduated a substantial number of medical physicists who constitute today about 30% of the medical physics clinical workforce in the country. Up to present date (May 2010) more than 60 students have graduated, 60% of them hold clinical jobs, 20% have completed or study a Ph.D., and 15% perform activities related to this specialization. In addition to strengthening the clinical practice of medical physics, the program has served as an incentive for medical physics research in UNAM and other centers. We report the circumstances of the program origin, the evolution of its curriculum, the main achievements, and the next challenges.

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

DEFF Research Database (Denmark)

Täljsten, Björn; Hejll, Arvid; James, Gerard

2007-01-01

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

The prevalence and association of stress with sleep quality among medical students

Directory of Open Access Journals (Sweden)

Abdullah I. Almojali

2017-09-01

Conclusion: The study documents a statistically significant association between stress and poor sleep quality. A recommendation for the management of medical college is to establish academic counseling centers focusing in promoting good sleep hygiene and strengthening students’ study skills and coping with their stressful environment.

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

Energy Technology Data Exchange (ETDEWEB)

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

2009-07-01

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

FRP Composites Strengthening of Concrete Columns under Various Loading Conditions

Directory of Open Access Journals (Sweden)

Azadeh Parvin

2014-04-01

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

Seismic evaluation and strengthening of Bohunice nuclear power plant structures

International Nuclear Information System (INIS)

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

2001-01-01

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

Medical education in paradise: another facet of Hawaii.

Science.gov (United States)

Jacobs, Joshua L; Kasuya, Richard; Sakai, Damon; Haning, William; Izutsu, Satoru

2008-06-01

Hawaii is synonymous with paradise in the minds of many. Few know that it is also an environment where high quality medical education is thriving. This paper outlines medical education initiatives beginning with native Hawaiian healers of centuries ago, and continuing to present-day efforts to support top-notch multicultural United States medical education across the continuum of training. The undergraduate medical education program has as its core community-based problem-based learning. The community basis of training is continued in graduate medical education, with resident doctors in the various programs rotating through different clinical experiences at various hospitals and clinics. Continuing medical education is provided by nationally accredited entities, within the local context. Educational outreach activities extend into primary and secondary schools, homeless shelters, neighbouring islands, and to countries throughout the Pacific. Challenges facing the medical education community in Hawaii are similar to those faced elsewhere and include incorporating more technology to improve efficiency, strengthening the vertical integration of the training continuum, better meeting the needs of the state, and paying for it all. Readers are invited to join in addressing these challenges to further the realisation of medical education in paradise as a paradise of medical education.

Medical tourism: a fad or an opportunity Comment on "Patient mobility in the global marketplace: a multidisciplinary perspective".

Science.gov (United States)

Kronfol, Nabil

2014-06-01

This article is a commentary of an overview on "medical tourism" submitted by Lunt and Marrion, which describes a framework for the study of the issues related to medical tourism. The commentary attempts to differentiate between the current interest in medical tourism and the time-honored and well-established treatment abroad from countries with underdeveloped health systems. The commentary also calls for efforts to strengthen medical services and quality of care through the inflow of patients to countries that attract "medical tourists".

Strengthening health system to improve immunization for migrants in China.

Science.gov (United States)

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

2017-07-01

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

Strengthening training in rural practice in Germany: new approach for undergraduate medical curriculum towards sustaining rural health care.

Science.gov (United States)

Holst, Jens; Normann, Oliver; Herrmann, Markus

2015-01-01

After decades of providing a dense network of quality medical care, Germany is facing an increasing shortage of medical doctors in rural areas. Current graduation rates of generalists do not counterbalance the loss due to retirement. Informed by international evidence, different strategies to ensure rural medical care are under debate, including innovative teaching approaches during undergraduate training. The University of Magdeburg in Saxony-Anhalt was the first medical school in Germany to offer a rural elective for graduate students. During the 2014 summer semester, 14 medical students attended a two-weekend program in a small village in Northern Saxony-Anhalt that allowed them to become more familiar with a rural community and rural health issues. The elective course raised a series of relevant topics for setting up rural practice and provided students with helpful insight into living and working conditions in rural practice. Preliminary evaluations indicate that the rural medicine course allowed medical students to reduce pre-existing concerns and had positive impact on their willingness to set up a rural medical office after graduation. Even short-term courses in rural practice can help reduce training-related barriers that prevent young physicians from working in rural areas. Undergraduate medical training is promising to attenuate the emerging undersupply in rural areas.

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

DEFF Research Database (Denmark)

Sudzina, Frantisek; Razmerita, Liana

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

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

NARCIS (Netherlands)

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

2015-01-01

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

Notch-strengthening in two-dimensional foams

NARCIS (Netherlands)

Onck, P.R.

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

Strengthening Information Society Research Capacity Alliance ...

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

2011-09-13

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

Experimental study on tunnel lining joints temporarily strengthened by SMA bolts

International Nuclear Information System (INIS)

Wu, Bo; Ou, Yunlong

2014-01-01

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

Strengthening of the Cooperative Framework for ANENT

International Nuclear Information System (INIS)

Han, K. W.; Lee, E. J.; Min, B. J.

2007-01-01

The Asian Network for Education in Nuclear Technology (ANENT) was established in February 2004 to promote nuclear education and training in Asia. Initially ANENT member countries cooperated with 5 group activities encompassing broad areas. As of 2006, the cooperative framework was strengthened in a way to focus on web-based nuclear education and training for a period of several years to come. In this context, the Nuclear Training Center (NTC) of KAERI has contributed, in particular, to the development of the ANENT web-portal including a cyber platform, and making available relevant courses and materials on the web-portal. This paper discusses details of the strengthened cooperative framework in terms of NTC's effort for realizing web-based education and training through regional networking

Limit analysis on FRP-strengthened RC members

Directory of Open Access Journals (Sweden)

D. De Domenico

2014-07-01

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

Strengthening Democratic Governance through ICTs : Post Election ...

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

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

Strategy of Strengthening Institutional Fishermen Groups for Increasing Income

Directory of Open Access Journals (Sweden)

Edy Yusuf Agunggunanto

2016-10-01

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

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

Directory of Open Access Journals (Sweden)

Sinyakov Leonid

2016-01-01

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

Strengthening primary healthcare through community involvement in ...

African Journals Online (AJOL)

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

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

Directory of Open Access Journals (Sweden)

Al Saadi Hamza Salim Mohammed

2017-01-01

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

Nanoscale strengthening mechanisms in metallic thin film systems

Science.gov (United States)

Schoeppner, Rachel Lynn

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

Seismic Strengthening of Carpentry Joints in Traditional Timber Structures

International Nuclear Information System (INIS)

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

2008-01-01

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

Seismic Strengthening of Carpentry Joints in Traditional Timber Structures

Science.gov (United States)

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

2008-07-01

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

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

Science.gov (United States)

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

2006-03-01

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

Strengthening partnerships among Africa's science granting ...

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

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

[Strengthening of the steering role of health++ authorities in health care reforms].

Science.gov (United States)

Marín, J M

2000-01-01

Strengthening the ability of health authorities to provide leadership and guidance, now and in the future, is an important issue within the context of health sector reform. It means, among other things, redefining the role of health in light of leading social and economic trends seen in the world at the beginning of the 21st century, increasing participation in health by nongovernmental entities, moving toward participatory democracy in many countries, and modifying concepts of what is considered "public" and "private." Within this scenario, it is necessary to redirect the role of the health sector toward coordinating the mobilization of national resources, on a multisectoral scale, in order to improve equity and social well-being and to channel the limited available resources to the most disadvantaged groups in society. The liberalization of the production and distribution of health-related goods and services, including insurance, challenges the exercise of authority in the area of health. Furthermore, the formation of regional economic blocks and the enormous weight wielded by multinational companies in the areas of pharmaceuticals and other medical supplies and technologies are forcing the health sector to seek ways of harmonizing health legislation and international negotiations. According to many experts, all of these demands surpass the ability of Latin American ministries of health to effectively respond, given most countries' current organizational, legal, and political conditions and technical infrastructure. The countries of the Americas must make it a priority to strengthen their health officials' ability to provide leadership and guidance in order to meet present and future challenges.

Core competencies for patient safety research: a cornerstone for global capacity strengthening

Science.gov (United States)

Andermann, Anne; Ginsburg, Liane; Norton, Peter; Arora, Narendra; Bates, David; Wu, Albert

2011-01-01

Background Tens of millions of patients worldwide suffer disabling injuries or death every year due to unsafe medical care. Nonetheless, there is a scarcity of research evidence on how to tackle this global health priority. The shortage of trained researchers is a major limitation, particularly in developing and transitional countries. Objectives As a first step to strengthen capacity in this area, the authors developed a set of internationally agreed core competencies for patient safety research worldwide. Methods A multistage process involved developing an initial framework, reviewing the existing literature relating to competencies in patient safety research, conducting a series of consultations with potential end users and international experts in the field from over 35 countries and finally convening a global consensus conference. Results An initial draft list of competencies was grouped into three themes: patient safety, research methods and knowledge translation. The competencies were considered by the WHO Patient Safety task force, by potential end users in developing and transitional countries and by international experts in the field to be relevant, comprehensive, clear, easily adaptable to local contexts and useful for training patient safety researchers internationally. Conclusions Reducing patient harm worldwide will require long-term sustained efforts to build capacity to enable practical research that addresses local problems and improves patient safety. The first edition of Competencies for Patient Safety Researchers is proposed by WHO Patient Safety as a foundation for strengthening research capacity by guiding the development of training programmes for researchers in the area of patient safety, particularly in developing and transitional countries, where such research is urgently needed. PMID:21228081

The Implementation of Medical Informatics in the National Competence Based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM).

Science.gov (United States)

Behrends, Marianne; Steffens, Sandra; Marschollek, Michael

2017-01-01

The National Competence Based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM) describes medical skills and attitudes without being ordered by subjects or organs. Thus, the NKLM enables systematic curriculum mapping and supports curricular transparency. In this paper we describe where learning objectives related to Medical Informatics (MI) in Hannover coincide with other subjects and where they are taught exclusively in MI. An instance of the web-based MERLIN-database was used for the mapping process. In total 52 learning objectives overlapping with 38 other subjects could be allocated to MI. No overlap exists for six learning objectives describing explicitly topics of information technology or data management for scientific research. Most of the overlap was found for learning objectives relating to documentation and aspects of data privacy. The identification of numerous shared learning objectives with other subjects does not mean that other subjects teach the same content as MI. Identifying common learning objectives rather opens up the possibility for teaching cooperations which could lead to an important exchange and hopefully an improvement in medical education. Mapping of a whole medical curriculum offers the opportunity to identify common ground between MI and other medical subjects. Furthermore, in regard to MI, the interaction with other medical subjects can strengthen its role in medical education.

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

OpenAIRE

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

2016-01-01

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

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

Science.gov (United States)

Goeschel, Christine A; Wachter, Robert M; Pronovost, Peter J

2010-07-01

Concern about the quality and safety of health care persists, 10 years after the 1999 Institute of Medicine report To Err is Human. Despite growing awareness of quality and safety risks, and significant efforts to improve, progress is difficult to measure. Hospital leaders, including boards and medical staffs, are accountable to improve care, yet they often address this duty independently. Shared responsibility for quality and patient safety improvement presents unique challenges and unprecedented opportunities for boards and medical staffs. To capitalize on the pressure to improve, both groups may benefit from a better understanding of their synergistic potential. Boards should be educated about the quality of care provided in their institutions and about the challenges of valid measurement and accurate reporting. Boards strengthen their quality oversight capacity by recruiting physicians for vacant board seats. Medical staff members strengthen their role as hospital leaders when they understand the unique duties of the governing board. A quality improvement strategy rooted in synergistic efforts by the board and the medical staff may offer the greatest potential for safer care. Such a mutually advantageous approach requires a clear appreciation of roles and responsibilities and respect for differences. In this article, we review these responsibilities, describe opportunities for boards and medical staffs to collaborate as leaders, and offer recommendations for how boards and medical staff members can address the challenges of shared responsibility for quality of care.

STRENGTHENING OF TRENCH COVER PLATES FOR SWITCHGEAR BUILDING

International Nuclear Information System (INIS)

M.S. RUBEN

2000-01-01

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

The effect of the Formative evaluation on the medical student＇s career emotion, practicing skills and social adaptation

Institute of Scientific and Technical Information of China (English)

Hui Ji[1; Hua Tian[2; Tao Dong[3

2015-01-01

With the development of the knowledge economy, social professional quality of talent has an increasingly demanding. Medical students is China＇ s medical and health undertakings reserve personnel, it plays an important role for better protection of people＇ s health by strengthening vocational personality training medical students and improving professional quality. Therefore, we must pay attention to the medical student＇ s career awareness, ethics, professionalism, career aspirations and career interests of education on medical students to develop a healthy personality of the medical profession, and lay the foundation for the sustainable development of medical and health services.

Strengthening masonry walls made of brick blocks with FRCM composites

Directory of Open Access Journals (Sweden)

Radovanović Željka

2015-01-01

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

Shoulder strengthening exercises adapted to specific shoulder pathologies can be selected using new simulation techniques: a pilot study.

Science.gov (United States)

Charbonnier, Caecilia; Lädermann, Alexandre; Kevelham, Bart; Chagué, Sylvain; Hoffmeyer, Pierre; Holzer, Nicolas

2018-02-01

Shoulder strength training exercises represent a major component of rehabilitation protocols designed for conservative or postsurgical management of shoulder pathologies. Numerous methods are described for exercising each shoulder muscle or muscle group. Limited information is available to assess potential deleterious effects of individual methods with respect to specific shoulder pathologies. Thus, the goal of this pilot study was to use a patient-specific 3D measurement technique coupling medical imaging and optical motion capture for evaluation of a set of shoulder strength training exercises regarding glenohumeral, labral and subacromial compression, as well as elongation of the rotator cuff muscles. One volunteer underwent magnetic resonance imaging (MRI) and motion capture of the shoulder. Motion data from the volunteer were recorded during three passive rehabilitation exercises and twenty-nine strengthening exercises targeting eleven of the most frequently trained shoulder muscles or muscle groups and using four different techniques when available. For each exercise, glenohumeral and labral compression, subacromial space height and rotator cuff muscles elongation were measured on the entire range of motion. Significant differences in glenohumeral, subacromial and labral compressions were observed between sets of exercises targeting individual shoulder muscles. Muscle lengths computed by simulation compared to MRI measurements showed differences of 0-5%. This study represents the first screening of shoulder strengthening exercises to identify potential deleterious effects on the shoulder joint. Motion capture combined with medical imaging allows for reliable assessment of glenohumeral, labral and subacromial compression, as well as muscle-tendon elongation during shoulder strength training exercises.

Does transparent government agencies strengthen trust?

NARCIS (Netherlands)

Grimmelikhuijsen, S.G.

2009-01-01

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

Seismic strengthening of the ILL High Flux Reactor building

International Nuclear Information System (INIS)

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

2006-01-01

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

Strengthening Science-based Environmental Policy Development in ...

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

Strengthening Science-based Environmental Policy Development in Burma's Democratic ... IDRC is providing funding to Simon Fraser University to support a network of ... The project will also encourage and assist in the creation of a business ...

Strengthening Governance in Health Systems for Reproductive ...

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

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

Role, structure and effects of medical tourism in Africa: a systematic scoping review protocol

Science.gov (United States)

Mogaka, John JO; Tsoka-Gwegweni, Joyce M; Mupara, Lucia M; Mashamba-Thompson, Tivani

2017-01-01

Introduction Some patients travel out of, while others come into Africa for medical care through a growing global phenomenon referred to as medical tourism (MT): the travel in search of medical care that is either unavailable, unaffordable or proscribed at home healthcare systems. While some castigate MT as promoting healthcare inequity, others endorse it as a revenue generator, promising local healthcare system strengthening. Currently, however, the understanding of this component of healthcare in Africa is inadequate. This study seeks to determine the level of knowledge on the role, structure and effect of MT in Africa as it relates to healthcare systems in the region. Methods Conduct a systematic scoping review to outline the role, structure and effect of MT in Africa. Databases: Academic Search Complete, Business Source Complete. Studies mapped in two stages: (1) mapping the studies based on the relevance of their titles and subject descriptors; (2) applying further inclusion criteria on studies from stage 1. Two reviewers will independently assess study quality and abstract data. Both quantitative and qualitative data analysis will be performed, using STATA V.13 and NVIVO, respectively. Ethics and dissemination The study results will be disseminated by publication in peer-reviewed journals and findings presented at academic and industry conferences related to MT, public health, health systems strengthening and tourism. Discussion MT spurs cutting-edge medical technologies, techniques and best practices in healthcare delivery. The two-tier healthcare landscape in Africa, however, presents an exceptionally unique context in which to situate this study. Much has been written about MT globally, but not much is known about the phenomenon in Africa; hence the appropriateness of this scientific assessment of MT in the region. By elucidating the role, structure and effect of this phenomenon, this study hopes to contribute to health systems strengthening in Africa

Strengthening the dementia care triad: identifying knowledge gaps and linking to resources.

Science.gov (United States)

Jensen, Christine J; Inker, Jennifer

2015-05-01

This article describes a project to identify the needs of family caregivers and health care providers caring for persons with dementia. Participants included 128 caregivers, who completed a survey, and 27 health care providers, who participated in a focus group and completed a survey. Caregivers reported their primary source of information about the disease was the doctor; however, the majority also reported they were primarily informed of medications and not about needed resources. Health care providers identified limited time with patients and families, and lack of awareness of community services, as their main challenges. Recommendations include strengthening the partnership between physicians, patients, and caregivers (the dementia care triad) through additional support and training for physicians and caregivers, increasing awareness of the Alzheimer's Association, and utilization of technology for families and professionals to track the needs of persons with dementia. © The Author(s) 2014.

High temperature mechanical properties of unirradiated dispersion strengthened copper

International Nuclear Information System (INIS)

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

1994-01-01

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

Fatigue behaviour analysis for the durability prequalification of strengthening mortars

International Nuclear Information System (INIS)

Bocca, P; Grazzini, A; Masera, D

2011-01-01

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

Strengthening Agricultural Research Capacity for Viable Extension ...

African Journals Online (AJOL)

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

Strengthening entrepreneurship through coaching and developing competencies

NARCIS (Netherlands)

Beldman, A.C.G.

2011-01-01

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

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

International Nuclear Information System (INIS)

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

1993-01-01

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

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

Science.gov (United States)

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

2018-04-01

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

Global health education in Swedish medical schools.

Science.gov (United States)

Ehn, S; Agardh, A; Holmer, H; Krantz, G; Hagander, L

2015-11-01

Global health education is increasingly acknowledged as an opportunity for medical schools to prepare future practitioners for the broad health challenges of our time. The purpose of this study was to describe the evolution of global health education in Swedish medical schools and to assess students' perceived needs for such education. Data on global health education were collected from all medical faculties in Sweden for the years 2000-2013. In addition, 76% (439/577) of all Swedish medical students in their final semester answered a structured questionnaire. Global health education is offered at four of Sweden's seven medical schools, and most medical students have had no global health education. Medical students in their final semester consider themselves to lack knowledge and skills in areas such as the global burden of disease (51%), social determinants of health (52%), culture and health (60%), climate and health (62%), health promotion and disease prevention (66%), strategies for equal access to health care (69%) and global health care systems (72%). A significant association was found between self-assessed competence and the amount of global health education received (pcurriculum. Most Swedish medical students have had no global health education as part of their medical school curriculum. Expanded education in global health is sought after by medical students and could strengthen the professional development of future medical doctors in a wide range of topics important for practitioners in the global world of the twenty-first century. © 2015 the Nordic Societies of Public Health.

Retrofitting Heritage Buildings by Strengthening or Using Seismic Isolation

International Nuclear Information System (INIS)

Danieli, Moshe; Bloch, Jacob; Ribakov, Yuri

2008-01-01

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

The Effect of Plan Type and Comprehensive Medication Reviews on High-Risk Medication Use.

Science.gov (United States)

Almodovar, Armando Silva; Axon, David Rhys; Coleman, Ashley M; Warholak, Terri; Nahata, Milap C

2018-05-01

In 2007, the Centers for Medicare & Medicaid Services (CMS) instituted a star rating system using performance outcome measures to assess Medicare Advantage Prescription Drug (MAPD) and Prescription Drug Plan (PDP) providers. To assess the relationship between 2 performance outcome measures for Medicare insurance providers, comprehensive medication reviews (CMRs), and high-risk medication use. This cross-sectional study included Medicare Part C and Part D performance data from the 2014 and 2015 calendar years. Performance data were downloaded per Medicare contract from the CMS. We matched Medicare insurance provider performance data with the enrollment data of each contract. Mann Whitney U and Spearman rho tests and a hierarchical linear regression model assessed the relationship between provider characteristics, high-risk medication use, and CMR completion rate outcome measures. In 2014, an inverse correlation between CMR completion rate and high-risk medication use was identified among MAPD plan providers. This relationship was further strengthened in 2015. No correlation was detected between the CMR completion rate and high-risk medication use among PDP plan providers in either year. A multivariate regression found an inverse association with high-risk medication use among MAPD plan providers in comparison with PDP plan providers in 2014 (beta = -0.358, P plan providers and higher CMR completion rates were associated with lower use of high-risk medications among beneficiaries. No outside funding supported this study. Silva Almodovar reports a fellowship funded by SinfoniaRx, Tucson, Arizona, during the time of this study. The other authors have nothing to disclose.

A survey of Sub-Saharan African medical schools.

Science.gov (United States)

Chen, Candice; Buch, Eric; Wassermann, Travis; Frehywot, Seble; Mullan, Fitzhugh; Omaswa, Francis; Greysen, S Ryan; Kolars, Joseph C; Dovlo, Delanyo; El Gali Abu Bakr, Diaa Eldin; Haileamlak, Abraham; Koumare, Abdel Karim; Olapade-Olaopa, Emiola Oluwabunmi

2012-02-24

Sub-Saharan Africa suffers a disproportionate share of the world's burden of disease while having some of the world's greatest health care workforce shortages. Doctors are an important component of any high functioning health care system. However, efforts to strengthen the doctor workforce in the region have been limited by a small number of medical schools with limited enrolments, international migration of graduates, poor geographic distribution of doctors, and insufficient data on medical schools. The goal of the Sub-Saharan African Medical Schools Study (SAMSS) is to increase the level of understanding and expand the baseline data on medical schools in the region. The SAMSS survey is a descriptive survey study of Sub-Saharan African medical schools. The survey instrument included quantitative and qualitative questions focused on institutional characteristics, student profiles, curricula, post-graduate medical education, teaching staff, resources, barriers to capacity expansion, educational innovations, and external relationships with government and non-governmental organizations. Surveys were sent via e-mail to medical school deans or officials designated by the dean. Analysis is both descriptive and multivariable. Surveys were distributed to 146 medical schools in 40 of 48 Sub-Saharan African countries. One hundred and five responses were received (72% response rate). An additional 23 schools were identified after the close of the survey period. Fifty-eight respondents have been founded since 1990, including 22 private schools. Enrolments for medical schools range from 2 to 1800 and graduates range from 4 to 384. Seventy-three percent of respondents (n = 64) increased first year enrolments in the past five years. On average, 26% of respondents' graduates were reported to migrate out of the country within five years of graduation (n = 68). The most significant reported barriers to increasing the number of graduates, and improving quality, related to

A survey of Sub-Saharan African medical schools

Directory of Open Access Journals (Sweden)

Chen Candice

2012-02-01

Full Text Available Abstract Background Sub-Saharan Africa suffers a disproportionate share of the world's burden of disease while having some of the world's greatest health care workforce shortages. Doctors are an important component of any high functioning health care system. However, efforts to strengthen the doctor workforce in the region have been limited by a small number of medical schools with limited enrolments, international migration of graduates, poor geographic distribution of doctors, and insufficient data on medical schools. The goal of the Sub-Saharan African Medical Schools Study (SAMSS is to increase the level of understanding and expand the baseline data on medical schools in the region. Methods The SAMSS survey is a descriptive survey study of Sub-Saharan African medical schools. The survey instrument included quantitative and qualitative questions focused on institutional characteristics, student profiles, curricula, post-graduate medical education, teaching staff, resources, barriers to capacity expansion, educational innovations, and external relationships with government and non-governmental organizations. Surveys were sent via e-mail to medical school deans or officials designated by the dean. Analysis is both descriptive and multivariable. Results Surveys were distributed to 146 medical schools in 40 of 48 Sub-Saharan African countries. One hundred and five responses were received (72% response rate. An additional 23 schools were identified after the close of the survey period. Fifty-eight respondents have been founded since 1990, including 22 private schools. Enrolments for medical schools range from 2 to 1800 and graduates range from 4 to 384. Seventy-three percent of respondents (n = 64 increased first year enrolments in the past five years. On average, 26% of respondents' graduates were reported to migrate out of the country within five years of graduation (n = 68. The most significant reported barriers to increasing the number of

A survey of Sub-Saharan African medical schools

Science.gov (United States)

2012-01-01

Background Sub-Saharan Africa suffers a disproportionate share of the world's burden of disease while having some of the world's greatest health care workforce shortages. Doctors are an important component of any high functioning health care system. However, efforts to strengthen the doctor workforce in the region have been limited by a small number of medical schools with limited enrolments, international migration of graduates, poor geographic distribution of doctors, and insufficient data on medical schools. The goal of the Sub-Saharan African Medical Schools Study (SAMSS) is to increase the level of understanding and expand the baseline data on medical schools in the region. Methods The SAMSS survey is a descriptive survey study of Sub-Saharan African medical schools. The survey instrument included quantitative and qualitative questions focused on institutional characteristics, student profiles, curricula, post-graduate medical education, teaching staff, resources, barriers to capacity expansion, educational innovations, and external relationships with government and non-governmental organizations. Surveys were sent via e-mail to medical school deans or officials designated by the dean. Analysis is both descriptive and multivariable. Results Surveys were distributed to 146 medical schools in 40 of 48 Sub-Saharan African countries. One hundred and five responses were received (72% response rate). An additional 23 schools were identified after the close of the survey period. Fifty-eight respondents have been founded since 1990, including 22 private schools. Enrolments for medical schools range from 2 to 1800 and graduates range from 4 to 384. Seventy-three percent of respondents (n = 64) increased first year enrolments in the past five years. On average, 26% of respondents' graduates were reported to migrate out of the country within five years of graduation (n = 68). The most significant reported barriers to increasing the number of graduates, and improving

Full Scale RC Beam-Column Joints Strengthened with Steel Reinforced Polymer Systems

Science.gov (United States)

De Vita, Alessandro; Napoli, Annalisa; Realfonzo, Roberto

2017-07-01

This paper presents the results of an experimental campaign performed at the Laboratory of Materials and Structural Testing of the University of Salerno (Italy) in order to investigate the seismic performance of RC beam-column joints strengthened with Steel Reinforced Polymer (SRP) systems. With the aim to represent typical façade frames’ beam-column subassemblies found in existing RC buildings, specimens were provided with two short beam stubs orthogonal to the main beam and were designed with inadequate seismic details. Five members were strengthened by using two different SRP layouts while the remaining ones were used as benchmarks. Once damaged, two specimens were also repaired, retrofitted with SRP and subjected to cyclic test again. The results of cyclic tests performed on SRP strengthened joints are examined through a comparison with the outcomes of the previous experimental program including companion specimens not provided with transverse beam stubs and strengthened by Carbon Fiber Reinforced Polymer (CFRP) systems. In particular, both qualitative and quantitative considerations about the influence of the confining effect provided by the secondary beams on the joint response, the suitability of all the adopted strengthening solutions (SRP/CFRP systems), the performances and the failure modes experienced in the several cases studied are provided.

Strengthening community participation in reducing GHG emission from forest and peatland fire

Science.gov (United States)

Thoha, A. S.; Saharjo, B. H.; Boer, R.; Ardiansyah, M.

2018-02-01

Strengthening community participation is needed to find solutions to encourage community more participate in reducing Green House Gas (GHG) from forest and peatland fire. This research aimed to identify stakeholders that have the role in forest and peatland fire control and to formulate strengthening model of community participation through community-based early warning fire. Stakeholder mapping and action research were used to determine stakeholders that had potential influence and interest and to formulate strengthening model of community participation in reducing GHG from forest and peatland fire. There was found that position of key players in the mapping of stakeholders came from the government institution. The existence of community-based fire control group can strengthen government institution through collaborating with stakeholders having strong interest and influence. Moreover, it was found several local knowledge in Kapuas District about how communities predict drought that have potential value for developing the community-based early warning fire system. Formulated institutional model in this research also can be further developed as a model institution in the preservation of natural resources based on local knowledge. In conclusion, local knowledge and community-based fire groups can be integrated within strengthening model of community participation in reducing GHG from forest and peatland fire.

Strengthening Family Practices for Latino Families

Science.gov (United States)

Chartier, Karen G.; Negroni, Lirio K.; Hesselbrock, Michie N.

2010-01-01

This study examined the effectiveness of a culturally adapted Strengthening Families Program (SFP) for Latinos to reduce risks for alcohol and drug use in children. Latino families, predominantly Puerto Rican, with a 9- to 12-year-old child and a parent(s) with a substance abuse problem participated in the study. Pre- and post-tests were conducted…

Ethical Issues in Modern Medical Informatization%现代医学信息化中的伦理问题研究

Institute of Scientific and Technical Information of China (English)

龙艺; 田宗远; 陈龙

2013-01-01

医学信息化技术广泛地应用于现代医疗各个环节之中,其具有高效、私密和功利性等特征,同时也产生了一些伦理问题.这些伦理问题折射了部分医务工作者对此缺乏足够的重视、对信息化技术的特点缺乏应有的认识、医疗机构对此缺少防范技术和监管等问题.对于信息技术所导致的伦理问题,应当从加强立法、强化和规范医院的管理、加强医疗机构和医务工作者的教育等方面抓起,化解现代医学信息化中的伦理问题.%Medical information technology has been widely used in modern medicine,with high efficiency,privacy and utilitarian characteristics.However,it has brought many relevant ethical issues which reflect the less attention,knowledge deficit and lacking prevention technology and regulation in some medical workers and some medical institutions.Dealing with these ethical problems caused by information technology,we should strengthen legislation,strengthen and regulate the management of hospitals,strengthen the corresponding education in medical institutions,in order to solve ethical problems in modem medical informatization.

Shear strength of reinforced concrete beams strengthened by P.B.O. fiber mesh under loading

Directory of Open Access Journals (Sweden)

Blikharskyy Zinoviy

2017-01-01

Full Text Available This article presents experimental study of sheer strength of reinforced concrete beams without transverse steel reinforcement, which strengthened by composite materials. The feature of tests is that the beams’ strengthening is made under simultaneous action of loading. The research program involves a series of test beams with size 2100 × 200 × 100 mm and which contains control sample and three reinforced samples by reinforcing FRCM system. FRCM system consisting of two components: mineral mortar based on modified cement Ruredil X Mesh M750 and reinforcing P.B.O. fiber mesh Ruredil X Mesh Gold (Italy. The strength research of test samples was carried out with the shear distance to effective depth ratio a/d = 2. The strengthening loading levels were selected at 0.0, 0.3, 0.5 from shear strength of non strengthened control sample. As a result of experimental studies we found that during strengthening design the inclined cross section of beams we should take into account the existing level of loading. Using the strengthening system Ruredil X Mesh Gold the strengthening effect is reduced at 2.8 to 2.9 times while the existing level of loading increase from 0 to 50%.

Role of an international non-governmental organisation in strengthening health systems in fragile-state context: Evaluation results from South Sudan

Directory of Open Access Journals (Sweden)

Alfonso C. Rosales

2015-10-01

Full Text Available World Vision implemented the community-based Maternal and Child Health Transformation (MaCHT Project from September 2010 to September 2014 in fragile-state South Sudan. To document and measure health-related activities executed by an international nongovernmentalo rganisation to sustainably strengthen the capacity of the health system in delivering essential health services to pregnant women and children under two years of age, including new-borns and infants. A range of mixed methods, including in-depth interviews, focus group discussions, observation, and uncontrolled cross-sectional before-and-after surveys using Henderson’s method were carried out. The unit of analysis was mothers of children under two years of age, and community health workers (CHWs. An estimated 39 000 children under age two were attended to by CHWs. Coverage of essential maternal and childhealth care (MCH increased in all single interventions, ranging from a minimum of 5% points to a maximum of 49% points during the implementation period. The capacity of the health system to deliver essential MCH services improved by building the supply and performance of the health workforce through task-shifting and in-service training. Likewise, operational linkages between community structures and local health services were strengthened. In conclusion, this program supported health system strengthening, mainly in the areas of service delivery, health workforce, and medical products, vaccines, and technologies. The project also informed policy at district and national levels and repositioned the maternal, neonatal, and child health (MNCH agenda to further scale up these activities. An evaluation of a four year USAID-funded child survival project implemented by an international non-governmental organisation (NGO in fragile-state context showed progress and challenges in health system strengthening for maternal health practices and community case management of diarrhoea, pneumonia, and

Behavior of Insulated Carbon-FRP-Strengthened RC Beams Exposed to Fire

Science.gov (United States)

Sayin, B.

2014-09-01

There are two main approaches to improving the fire resistance of fiber-reinforced polymer (FRP) systems. While the most common method is to protect or insulate the FRP system, an other way is to use fibers and resins with a better fire performance. This paper presents a numerical investigation into the five protection behavior of insulated carbon-fiber-reinforced-polymer (CFRP)-strengthened reinforced concrete (RC) beams. The effects of external loading and thermal expansion of materials at elevated temperatures are taken into consideration in a finite-element model. The validity of the numerical model is demonstrated with results from an existing experimental study on insulated CFRP-strengthened RC beams. Conclusions of this investigation are employed to predict the structural behavior of CFRP-strengthened concrete structures.

[Study on discourse right construction of China's medical aid to Africa].

Science.gov (United States)

Li-Ying, Zhou; Yao, Deng; Kun, Yang

2016-11-24

To analyze the discourse right construction of China's medical aid to Africa, so as to provide evidences for improving the effect and sustainable development of China's medical aid to Africa. The documents of the discourse right that China constructed in the medical aid to Africa were selected at different periods as discourse samples. The achievement and deficiency were analyzed from four aspects, namely confident, charismatic, influential, and dominant. China's medical team made much in the discourse right construction in their aid to Africa, but some China's medical team members were still too cautious and too low-key. China's medical team gained the trust of the people of Africa, but the language communication difficulties still hampered in China's medical aid to Africa. Chinese medical team were widely praised by the African society, but in the west, some African media, even China's media still neglected to report China's doctors. China's international discourse right were greatly improved, but western countries still dominated the public opinion. China should refer to the actual situation of medical aid to Africa to strengthen the construction of discourse right.

Strengthening Equity through Applied Research Capacity Building ...

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

There exists limited understanding of how e-Health solutions are perceived, designed, implemented and used. ... The Strengthening Equity through Applied Research Capacity Building in e-Health (SEARCH) program will cultivate local research capacity to examine e-health and ... Liverpool School of Tropical Medicine.

Strengthening Environmental Economics Capacity in Research on ...

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

Strengthening Environmental Economics Capacity in Research on Climate Change Adaptation ... They will develop environmental economics methods to address specific climate change challenges caused by extreme weather stressors. ... Initiative Villes ciblées : gestion des déchets urbains à Cochabamba, en Bolivie.

Flexural Behavior of Self-Compacting RC Continuous Beams Strengthened by CFRP Sheets

Directory of Open Access Journals (Sweden)

Sabih Z. Al-Sarraf

2018-01-01

Full Text Available This search presented an experimental study of the flexural behavior of self-compacting reinforced concrete continuous beams externally strengthened by carbon fiber reinforced polymer (CFRP Sheets. The practical study contained eight self-compacting reinforced concrete continuous beams (with two span, each span had (1500 mm length and (150x250 mm cross sectional dimensions. Seven of these beams strengthened externally by CFRP sheets with and without external anchorage. The experimental variables included location of CFRP sheets and anchor type and location. The results, shows that the beams strengthened externally by CFRP sheets provided improvement in ultimate loads reached (60.71%. The usage of CFRP in the anchorage zone indicated an effective method in comparison to increasing the CFRP sheets lengths or extending them up to the support or under the loading points. Test results also showed that side strengthening provided an effective tool for increasing the load at the cracking stage and also the load capacity and reducing flexural crack widths.

Competing indentation deformation mechanisms in glass using different strengthening methods

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Jian Luo

2016-11-01

Full Text Available Chemical strengthening via ion exchange, thermal tempering, and lamination are proven techniques for strengthening of oxide glasses. For each of these techniques, the strengthening mechanism is conventionally ascribed to the linear superposition of the compressive stress profile on the glass surface. However, in this work we use molecular dynamics simulations to reveal the underlying indentation deformation mechanism beyond the simple linear superposition of compressive and indentation stresses. In particular, the plastic zone can be dramatically different from the commonly assumed hemispherical shape, which leads to a completely different stress field and resulting crack system. We show that the indentation-induced fracture is controlled by two competing mechanisms: the compressive stress itself and a potential reduction in free volume that can increase the driving force for crack formation. Chemical strengthening via ion exchange tends to escalate the competition between these two effects, while thermal tempering tends to reduce it. Lamination of glasses with differential thermal expansion falls in between. The crack system also depends on the indenter geometry and the loading stage, i.e., loading vs. after unloading. It is observed that combining thermal tempering or high free volume content with ion exchange or lamination can impart a relatively high compressive stress and reduce the driving force for crack formation. Therefore, such a combined approach might offer the best overall crack resistance for oxide glasses.

Biological Defense: DOD Has Strengthened Coordination on Medical Countermeasures but Can Improve Its Process for Threat Prioritization

Science.gov (United States)

2014-05-01

diseases such as equine encephalitis and Ebola have contributed to concerns about the nation’s vulnerability to biological attacks and naturally occurring...private sector and incorporates the cost associated with failed attempts to develop a medical countermeasure. DOD officials told us they face similar...biodefense medical countermeasure innovators (including those from the private sector ) that can use emerging platform technologies to enhance the

RC beams shear-strengthened with fabric-reinforced-cementitious-matrix (FRCM) composite

Science.gov (United States)

Loreto, Giovanni; Babaeidarabad, Saman; Leardini, Lorenzo; Nanni, Antonio

2015-12-01

The interest in retrofit/rehabilitation of existing concrete structures has increased due to degradation and/or introduction of more stringent design requirements. Among the externally-bonded strengthening systems fiber-reinforced polymers is the most widely known technology. Despite its effectiveness as a material system, the presence of an organic binder has some drawbacks that could be addressed by using in its place a cementitious binder as in fabric-reinforced cementitious matrix (FRCM) systems. The purpose of this paper is to evaluate the behavior of reinforced concrete (RC) beams strengthened in shear with U-wraps made of FRCM. An extensive experimental program was undertaken in order to understand and characterize this composite when used as a strengthening system. The laboratory results demonstrate the technical viability of FRCM for shear strengthening of RC beams. Based on the experimental and analytical results, FRCM increases shear strength but not proportionally to the number of fabric plies installed. On the other hand, FRCM failure modes are related with a high consistency to the amount of external reinforcement applied. Design considerations based on the algorithms proposed by ACI guidelines are also provided.

Strengthening of a railway bridge with NSMR and CFRP tubes

DEFF Research Database (Denmark)

Täljsten, Björn; Bennitz, Anders; Danielsson, Georg

2008-01-01

Strengthening of structures with CFRP is today considered an accepted method to upgrade concrete structures. In this paper two different CFRP strengthening systems are combined to give extended service life to a Swedish double-trough-double-track railway bridge, constructed in concrete with a 10 ....... Sensors on bars and tubes display proofs of utilization of the CFRP while displacement sensors and strain gauges on the steel reinforcement due to the small loads in the service limit state show minor effect....

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

African Journals Online (AJOL)

Toshiba

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

More Decent Jobs in Peru: Strengthening Research and ...

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

More Decent Jobs in Peru: Strengthening Research and Policymaking Capacities. Despite ... In turn, such understanding requires appropriate data. Currently ... Call for new OWSD Fellowships for Early Career Women Scientists now open.

Carbon Fibre-reinforced Polymer Strengthening and monitoring of the Gröndals Bridge in Sweden

DEFF Research Database (Denmark)

Täljsten, Björn; Hejll, A.; James, G.

2007-01-01

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

Study on Anti-seismic Strengthening of the Ancient Stone Archway

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Zhang Ding

2016-01-01

Full Text Available Chinese ancient stone archways are in flat structure. And joints of their members are of half tenons and mortises. Under the influence of the earthquake, the resisting ability of archway’s uneven sides is relatively poor and the relevant members have little reliable joints. This paper is to analyze seismic strengthening feasibility of Tiantai mountain stone archway which is damaged from the earthquake and to research on the aspects of the loading mode, structure layout and soundness. On the premise of guaranteeing the authenticity and beauty, we use earthquake damaging mechanism of stone archways and the modern anti-seismic structure designing theory and modern building materials. We also follow the way of the modern construction technology and ancient construction and strengthen the anti-seismic way of the resisting ability of Tiantai mountain stone archway’s uneven sides and joints of tenons and mortises. The best anti-seismic strengthening schemes are put forward as well.

Strengthening industry-research linkage for small scale industrial ...

African Journals Online (AJOL)

Strengthening industry-research linkage for small scale industrial development in Ghana - the relevance of scientific and technological information. ... Journal of Applied Science and Technology. Journal Home · ABOUT · Advanced Search ...

3D FE Analysis of RC Beams Externally Strengthened with SRG/SRP Systems

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Francesco Bencardino

2016-05-01

Full Text Available The purpose of this study is to evaluate, through a nonlinear Finite Element (FE analysis, the structural behavior of Reinforced Concrete (RC beams externally strengthened by using Steel Reinforced Grout (SRG and Steel Reinforced Polymer (SRP systems. The parameters taken into account were the external strengthening configuration, with or without U-wrap end anchorages, as well as the strengthening materials. The numerical simulations were carried out by using a three-dimensional (3D FE model. The linear and nonlinear behavior of all materials was modeled by appropriate constitutive laws and the connection between concrete substrate and external reinforcing layer was simulated by means of cohesive surfaces with appropriate bond-slip laws. In order to overcome convergence difficulties, to simulate the quasi-static response of the strengthened RC beams, a dynamic approach was adopted. The numerical results in terms of load-displacement curves, failure modes, and load and strain values at critical stages were validated against some experimental data. As a result, the proposed 3D FE model can be used to predict the structural behavior up to ultimate stage of similar strengthened beams without carrying out experimental tests.

West African think tank strengthens outreach and partnerships ...

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

2016-04-28

Apr 28, 2016 ... ... on organizational strengthening measures to increase its financial autonomy. ... were then put into practice with key financial and technical partners. ... Développement Afrique) is an independent non-profit organization ...

Implementation phase – Strengthening community to health facility ...

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

Home · What we do ... Access to quality sexual and reproductive health information, services, prenatal services, and delivery services is ... should contribute to strengthening and improving the quality of provincial maternal health services.

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

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

... solid history of collaboration with IDRC at the project level. This grant will help CRTD-A further its strategic research agenda within a Women's Rights and Citizenship framework; to strengthen and rationalize its institutional capacity; and to engage more substantively and advantageously with northern research institutions.

Strengthening political co-operation through multilateral disarmament

International Nuclear Information System (INIS)

Ekeus, R.

1991-01-01

In this paper, the Ministry for Foreign Affairs of Sweden discussed how the multilateral disarmament concept has contributed and still can contribute to strengthen political co-operation. This approach is the opposite to the usual question on how to achieve multilateral disarmament through political co-operation

Strengthening Community Land Rights and Responses to ...

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

Strengthening Community Land Rights and Responses to Involuntary Displacement Caused by Development Projects in Zimbabwe ... The construction of hydro-electric dams and other large mining and agricultural projects, for example, have led to negative consequences due to weak land tenure rights and a more general ...

Institutional strengthening in Egyptian development aid projects

NARCIS (Netherlands)

Walbeek, M.M.; Vlotman, W.F.

2003-01-01

In recent years Dutch aid projects have focused more on institutional strengthening. The overall impact of this type of aid has been limited. This paper explores possible reasons for this. In Egypt, it appeared to be difficult to make significant changes in the institutional setting. Main

Long Term Monitoring of Microbial Induced Soil Strengthening Processes

Science.gov (United States)

Saneiyan, S.; Ntarlagiannis, D.; Werkema, D. D., Jr.; Colwell, F. S.; Ohan, J.

2016-12-01

Soil strengthening/stabilization processes are used to address some of soil quality issues. Microbial induced calcite precipitation (MICP) is a promising soil stabilization process that could offer long term solution by overcoming problems of commonly used methods (e.g. injecting cement slurry). MICP can be applied in larger spatial scales, allowing the enhanced soils to be maintained in an economic sustainable and environmental friendly way. Methods are sought for the long term monitoring of MICP enhanced soils. The spectral induced polarization (SIP) method is one promising method due to sensitivity on such processes and the ability for long term, even autonomous, operation as well as cost effectiveness. Previous laboratory tests showed the sensitivity of the SIP method on soil strengthening as a result of abiotic calcite precipitation. We extended this work to biotic calcite precipitation through MICP. Early results suggest that the MICP formed calcite is denser and could provide improved strengthening capabilities. Our results are supported by geophysical (SIP and shear-wave velocity), geo-chemical and microbiological monitoring. Destructive analysis and visualization (scanning electron imaging - SEM) is expected to provide conclusive evidence on the MICP long term effectiveness.

Medication Adherence, Work Performance and Self-Esteem among Psychiatric Patients Attending Psychosocial Rehabilitation Services at Bangalore, India.

Science.gov (United States)

Gandhi, Sailaxmi; Pavalur, Rajitha; Thanapal, Sivakumar; Parathasarathy, Nirmala B; Desai, Geetha; Bhola, Poornima; Philip, Mariamma; Chaturvedi, Santosh K

2014-10-01

Work benefits mental health in innumerable ways. Vocational rehabilitation can enhance self-esteem. Medication adherence can improve work performance and thereby the individuals' self-esteem. To test the hypothesis that there would be a significant correlation between medication adherence, work performance and self-esteem. A quantitative, descriptive correlational research design was adopted to invite patients attending psychiatric rehabilitation services to participate in the research. Data was collected from a convenience sample of 60 subjects using the 'Medication Adherence Rating scale', 'Griffiths work behaviour scale' and the 'Rosenberg's Self-esteem scale'. Analysis was done using spss18 with descriptive statistics, Pearsons correlation coefficient and multiple regression analysis. There were 36 males and 24 females who participated in this study. The subjects had good mean medication adherence of 8.4 ± 1.5 with median of 9.00, high mean self-esteem of 17.65 ± 2.97 with median of 18.0 and good mean work performance of 88.62 ± 22.56 with median of 93.0. Although weak and not significant, there was a positive correlation (r = 0.22, P = 0.103) between medication adherence and work performance; positive correlation between (r = 0.25, P = 0.067) medication adherence and self-esteem; positive correlation between (r = 0.136, P = 0.299) work performance and self-esteem. Multiple regression analysis showed no significant predictors for medication adherence, work performance and self-esteem among patients with psychiatric illness. Medication monitoring and strengthening of work habit can improve self-esteem thereby, strengthening hope of recovery from illness.

New deformation model of grain boundary strengthening in polycrystalline metals

International Nuclear Information System (INIS)

Trefilov, V.I.; Moiseev, V.F.; Pechkovskij, Eh.P.

1988-01-01

A new model explaining grain boundary strengthening in polycrystalline metals and alloys by strain hardening due to localization of plastic deformation in narrow bands near grain boundaries is suggested. Occurrence of localized deformation is caused by different flow stresses in grains of different orientation. A new model takes into account the active role of stress concentrator, independence of the strengthening coefficient on deformation, influence of segregations. Successful use of the model suggested for explanation of rhenium effect in molybdenum and tungsten is alloys pointed out

Deformation Analysis of RC Ties Externally Strengthened with FRP Sheets

Science.gov (United States)

Gribniak, V.; Arnautov, A. K.; Kaklauskas, G.; Jakstaite, R.; Tamulenas, V.; Gudonis, E.

2014-11-01

The current study has two objectives: to validate the ability of the Atena finite-element software to estimate the deformations of reinforced concrete (RC) elements strengthened with fiber-reinforced polymer (FRP) sheets and to assess the effect of FRP-to-concrete bond strength on the results of numerical simulation. It is shown that the bond strength has to be selected according to the overall stiffness of the composite element. The numerical results found are corroborated experimentally by tensile tests of RC elements strengthened with basalt FRP sheets.

Partial strengthening of R.C square columns using CFRP

Directory of Open Access Journals (Sweden)

Ahmed Shaban Abdel-Hay

2014-12-01

An experimental program was undertaken testing ten square columns 200 × 200 × 2000 mm. One of them was a control specimen and the other nine specimens were strengthened with CFRP. The main parameters studied in this research were the compressive strength of the upper part, the height of the upper poor concrete part, and the height of CFRP wrapped part of column. The experimental results including mode of failure, ultimate load, concrete strain, and fiber strains were analyzed. The main conclusion of this research was, partial strengthening of square column using CFRP can be permitted and gives good results of the column carrying capacity.

The strengthening effect of percutaneous vertebroplasty

Energy Technology Data Exchange (ETDEWEB)

Dean, J.R.; Ison, K.T.; Gishen, P

2000-06-01

AIM: To examine whether single-needle vertebroplasty is effective in strengthening vertebrae. MATERIALS AND METHODS: Four adjacent intact lumbar vertebrae were removed from each of nine adult post-mortem subjects. One or two vertebra of each set was injected with low viscosity acrylic bone cement using a single-track posterolateral approach. Vertebral strength was measured during constant rate axial compression. RESULTS: Single-needle injection delivered different quantities of cement (1-8 ml) in an asymmetric distribution. Injected vertebrae were stronger than controls in 10 out of 12 cases (P < 0.01), suggesting that cement injection increases the load needed to cause initial vertebral fracture. Compression was continued past the point of initial failure, to simulate progressive vertebral collapse. Injected specimens were more resistant to deformation than control specimens (P < 0.05), most of which initially deformed with little increase in load. CONCLUSION: Single-track injection of bone cement appeared to strengthen vertebrae against both initial failure and subsequent collapse. The magnitude of strength increase from vertebroplasty was variable, and did not correlate with the volume of cement injected. Further investigation is needed to optimize the technique. Gishen, P. (2000)

Strengthening the parent-child relationship: a review of family interventions and their use in medical settings.

Science.gov (United States)

Johnson, G; Kent, G; Leather, J

2005-01-01

The quality of family functioning is important for both psychological well-being and physical health. This review describes family interventions that aim to improve the strength of the parent-child relationship and considers ways in which these approaches can be applied to physical health care. This review first describes the development of family therapy in dealing with children's behavioural and emotional difficulties. As shown in psychotherapeutic settings, parenting skills can affect children's emotional well-being and ability to control their own conduct. Intervention strategies that focus on developing the ability of parents to provide a benign and nurturing parenting style are considered. The review then considers how the principles of family therapy can be applied to settings where physical health is the central issue. In medical settings, families are not only affected by medical interventions but they can also serve to facilitate or hinder clinical effectiveness. Illustrations of how these interventions can be applied in medical settings are provided. Although a practising clinician will need training in using family therapy techniques, it may be possible to recruit a family therapist to help in particular cases.

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

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

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

An information technology framework for strengthening telehealthcare service delivery.

Science.gov (United States)

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

2012-10-01

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

Constraints to strengthening public sector accountability through civil society: the case of Morocco

NARCIS (Netherlands)

S.I. Bergh (Sylvia)

2009-01-01

textabstractThis paper discusses the extent to which civil society contributes to strengthening public sector accountability in Morocco. The main argument in this paper is that despite a few recent encouraging examples, civil society’s role in strengthening public sector accountability remains

Muscle-strengthening and conditioning activities and risk of type 2 diabetes

DEFF Research Database (Denmark)

Grøntved, Anders; Pan, An; Mekary, Rania A

2014-01-01

BACKGROUND: It is well established that aerobic physical activity can lower the risk of type 2 diabetes (T2D), but whether muscle-strengthening activities are beneficial for the prevention of T2D is unclear. This study examined the association of muscle-strengthening activities with the risk of T2D...... at baseline. Participants reported weekly time spent on resistance exercise, lower intensity muscular conditioning exercises (yoga, stretching, toning), and aerobic moderate and vigorous physical activity (MVPA) at baseline and in 2004/2005. Cox regression with adjustment for major determinants for T2D...... include that muscle-strengthening and conditioning activity and other types of physical activity were assessed by a self-administered questionnaire and that the study population consisted of registered nurses with mostly European ancestry. CONCLUSIONS: Our study suggests that engagement in muscle...

Strengthening of non-seismically detailed reinforced concrete beam ...

Indian Academy of Sciences (India)

work and in order to carry the anchorages sufficiently away from the column face ..... Owing to the strengthening application, joint shear stress–strain behaviour was ..... structures (ACI 352R-02), MI: American Concrete Institute, Farmington Hills.

Strengthened International Nuclear Safeguards; burdens and Effects on Nuclear Technology Development

International Nuclear Information System (INIS)

Badawy, I.

2000-01-01

The present paper deals with the recent direction of strengthening the international nuclear safeguards and the effects on the development of nuclear technology for peaceful applications. The new basic principles for strengthening the international nuclear control in the direction of undeclared nuclear activities are elaborated, and the national obligations are indicated. The burdens on the development of nuclear technology are discussed. Approaches are proposed in this work for coping with the present and future situations

Flexural Strength Of Prestressed Concrete Beams With Openings And Strengthened With CFRP Sheets

Directory of Open Access Journals (Sweden)

Dr. Mustafa B. Dawood

2015-06-01

Full Text Available Abstract This paper presents an experimental investigation of flexural strength of pretensioned prestressed concrete beams with openings and strengthened with CFRP sheets tested as simply supported span subjected under two-point loading. The experimental work includes testing of nine prestressed concrete beams specimens with dimensions effective length 1800mm depth 300mm width 130mm two of which were without openings as a control beams one without and the other with strengthening by CFRP three were with openings and the remaining four with openings and strengthened with CFRP sheets. The opening was made at square shape 100100 mm in flexure zone at mid span of beam. Several design parameters were varied such as opening width opening depth and strengthening of openings of beams by CFRP sheets at compression and tension zone. Experimental results showed that the presence of square opening with ratio hH 0.333 and rectangular opening with ratio hH from 0.333-0.5 at mid span of beams decreased the ultimate load about 5.5 and 5.5-33.1 respectively when compared with beam without openings control beam. The externally strengthened prestressed concrete beams with bonded CFRP sheets showed a significant increase at the ultimate load this increase was about 10.9-28.8 for flexure beams when compared with the unstrengthened beams. Moreover the load-deflection curves for flexure beams strengthened with CFRP sheets were stiffer than the unstrengthened beams. Therefore this results gave a good indication about using CFRP sheets in improvement of deflection.

Working Together for Children: Strengthening Transition Pathways

Science.gov (United States)

Collie, Louise; Willis, Felicity; Paine, Crystal; Windsor, Corina

2007-01-01

The "Working Together for Children: Strengthening Transition Pathways" Team has identified that there is a gap between the Early Childhood settings and schools within the Dubbo area. Through meetings with early childhood professionals within Dubbo the authors have identified that the current landscape of care and education within their community…

Keeping health facilities safe: one way of strengthening the interaction between disease-specific programmes and health systems.

Science.gov (United States)

Harries, Anthony D; Zachariah, Rony; Tayler-Smith, Katie; Schouten, Erik J; Chimbwandira, Frank; Van Damme, Wim; El-Sadr, Wafaa M

2010-12-01

The debate on the interaction between disease-specific programmes and health system strengthening in the last few years has intensified as experts seek to tease out common ground and find solutions and synergies to bridge the divide. Unfortunately, the debate continues to be largely academic and devoid of specificity, resulting in the issues being irrelevant to health care workers on the ground. Taking the theme 'What would entice HIV- and tuberculosis (TB)-programme managers to sit around the table on a Monday morning with health system experts', this viewpoint focuses on infection control and health facility safety as an important and highly relevant practical topic for both disease-specific programmes and health system strengthening. Our attentions, and the examples and lessons we draw on, are largely aimed at sub-Saharan Africa where the great burden of TB and HIV ⁄ AIDS resides, although the principles we outline would apply to other parts of the world as well. Health care infections, caused for example by poor hand hygiene, inadequate testing of donated blood, unsafe disposal of needles and syringes, poorly sterilized medical and surgical equipment and lack of adequate airborne infection control procedures, are responsible for a considerable burden of illness amongst patients and health care personnel, especially in resource-poor countries. Effective infection control in a district hospital requires that all the components of a health system function well: governance and stewardship, financing,infrastructure, procurement and supply chain management, human resources, health information systems, service delivery and finally supervision. We argue in this article that proper attention to infection control and an emphasis on safe health facilities is a concrete first step towards strengthening the interaction between disease-specific programmes and health systems where it really matters – for patients who are sick and for the health care workforce who provide

Full Scale Reinforced Concrete Beam-Column Joints Strengthened with Steel Reinforced Polymer Systems

Directory of Open Access Journals (Sweden)

Alessandro De Vita

2017-07-01

Full Text Available This paper presents the results of an experimental campaign performed at the Laboratory of Materials and Structural Testing of the University of Salerno (Italy in order to investigate the seismic performance of reinforced concrete (RC beam-column joints strengthened with steel reinforced polymer (SRP systems. With the aim to represent typical façade frames’ beam-column subassemblies found in existing RC buildings, specimens were provided with two short beam stubs orthogonal to the main beam and were designed with inadequate seismic details. Five members were strengthened by using two different SRP layouts while the remaining ones were used as benchmarks. Once damaged, two specimens were also repaired, retrofitted with SRP, and subjected to cyclic test again. The results of cyclic tests performed on SRP strengthened joints are examined through a comparison with the outcomes of the previous experimental program including companion specimens not provided with transverse beam stubs and strengthened by carbon fiber-reinforced polymer (CFRP systems. In particular, both qualitative and quantitative considerations about the influence of the confining effect provided by the secondary beams on the joint response, the suitability of all the adopted strengthening solutions (SRP/CFRP systems, the performances and the failure modes experienced in the several cases studied are provided.

FE Modelling of the Seismic Behavior of Wide Beam-Column Joints Strengthened with CFRP Systems

Directory of Open Access Journals (Sweden)

Giuseppe Santarsiero

2018-02-01

Full Text Available A large share of reinforced concrete (RC framed buildings is provided with wide beams being a type of beam allowing greater freedom in the architectural arrangement of interiors, beyond further advantage due to fewer formworks needed during the construction. Nevertheless, little attention has been devoted to the seismic vulnerability of this kind of framed RC buildings as well as to the study of strengthening systems purposely developed for wide beams and wide beam-column connections. Under these premises, this paper proposes simple strengthening solutions made by Fibre Reinforced Polymers (FRP systems able to effectively improve seismic capacity through feasible arrangement suitable in case a wide beam is present. On the basis of wide beam-column joints previously tested without strengthening system, detailed nonlinear finite element models were calibrated. Then, an FRP strengthening intervention based on a brand new arrangement was modeled in order to perform additional simulations under seismic actions. This way, the effectiveness of the strengthening intervention was assessed finding out that significant strength and ductility increments were achieved with a relatively simple and cheap strengthening arrangement. Additional research would be desirable in the form of experimental tests on the simulated wide beam-column joints.

A TEM quantitative evaluation of strengthening in an Mg-RE alloy reinforced with SiC

International Nuclear Information System (INIS)

Cabibbo, Marcello; Spigarelli, Stefano

2011-01-01

Magnesium alloys containing rare earth elements are known to have high specific strength, good creep and corrosion resistance up to 523 K. The addition of SiC ceramic particles strengthens the metal matrix composite resulting in better wear and creep resistance while maintaining good machinability. The role of the reinforcement particles in enhancing strength can be quantitatively evaluated using transmission electron microscopy (TEM). This paper presents a quantitative evaluation of the different strengthening contributions, determined through TEM inspections, in an SiC Mg-RE composite alloy containing yttrium, neodymium, gadolinium and dysprosium. Compression tests at temperatures ranging between 290 and 573 K were carried out. The microstructure strengthening mechanism was studied for all the compression conditions. Strengthening was compared to the mechanical results and the way the different contributions were combined is also discussed and justified. - Research Highlights: → TEM yield strengthening terms evaluation on a Mg-RE SiC alloy. → The evaluation has been extended to different compression temperature conditions. → Linear and Quadratic sum has been proposed and validated. → Hall-Petch was found to be the most prominent strengthening contributions.

[Possibilities of supervision in medical practice].

Science.gov (United States)

Lönnqvist, Jouko

2014-01-01

In supervision, a doctor examines in interaction with the supervisor her/his work, work role and collaborative relationships with the aim to develop herself/himself and the associated work community. In clinical supervision, a doctor's way of acting in interactive relationships with the patients is examined through patient cases, based on the doctor's own experience. Supervision can be used to strengthen the physician identity, clarify the work role, assimilate and delve into clinical work, support professional development and working career, manage one's own work and coping at work, develop collaboration and team work, and support the work of medical directors.

Training in Values to Strengthen Social and Civic Coexistence

Directory of Open Access Journals (Sweden)

Yajaira del Valle Cadenas Terán

2017-02-01

Full Text Available The purpose of this study is to present significantly values training to strengthen social and citizen considering that the coexistence of human beings has not been entirely easy, but so far they have managed to relate many of their problems with how to relate and interact with the environment, especially with the social environment. This study was conducted with a literature review which is the basis for targeted strengthening coexistence and citizenship therefore falls from a descriptive research training documentary. In conclusion, the importance of the subject since doors for values, dialogues, reflections, quality of life, among others that reflect the actions of teachers based on principles axiological open.

Role, structure and effects of medical tourism in Africa: a systematic scoping review protocol.

Science.gov (United States)

Mogaka, John Jo; Tsoka-Gwegweni, Joyce M; Mupara, Lucia M; Mashamba-Thompson, Tivani

2017-06-23

Some patients travel out of, while others come into Africa for medical care through a growing global phenomenon referred to as medical tourism (MT): the travel in search of medical care that is either unavailable, unaffordable or proscribed at home healthcare systems. While some castigate MT as promoting healthcare inequity, others endorse it as a revenue generator, promising local healthcare system strengthening. Currently, however, the understanding of this component of healthcare in Africa is inadequate. This study seeks to determine the level of knowledge on the role, structure and effect of MT in Africa as it relates to healthcare systems in the region. Conduct a systematic scoping review to outline the role, structure and effect of MT in Africa. Databases: Academic Search Complete, Business Source Complete. Studies mapped in two stages: (1) mapping the studies based on the relevance of their titles and subject descriptors; (2) applying further inclusion criteria on studies from stage 1. Two reviewers will independently assess study quality and abstract data. Both quantitative and qualitative data analysis will be performed, using STATA V.13 and NVIVO, respectively. The study results will be disseminated by publication in peer-reviewed journals and findings presented at academic and industry conferences related to MT, public health, health systems strengthening and tourism. MT spurs cutting-edge medical technologies, techniques and best practices in healthcare delivery. The two-tier healthcare landscape in Africa, however, presents an exceptionally unique context in which to situate this study. Much has been written about MT globally, but not much is known about the phenomenon in Africa; hence the appropriateness of this scientific assessment of MT in the region. By elucidating the role, structure and effect of this phenomenon, this study hopes to contribute to health systems strengthening in Africa. CRD42016039745. © Article author(s) (or their employer

Reusing Recycling Material as Teaching Strategy to Strengthen Environmental Values

Directory of Open Access Journals (Sweden)

Yudit Zaida del Carmen Alarcón de Palma

2017-08-01

Full Text Available The study was centered interest implement recycling reuse the material as a teaching strategy to strengthen environmental students “Adolfo Moreno” National Basic School Barinitas parish, municipality Bolivar, Barinas state values. School Year 2014 - 2015. The study was based on the paradigm of qualitative research and research in action type. From this point of view, the study focuses on participatory action this mode, it is limited in so-called field layouts. The study its characteristics was fulfilled in the following phases: diagnosis, planning, implementation, evaluation and systematization. Finally, it can be noted that the implementation of teaching strategies reuse recycle material for strengthening environmental students "Adolfo Moreno" National Basic School values; They will be incorporating parents and guardians as well as various educational actors to implement the activities involved in the proposal which seeks to change attitudes to improve through practical actions management standards and conservation practices to achieve an environmental change in institution through technical, theoretical and practical knowledge to strengthen the benefit of recyclables properly handle procedures.

Strengthening capacity to apply health research evidence in policy making: experience from four countries

Science.gov (United States)

Hawkes, Sarah; K Aulakh, Bhupinder; Jadeja, Nidhee; Jimenez, Michelle; Buse, Kent; Anwar, Iqbal; Barge, Sandhya; Odubanjo, M Oladoyin; Shukla, Abhay; Ghaffar, Abdul; Whitworth, Jimmy

2016-01-01

Increasing the use of evidence in policy making means strengthening capacity on both the supply and demand sides of evidence production. However, little experience of strengthening the capacity of policy makers in low- and middle- income countries has been published to date. We describe the experiences of five projects (in Bangladesh, Gambia, India and Nigeria), where collaborative teams of researchers and policy makers/policy influencers worked to strengthen policy maker capacity to increase the use of evidence in policy. Activities were focused on three (interlinked) levels of capacity building: individual, organizational and, occasionally, institutional. Interventions included increasing access to research/data, promoting frequent interactions between researchers and members of the policy communities, and increasing the receptivity towards research/data in policy making or policy-implementing organizations. Teams were successful in building the capacity of individuals to access, understand and use evidence/data. Strengthening organizational capacity generally involved support to infrastructure (e.g. through information technology resources) and was also deemed to be successful. There was less appetite to address the need to strengthen institutional capacity—although this was acknowledged to be fundamental to promoting sustainable use of evidence, it was also recognized as requiring resources, legitimacy and regulatory support from policy makers. Evaluation across the three spheres of capacity building was made more challenging by the lack of agreed upon evaluation frameworks. In this article, we propose a new framework for assessing the impact of capacity strengthening activities to promote the use of evidence/data in policy making. Our evaluation concluded that strengthening the capacity of individuals and organizations is an important but likely insufficient step in ensuring the use of evidence/data in policy-cycles. Sustainability of evidence

Strengthening of Unreinforced Masonry Walls with Composite Materials

Directory of Open Access Journals (Sweden)

Ioana-Sorina Enţuc

2004-01-01

Full Text Available Unreinforced masonry (URM is considered one of the oldest construction materials being until the end of XIXth century, the basic material for: foundations, walls, columns, volts, staircases, floor joints, roofs, retaining walls, drainage channels, barrages, etc. Construction with URM elements posses a series of advantages such as: fire resistance, thermal an acoustic insulations between interior and outside spaces, humidity resistance. However the URM elements have some significant inconveniences such as: large self weight (heaviness causes cracks in the other elements of structures, reduced mechanical strengths in comparison with other traditional materials (steel and concrete, low tenacity, great manual labor consumptions, and vulnerability to earthquakes. Various factors cause deteriorations which must be overcome by strengthening solutions. Some strengthening solutions based on fiber reinforced polymers (FRP products applied directly on URM brick walls are presented in the paper.

How to strengthen customer loyalty, using customer segmentation?

Directory of Open Access Journals (Sweden)

MELNIC Elena Lidia

2017-01-01

Full Text Available Do you provide exceptional customer service?”, “Is the customer service in your company extraordinary?” “How to convert satis fied customers into loyal customers?” - are the most frequent questions of today’s managers and have driven the research on this article to getting the answer to a highly important marketing topic “How to strengthen customer loyalty using customer segmentation?”. Anyone who has bought a product or a service has probably suffered at least once from a company’s apparent indifference to what should be its first concern: the customer experiences. If this is the case, the company is in a wrong direction, since loyalty is the most powerful tool in today competitive market. To strengthen the bonds with these high-profit customers, innovative companies are deploying enterprise-wide strategies built on consumer segmentation.

Strengthening Social and Emotional Intelligences through Writing

Science.gov (United States)

Burth, Jeanne Hager; McConnell, Michelle

2017-01-01

Using writing to allow children with Autism Spectrum Disorder (ASD) to express how they are feeling or to stimulate thinking about a social situation will allow the students the opportunity to strengthen social and emotional intelligences. By giving prompts about different social and emotional situations or ideas to children, the teacher allows…

Experimental Investigation for Behavior of Spliced Continuous RC Girders Strengthened with CFRP Laminates

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Ammar Yasir Ali

2016-03-01

Full Text Available In this paper, the behavior of spliced continuous reinforced concrete girders was experimentally investigated. The main objective was to examine the contribution of the carbon fiber reinforced polymer (CFRP laminates in strengthening the spliced continuous reinforced concrete girders. Eight models of continuous reinforced concrete girder were constructed and tested. The test variables were strengthening the splice joints by different schemes of CFRP laminates, presence of horizontal stirrups through the interfaces of the joints and using binder material at the interfaces of the joints. The results showed that strengthening the continuous spliced girders with 45° inclined CFRP laminates led to an increase in the ultimate load in a range of (47 to 74%. Besides, strengthening the continuous spliced girder with horizontal CFRP laminates bonded at its lateral faces could increase the ultimate load by 70%. Additionally, the ultimate load of the continuous spliced girder was increased by (30% due to presence of the horizontal steel stirrups through the interfaces of the joints

Mutual research capacity strengthening: a qualitative study of two-way partnerships in public health research

Directory of Open Access Journals (Sweden)

Redman-MacLaren Michelle

2012-12-01

Full Text Available Abstract Introduction Capacity building has been employed in international health and development sectors to describe the process of ‘experts’ from more resourced countries training people in less resourced countries. Hence the concept has an implicit power imbalance based on ‘expert’ knowledge. In 2011, a health research strengthening workshop was undertaken at Atoifi Adventist Hospital, Solomon Islands to further strengthen research skills of the Hospital and College of Nursing staff and East Kwaio community leaders through partnering in practical research projects. The workshop was based on participatory research frameworks underpinned by decolonising methodologies, which sought to challenge historical power imbalances and inequities. Our research question was, “Is research capacity strengthening a two-way process?” Methods In this qualitative study, five Solomon Islanders and five Australians each responded to four open-ended questions about their experience of the research capacity strengthening workshop and activities: five chose face to face interview, five chose to provide written responses. Written responses and interview transcripts were inductively analysed in NVivo 9. Results Six major themes emerged. These were: Respectful relationships; Increased knowledge and experience with research process; Participation at all stages in the research process; Contribution to public health action; Support and sustain research opportunities; and Managing challenges of capacity strengthening. All researchers identified benefits for themselves, their institution and/or community, regardless of their role or country of origin, indicating that the capacity strengthening had been a two-way process. Conclusions The flexible and responsive process we used to strengthen research capacity was identified as mutually beneficial. Using community-based participatory frameworks underpinned by decolonising methodologies is assisting to redress

The current situation and development of medical device testing institutes in China.

Science.gov (United States)

Yang, Xiaofang; Mu, Ruihong; Fan, Yubo; Wang, Chunren; Li, Deyu

2017-04-01

This article analyses the current situation and development of Chinese medical device testing institutes from the perspectives of the two most important functions - testing functions and medical device standardization functions. Areas Covered: The objective of the Chinese government regulations for medical device industry is to ensure the safety and effectiveness of medical devices for Chinese patients. To support the regulation system, the Chinese government has established medical device testing institutes at different levels for example, the national, provincial, and municipal levels. These testing institutes also play an important role in technical support during medical device premarket registration and post market surveillance, they are also the vital practitioners of Chinese medical device standardization. Expert Commentary: Chinese medical device testing institutes are technical departments established by government, and serve the regulatory functions of government agency. In recent years, with the rapid development of medical device industry as well as constantly increasing international and domestic medical device market, the importance of medical device testing institute is more prominent, However, there are still some problems unsolved, such as their overall capacity remains to be improved, construction of standardization is to be strengthened, etc.

Two-year follow-up study of a group-based diabetes medical nutrition therapy and motivational interviewing intervention among African American women

Directory of Open Access Journals (Sweden)

Miller ST

2017-04-01

Full Text Available Stephania T Miller,1 Sylvie A Akohoue2 1Department of Surgery, 2Department of Family and Community Medicine, Meharry Medical College, Nashville, TN, USA Objectives: To assess the 2-year efficacy of a combined medical nutrition therapy and motivational interviewing (MI pilot study intervention and factors that influenced long-term dietary self-care.Research design and methods: Pilot study participants, African American women with type 2 diabetes, completed a 2-year follow-up study visit, including clinical assessments and completion of a dietary self-care questionnaire and a semi-structured interview. Wilcoxon signed-rank tests were used to evaluate differences between baseline and 2-year follow-up clinical and dietary self-care outcomes. Hierarchical coding was used to analyze semi-structured interviews and categorize facilitator and barrier themes into subthemes. Subthemes were quantified based on the number of subtheme-related comments. Results: Among the 12 participants (mean age 57.1±5.7 years, improvements were observed for HbA1c (baseline: 10.25%; interquartile range [IQR]: 8.10, 11.72 and follow-up: 8.8%; IQR: 7.48,10.22, systolic blood pressure (baseline: 142 mm Hg; IQR: 134.25, 157.25 and follow-up: 127 mm Hg; IQR: 113.5, 143.25, frequency of eating high-fat foods (baseline: 3.5 days; IQR: 2.75, 4.25 and follow-up: 3 days; IQR: 2.5, 4.5, and of spacing carbohydrates throughout the day (baseline: 3 days; IQR: 3.0, 4.0 and follow-up: 4 days; IQR: 1.5, 4.5. There was a statistically significant decrease (p=0.04 in the frequency of fruit and vegetable intake (baseline: 4 days; IQR: 3.75, 7.0 and follow-up: 3.5 days; IQR: 2.75, 4.0. Dietary self-care barriers and facilitators included internal (eg, motivation and external factors (eg, social support. Motivation (70 comments and lack of motivation (67 comments were the most pervasive facilitator and barrier subthemes, respectively. Conclusion: Overall, diabetes-related clinical and dietary

Monolithic Approach to Oxide Dispersion Strengthened Aluminum, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — Nassau Stern Company is investigating an approach for manufacturing oxide dispersion strengthened (ODS) aluminum in bulk rather than powder form. The approach...

Strengthening ethical political leadership for sustainable peace and ...

African Journals Online (AJOL)

Strengthening ethical political leadership: Uganda as a case study meaningful .... needed are short and long-term strategies for inculcating ethical leadership .... Ethics comprises principles and concepts that guide humans between right ... Virtues of kindness, generosity, hospitality, honesty, compassion, forgiveness, and.

Bond Behavior of Historical Clay Bricks Strengthened with Steel Reinforced Polymers (SRP)

Science.gov (United States)

Grande, Ernesto; Imbimbo, Maura; Sacco, Elio

2011-01-01

In the strengthening interventions of past and historical masonry constructions, the non-standardized manufacture processes, the ageing and the damage of masonry units, could significantly affect the properties of the surfaces where strengthening materials are applied. This aspect requires particular care in evaluating the performance of externally bonded strengthening layers, especially with reference to the detachment mechanism. The bond response of old masonries could be very different from that occurring in new masonry units which are the ones generally considered in most of the bond tests available in technical literature. The aim of the present paper is the study of the bond behavior of historical clay bricks strengthened with steel reinforced polymers (SRP) materials. In particular, the results of an experimental study concerning new manufactured clay bricks and old bricks extracted from different historical masonry buildings are presented. The obtained results, particularly in terms of bond resistance, detachment mechanism and strain distributions, are discussed for the purpose of analyzing the peculiarities of the historical bricks in comparison with new manufactured ones. Some considerations on the efficacy of the theoretical formulations of the recent Italian code are also carried out. PMID:28880008

Flexural and Shear Behavior of FRP Strengthened AASHTO Type Concrete Bridge Girders

Directory of Open Access Journals (Sweden)

Nur Yazdani

2016-01-01

Full Text Available Fiber-reinforced polymers (FRP are being increasingly used for the repair and strengthening of deteriorated or unsafe concrete structures, including structurally deficient concrete highway bridges. The behavior of FRP strengthened concrete bridge girders, including failure modes, failure loads, and deflections, can be determined using an analytical finite element modeling approach, as outlined in this paper. The differences in flexural versus shear FRP strengthening and comparison with available design guidelines are also beneficial to design professionals. In this paper, a common AASHTO type prestressed concrete bridge girder with FRP wrapping was analyzed using the ANSYS FEM software and the ACI analytical approach. Both flexural and shear FRP applications, including vertical and inclined shear strengthening, were examined. Results showed that FRP wrapping can significantly benefit concrete bridge girders in terms of flexure/shear capacity increase, deflection reduction, and crack control. The FRP strength was underutilized in the section selected herein, which could be addressed through decrease of the amount of FRP and prestressing steel used, thereby increasing the section ductility. The ACI approach produced comparable results to the FEM and can be effectively and conveniently used in design.

Self-monitoring fiber reinforced polymer strengthening system for civil engineering infrastructures

Science.gov (United States)

Jiang, Guoliang; Dawood, Mina; Peters, Kara; Rizkalla, Sami

2008-03-01

Fiber reinforced polymer (FRP) materials are currently used for strengthening civil engineering infrastructures. The strengthening system is dependant on the bond characteristics of the FRP to the external surface of the structure to be effective in resisting the applied loads. This paper presents an innovative self-monitoring FRP strengthening system. The system consists of two components which can be embedded in FRP materials to monitor the global and local behavior of the strengthened structure respectively. The first component of the system is designed to evaluate the applied load acting on a structure based on elongation of the FRP layer along the entire span of the structure. Success of the global system has been demonstrated using a full-scale prestressed concrete bridge girder which was loaded up to failure. The test results indicate that this type of sensor can be used to accurately determine the load prior to failure within 15 percent of the measured value. The second sensor component consists of fiber Bragg grating sensors. The sensors were used to monitor the behavior of steel double-lap shear splices tested under tensile loading up to failure. The measurements were used to identify abnormal structural behavior such as epoxy cracking and FRP debonding. Test results were also compared to numerical values obtained from a three dimensional shear-lag model which was developed to predict the sensor response.

Strengthening nuclear security

International Nuclear Information System (INIS)

Kurihara, Hiroyoshi

2003-01-01

The international situation after the end of the Cold-War has been quite unstable, due to the occurrence of frequent regional conflicts and domestic wars based on ethnic, religious or racial reasons. Further, threats to the would peace and security by non-state actors, like international terrorist groups, have been recognized after 9.11 terrorist attacks to the World Trade Center buildings and to the Pentagon. Utilization of nuclear energy, which encompasses both peaceful uses and military ones, required an establishment of regulatory system, by which risks associated with the development of nuclear energy can be controlled. Accordingly, nuclear safety control system, and then non-proliferation control system has been developed, both in the international level and notional level. In recognition of the present unstable international situations, it is required to establish, maintain and strengthen a system which control nuclear security aspect, in addition to the present systems. (author)

A comparative study on strengthening applications of prefabricated buildings in earthquake regions

International Nuclear Information System (INIS)

Arslan, M. Hakan; Gulay, F. Gulten

2006-01-01

Damages to prefabricated industrial structures caused by earthquakes in the last ten years in Turkey have occurred to an enormous extent. Among the causes of this damage, the inherent characteristic weakness of the load-carrying systems and constructing most of them according to the earthquake code applied before 1998 can be listed. The tragic situation that appeared after earthquakes emphasized that existing prefabricated constructions should be strengthened/improved according to the code which became valid after 1998. This study comprises three sections. The damage types in prefabricated reinforced concrete structures caused by earthquakes and the strengthening models (samples) that can be applied to these structures will be mentioned in the first and second sections, respectively. The last and the analytical part of the study will be about the selection of the most often damaged industrial construction type which is preferred in industrial regions and application of selecting strengthening methods performed by modeling these structures according to three different span types (1-S, 2-S, 3-S). The strengthening methods will be Sheer wall (SW), Steel Bracing (B), Steel Beam (SB) and Column Jacketing (CJ). All the systems will be calculated by using non-linear procedures (pushover analysis). The analysis performed by using a Software Package (DRAIN-2DX), will be applied to each frame in order to obtain load-displacement curves. The real hinge parameters will be defined using FEMA-356 to reflect the existing conditions. The results will be compared by considering the contribution of strengthening and especially system performance to displacement ductility. (author)

Carbon fiber epoxy composites for both strengthening and health monitoring of structures.

Science.gov (United States)

Salvado, Rita; Lopes, Catarina; Szojda, Leszek; Araújo, Pedro; Gorski, Marcin; Velez, Fernando José; Castro-Gomes, João; Krzywon, Rafal

2015-05-06

This paper presents a study of the electrical and mechanical behavior of several continuous carbon fibers epoxy composites for both strengthening and monitoring of structures. In these composites, the arrangement of fibers was deliberately diversified to test and understand the ability of the composites for self-sensing low strains. Composites with different arrangements of fibers and textile weaves, mainly unidirectional continuous carbon reinforced composites, were tested at the dynamometer. A two-probe method was considered to measure the relative electrical resistance of these composites during loading. The measured relative electrical resistance includes volume and contact electrical resistances. For all tested specimens, it increases with an increase in tensile strain, at low strain values. This is explained by the improved alignment of fibers and resulting reduction of the number of possible contacts between fibers during loading, increasing as a consequence the contact electrical resistance of the composite. Laboratory tests on strengthening of structural elements were also performed, making hand-made composites by the "wet process", which is commonly used in civil engineering for the strengthening of all types of structures in-situ. Results show that the woven epoxy composite, used for strengthening of concrete elements is also able to sense low deformations, below 1%. Moreover, results clearly show that this textile sensor also improves the mechanical work of the strengthened structural elements, increasing their bearing capacity. Finally, the set of obtained results supports the concept of a textile fabric capable of both structural upgrade and self-monitoring of structures, especially large structures of difficult access and needing constant, sometimes very expensive, health monitoring.

Effective educator-student relationships in nursing education to strengthen nursing students' resilience.

Science.gov (United States)

Froneman, Kathleen; Du Plessis, Emmerentia; Koen, Magdelene P

2016-06-10

Little research has been conducted in private nursing schools with regard to the educator-student relationship to strengthen the resilience of nursing students and to improve the educator-student relationship. An effective educator-student relationship is a key factor to ensure a positive learning climate where learning can take place and resilience can be strengthened. The purpose was to explore and describe nursing students' view on the basic elements required for an effective educator-student relationship to strengthen their resilience and the educator-student relationship. This study followed an explorative, descriptive and contextual qualitative design in a private nursing education institution in the North West Province. Purposive sampling was used. The sample consisted of 40 enrolled nursing auxiliary students. The World Café Method was used to collect data, which were analysed by means of content analysis. The following five main themes were identified and included: (1) teaching-learning environment, (2) educator-student interaction, (3) educator qualities, (4) staying resilient and (5) strategies to strengthen resilience. Students need a caring and supportive environment; interaction that is constructive, acknowledges human rights and makes use of appropriate non-verbal communication. The educator must display qualities such as love and care, respect, responsibility, morality, patience, being open to new ideas, motivation, willingness to 'go the extra mile' and punctuality. Students reported on various ways how they manage to stay resilient. It thus seems that basic elements required in an effective educator-student relationship to strengthen the resilience of students include the environment, interaction, educator and student's qualities and resilience.

Outcomes following Hip and Quadriceps Strengthening Exercises for Patellofemoral Syndrome: A Systematic Review and Meta-Analysis

Directory of Open Access Journals (Sweden)

Adebisi Bisi-Balogun

2015-10-01

Full Text Available There is growing evidence to support change in the rehabilitation strategy of patellofemoral pain syndrome (PFPS from traditional quadriceps strengthening exercises to inclusion of hip musculature strengthening in individuals with PFPS. Several studies have evaluated effects of quadriceps and hip musculature strengthening on PFPS with varying outcomes on pain and function. This systematic review and meta-analysis aims to synthesize outcomes of pain and function post-intervention and at follow-up to determine whether outcomes vary depending on the exercise strategy in both the short and long term. Electronic databases including MEDLINE, EMBASE, CINAHL, Web of Science, PubMed, Pedro database, Proquest, Science direct, and EBscoHost databases were searched for randomized control trials published between 1st of January 2005 and 31st of June 2015, comparing the outcomes of pain and function following quadriceps strengthening and hip musculature strengthening exercises in patients with PFPS. Two independent reviewers assessed each paper for inclusion and quality. Means and SDs were extracted from each included study to allow effect size calculations and comparison of results. Six randomized control trials met the inclusion criteria. Limited to moderate evidence indicates that hip abductor strengthening was associated with significantly lower pain post-intervention (SMD −0.88, −1.28 to −0.47 95% CI, and at 12 months (SMD −3.10, −3.71 to −2.50 95% CI with large effect sizes (greater than 0.80 compared to quadriceps strengthening. Our findings suggest that incorporating hip musculature strengthening in management of PFPS tailored to individual ability will improve short-term and long-term outcomes of rehabilitation. Further research evaluating the effects of quadriceps and hip abductors strengthening focusing on reduction in anterior knee pain and improvement in function in management of PFPS is needed.

Irradiation performance of oxide dispersion strengthened copper alloys to 150 dpa at 415 degree C

International Nuclear Information System (INIS)

Edwards, D.J.; Kumar, A.S.; Anderson, K.R.; Stubbins, J.F.; Garner, F.A.; Hamilton, M.L.

1991-11-01

Results have been obtained on the post-irradiation properties of various oxide dispersion strengthened copper alloys irradiated from 34 to 150 dpa at 415 degrees C in the Fast Flux Test Facility. The GlidCop alloys strengthened by Al 2 O 3 continue to outperform other alloys with respect to swelling resistance, and retention of both electrical conductivity and yield strength. Several castable ODS alloys and a Cr 2 O 3 -strengthened alloy show increasingly poor resistance to radiation, especially in their swelling behavior. A HfO 2 -strengthened alloy retains most of its strength and its electrical conductivity reaches a constant level after 50 dpa, but it exhibits a higher residual radioactivity

Flexural Behavior of RC Slabs Strengthened in Flexure with Basalt Fabric-Reinforced Cementitious Matrix

Directory of Open Access Journals (Sweden)

Sugyu Lee

2018-01-01

Full Text Available This paper presents both experimental and analytical research results for predicting the flexural capacity of reinforced concrete (RC slabs strengthened in flexure with basalt fabric-reinforced cementitious matrix (FRCM. A total of 13 specimens were fabricated to evaluate the flexural behavior of RC slabs strengthened with basalt FRCM composite and were tested under four-point loading. The fiber type, tensile reinforcement ratio, and the number of fabric layers were chosen as experimental variables. The maximum load of FRCM-strengthened specimens increased from 11.2% to 98.2% relative to the reference specimens. The energy ratio and ductility of the FRCM-strengthened specimens decreased with the higher amount of fabric and tensile reinforcement. The effective stress level of FRCM fabric can be accurately predicted by a bond strength of ACI 549 and Jung’s model.

Strengthening foodborne diseases surveillance in the WHO African ...

African Journals Online (AJOL)

The new International Health Regulations (IHR) (2005) cover events of international importance including contaminated food and outbreaks of foodborne disease. The IHR (2005) and other international as well as regional agreements require Member States to strengthen surveillance systems including surveillance for ...

Pathology Competencies for Medical Education and Educational Cases

Directory of Open Access Journals (Sweden)

Barbara E. C. Knollmann-Ritschel MD

2017-07-01

Full Text Available Current medical school curricula predominantly facilitate early integration of basic science principles into clinical practice to strengthen diagnostic skills and the ability to make treatment decisions. In addition, they promote life-long learning and understanding of the principles of medical practice. The Pathology Competencies for Medical Education (PCME were developed in response to a call to action by pathology course directors nationwide to teach medical students pathology principles necessary for the practice of medicine. The PCME are divided into three competencies: 1 Disease Mechanisms and Processes, 2 Organ System Pathology, and 3 Diagnostic Medicine and Therapeutic Pathology. Each of these competencies is broad and contains multiple learning goals with more specific learning objectives. The original competencies were designed to be a living document, meaning that they will be revised and updated periodically, and have undergone their first revision with this publication. The development of teaching cases, which have a classic case-based design, for the learning objectives is the next step in providing educational content that is peer-reviewed and readily accessible for pathology course directors, medical educators, and medical students. Application of the PCME and cases promotes a minimum standard of exposure of the undifferentiated medical student to pathophysiologic principles. The publication of the PCME and the educational cases will create a current educational resource and repository published through Academic Pathology .

Strengthening 4-H by Analyzing Enrollment Data

Science.gov (United States)

Hamilton, Stephen F.; Northern, Angela; Neff, Robert

2014-01-01

The study reported here used data from the ACCESS 4-H Enrollment System to gain insight into strengthening New York State's 4-H programming. Member enrollment lists from 2009 to 2012 were analyzed using Microsoft Excel to determine trends and dropout rates. The descriptive data indicate declining 4-H enrollment in recent years and peak enrollment…

[Software as medical devices/medical apps : Tasks, requirements, and experiences from the point of view of a competent authority].

Science.gov (United States)

Terhechte, Arno

2018-03-01

Software can be classified as a medical device according to the Medical Device Directive 93/42/EEC. The number of software products and medical apps is continuously increasing and so too is the use in health institutions (e. g., in hospitals and doctors' surgeries) for diagnosis and therapy.Different aspects of standalone software and medical apps from the perspective of the authority responsible are presented. The quality system implemented to establish a risk-based systematic inspection and supervision of manufacturers is discussed. The legal framework, as well as additional standards that are the basis for inspection, are outlined. The article highlights special aspects that occur during inspection like verification of software and interfaces, and the clinical evaluation of software. The Bezirksregierung, as the local government authority responsible in North Rhine-Westphalia, is also in charge of inspection of health institutions. Therefore this article is not limited to the manufacturers placing the software on the market, but in addition it describes the management and use of software as a medical device in hospitals.The future legal framework, the Medical Device Regulation, will strengthen the requirements and engage notified bodies more than today in the conformity assessment of software as a medical device.Manufacturers, health institutions, notified bodies and the authorities responsible are in charge of intensifying their efforts towards software as a medical device. Mutual information, improvement of skills, and inspections will lead to compliance with regulatory requirements.

Experimental analysis of reinforced concrete columns strengthened with Self-Compacting concrete

Directory of Open Access Journals (Sweden)

M. Y. M. Omar

Full Text Available This paper presents the results of reinforced concrete columns strengthened by addition of a self-compacting concrete overlay at the compressed and at the tensioned face of the member, with and without addition of longitudinal steel bars. Eight columns were submit- ted to loading with an initial eccentricity of 60 mm . These columns had 120 mm x 250 mm of rectangular cross section, 2000 mm in length and four longitudinal reinforcement steel bars with 10 mm in diameter. Reference columns P1 and P2 were tested to failure without any type of rehabilitation. Columns P3 to P8 were loaded to a predefined load (close to the initial yield point of tension reinforce- ment, then unloaded and strengthened for a subsequent test until failure. Results showed that the method of rehabilitation used was effective, increasing the loading capacity of the strengthened pieces by 2 to 5 times the ultimate load of the reference column.

TECHNICAL NOTE: The strengthening effect of guar gum on the yield stress of magnetorheological fluid

Science.gov (United States)

Wu, Wei Ping; Zhao, Bin Yuan; Wu, Qing; Chen, LeSheng; Hu, Ke Ao

2006-08-01

In this paper we present a novel approach for producing obvious strengthening of the magnetorheological (MR) effect of MR fluids. Carbonyl iron powders coated with guar gum were used as magnetic particles in the MR fluid. Experimental results showed that inducing a guar gum coating not only greatly improved the sedimentation stability but also strengthened the yield stress of the MR fluid. An intermolecular force based model was proposed for explaining the strengthening effect.

Medical humanities and their discontents: definitions, critiques, and implications.

Science.gov (United States)

Shapiro, Johanna; Coulehan, Jack; Wear, Delese; Montello, Martha

2009-02-01

The humanities offer great potential for enhancing professional and humanistic development in medical education. Yet, although many students report benefit from exposure to the humanities in their medical education, they also offer consistent complaints and skepticism. The authors offer a pedagogical definition of the medical humanities, linking it to medicine as a practice profession. They then explore three student critiques of medical humanities curricula: (1) the content critique, examining issues of perceived relevance and intellectual bait-and-switch, (2) the teaching critique, which examines instructor trustworthiness and perceived personal intrusiveness, and (3) the structural/placement critique, or how and when medical humanities appear in the curriculum. Next, ways are suggested to tailor medical humanities to better acknowledge and reframe the needs of medical students. These include ongoing cross-disciplinary reflective practices in which intellectual tools of the humanities are incorporated into educational activities to help students examine and, at times, contest the process, values, and goals of medical practice. This systematic, pervasive reflection will organically lead to meaningful contributions from the medical humanities in three specific areas of great interest to medical educators: professionalism, "narrativity," and educational competencies. Regarding pedagogy, the implications of this approach are an integrated required curriculum and innovative concepts such as "applied humanities scholars." In turn, systematic integration of humanities perspectives and ways of thinking into clinical training will usefully expand the range of metaphors and narratives available to reflect on medical practice and offer possibilities for deepening and strengthening professional education.

Some new characteristics of the strengthening phase in β-phase magnesium-lithium alloys containing aluminum and beryllium

International Nuclear Information System (INIS)

Song Guangsheng; Staiger, Mark; Kral, Milo

2004-01-01

Hardness, optical-microscopy and X-ray diffraction studies on the strengthening phase in β-phase magnesium-lithium alloys containing different content of aluminum were carried out to give some new characteristics of the strengthening phase affecting lattice distortion and α-Mg precipitation in the β-matrix. In the presence of the strengthening-phase precipitates, the matrix lattice undergoes substantial strain characterized by peak broadening. The peak width in the β-matrix phase pattern can provide an indication of lattice strain caused by the strengthening-phase precipitates. The origin of α-Mg precipitation resulting from the decomposition of the strengthening phase into stable AlLi compound is also explained in the present work

Analysis of an environmental exposure health questionnaire in a metropolitan minority population utilizing logistic regression and Support Vector Machines.

Science.gov (United States)

Chen, Chau-Kuang; Bruce, Michelle; Tyler, Lauren; Brown, Claudine; Garrett, Angelica; Goggins, Susan; Lewis-Polite, Brandy; Weriwoh, Mirabel L; Juarez, Paul D; Hood, Darryl B; Skelton, Tyler

2013-02-01

The goal of this study was to analyze a 54-item instrument for assessment of perception of exposure to environmental contaminants within the context of the built environment, or exposome. This exposome was defined in five domains to include 1) home and hobby, 2) school, 3) community, 4) occupation, and 5) exposure history. Interviews were conducted with child-bearing-age minority women at Metro Nashville General Hospital at Meharry Medical College. Data were analyzed utilizing DTReg software for Support Vector Machine (SVM) modeling followed by an SPSS package for a logistic regression model. The target (outcome) variable of interest was respondent's residence by ZIP code. The results demonstrate that the rank order of important variables with respect to SVM modeling versus traditional logistic regression models is almost identical. This is the first study documenting that SVM analysis has discriminate power for determination of higher-ordered spatial relationships on an environmental exposure history questionnaire.

1st International Conference on Advancements of Medical Electronics

CERN Document Server

Bag, Sandip; Ganguly, Karabi; Sarkar, Indranath; Biswas, Papun

2015-01-01

The book is a collection of peer-reviewed scientific papers submitted by active researchers in the 1st International Conference on Advancements of Medical Electronics (ICAME2015). The conference is organized jointly by the Department of Biomedical Engineering and Electronics and Communication Engineering, JIS College of Engineering, West Bengal, India. The primary objective of the conference is to strengthen interdisciplinary research and its applications for the welfare of humanity. A galaxy of academicians, professionals, scientists, statesman and researchers from different parts of the country and abroad got together and shared their knowledge. The book presents research articles of medical image processing & analysis, biomedical instrumentation & measurements, DSP & clinical applications, embedded systems & its applications in healthcare. The book can be referred as a tool for further research.

Fukushima Ministerial Conference Urges Continued Work to Strengthen Nuclear Safety

International Nuclear Information System (INIS)

2012-01-01

Full text: Strengthening nuclear safety is a continuous process that leaves no room for complacency, the Co-Presidents of the Fukushima Ministerial Conference on Nuclear Safety said in a statement today. Koichiro Gemba, Japan's Minister of Foreign Affairs, and Fadillah bin Haji Yusof, Malaysia's Deputy Minister of Science, Technology and Innovation, released the Co-Presidents' Statement at the conclusion of the Conference's Ministerial Plenary, on day one of the three-day event. ''It was stressed that nuclear safety is a prerequisite for the peaceful uses of nuclear energy, that strengthening nuclear safety is a continuous process and that there should be no complacency in safety matters,'' the statement said. The statement recognized progress reported by Japan in the response to the Fukushima Daiichi accident, including the achievement of the present stable status of the nuclear power station and the significant decrease in radioactive releases at the accident site. It stressed the importance of continued transparency in sharing objective information on the progress of decommissioning the plant, remediation and waste management, and encouraged Japan to lead an international effort to obtain data from the damaged reactors. ''The lessons learned from these activities, through their dissemination and related cooperation with the international community, are expected to contribute to enhancing the safety and effectiveness of future decommissioning and remediation activities worldwide,'' it said. The statement emphasized the importance of strengthening the IAEA's central role in international efforts to enhance global nuclear safety, underlining the Agency's Safety Standards and the IAEA Action Plan on Nuclear Safety. It urged IAEA Member States to strengthen efforts to implement the Action Plan fully, including the use of international peer reviews and putting the recommendations of such reviews into practice. It stressed the ''utmost importance of establishing and

Improvement of early detection of breast cancer through collaborative multi-country efforts: Medical physics component.

Science.gov (United States)

Mora, Patricia; Faulkner, Keith; Mahmoud, Ahmed M; Gershan, Vesna; Kausik, Aruna; Zdesar, Urban; Brandan, María-Ester; Kurt, Serap; Davidović, Jasna; Salama, Dina H; Aribal, Erkin; Odio, Clara; Chaturvedi, Arvind K; Sabih, Zahida; Vujnović, Saša; Paez, Diana; Delis, Harry

2018-04-01

The International Atomic Energy Agency (IAEA) through a Coordinated Research Project on "Enhancing Capacity for Early Detection and Diagnosis of Breast Cancer through Imaging", brought together a group of mammography radiologists, medical physicists and radiographers; to investigate current practices and improve procedures for the early detection of breast cancer by strengthening both the clinical and medical physics components. This paper addresses the medical physics component. The countries that participated in the CRP were Bosnia and Herzegovina, Costa Rica, Egypt, India, Kenya, the Frmr. Yug. Rep. of Macedonia, Mexico, Nigeria, Pakistan, Philippines, Slovenia, Turkey, Uganda, United Kingdom and Zambia. Ten institutions participated using IAEA quality control protocols in 9 digital and 3 analogue mammography equipment. A spreadsheet for data collection was generated and distributed. Evaluation of image quality was done using TOR MAX and DMAM2 Gold phantoms. QC results for analogue equipment showed satisfactory results. QC tests performed on digital systems showed that improvements needed to be implemented, especially in thickness accuracy, signal difference to noise ratio (SDNR) values for achievable levels, uniformity and modulation transfer function (MTF). Mean glandular dose (MGD) was below international recommended levels for patient radiation protection. Evaluation of image quality by phantoms also indicated the need for improvement. Common activities facilitated improvement in mammography practice, including training of medical physicists in QC programs and infrastructure was improved and strengthened; networking among medical physicists and radiologists took place and was maintained over time. IAEA QC protocols provided a uniformed approach to QC measurements. Copyright © 2018 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

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

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

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

Strengthening foodborne disease surveillance in the WHO African

African Journals Online (AJOL)

OMS

2012-06-04

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

PRACTICE POINTS Application of ICT in strengthening health ...

African Journals Online (AJOL)

Information Communication Technology (ICT) revolution brought opportunities and challenges to developing countries in their efforts to strengthen the Health Management Information Systems (HMIS). In the wake of globalisation, developing countries have no choice but to take advantage of the opportunities and face the ...

Experimental study on fatigue crack propagation rate of RC beam strengthened with carbon fiber laminate

Science.gov (United States)

Huang, Peiyan; Liu, Guangwan; Guo, Xinyan; Huang, Man

2008-11-01

The experimental research on fatigue crack propagation rate of reinforced concrete (RC) beams strengthened with carbon fiber laminate (CFL) is carried out by MTS system in this paper. The experimental results show that, the main crack propagation on strengthened beam can be summarized into three phases: 1) fast propagation phase; 2) steady propagation and rest phase; 3) unsteady propagation phase. The phase 2-i.e. steady propagation and rest stage makes up about 95% of fatigue life of the strengthened beam. The propagation rate of the main crack, da/dN, in phase 2 can be described by Paris formula, and the constant C and m can be confirmed by the fatigue crack propagation experiments of the RC beams strengthened with CFL under three-point bending loads.

75 FR 20717 - Federal Housing Administration: Continuation of FHA Reform; Strengthening Risk Management Through...

Science.gov (United States)

2010-04-20

... Administration: Continuation of FHA Reform; Strengthening Risk Management Through Responsible FHA-Approved...) that are designed to strengthen FHA by improving its management of risk. This final rule increases the... designed to enhance FHA's risk management functions. The announcement preceded completion of an independent...

75 FR 23582 - Federal Housing Administration: Continuation of FHA Reform-Strengthening Risk Management Through...

Science.gov (United States)

2010-05-04

...-AI81 Federal Housing Administration: Continuation of FHA Reform-- Strengthening Risk Management Through... Federal Housing Administration (FHA) that are designed to strengthen FHA by improving its management of risk. Although the preamble to the final rule correctly provides that the revised net worth...

Impact Evaluation Study for Institution Strengthening of Social Food Distribution

Directory of Open Access Journals (Sweden)

Budiman Notoatmojo

2016-03-01

Full Text Available The general objectives of this study were to evaluate whether the implementation of activities for strengthening LDPM could achieve the expected goals, to evaluate whether the LDPM strengthening activities had a positive impact. The study analysis used was descriptive, comparison, and financial analysis. The results of this study have shown that LDPM farmers’ income have increased significantly, and the Gapoktan as LPDM farmers’ institution has been significantly developing as a Bulog function in procuring grain paddy from farmers during peak harvest and distributing rice to stabilize the price of rice during the limited rice in the market.

Food insecurity among students living with HIV: Strengthening safety ...

African Journals Online (AJOL)

Food insecurity among students living with HIV: Strengthening safety nets at the Nelson Mandela Metropolitan University, South Africa. ... of age and managed as part of the Campus Health Service antiretroviral therapy (ART) programme.

Impact of a quality improvement project to strengthen infection ...

African Journals Online (AJOL)

Impact of a quality improvement project to strengthen infection prevention and control training at rural healthcare facilities. ... African Journal of Health Professions Education. Journal Home · ABOUT THIS JOURNAL · Advanced Search ...

Strengthening regional safeguards

International Nuclear Information System (INIS)

Palhares, L.; Almeida, G.; Mafra, O.

1996-01-01

Nuclear cooperation between Argentina and Brazil has been growing since the early 1980's and as it grew, so did cooperation with the US Department of Energy (DOE). The Brazilian-Argentine Agency for Accounting and Control of Nuclear Materials (ABACC) was formed in December 1991 to operate the Common System of Accounting and Control of Nuclear Materials (SCCC). In April 1994, ABACC and the DOE signed an Agreement of Cooperation in nuclear material safeguards. This cooperation has included training safeguards inspectors, exchanging nuclear material measurement and containment and surveillance technology, characterizing reference materials, and studying enrichment plant safeguards. The goal of the collaboration is to exchange technology, evaluate new technology in Latin American nuclear facilities, and strengthen regional safeguards. This paper describes the history of the cooperation, its recent activities, and future projects. The cooperation is strongly supported by all three governments: the Republics of Argentina and Brazil and the United States

Titanium oxide dispersion-strengthened ferritic alloys

International Nuclear Information System (INIS)

Hendrix, W.; Vandermeulen, W.

1980-04-01

The available data on the DT02 and DT3911 ferritic dispersion strengthened alloys, developed at SCK/CEN, Mol, Belgium, are presented. Both alloys consist of Fe - 13% Cr - 1.5% Mo to which 2% TiO 2 and about 3.5% Ti are added (wt.%). Their main use is for the fabrication of fast breeder reactor cladding tubes but their application as turbine blade material is also envisaged for cases where high damping is important. (auth.)

Carbon Fiber Epoxy Composites for Both Strengthening and Health Monitoring of Structures

Directory of Open Access Journals (Sweden)

Rita Salvado

2015-05-01

Full Text Available This paper presents a study of the electrical and mechanical behavior of several continuous carbon fibers epoxy composites for both strengthening and monitoring of structures. In these composites, the arrangement of fibers was deliberately diversified to test and understand the ability of the composites for self-sensing low strains. Composites with different arrangements of fibers and textile weaves, mainly unidirectional continuous carbon reinforced composites, were tested at the dynamometer. A two-probe method was considered to measure the relative electrical resistance of these composites during loading. The measured relative electrical resistance includes volume and contact electrical resistances. For all tested specimens, it increases with an increase in tensile strain, at low strain values. This is explained by the improved alignment of fibers and resulting reduction of the number of possible contacts between fibers during loading, increasing as a consequence the contact electrical resistance of the composite. Laboratory tests on strengthening of structural elements were also performed, making hand-made composites by the “wet process”, which is commonly used in civil engineering for the strengthening of all types of structures in-situ. Results show that the woven epoxy composite, used for strengthening of concrete elements is also able to sense low deformations, below 1%. Moreover, results clearly show that this textile sensor also improves the mechanical work of the strengthened structural elements, increasing their bearing capacity. Finally, the set of obtained results supports the concept of a textile fabric capable of both structural upgrade and self-monitoring of structures, especially large structures of difficult access and needing constant, sometimes very expensive, health monitoring.

Why the Australian Monsoon Strengthened During the Cold Last Glacial Maximum?

Science.gov (United States)

Yan, M.; Wang, B.; Liu, J.; Ning, L.

2017-12-01

The multi-model ensemble simulation suggests that the global monsoon and most sub-monsoons are weakened during the Last Glacial Maximum (LGM) due to the lower green-house gases concentration, the presence of the ice-sheets and the weakened seasonal distribution of insolation. In contrast, the Australian monsoon is strengthened during the LGM. The precipitation there increases in austral summer and decreases in austral winter, so that the annual range or monsoonality increases. The strengthened monsoonality is mainly due to the decreased precipitation in austral winter, which is primarily caused by circulation changes, although the reduced atmospheric water vapor also has a moderate contribution. On the other hand, the strengthened Australian summer monsoon rainfall is likely caused by the change of land-sea thermal contrast due to the alteration of land-sea configuration and by the asymmetric change in sea surface temperature (SST) over Indo-Pacific warm pool region. The strengthened land-sea thermal contrast and Western Pacific-Eastern Indian Ocean thermal gradients in the pre-summer monsoon season triggers a cyclonic wind anomaly that is maintained to the monsoon season, thereby increasing summer precipitation. The increased summer precipitation is associated with the increased cloud cover over the land and decreased cloud cover over the ocean. This may weaken the land-sea thermal contrast, which agrees with the paleoclimate reconstruction. The biases between different models are likely related to the different responses of SST over the North Atlantic Ocean in the pre-summer monsoon season.

Effects of CFRP Strengthening on Dynamic and Fatigue Responses of Composite Bridge

Directory of Open Access Journals (Sweden)

Kittisak Kuntiyawichai

2014-01-01

Full Text Available This paper investigates the effect of CFRP strengthening on dynamic and fatigue responses of composite bridge using finite element program ABAQUS. Dynamic and fatigue responses of composite bridge due to truck load based on AASHTO standard are investigated. Two types of CFRP strengthening techniques, CFRP sheets and CFRP deck, are applied to both the damaged and undamaged bridges. For the case of damaged bridge, two through-thickness crack sizes, 3 mm and 6 mm in depth, are assumed at midspan of the steel girders. Furthermore, effects of the number of steel girders on the dynamic and fatigue responses are also considered. The results show that the maximum responses of composite bridges occur for dual lane cases. By using CFRP as a strengthening material, the maximum stress and deflection of the steel girders reduce and consequently increase the fatigue life of the girders. After introducing initial crack into the steel girders of the composite bridges, the fatigue life of the bridges is dramatically reduced. However, the overall performance of the damaged composite bridge can be improved by using CFRP, albeit with less effectiveness. Therefore, if cracks are found, steel welding must be performed before strengthening the composite bridge by CFRP.

RC Beams Strengthened with Mechanically Fastened Composites: Experimental Results and Numerical Modeling

Directory of Open Access Journals (Sweden)

Enzo Martinelli

2014-03-01

Full Text Available The use of mechanically-fastened fiber-reinforced polymer (MF-FRP systems has recently emerged as a competitive solution for the flexural strengthening of reinforced concrete (RC beams and slabs. An overview of the experimental research has proven the effectiveness and the potentiality of the MF-FRP technique which is particularly suitable for emergency repairs or when the speed of installation and immediacy of use are imperative. A finite-element (FE model has been recently developed by the authors with the aim to simulate the behavior of RC beams strengthened in bending by MF-FRP laminates; such a model has also been validated by using a wide experimental database collected from the literature. By following the previous study, the FE model and the assembled database are considered herein with the aim of better exploring the influence of some specific aspects on the structural response of MF-FRP strengthened members, such as the bearing stress-slip relationship assumed for the FRP-concrete interface, the stress-strain law considered for reinforcing steel rebars and the cracking process in RC members resulting in the well-known tension stiffening effect. The considerations drawn from this study will be useful to researchers for the calibration of criteria and design rules for strengthening RC beams through MF-FRP laminates.

Semiempirical Methodology for Estimating the Service Life of Concrete Deck Panels Strengthened with Fiber-Reinforced Polymer

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Eon-Kyoung Kim

2014-01-01

Full Text Available Deterioration of concrete bridge decks affects their durability, safety, and function. It is therefore necessary to conduct structural rehabilitation of damaged concrete decks by strengthening them with fiber-reinforced polymer. Of the recent studies on the strengthened structures, most have focused on static behavior; only a few studies have investigated fatigue behavior. Accurate analysis of fatigue in concrete deck performance requires a more realistic simulated moving load. This study developed a theoretical live-load model to reflect the effect of moving vehicle loads, based on a statistical approach to the measurement of real traffic loads over various time periods in Korea. It assessed the fatigue life and strengthening effect of bridge decks strengthened with either carbon fiber sheets or grid carbon fiber polymer plastic using probabilistic and reliability analyses. It used extrapolations and simulations to derive maximum load effects for time periods ranging from 1 day to 75 years. Limited fatigue tests were conducted and probabilistic and reliability analyses were carried out on the strengthened concrete bridge deck specimens to predict the extended fatigue life. Analysis results indicated that strengthened concrete decks provide sufficient resistance against increasing truck loads during the service life of a bridge.

National viewpoints: Views on strengthened safeguards from Australia, Cuba and South Africa

International Nuclear Information System (INIS)

Biggs, I.; Saburido, E.F.; Mxakato-Diseko, N.J.

1999-01-01

This paper presents views of Australia, Cuba and South Africa concerned with strengthened safeguards regime. Australia has been involved with the IAEA safeguards system since the first plenary meeting of the Conference on the IAEA Statute in 1956, joined the NPT in 1973 and began concluding bilateral safeguards agreements in 1977. Australia has the greatest respect for the IAEA coordinated efforts started in 1998 to strengthen and integrate the safeguards system. Cuba has always attached special importance to nuclear safeguards activities, recognizing their high priority as well as the important role they have in respect to international disarmament and security. South Africa supports the efforts in strengthening the safeguards activities and remains hopeful that the international community will address the challenges posed by the Trilateral Initiative between Russian federation, USA and IAEA in a mature and cooperative way

[eHealth in Peru: implementation of policies to strengthen health information systems].

Science.gov (United States)

Curioso, Walter H

2014-01-01

Health information systems play a key role in enabling high quality, complete health information to be available in a timely fashion for operational and strategic decision-making that makes it possible to save lives and improve the health and quality of life of the population. In many countries, health information systems are weak, incomplete, and fragmented. However, there is broad consensus in the literature of the need to strengthen health information systems in countries around the world. The objective of this paper is to present the essential components of the conceptual framework to strengthen health information systems in Peru. It describes the principal actions and strategies of the Ministry of Health of Peru during the process of strengthening health information systems. These systems make it possible to orient policies for appropriate decision-making in public health.

Flexural strengthening of Reinforced Concrete (RC) Beams Retrofitted with Corrugated Glass Fiber Reinforced Polymer (GFRP) Laminates

Science.gov (United States)

Aravind, N.; Samanta, Amiya K.; Roy, Dilip Kr. Singha; Thanikal, Joseph V.

2015-01-01

Strengthening the structural members of old buildings using advanced materials is a contemporary research in the field of repairs and rehabilitation. Many researchers used plain Glass Fiber Reinforced Polymer (GFRP) sheets for strengthening Reinforced Concrete (RC) beams. In this research work, rectangular corrugated GFRP laminates were used for strengthening RC beams to achieve higher flexural strength and load carrying capacity. Type and dimensions of corrugated profile were selected based on preliminary study using ANSYS software. A total of twenty one beams were tested to study the load carrying capacity of control specimens and beams strengthened with plain sheets and corrugated laminates using epoxy resin. This paper presents the experimental and theoretical study on flexural strengthening of Reinforced Concrete (RC) beams using corrugated GFRP laminates and the results are compared. Mathematical models were developed based on the experimental data and then the models were validated.

Strengthening Africa's science granting councils as champions of ...

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

The capacity strengthening approach will be a participatory one involving customized regional training courses, on-site coaching for individual councils, peer-to-peer learning among councils, and knowledge exchange during annual learning forums. Implementation of this project is expected to contribute to the goals of the ...

In-Plane Strengthening Effect of Prefabricated Concrete Walls on Masonry Structures: Shaking Table Test

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Weiwei Li

2017-01-01

Full Text Available The improvement effect of a new strengthening strategy on dynamic action of masonry structure, by installing prefabricated concrete walls on the outer facades, is validated by shaking table test presented in this paper. We carried out dynamic tests of two geometrically identical five-story reduced scaled models, including an unstrengthened and a strengthened masonry model. The experimental analysis encompasses seismic performances such as cracking patterns, failure mechanisms, amplification factors of acceleration, and displacements. The results show that the strengthened masonry structure shows much more excellent seismic capacity when compared with the unstrengthened one.

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

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Mohammad Reza Rezaei

2017-12-01

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

Behavior of partially defected R.C columns strengthened using steel jackets

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Ahmed Shaban Abdel-Hay

2015-08-01

The main parameters studied were the type of steel jacket used and height of partial strengthened part of column. One of the tested specimens was a control specimen and the other six were partially strengthened with different types of steel jackets such as using 4 steel angles at corners connected with straps, using external ties with different spacings, and using 4 steel plates with different thicknesses welded together and connected to column by anchor bolts. Finally, the experimental results were analyzed and compared with results obtained from finite element analysis using ANSYS program.

Influence of ties on the behavior of short reinforced concrete columns strengthened by external CFRP

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Sarsam Kaiss

2018-01-01

Full Text Available An experimental study was carried out to investigate the behavior of normal strength reinforce concret (RC circular short column strengthned with “carbon fiber reinforced polymer (CFRP sheets”. Three series comprising totally of (15 specimens loaded until failure under concentric compresion load. Strengthening was varied by changing the number of CFRP strips, spacing and wrapping methods. The findings of this research can be summarized as follows: for the columns without CFRP, the influence of the tie spacing was significant: compared with 130 mm tie spacing, dropping the spacing to 100 mm and 70 mm increased the load carrying capacity by 18% and 26%, respectively. The columns with less internal confinement (lesser amount of ties were strengthened more significantly by the CFRP than the ones with greater amount of internal ties. As an example of the varying effectiveness of the fully wrapped CFRP, the column with ties at 130 mm was strengthened by 90% with the CFRP. In contrast, the ones with 70 mm spaced ties only increased in strength with CFRP by 66%. Compared with the control specimen (no CFRP, the same amount of CFRP when used as hoop strips led to more strengthening than using CFRP as a spiral strip- the former led to nearly 9% more strengthening than the latter in the case of 130 mm spaced internal steel ties. In the case of 100 mm internal steel ties, the difference (between the hoops & spiral CFRP strengthening is close to 4%. In contrast, there is no difference between the two methods of strengthening in the heavily tied columns (70 mm tied spacing.

Securing Chinese nuclear power development: further strengthening nuclear security

International Nuclear Information System (INIS)

Zhang Hui

2014-01-01

Chinese President Xi Jinping addresses China's new concept of nuclear security with four 'equal emphasis' at the third Nuclear Security Summit, and makes four commitments to strengthen nuclear security in the future. To convert President Xi's political commitments into practical, sustainable reality, China should take further steps to install a complete, reliable, and effective security system to ensure that all its nuclear materials and nuclear facilities are effectively protected against the full spectrum of plausible terrorist and criminal threats. This paper suggests the following measures be taken to improve China's existing nuclear security system, including updating and clarifying the requirements for a national level DBT; updating and enforcing existing regulations; further promoting nuclear security culture; balancing the costs of nuclear security, and further strengthening international cooperation on nuclear security. (author)

Strengthening the role of Community Health Representatives in the Navajo Nation

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Caroline King

2017-04-01

Full Text Available Abstract Background Strengthening Community Health Worker systems has been recognized to improve access to chronic disease prevention and management efforts in low-resource communities. The Community Outreach and Patient Empowerment (COPE Program is a Native non-profit organization with formal partnerships with both the Navajo Nation Community Health Representative (CHR Program and the clinical facilities serving the Navajo Nation. COPE works to better integrate CHRs into the local health care system through training, strengthening care coordination, and a standardized culturally appropriate suite of health promotion materials for CHRs to deliver to high-risk individuals in their homes. Methods The objective of this mixed methods, cross sectional evaluation of a longitudinal cohort study was to explore how the COPE Program has effected CHR teams over the past 6 years. COPE staff surveyed CHRs in concurrent years (2014 and 2015 about their perceptions of and experience working with COPE, including potential effects COPE may have had on communication among patients, CHRs, and hospital-based providers. COPE staff also conducted focus groups with all eight Navajo Nation CHR teams. Results CHRs and other stakeholders who viewed our results agree that COPE has improved clinic-community linkages, primarily through strengthened collaborations between Public Health Nurses and CHRs, and access to the Electronic Health Records. CHRs perceived that COPE’s programmatic support has strengthened their validity and reputation with providers and clients, and has enhanced their ability to positively effect health outcomes among their clients. CHRs report an improved ability to deliver health coaching to their clients. Survey results show that 80.2% of CHRs feel strongly positive that COPE trainings are useful, while 44.6% of CHRs felt that communication and teamwork had improved because of COPE. Conclusions These findings suggest that CHRs have experienced

Effects of Zr Addition on Strengthening Mechanisms of Al-Alloyed High-Cr ODS Steels.

Science.gov (United States)

Ren, Jian; Yu, Liming; Liu, Yongchang; Liu, Chenxi; Li, Huijun; Wu, Jiefeng

2018-01-12

Oxide dispersion strengthened (ODS) steels with different contents of zirconium (denoted as 16Cr ODS, 16Cr-0.3Zr ODS and 16Cr-0.6Zr ODS) were fabricated to investigate the effects of Zr on strengthening mechanism of Al-alloyed 16Cr ODS steel. Electron backscatter diffraction (EBSD) results show that the mean grain size of ODS steels could be decreased by Zr addition. Transmission electron microscope (TEM) results indicate that Zr addition could increase the number density but decrease the mean diameter and inter-particle spacing of oxide particles. Furthermore, it is also found that in addition to Y-Al-O nanoparticles, Y-Zr-O oxides with finer size were observed in 16Cr-0.3Zr ODS and 16Cr-0.6Zr ODS steels. These changes in microstructure significantly increase the yield strength (YS) and ultimate tensile strength (UTS) of ODS steels through mechanisms of grain boundary strengthening and dispersion strengthening.

The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs.

Science.gov (United States)

Brosseau, Lucie; Taki, Jade; Desjardins, Brigit; Thevenot, Odette; Fransen, Marlene; Wells, George A; Mizusaki Imoto, Aline; Toupin-April, Karine; Westby, Marie; Álvarez Gallardo, Inmaculada C; Gifford, Wendy; Laferrière, Lucie; Rahman, Prinon; Loew, Laurianne; De Angelis, Gino; Cavallo, Sabrina; Shallwani, Shirin Mehdi; Aburub, Ala'; Bennell, Kim L; Van der Esch, Martin; Simic, Milena; McConnell, Sara; Harmer, Alison; Kenny, Glen P; Paterson, Gail; Regnaux, Jean-Philippe; Lefevre-Colau, Marie-Martine; McLean, Linda

2017-05-01

To identify effective strengthening exercise programs and provide rehabilitation teams and patients with updated, high-quality recommendations concerning traditional land-based exercises for knee osteoarthritis. A systematic search and adapted selection criteria included comparative controlled trials with strengthening exercise programs for patients with knee osteoarthritis. A panel of experts reached consensus on the recommendations using a Delphi survey. A hierarchical alphabetical grading system (A, B, C+, C, D, D+ or D-) was based on statistical significance ( p osteoarthritis management within a six-month period. Strengthening exercise programs demonstrated a significant improvement for pain relief (four Grade A, ten Grade B, two Grade C+), physical function (four Grade A, eight Grade B) and quality of life (three Grade B). Strengthening in combination with other types of exercises (coordination, balance, functional) showed a significant improvement in pain relief (three Grade A, 11 Grade B, eight Grade C+), physical function (two Grade A, four Grade B, three Grade C+) and quality of life (one Grade A, one Grade C+). There are a variety of choices for strengthening exercise programs with positive recommendations for healthcare professionals and knee osteoarthritis patients. There is a need to develop combined behavioral and muscle-strengthening strategies to improve long-term maintenance of regular strengthening exercise programs.

Strengthening the Canadian alcohol advertising regulatory system.

Science.gov (United States)

Heung, Carly M; Rempel, Benjamin; Krank, Marvin

2012-05-24

Research evidence points to harmful effects from alcohol advertising among children and youth. In particular, exposure to alcohol advertising has been associated with adolescents drinking both earlier and heavier. Although current federal and provincial guidelines have addressed advertising practices to prevent underage drinking, practice has not been supported by existing policy. While protective measures such as social marketing campaigns have the potential for counteracting the effects from alcohol advertising, the effectiveness of such measures can be easily drowned out with increasing advertising activities from the alcohol industry, especially without effective regulation. Research reviewed by the European Focus on Alcohol Safe Environment (FASE) Project has identified a set of key elements that are necessary to make alcohol advertising policy measures effective at protecting children and youth from the harmful effects of alcohol marketing. Using these key elements as an evaluation framework, there are critical components in the Canadian alcohol advertising regulatory system that clearly require strengthening. To protect impressionable children and youth against the harmful effects of alcohol advertising, 13 recommendations to strengthen current alcohol advertising regulations in Canada are provided for Canadian policy-makers, advertising standard agencies, and public health groups.

Development oxide dispersion strengthened ferritic steels for fusion

Energy Technology Data Exchange (ETDEWEB)

Mukhopadhyay, D.K.; Froes, F.H.; Gelles, D.S. [Pacific Northwest National Lab., Richland, WA (United States)

1997-04-01

Uniaxial tension creep response is reported for an oxide dispersion strengthened (ODS) steel, Fe-13.5Cr-2W-0.5Ti-0.25 Y{sub 2}O{sub 3} (in weight percent) manufactured using the mechanical alloying process. Acceptable creep response is obtained at 900{degrees}C.

From Seed to Table : Strengthening Urban Farmers' Organizational ...

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

From Seed to Table : Strengthening Urban Farmers' Organizational and Marketing Skills (Middle East and North Africa). RUAF (Resource Centres on Urban Agriculture and Food Security) was established in 1999 in response to an expressed need on the part of organizations and local governments in the South for a ...

Medical cooperative projects. From Nagasaki to Chernobyl and Semipalatinsk

International Nuclear Information System (INIS)

Takamura, Noboru; Yamashita, Shunichi

2005-01-01

For many years, Nagasaki University, particularly the Atomic Bomb Disease Institute, has been engaged in research regarding the late health effects of radiation exposure in Nagasaki atomic bomb survivors. Since 1991, we have participated in several Chernobyl projects including the Chernobyl Sasakawa Medical Cooperation Project which demonstrated a marked increase in the incidence of childhood thyroid cancer around Chernobyl, especially in the Gomel region, Belarus. Furthermore, we have performed both fieldwork and research to clarify the late effects of radiation exposure around Semipalatinsk Nuclear Testing Site and participated in bilateral official medical assistance projects between Japan and Kazakhstan to strengthen the medical infrastructure in this area. Through these humanitarian and scientific projects, we have been collaborating closely with our counterparts in the former Union of Soviet Socialist Republics (USSR) for the past 15 years. Here, we present a brief review of our past activities and future directions of international cooperative radiation research from Nagasaki to Chernobyl and Semipalatinsk. (author)

Microstructural influences on strengthening in a naturally aged and overaged Al–Cu–Li–Mg based alloy

International Nuclear Information System (INIS)

Ovri, Henry; Jägle, Eric A.; Stark, Andreas; Lilleodden, Erica T.

2015-01-01

A combination of transmission electron microscopy, atom probe tomography and high-energy X-ray diffraction was employed to investigate the influence of local microstructural changes on strengthening in a commercial Al–Cu–Li–Mg based alloy, AA2198, in the stretched and naturally aged, and overaged states. Strengthening in the stretched and naturally aged temper was shown to be governed by a combination of Cu–Cu clusters, δ′/β′ phase and solution strengthening. This is in contrast to another report which suggests that strength in this temper is only due to Cu-rich clusters [B. Decreus, et al., Acta Mater., 61 (2013) 2207]. On the other hand, although large volume fractions of equilibrium phases such as T B , and θ were present in the overaged temper, its strengthening was largely governed by order hardening, which is the strengthening mechanism associated with the δ′/β′ phase. The δ′/β′ phase remained in the matrix even after extensive overaging

Microstructural influences on strengthening in a naturally aged and overaged Al–Cu–Li–Mg based alloy

Energy Technology Data Exchange (ETDEWEB)

Ovri, Henry, E-mail: henry.ovri@hzg.de [Helmholtz Zentrum Geesthacht, Institute of Materials Research, Materials Mechanics, 21502 Geesthacht (Germany); Jägle, Eric A. [Max-Planck-Institut für Eisenforschung GmbH, Department of Microstructure Physics and Alloy Design, 40237 Düsseldorf (Germany); Stark, Andreas [Helmholtz Zentrum Geesthacht, Institute of Materials Research, Materials Physics, 21502 Geesthacht (Germany); Lilleodden, Erica T. [Helmholtz Zentrum Geesthacht, Institute of Materials Research, Materials Mechanics, 21502 Geesthacht (Germany)

2015-06-18

A combination of transmission electron microscopy, atom probe tomography and high-energy X-ray diffraction was employed to investigate the influence of local microstructural changes on strengthening in a commercial Al–Cu–Li–Mg based alloy, AA2198, in the stretched and naturally aged, and overaged states. Strengthening in the stretched and naturally aged temper was shown to be governed by a combination of Cu–Cu clusters, δ′/β′ phase and solution strengthening. This is in contrast to another report which suggests that strength in this temper is only due to Cu-rich clusters [B. Decreus, et al., Acta Mater., 61 (2013) 2207]. On the other hand, although large volume fractions of equilibrium phases such as T{sub B}, and θ were present in the overaged temper, its strengthening was largely governed by order hardening, which is the strengthening mechanism associated with the δ′/β′ phase. The δ′/β′ phase remained in the matrix even after extensive overaging.

Engagement of National Board of Examinations in strengthening public health education in India: present landscape, opportunities and future directions.

Science.gov (United States)

Sharma, Anjali; Zodpey, Sanjay; Batra, Bipin

2014-01-01

A trained and adequate heath workforce forms the crux in designing, implementing and monitoring health programs and delivering quality health services. Education is recognized as a critical instrument for creating such trained health professionals who can effectively address the 21 st century health challenges. At present, the Public Health Education in India is offered through medical colleges and also outside the corridors of medical colleges which was not the scenario earlier. Traditionally, Public Health Education has been a domain of medical colleges and was open for medical graduates only. In order to standardize the Postgraduate Medical Education in India, the National Board of Examinations (NBE) was set up as an independent autonomous body of its kind in the country in the field of medical sciences with the prime objective of improving the quality of the medical education. NBE has also played a significant role in enhancing Public Health Education in India through its Diplomat of National Board (DNB) Programs in Social and Preventive Medicine, Health and Hospital Administration, Maternal and Child Health, Family Medicine and Field Epidemiology. It envisions creating a cadre of skilled and motivated public health professionals and also developing a roadmap for postgraduate career pathways. However, there still exists gamut of opportunities for it to engage in expanding the scope of Public Health Education. It can play a key role in accreditation of public health programs and institutions which can transform the present landscape of education of health professionals. It also needs to revisit and re-initiate programs like DNB in Tropical Medicine and Occupational Health which were discontinued. The time is imperative for NBE to seize these opportunities and take necessary actions in strengthening and expanding the scope of Public Health Education in India.

Global health in medical education: a call for more training and opportunities.

Science.gov (United States)

Drain, Paul K; Primack, Aron; Hunt, D Dan; Fawzi, Wafaie W; Holmes, King K; Gardner, Pierce

2007-03-01

Worldwide increases in global migration and trade have been making communicable diseases a concern throughout the world and have highlighted the connections in health and medicine among and between continents. Physicians in developed countries are now expected to have a broader knowledge of tropical disease and newly emerging infections, while being culturally sensitive to the increasing number of international travelers and ethnic minority populations. Exposing medical students to these global health issues encourages students to enter primary care medicine, obtain public health degrees, and practice medicine among the poor and ethnic minorities. In addition, medical students who have completed an international clinical rotation often report a greater ability to recognize disease presentations, more comprehensive physical exam skills with less reliance on expensive imaging, and greater cultural sensitivity. American medical students have become increasingly more interested and active in global health, but medical schools have been slow to respond. The authors review the evidence supporting the benefits of promoting more global health teaching and opportunities among medical students. Finally, the authors suggest several steps that medical schools can take to meet the growing global health interest of medical students, which will make them better physicians and strengthen our medical system.

Improving the use of health data for health system strengthening

Directory of Open Access Journals (Sweden)

Tara Nutley

2013-02-01

Full Text Available Background: Good quality and timely data from health information systems are the foundation of all health systems. However, too often data sit in reports, on shelves or in databases and are not sufficiently utilised in policy and program development, improvement, strategic planning and advocacy. Without specific interventions aimed at improving the use of data produced by information systems, health systems will never fully be able to meet the needs of the populations they serve. Objective: To employ a logic model to describe a pathway of how specific activities and interventions can strengthen the use of health data in decision making to ultimately strengthen the health system. Design: A logic model was developed to provide a practical strategy for developing, monitoring and evaluating interventions to strengthen the use of data in decision making. The model draws on the collective strengths and similarities of previous work and adds to those previous works by making specific recommendations about interventions and activities that are most proximate to affect the use of data in decision making. The model provides an organizing framework for how interventions and activities work to strengthen the systematic demand, synthesis, review, and use of data. Results: The logic model and guidance are presented to facilitate its widespread use and to enable improved data-informed decision making in program review and planning, advocacy, policy development. Real world examples from the literature support the feasible application of the activities outlined in the model. Conclusions: The logic model provides specific and comprehensive guidance to improve data demand and use. It can be used to design, monitor and evaluate interventions, and to improve demand for, and use of, data in decision making. As more interventions are implemented to improve use of health data, those efforts need to be evaluated.

EBR Strengthening Technique for Concrete, Long-Term Behaviour and Historical Survey

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Christoph Czaderski

2018-01-01

Full Text Available Epoxy bonded steel plates (externally bonded reinforcemen: EBR for the strengthening of concrete structures were introduced to the construction industry in the late 1960s, and the use of fibre reinforced polymers (FRPs was introduced in the 1990s, which means that these techniques have already been used in construction for 50 and 25 years, respectively. In the first part of the paper, a historical survey of the development and introduction of these strengthening techniques into the construction industry are presented. The monitoring of such applications in construction is very important and gives more confidence to this strengthening technique. Therefore, in the second part of the paper, two long-term monitoring campaigns over an extraordinarily long duration will be presented. Firstly, a 47-year monitoring campaign on a concrete beam with an epoxy bonded steel plate and, secondly, a 20-year monitoring campaign on a road bridge with epoxy bonded CFRP (carbon fibre reinforced polymers strips are described. The paper is an expanded version of the paper presented at the SMAR2017 Conference.

Effect of sulphur on the strengthening of a Zr-Nb alloy

International Nuclear Information System (INIS)

Chang, K.I.; Hong, S.I.

2008-01-01

The effect of sulphur on the strengthening and the thermally activated deformation of cold-worked Zr-1 Nb alloy was investigated. In the present study, the sulphur strengthening was observed even at room temperature unlike the previous study of Ferrer et al. The flow stress increased by 65 MPa at room temperature with the addition of sulphur as little as 20 ppm. With further increase of sulphur content up to 300 ppm, negligible change of the flow stress was observed. The additive strengthening behavior in which the entire stress-strain curve shift upward by the friction stress due to the addition of sulphur was observed in the Zr-Nb alloy of the present study. The activation volume decreased slightly (from 110b 3 to 80b 3 ) with the addition of 300 ppm sulphur at room temperature. The rate-controlling mechanism of the deformation can best be explained by the dislocation interaction mechanism in which the segregation of alloying elements such as oxygen and sulphur atoms affects the activation length of dislocations

The role of health system governance in strengthening the rural health insurance system in China.

Science.gov (United States)

Yuan, Beibei; Jian, Weiyan; He, Li; Wang, Bingyu; Balabanova, Dina

2017-05-23

Systems of governance play a key role in the operation and performance of health systems. In the past six decades, China has made great advances in strengthening its health system, most notably in establishing a health insurance system that enables residents of rural areas to achieve access to essential services. Although there have been several studies of rural health insurance schemes, these have focused on coverage and service utilization, while much less attention has been given to the role of governance in designing and implementing these schemes. Information from publications and policy documents relevant to the development of two rural health insurance policies in China was obtained, analysed, and synthesise. 92 documents on CMS (Cooperative Medical Scheme) or NCMS (New Rural Cooperative Medical Scheme) from four databases searched were included. Data extraction and synthesis of the information were guided by a framework that drew on that developed by the WHO to describe health system governance and leadership. We identified a series of governance practices that were supportive of progress, including the prioritisation by the central government of health system development and certain health policies within overall national development; strong government commitment combined with a hierarchal administrative system; clear policy goals coupled with the ability for local government to adopt policy measures that take account of local conditions; and the accumulation and use of the evidence generated from local practices. However these good practices were not seen in all governance domains. For example, poor collaboration between different government departments was shown to be a considerable challenge that undermined the operation of the insurance schemes. China's success in achieving scale up of CMS and NCMS has attracted considerable interest in many low and middle income countries (LMICs), especially with regard to the schemes' designs, coverage, and funding

Deepening the reform of medical education, strengthening the training of reserve specialists in interventional radiology: a profound rethinking based on a survey of medical students

International Nuclear Information System (INIS)

Ren Chongyang; Di Zhenhai; Li Linsun

2010-01-01

Although the interventional radiology, a rapidly expanding medical specialty, has already been widely popularized and generally accepted for many years, it is still facing lots of challenges and turf wars, such as the brain drain, understaffed and the gap between the old and the young. This article attempts to analyze the reasons through investigating the current teaching situation of interventional radiology in medical colleges and finding out the undergraduates' attitude to interventional radiology, in order to explore possible paths for solving the imbalance between supply and demand of qualified personnel. (authors)

Strengthening Institutions and Enterprises of Cooperative and Their Impact on Members’ Assets

Directory of Open Access Journals (Sweden)

Sri Widiyati Soemodipoero

2017-06-01

Full Text Available Revitalization of Cooperative interpreted as a series of activities undertaken to reorganize the institutional and strengthen cooperative efforts in accordance with the values and principles of cooperatives. Cooperative serves as a tool to equalize the concentration of control of economic assets so that the weak economy may have opportunities to enhance economic independence. The purpose of this study is to explore the link between the level of member participation and human resource competencies to the strengthening of the institutional and cooperative efforts as well as its impact on member assets. This research used logistic regression analysis and Wilcoxon Signed Rank Test. The results showed that the level of participation of members and managers of Human Resources competencies significantly affect institutional strengthening and cooperative efforts. Different test shows that there is a difference between financial capital and human capital before and after become a member of the cooperative.

Animal-assisted intervention and social skills strengthening

OpenAIRE

Božič, Tjaša

2014-01-01

The diploma thesis describe animal-assisted interventions, more precisely, the significance of animal-assisted interventions for strengthening of social skills. Theoretical part includes a detailed presentation of the benefits of therapeutic dog in work with vulnerable populations. I focused on delimitation of the term animal-assisted interventions which includes animal-assisted therapy and animal-assisted activity and the differences and similarities between them. I continued with therapeuti...

Restraining Factors and Improving Paths for the Operation Mechanism of New Rural Cooperative Medical System in China

Institute of Scientific and Technical Information of China (English)

2011-01-01

The new rural cooperative medical system has achieved periodical achievements since its establishment.Nevertheless,there are many factors hampering the development of the new system,such as the high cost,the difficulties in fund procurement,the lack of management,the narrow coverage of benefit,the ineffective constraint to the designated medical institutions,the high fund balance rate,and the poor medical facilities and services in rural areas.Countermeasures are put forward to solve these problems,including improving the system design,expanding the coverage of the system,expanding the fund sources,reducing the financing costs,strengthening the fund supervision,enhancing the supervision of designated medical institutions,and improving the capacity of health services in rural areas.

Solute strengthening effects for 316 stainless steel at elevated temperature

International Nuclear Information System (INIS)

Park, Nam Ju; Lee, Sang Mae

1986-01-01

The inelastic behavior of 316 stainless steel is studied in order to investigate the solute strengthening effects. The Arrhenius-type rate equation with inclusion of the Voce-type evolution phenomenon is extended by addition of solute strengthening term to the isotropic work hardening effect. Changing of strain rate and temperature during the tension tests, we found that the strong work hardening for the inelastic of 316 stainless steel resulted from the vacancy-interstitial pair mechanism. Thus, the calculated results using the extended constitutive equations including solute effect due to the vacancy-interstitial pair mechanism were found to be in good agreement with the stress-strain curves obtained from the tension tests. (Author)

Effects of Mn partitioning on nanoscale precipitation and mechanical properties of ferritic steels strengthened by NiAl nanoparticles

International Nuclear Information System (INIS)

Jiao, Z.B.; Luan, J.H.; Miller, M.K.; Yu, C.Y.; Liu, C.T.

2015-01-01

The critical role of Mn partitioning in the formation of ordered NiAl nanoparticles in ferritic steels has been examined through a combination of atom probe tomography (APT) and thermodynamic and first-principles calculations. Our APT study reveals that Mn partitions to the NiAl nanoparticles, and dramatically increases the particle number density by more than an order of magnitude, leading to a threefold enhancement in strengthening. Atomistic structural analyses reveal that Mn is energetically favored to partition to the NiAl nanoparticles by preferentially occupying the Al sublattice, which not only increases the driving force, but also reduces the strain energy for nucleation, thereby significantly decreasing the critical energy for formation of the NiAl nanoparticles in ferritic steels. In addition, the effects of Mn on the precipitation strengthening mechanisms were quantitatively evaluated in terms of chemical strengthening, coherency strengthening, modulus strengthening and order strengthening

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

Science.gov (United States)

Douglass, Anne; Klerman, Lorraine

2012-01-01

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

Strengthening Health Information Systems to Support Post-Disaster ...

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

Strengthening Health Information Systems to Support Post-Disaster Healthcare in Haiti. The occurrence of a natural disaster may seem to carry repercussions that are indiscriminate in nature; however, it is the vulnerable populations that suffer most during such events, and in the days, months and years that follow. In Haiti ...

CFRP strengthened openings in two-way concrete slabs

DEFF Research Database (Denmark)

Enochsson, O.; Lundqvist, J.; Täljsten, Björn

2006-01-01

are very suitable, not only because of their strength, but also due to that they are easy to apply in comparison to traditional steel girders or other lintel systems. Even though many benefits have been shown by strengthening openings with FRPs not much research have been presented in the literature...

Conceptual Precalculus: Strengthening Students' Quantitative and Covariational Reasoning

Science.gov (United States)

Madison, Bernard L.; Carlson, Marilyn; Oehrtman, Michael; Tallman, Michael

2015-01-01

Research over the past few decades points to ways precalculus and calculus courses can be strengthened to improve student learning in these courses. This research has informed the development of the Algebra and Precalculus Concept Readiness (APCR) and the Calculus Concept Readiness (CCR) assessments. In this article, the authors present three…

Where There is No EMS: Lay Providers in Emergency Medical Services Care - EMS as a Public Health Priority.

Science.gov (United States)

Debenham, Sierra; Fuller, Matthew; Stewart, Matthew; Price, Raymond R

2017-12-01

By 2030, road traffic accidents are projected to be the fifth leading cause of death worldwide, with 90% of these deaths occurring in low- and middle-income countries (LMICs). While high-quality, prehospital trauma care is crucial to reduce the number of trauma-related deaths, effective Emergency Medical Systems (EMS) are limited or absent in many LMICs. Although lay providers have long been recognized as the front lines of informal trauma care in countries without formal EMS, few efforts have been made to capitalize on these networks. We suggest that lay providers can become a strong foundation for nascent EMS through a four-fold approach: strengthening and expanding existing lay provider training programs; incentivizing lay providers; strengthening locally available first aid supply chains; and using technology to link lay provider networks. Debenham S , Fuller M , Stewart M , Price RR . Where there is no EMS: lay providers in Emergency Medical Services care - EMS as a public health priority. Prehosp Disaster Med. 2017;32(6):593-595.

Creep and rupture of an ODS alloy with high stress rupture ductility. [Oxide Dispersion Strengthened

Science.gov (United States)

Mcalarney, M. E.; Arsons, R. M.; Howson, T. E.; Tien, J. K.; Baranow, S.

1982-01-01

The creep and stress rupture properties of an oxide (Y2O3) dispersion strengthened nickel-base alloy, which also is strengthened by gamma-prime precipitates, was studied at 760 and 1093 C. At both temperatures, the alloy YDNiCrAl exhibits unusually high stress rupture ductility as measured by both elongation and reduction in area. Failure was transgranular, and different modes of failure were observed including crystallographic fracture at intermediate temperatures and tearing or necking almost to a chisel point at higher temperatures. While the rupture ductility was high, the creep strength of the alloy was low relative to conventional gamma prime strengthened superalloys in the intermediate temperature range and to ODS alloys in the higher temperature range. These findings are discussed with respect to the alloy composition; the strengthening oxide phases, which are inhomogeneously dispersed; the grain morphology, which is coarse and elongated and exhibits many included grains; and the second phase inclusion particles occurring at grain boundaries and in the matrix. The creep properties, in particular the high stress dependencies and high creep activation energies measured, are discussed with respect to the resisting stress model of creep in particle strengthened alloys.

JAIF formulates policy for strengthening foundation of nuclear industry

International Nuclear Information System (INIS)

Anon.

1986-01-01

With recognition that conditions surrounding the nuclear industry are becoming severe with the slowdown in the growth of the Japanese economy, the Japan Atomic Industrial Forum has been discussing ways and means of strengthening the foundations of the nuclear industry. A subcommittee of the Power Reactor Development Committee has been formed. It comprizes two divisions. The first division focused on economic and social prospects for the future and other basic questions. The second division dealt with specific problems viewed from the position of the nuclear quipment supply industry and measures to resolve them. The report was prepared based on the studies done by the two divisions, and focusing on the strengthening of the basis of the nuclear industry through the year 2010. The report estimates that construction of nuclear power plants will be less than 2 units a year in the coming five year period, and will continue at about 2 units a year until about the year 2000. From this outlook, it discusses the work facing the nuclear industry and the steps to be taken to reduce nuclear power generation costs, efficient research and development and the promotion of international cooperation. The report covers four sections: the position of nuclear power development in the national economy; the present state and tasks of the nuclear industry and the nuclear equipment supply industry; measures for maintaining and strengthening the foundations of the nuclear industry, and the tasks to be done. (Nogami, K.)

Seismic strengthening of RC structures with exterior shear walls

Indian Academy of Sciences (India)

Nowadays, most of the strengthening strategies are based on global ..... In the present work, sliding shear capacity was calculated based on the code formulations, ... This study has been carried out with the financial support of State Planning ...

Acoustic emission monitoring of concrete columns and beams strengthened with fiber reinforced polymer sheets

Science.gov (United States)

Ma, Gao; Li, Hui; Zhou, Wensong; Xian, Guijun

2012-04-01

Acoustic emission (AE) technique is an effective method in the nondestructive testing (NDT) field of civil engineering. During the last two decades, Fiber reinforced polymer (FRP) has been widely used in repairing and strengthening concrete structures. The damage state of FRP strengthened concrete structures has become an important issue during the service period of the structure and it is a meaningful work to use AE technique as a nondestructive method to assess its damage state. The present study reports AE monitoring results of axial compression tests carried on basalt fiber reinforced polymer (BFRP) confined concrete columns and three-point-bending tests carried on BFRP reinforced concrete beams. AE parameters analysis was firstly utilized to give preliminary results of the concrete fracture process of these specimens. It was found that cumulative AE events can reflect the fracture development trend of both BFRP confined concrete columns and BFRP strengthened concrete beams and AE events had an abrupt increase at the point of BFRP breakage. Then the fracture process of BFRP confined concrete columns and BFRP strengthened concrete beams was studied through RA value-average frequency analysis. The RA value-average frequency tendencies of BFRP confined concrete were found different from that of BFRP strengthened concrete beams. The variation tendency of concrete crack patterns during the loading process was revealed.

Strengthening of stainless steel weldment by high temperature precipitation

Directory of Open Access Journals (Sweden)

Sergio Neves Monteiro

2017-10-01

Full Text Available The mechanical behavior and the strengthening mechanism of stainless steel welded joints at 600 °C have been investigated. The welds were composed of AISI 304 stainless steel, as base metal, and niobium containing AISI 347 stainless steel, as weld metal. The investigation was conducted by means of creep tests. The welded specimens were subjected to both high temperature (600 °C and long periods (up to 2000 h under constant load, and both mechanical properties and microstructural changes in the material were monitored. It was found that the exposure of the material at 600 °C under load contributes to a strengthening effect on the weld. The phenomenon might be correlated with an accelerated process of second phase precipitation hardening. Keywords: Stainless steel, Weld, AISI 304, Precipitation hardening

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

Energy Technology Data Exchange (ETDEWEB)

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

2010-06-15

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

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

International Nuclear Information System (INIS)

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

2010-01-01

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

Strengthening by ordered precipitates in a Ni--Ni4Mo system

International Nuclear Information System (INIS)

Goodrum, J.W.; LeFevre, B.G.

1977-01-01

The strength characteristics and microstructures of aged Ni-Mo alloys containing ordered (Ni 4 Mo) precipitates were studied as a function of aging time and temperature. It was found that 17 at. percent Mo alloy aged at 750 0 C produced a uniform dispersion of cuboidal β precipitates which coarsened with time producing a gradual increase in flow stress. The flow stress increment was found to vary in qualitative agreement with both order strengthening and coherency strain models. Both these models give over-estimates of the strengthening increment. A negative dependence of flow stress on temperature is attributed to coherency strain contributions

Development of Austenitic ODS Strengthened Alloys for Very High Temperature Applications

Energy Technology Data Exchange (ETDEWEB)

Stubbins, James [Univ. of Illinois, Urbana-Champaign, IL (United States); Heuser, Brent [Univ. of Illinois, Urbana-Champaign, IL (United States); Robertson, Ian [Kyushu Univ. (Japan); Sehitoglu, Huseyin [Univ. of Illinois, Urbana-Champaign, IL (United States); Sofronis, Petros [Kyushu Univ. (Japan); Gewirth, Andrew [Kyushu Univ. (Japan)

2015-04-22

This “Blue Sky” project was directed at exploring the opportunities that would be gained by developing Oxide Dispersion Strengthened (ODS) alloys based on the Fe-Cr-Ni austenitic alloy system. A great deal of research effort has been directed toward ferritic and ferritic/martensitic ODS alloys which has resulted in reasonable advances in alloy properties. Similar gains should be possible with austenitic alloy which would also take advantage of other superior properties of that alloy system. The research effort was aimed at the developing an in-depth understanding of the microstructural-level strengthening effects of ODS particles in austentic alloys. This was accomplished on a variety of alloy compositions with the main focus on 304SS and 316SS compositions. A further goal was to develop an understanding other the role of ODS particles on crack propagation and creep performance. Since these later two properties require bulk alloy material which was not available, this work was carried out on promising austentic alloy systems which could later be enhanced with ODS strengthening. The research relied on a large variety of micro-analytical techniques, many of which were available through various scientific user facilities. Access to these facilities throughout the course of this work was instrumental in gathering complimentary data from various analysis techniques to form a well-rounded picture of the processes which control austenitic ODS alloy performance. Micromechanical testing of the austenitic ODS alloys confirmed their highly superior mechanical properties at elevated temperature from the enhanced strengthening effects. The study analyzed the microstructural mechanisms that provide this enhanced high temperature performance. The findings confirm that the smallest size ODS particles provide the most potent strengthening component. Larger particles and other thermally- driven precipitate structures were less effective contributors and, in some cases, limited

Explanatory models of depression and treatment adherence to antidepressant medication

DEFF Research Database (Denmark)

Buus, Niels; Johannessen, Helle; Stage, Kurt Bjerregaard

2012-01-01

and medicine were not central. However, taking antidepressant medication was a meaningful part of being admitted to hospital, and the adoption of the rhetoric and practices of biomedicine strengthened patients' sense of control and hope for recovery. If medicine was ineffective, the explanatory models...... legitimised alternative strategies towards recovery, including non-adherence. CONCLUSIONS: The patients' reasons for adhering to antidepressants included a range of diverse psychosocial issues, and could be regarded as a central part of their common sense illness management....

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

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

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

How Can Comparison Groups Strengthen Regression Discontinuity Designs?

Science.gov (United States)

Wing, Coady; Cook, Thomas D.

2011-01-01

In this paper, the authors examine some of the ways that different types of non-equivalent comparison groups can be used to strengthen causal inferences based on regression discontinuity design (RDD). First, they consider a design that incorporates pre-test data on assignment scores and outcomes that were collected either before the treatment…

1 The West Africa Initiative to Strengthen Capacities through Health ...

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

Afekwo Mbonu

2012-08-31

) governance and governance structures of health systems. .... Strengthened evidence base from the awarded research projects complemented by a set of ..... Canadian recipients which purchase equipment using IDRC funds ...

Children's Books in Review: Books on Strengthening Family Ties.

Science.gov (United States)

Winfield, Evelyn T.

1991-01-01

Reviews children's books that emphasize the strengthening of family ties. Characters in the books realize the importance and influence of family relationships as they struggle with sibling rivalry, self-discovery, peer relationships, a search for heritage, adoption, and death. (SM)

Strengthening local seed systems within the bean value chain ...

African Journals Online (AJOL)

Strengthening local seed systems within the bean value chain: Experience of agricultural innovation platforms in the Democratic Republic of Congo. ... associations, local grain/seed traders, private and public extension agents, researchers, finance and credit cooperatives and Non-Governmental Organisations (NGOs).

STRENGTHENING CONCRETE HOLLOW SECTION GIRDER BRIDGE USING POLYURETHANE-CEMENT MATERIAL (PART B

Directory of Open Access Journals (Sweden)

Haleem K. Hussain

2018-01-01

Full Text Available This paper presents experimental study to retrofitted reinforced concrete Hollow Section Bridge. The study was carried out on the White River Bridge structure (Bai xi da Qiao / China. The effect of retrofitting on stress and strain of beams at the critical section was studied. Evaluating the bridges girder after strengthening using new material called PolyurethaneCement material (PUC as an external material .This study present the strain and deflection before and after strengthening the bridge girders. The results has shown that the overall state of the bridge structural strengthening is in good condition. The enhancement was significant in stiffness of the bridge structure. Regarding to the results of static load test, the experimental values strain and deflection are less than theoretical values, indicating that the stiffness of the structure, overall deformation and integrity satisfy the designed and standard requirements and the working performance are in good condition, and flexure capacity has a certain surplus.

EMOTIONAL STRENGTHENING IN THE FAMILY: INTERVENTION FROM THE SCHOOL CONTEXT

Directory of Open Access Journals (Sweden)

Jael Alejandra Vargas Rubilar

2012-06-01

Full Text Available The psychological consequences from relational styles characterized by lack of affection and interactional mismanagement between family members can inhibit or block the attempt by members to achieve their full potential for healthy psy -chosocial development. In this context, emotional strengthening families would become a key condition for overcoming these dysfunctional patterns.The aim of this work is to show why psychoeducation and emotional stimula-tion can be particularly useful in the context of psychosocial risk due to poverty and present some strategies to approach such goal from the school environment. This approach is mainly focused on the strengthening of emotional resources in parents and primary caregivers to achieve a direct impact on the children’s emo-tional development.

Strengthening mechanisms in an inertia friction welded nickel-base superalloy

Energy Technology Data Exchange (ETDEWEB)

Tiley, J.S., E-mail: Jaimie.Tiley@us.af.mil [Air Force Research Laboratory, Wright Patterson Air Force Base, OH 45433 (United States); Mahaffey, D.W. [Air Force Research Laboratory, Wright Patterson Air Force Base, OH 45433 (United States); Alam, T.; Rojhirunsakool, T. [Department of Materials Engineering, University of North Texas, Denton, TX 76203 (United States); Senkov, O.; Parthasarthy, T. [Air Force Research Laboratory, Wright Patterson Air Force Base, OH 45433 (United States); UES, Inc., Dayton, OH 45433 (United States); Banerjee, R. [Department of Materials Engineering, University of North Texas, Denton, TX 76203 (United States)

2016-04-26

This research investigated the strengthening mechanisms associated with the as-welded microstructure developed during inertia friction welding of dissimilar superalloys LHSR and Mar-M247. The weld interface and heat affected regions of the sample were analyzed using hardness indentation techniques and subsequently characterized using SEM, TEM and advanced atom probe tomography. The yield strength of the welded joint was modeled to determine the impact of the gradients in the as-welded microstructure on strengthening mechanisms within the LSHR material. Characterization centered on formation of γ′, γ grain size and chemical segregation within the heat affected regions. Results indicate an increased hardness in the vicinity of the weld interface, resulting from the refined dispersion of γ′ and γ grains.

Intermetallic Strengthened Alumina-Forming Austenitic Steels for Energy Applications

Energy Technology Data Exchange (ETDEWEB)

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

2016-03-31

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

Where are we now? The strengthened safeguards system: Origins, aims, features, issues and prospects

International Nuclear Information System (INIS)

Schriefer, D.

1998-01-01

The present status of the strengthened safeguards system includes the origins, aims, features, issues and future prospects. The areas of emphasis concerning the strengthened safeguards system are: access to information (environmental sampling and improved information analysis), access to sites, rational use of resources (cost analysis of present safeguards, increased cooperation with state systems, cost savings in traditional safeguards activities)

40 CFR 141.551 - What strengthened combined filter effluent turbidity limits must my system meet?

Science.gov (United States)

2010-07-01

... effluent turbidity limits must my system meet? 141.551 Section 141.551 Protection of Environment... Effluent Requirements § 141.551 What strengthened combined filter effluent turbidity limits must my system meet? Your system must meet two strengthened combined filter effluent turbidity limits. (a) The first...

Antenatal care strengthening in Jimma, Ethiopia

DEFF Research Database (Denmark)

Villadsen, Sarah Fredsted; Tersbøl, Britt Pinkowski; Negussie, Dereje

2014-01-01

Objective. We assessed how health system priorities matched user expectations and what the needs for antenatal care (ANC) strengthening were for improved maternal health in Jimma, Ethiopia. Methods. A questionnaire survey among all recent mothers in the study area was conducted to study the content...... was given high priority, and that contributed to a lack of continuity and privacy. To the women, poor user-provider interaction was a serious concern hindering the trust in the health care providers. Further, the care provision was compromised by the inadequate laboratory facilities, unstructured health...

A mechanical model for FRP-strengthened beams in bending

Directory of Open Access Journals (Sweden)

P. S. Valvo

2012-10-01

Full Text Available We analyse the problem of a simply supported beam, strengthened with a fibre-reinforced polymer (FRP strip bonded to its intrados and subjected to bending couples applied to its end sections. A mechanical model is proposed, whereby the beam and FRP strip are modelled according to classical beam theory, while the adhesive and its neighbouring layers are modelled as an interface having a piecewise linear constitutive law defined over three intervals (elastic response – softening response – debonding. The model is described by a set of differential equations with appropriate boundary conditions. An analytical solution to the problem is determined, including explicit expressions for the internal forces, displacements and interfacial stresses. The model predicts an overall non-linear mechanical response for the strengthened beam, ranging over several stages: from linearly elastic behaviour to damage, until the complete detachment of the FRP reinforcement.

[Study on restriction factors and countermeasures of influence of China medical devices competitiveness].

Science.gov (United States)

Zhang, Zhijun

2012-07-01

Recent years, China medical devices industry has been a sunrise industry with widely-ranged products, high-tech innovation, and booming market demands. But with the globalization of market economy, China industry is still in the inferior position of competition. How to promote the industrial structure transition, increase scientific and technological level, speed up the updating of products, enhance the international competitiveness is one of the major tasks to maintain the healthy development of industry. This article makes a study on current situation of China medical devices industry, analyses the new opportunities, challenges and restriction factors, provides the countermeasures of strengthening industry competitiveness as well.

Experimental study on flexural members strengthened with variable bonded pre-stressed CFRP plates

Science.gov (United States)

Zhang, Baojing; Shang, Shouping

2017-08-01

Aiming at the problem that the structural adhesive between CFRP and concrete interface is aging with time and then lost the bond strength, the concept of variable bond prestressed CFRP is put forward. In order to obtain the bearing capacity and failure pattern of the beam strengthened with variable bonding prestressed CFRP plate, three concrete beams of 5.6m long were strengthened by the technology of non-bonding, bonding and variable bonding strengthened with prestressed CFRP plates respectively, the mechanical properties and crack changes of the test beams under three conditions had been compared and analyzed. Test results show that the variable bond strengthened with prestressed CFRP plates with unbonded prestressed CFRP, cracking load was increased by 36%, yield load increased by 4%, the ultimate load increased by 12%; The reinforcement technology of variable bonding prestressed CFRP plate has the characteristics of non-bonding and bonding prestressed CFRP plate reinforcement, which is similar to that of the bonded reinforcement in the early stage of the development of the cracks, then is gradually developing into the non-bonding prestressed reinforcement, the crack spacing and width have the same characteristics as the bonding reinforcement (both crack spacing and width are small), which is more conducive to enhance the durability of the structure.

Antenatal Care Strengthening in Jimma, Ethiopia: A Mixed-Method Needs Assessment

Directory of Open Access Journals (Sweden)

Sarah Fredsted Villadsen

2014-01-01

Full Text Available Objective. We assessed how health system priorities matched user expectations and what the needs for antenatal care (ANC strengthening were for improved maternal health in Jimma, Ethiopia. Methods. A questionnaire survey among all recent mothers in the study area was conducted to study the content of ANC and to identify the predictors of low ANC satisfaction. Further, a qualitative approach was applied to understand perceptions, practices, and policies of ANC. Results. There were no national guidelines for ANC in Ethiopia. Within the health system, the teaching of health professional students was given high priority, and that contributed to a lack of continuity and privacy. To the women, poor user-provider interaction was a serious concern hindering the trust in the health care providers. Further, the care provision was compromised by the inadequate laboratory facilities, unstructured health education, and lack of training of health professionals. Conclusions. Health system trials are needed to study the feasibility of ANC strengthening in the study area. Nationally and internationally, the leadership needs to be strengthened with supportive supervision geared towards building trust and mutual respect to protect maternal and infant health.

Shear Strengthening of RC Beams Using Sprayed Glass Fiber Reinforced Polymer

Directory of Open Access Journals (Sweden)

Sayed Mohamad Soleimani

2012-01-01

Full Text Available The effectiveness of externally bonded sprayed glass fiber reinforced polymer (Sprayed GFRP in shear strengthening of RC beams under quasi-static loading is investigated. Different techniques were utilized to enhance the bond between concrete and Sprayed GFRP, involving the use of through bolts and nuts paired with concrete surface preparation through sandblasting and through the use of a pneumatic chisel prior to Sprayed GFRP application. It was found that roughening the concrete surface using a pneumatic chisel and using through bolts and nuts were the most effective techniques. Also, Sprayed GFRP applied on 3 sides (U-shaped was found to be more effective than 2-sided Sprayed GFRP in shear strengthening. Sprayed GFRP increased the shear load-carrying capacity and energy absorption capacities of RC beams. It was found that the load-carrying capacity of strengthened RC beams was related to an effective strain of applied Sprayed GFRP. This strain was related to Sprayed GFRP configuration and the technique used to enhance the concrete-FRP bond. Finally, an equation was proposed to calculate the contribution of Sprayed GFRP in the shear strength of an RC beam.

Mechanical and microstructural characterization of dispersion strengthened Al-C system nanocomposites

International Nuclear Information System (INIS)

Santos-Beltran, A.; Gallegos-Orozco, V.; Reyes, R. Goytia; Miki-Yoshida, M.; Estrada-Guel, I.; Martinez-Sanchez, R.

2010-01-01

Al and different amounts of C and C-Cu mixtures were used to produce Al-C and Al-C-Cu powder samples by mechanical milling. Microhardness tests were carried out to evaluate the mechanical properties of the nanocomposites in the as-milled condition. In general, the measured values were considerably higher than pure Al. In order to determine the causes of this hardening, the crystallite size and dislocation density were measured by means of X-ray analyses coupled with a convolutional multiple whole profile (CMWP) fitting program and a comparison with atomic force microscopy (AFM) observations. In Al-C samples, the hardening is mainly due to the decrease of the crystallite size, however for the Al-C-Cu, an additional strengthening mechanism appears and it seems that it is due by a dispersion of graphite nanoparticles in the Al matrix. The strengthening contributions of dislocation density, crystallite size and particle dispersion were modeled by superposing of every single contribution to strengthening (via hardness analyses). We found a direct relationship between the mechanical properties and the nominal amount of C-Cu, where Cu apparently acts as C nanoparticles integration and dispersion agent.

Strengthening, modification and repair techniques’ prioritization for structural integrity control of ageing offshore structures

International Nuclear Information System (INIS)

Samarakoon, Samindi M.K.; Ratnayake, R.M. Chandima

2015-01-01

Structural integrity control is vital for existing ageing as well as newly built offshore and onshore structures. Structural integrity control becomes highly sensitive to interventions under a potential loss of structural integrity when it comes to offshore oil and gas production and process facilities. This is mainly due to the inherent constraints present in carrying out engineering work in the offshore atmosphere. It has been further exacerbated by the ageing offshore structures and the necessity of carrying out life extension toward the end of their design service lives. Local and international regulations demand the implementation of appropriate strengthening, modification and repair plans when significant changes in the structural integrity are revealed. In this context, strengthening, modification and repair techniques such as welding, member removal/reduction of loading, mechanical clamping and grouted repairs play a vital role. This manuscript presents an approach for prioritizing the strengthening, modification and repair techniques using a multi-criteria analysis approach. An analytic hierarchy process has been selected for the analysis via an illustrative case. It also provides a comprehensive overview of currently existing; strengthening, modification and repair techniques and their comparative pros and cons. - Highlights: • Structural integrity control (SIC) of ageing and intact offshore structures. • Strengthening, modification and/or repair (SMR) techniques have been explained. • Application of multi-criteria analysis conserving SI has been illustrated. • SMR techniques prioritization and sensitivity analysis has been performed

Nip, tuck and click: medical tourism and the emergence of web-based health information.

Science.gov (United States)

Lunt, Neil; Hardey, Mariann; Mannion, Russell

2010-02-12

An emerging trend is what has become commonly known as 'Medical Tourism' where patients travel to overseas destinations for specialised surgical treatments and other forms of medical care. With the rise of more affordable cross-border travel and rapid technological developments these movements are becoming more commonplace. A key driver is the platform provided by the internet for gaining access to healthcare information and advertising. There has been relatively little attention given to the role and impact of web-based information to inform Medical Tourism decisions.This article provides a brief overview of the most recent development in Medical Tourism and examines how this is linked to the emergence of specialized internet web sites. It produces a summary of the functionality of medical tourist sites, and situates Medical Tourism informatics within the broader literatures relating to information search, information quality and decision-making.This paper is both a call to strengthen the empirical evidence in this area, and also to advocate integrating Medical Tourism research within a broader conceptual framework.

Nip, Tuck and Click: Medical Tourism and the Emergence of Web-Based Health Information

Science.gov (United States)

Lunt, Neil; Hardey, Mariann; Mannion, Russell

2010-01-01

An emerging trend is what has become commonly known as ‘Medical Tourism’ where patients travel to overseas destinations for specialised surgical treatments and other forms of medical care. With the rise of more affordable cross-border travel and rapid technological developments these movements are becoming more commonplace. A key driver is the platform provided by the internet for gaining access to healthcare information and advertising. There has been relatively little attention given to the role and impact of web-based information to inform Medical Tourism decisions. This article provides a brief overview of the most recent development in Medical Tourism and examines how this is linked to the emergence of specialized internet web sites. It produces a summary of the functionality of medical tourist sites, and situates Medical Tourism informatics within the broader literatures relating to information search, information quality and decision-making. This paper is both a call to strengthen the empirical evidence in this area, and also to advocate integrating Medical Tourism research within a broader conceptual framework. PMID:20517465

Meharry-Johns Hopkins Center for Prostate Cancer Research

Science.gov (United States)

2015-11-01

formerly at the Institute for Health, Social, and Community Research (IHSCR) Center for Survey Research ( CSR ) at Shaw University in Raleigh, NC...survey will be conducted at CSR which is now located at Johns Hopkins Bloomberg School of Public Health (JHBSPH) located in Raleigh, NC. The Sons...the strategy to contact sons for whom she had no address or phone number. It was hoped that the father will notify the son to contact the study

Self-diagnosis of structures strengthened with hybrid carbon-fiber-reinforced polymer sheets

Science.gov (United States)

Wu, Z. S.; Yang, C. Q.; Harada, T.; Ye, L. P.

2005-06-01

The correlation of mechanical and electrical properties of concrete beams strengthened with hybrid carbon-fiber-reinforced polymer (HCFRP) sheets is studied in this paper. Two types of concrete beams, with and without reinforcing bars, are strengthened with externally bonded HCFRP sheets, which have a self-structural health monitoring function due to the electrical conduction and piezoresistivity of carbon fibers. Parameters investigated include the volume fractions and types of carbon fibers. According to the investigation, it is found that the hybridization of uniaxial HCFRP sheets with several different types of carbon fibers is a viable method for enhancing the mechanical properties and obtaining a built-in damage detection function for concrete structures. The changes in electrical resistance during low strain ranges before the rupture of carbon fibers are generally smaller than 1%. Nevertheless, after the gradual ruptures of carbon fibers, the electrical resistance increases remarkably with the strain in a step-wise manner. For the specimens without reinforcing bars, the electrical behaviors are not stable, especially during the low strain ranges. However, the electrical behaviors of the specimens with reinforcing bars are relatively stable, and the whole range of self-sensing function of the HCFRP-strengthened RC structures has realized the conceptual design of the HCFRP sensing models and is confirmed by the experimental investigations. The relationships between the strain/load and the change in electrical resistance show the potential self-monitoring capacity of HCFRP reinforcements used for strengthening concrete structures.

Programs for Strengthening Families of State Prison Staff

Science.gov (United States)

Tripp, Paula J.

2010-01-01

This article describes "Training for Strong Families," a family strengthening program for officers working in the state prison system. The program was offered once per week on the same day and at the same time, and the sessions lasted 15-20 minutes. The new program included topics such as Budgeting 101, Relationships, and Stress Management.…

Strengthening Rural Livelihoods : The Impact of Information and ...

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

20 sept. 2011 ... Strengthening Rural Livelihoods dresse un bilan utile et équilibré de l'influence que les téléphones mobiles et Internet peuvent avoir sur le soutien des moyens de subsistance des populations rurales, et notamment des agriculteurs en Asie. Tim Unwin, titulaire de la chaire UNESCO en TIC pour le ...

Cracking of Beams Strengthened with Externally Bonded SRP Tapes

Science.gov (United States)

Krzywoń, Rafał

2017-10-01

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

Cognitive health benefits of strengthening exercise for community-dwelling older adults.

Science.gov (United States)

Anderson-Hanley, Cay; Nimon, Joseph P; Westen, Sarah C

2010-11-01

While aerobic exercise has been linked to improved performance on cognitive tasks of executive functioning among older adults, not all older adults can avail themselves of such exercise due to physical limitations. In this study, community-dwelling older adults were evaluated on tasks of executive functioning before and after a month-long strengthening, nonaerobic exercise program. A total of 16 participants who engaged in such exercise showed significantly improved scores on Digits Backward and Stroop C tasks when compared to 16 participants who were on an exercise waiting list. Positive benefits of strengthening exercise on cognition are supported. Additional research is needed to clarify the generalizability of these findings.

Measures against radiation disaster/terrorism and radiation emergency medical assistance team

International Nuclear Information System (INIS)

Tominaga, Takako; Akashi, Makoto

2016-01-01

The probability of occurrence of radiological terrorism and disaster in Japan is not low. For this reason, preparations for coping with the occurrence of radiological terrorism should be an urgent issue. This paper describes the radiation medical system and the threat of radiological terrorism and disaster in Japan, and introduces the Radiation Emergency Medical Assistance Team (REMAT), one of the radiation accident/disaster response organizations at the National Institute of Radiological Sciences. Radiation exposure medical systems in Japan are constructed only in the location of nuclear facilities and adjacent prefectures. These medical systems have been developed only for the purpose of medical correspondence at the time of nuclear disaster, but preparations are not made by assuming measures against radiological terrorism. REMAT of the National Institute of Radiological Sciences is obligated to dispatch persons to the requesting prefecture to support radiation medical care in case of nuclear disaster or radiation accident. The designation of nuclear disaster orientated hospitals in each region, and the training of nuclear disaster medical staffing team were also started, but preparations are not enough. In addition to enhancing and strengthening experts, specialized agencies, and special forces dealing with radiological terrorism, it is essential to improve regional disaster management capacity and terrorism handling capacity. (A.O.)

Medical Ultrasound Video Coding with H.265/HEVC Based on ROI Extraction.

Science.gov (United States)

Wu, Yueying; Liu, Pengyu; Gao, Yuan; Jia, Kebin

2016-01-01

High-efficiency video compression technology is of primary importance to the storage and transmission of digital medical video in modern medical communication systems. To further improve the compression performance of medical ultrasound video, two innovative technologies based on diagnostic region-of-interest (ROI) extraction using the high efficiency video coding (H.265/HEVC) standard are presented in this paper. First, an effective ROI extraction algorithm based on image textural features is proposed to strengthen the applicability of ROI detection results in the H.265/HEVC quad-tree coding structure. Second, a hierarchical coding method based on transform coefficient adjustment and a quantization parameter (QP) selection process is designed to implement the otherness encoding for ROIs and non-ROIs. Experimental results demonstrate that the proposed optimization strategy significantly improves the coding performance by achieving a BD-BR reduction of 13.52% and a BD-PSNR gain of 1.16 dB on average compared to H.265/HEVC (HM15.0). The proposed medical video coding algorithm is expected to satisfy low bit-rate compression requirements for modern medical communication systems.

Medical Ultrasound Video Coding with H.265/HEVC Based on ROI Extraction.

Directory of Open Access Journals (Sweden)

Yueying Wu

Full Text Available High-efficiency video compression technology is of primary importance to the storage and transmission of digital medical video in modern medical communication systems. To further improve the compression performance of medical ultrasound video, two innovative technologies based on diagnostic region-of-interest (ROI extraction using the high efficiency video coding (H.265/HEVC standard are presented in this paper. First, an effective ROI extraction algorithm based on image textural features is proposed to strengthen the applicability of ROI detection results in the H.265/HEVC quad-tree coding structure. Second, a hierarchical coding method based on transform coefficient adjustment and a quantization parameter (QP selection process is designed to implement the otherness encoding for ROIs and non-ROIs. Experimental results demonstrate that the proposed optimization strategy significantly improves the coding performance by achieving a BD-BR reduction of 13.52% and a BD-PSNR gain of 1.16 dB on average compared to H.265/HEVC (HM15.0. The proposed medical video coding algorithm is expected to satisfy low bit-rate compression requirements for modern medical communication systems.

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

Science.gov (United States)

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

2018-04-19

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

ONE OF THE POSSIBLE WAYS TO STRENGTHENING THE SECURITY

Directory of Open Access Journals (Sweden)

Roman URBAN

2016-09-01

Full Text Available The paper is intended to point out at the relation between security and its key vehicle that is humans themselves. It presents an option to strengthen security through purposeful education of peiple and their comprehensive training in peaceful settlement of conflicts.

"Strengthening" Ontario Universities: A Neoliberal Reconstruction of Higher Education

Science.gov (United States)

Rigas, Bob; Kuchapski, Renée

2016-01-01

This paper reviews neoliberalism as an ideology that has influenced higher education generally and Ontario higher education in particular. It includes a discourse analysis of "Strengthening Ontario's Centres of Creativity, Innovation and Knowledge" (Ontario Ministry of Training, Colleges, and Universities, 2012), a government discussion…

Recent trend of radiation doses of medical workers

Energy Technology Data Exchange (ETDEWEB)

Anzai, I [Tokyo Univ. (Japan). Faculty of Medicine; Tanaka, M; Nakamura, S; Nawa, H; Nukazawa, A

1981-10-01

Radiation doses of medical workers in Japan between 1976 and 1979 were analysed based on the data provided by a film badge servicing company. Average annual radiation doses between April, 1978 and March, 1979 were 129 mrems for 2556 doctors, 108 mrems for 2074 radiographers, and 60 mrems for 1915 nurses. It was also suggested that the log-normal distribution could provide a good fit to the frequency distribution of radiation doses of these medical staffs. Time series data of monthly average doses during the period between April, 1976 and March, 1979 were analysed using a computer code named EPA that had been developed by the Japanese Economic Planning Agency. The EPA code separated the original time series data into three components, i.e., the trend and cycle factor, the seasonal factor and the irregular factor based on a multiplicative model. The results of analyses strongly suggested that there existed a significant common pattern among the trend factors of doctors, radiographers and nurses. The similar phenomenon was also observed about the seasonal factors. Some specific cases of medical workers who received considerably high radiation doses were studied, and it was pointed out that, in order to lower the doses of medical workers, the factors which are peculiar to each medical facility must be precisely examined in addition to the strengthening of general radiological protective measures.

Medical Yoga Therapy

Directory of Open Access Journals (Sweden)

Ina Stephens

2017-02-01

Full Text Available Medical yoga is defined as the use of yoga practices for the prevention and treatment of  medical conditions. Beyond the physical elements of yoga, which are important and effective for  strengthening  the  body,  medical  yoga  also  incorporates  appropriate  breathing  techniques,  mindfulness, and meditation in order to achieve the maximum benefits. Multiple studies have  shown that yoga can positively impact the body in many ways, including helping to regulate blood  glucose levels, improve musculoskeletal ailments and keeping the cardiovascular system in tune. It  also has been shown to have important psychological benefits, as the practice of yoga can help to  increase mental energy and positive feelings, and decrease negative feelings of aggressiveness,  depression and anxiety.

Microstructure and mechanical properties of ZrO{sub 2} particle dispersion strengthened 16MnV steel

Energy Technology Data Exchange (ETDEWEB)

Wang, B.A. [State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao 066004 (China); Wang, N. [State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao 066004 (China); CNOOC Research Institute of Oil and Petrochemicals (CRI), Beijing 100000 (China); Yang, Y.J.; Zhong, H. [State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao 066004 (China); Ma, M.Z., E-mail: mz550509@ysu.edu.cn [State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao 066004 (China); Zhang, X.Y.; Liu, R.P. [State Key Laboratory of Metastable Materials Science and Technology, Yanshan University, Qinhuangdao 066004 (China)

2017-04-24

The dispersion strengthened 16MnV steels with 0.5 wt% and 1.2 wt% ZrO{sub 2} particles were prepared using medium frequency induction melting furnace. The ZrO{sub 2} particles mixed with iron powder were added into the 16MnV steel through cored-wire injection process. Optical metallographic microscope (OM), scanning electron microscope (SEM) and transmission electron microscope (TEM) were used to observe and analyze the microstructure, fracture morphology, dislocation configuration and strengthening mechanism of ZrO{sub 2} particle dispersion strengthened 16MnV steel under as-cast, normalizing and quenching states. Results showed that the strength of 16MnV steel under various states increased significantly after the addition of dispersed ZrO{sub 2} particles. Analysis indicates that the dislocation cell formed by high density dislocation around ZrO{sub 2} particles and attractive interaction between those particles are the main strengthening mechanism of dispersion strengthened 16MnV steel. The tensile test results showed that remarkable strengthening effect of ZrO{sub 2} particle on 16MnV steel has been observed. As the addition of 1.2 wt% ZrO{sub 2}, the improvement of strength in ZrO{sub 2}/16MnV is approximately 37.69% for as-casting, 24.2% after normalization and 29.96% after quenching, respectively. The normalized ZrO{sub 2}/16MnV with 1.2 wt% ZrO{sub 2} has the highest strength of 1453 MPa.

Interfacial stresses in strengthened beam with shear cohesive zone ...

Indian Academy of Sciences (India)

The results of parametric study are compared with those of Smith and Teng. They confirm the accuracy of the proposed approach in predicting both interfacial shear and normal stresses. Keywords. Strengthened beam; interfacial stresses; cohesive zone; shear deformation. 1. Introduction. The FRP plates can be either ...

Grain boundary precipitation strengthening mechanism in W containing advanced creep resistant ferritic steels

Energy Technology Data Exchange (ETDEWEB)

Shibata, T.; Hasegawa, Y. [Tohoku Univ., Sendai (Japan)

2010-07-01

Grain boundary precipitation strengthening is expected to be a decisive factor in developing ferritic creep resistant steels. This study examined the grain boundary precipitation strengthening mechanism extracting the effect of the tempered martensitic microstructure and precipitates on the high angle grain boundary in M{sub 23}C4{sub 6} type carbide and the Fe{sub 2}W type Laves phase effect of the creep deformation fixing the grain boundary according to transmission electron microscope (TEM) observation. A creep test was carried out at high temperature in order to evaluate the high angle boundary strengthening effect simulating the long-term creep deformation microstructure by the lath structure disappearance. The correlation of the creep rupture time and the grain boundary shielding ratio were found to be independent of precipitate type. The creep deformation model represents block boundary shielding by precipitates as the decisive factor for W containing ferritic creep resistant steels. (orig.)

Applying principles of health system strengthening to eye care

Directory of Open Access Journals (Sweden)

Karl Blanchet

2012-01-01

Full Text Available Understanding Health systems have now become the priority focus of researchers and policy makers, who have progressively moved away from a project-centred perspectives. The new tendency is to facilitate a convergence between health system developers and disease-specific programme managers in terms of both thinking and action, and to reconcile both approaches: one focusing on integrated health systems and improving the health status of the population and the other aiming at improving access to health care. Eye care interventions particularly in developing countries have generally been vertically implemented (e.g. trachoma, cataract surgeries often with parallel organizational structures or specialised disease specific services. With the emergence of health system strengthening in health strategies and in the service delivery of interventions there is a need to clarify and examine inputs in terms governance, financing and management. This present paper aims to clarify key concepts in health system strengthening and describe the various components of the framework as applied in eye care interventions.

Palatalization and glide strengthening as competing repair strategies: Evidence from Kirundi

Directory of Open Access Journals (Sweden)

Alexei Kochetov

2016-07-01

Full Text Available Alternations involving place-changing palatalization (e.g. t+j → ʧ in spirit – spiritual are very common and have been a focus of much generative phonological work since Chomsky & Halle’s (1968 ‘Sound Pattern of English’. The interest in palatalization and its mechanisms (see e.g. Sagey 1990; Chen 1996; Bateman 2007 has somewhat obscured the question of how these processes fit into a wider typology of segmental alternations. What happens when palatalization fails to apply? Do other processes take its place and apply under the same circumstances? In this paper, I argue for a close functional and formal affinity between place-changing palatalization and one such process, palatal glide strengthening (e.g. p+j → pc. As evidence I present data from Kirundi (Bantu on the realization of consonant + palatal and velar glide sequences within and across morphemes. As will be shown, palatalization and glide strengthening in Kirundi work in parallel, affecting different subsets of consonants. Specifically, palatalization targets C+j sequences with laryngeals, velars, nasal coronals, and – across morpheme boundaries – non-nasal coronals. In contrast, glide strengthening targets C+j sequences with labials and – within morphemes – non-nasal coronals. In addition, glide strengthening applies to within- and across-morpheme consonant + velar glide sequences, producing a set of outputs (e.g. m+w → mŋ similar to C+j sequences. I further present a unified Optimality Theoretic (Prince & Smolensky 1993/2004 account of these seemingly disparate phenomena as both arising from different rankings of constraints prohibiting consonant + glide sequences (parameterized by place and/or manner and various feature-specific agreement and faithfulness constraints. Finally, I explore typological predictions of this account, reviewing several remarkably similar cases of C + glide resolution patterns from other languages, and outlining questions for further

Manufacturing Experience for Oxide Dispersion Strengthened Alloys

Energy Technology Data Exchange (ETDEWEB)

Bennett, Wendy D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Doherty, Ann L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Henager, Charles H. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Lavender, Curt A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Montgomery, Robert O. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Omberg, Ronald P. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Smith, Mark T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Webster, Ryan A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2016-09-22

This report documents the results of the development and the manufacturing experience gained at the Pacific Northwest National Laboratories (PNNL) while working with the oxide dispersion strengthened (ODS) materials MA 956, 14YWT, and 9YWT. The Fuel Cycle Research and Development program of the Office of Nuclear Energy has implemented a program to develop a Uranium-Molybdenum metal fuel for light water reactors. ODS materials have the potential to provide improved performance for the U-Mo concept.

Experimental analysis of reinforced concrete beams strengthened in bending with carbon fiber reinforced polymer

Directory of Open Access Journals (Sweden)

M. M. VIEIRA

Full Text Available The use of carbon fiber reinforced polymer (CFRP has been widely used for the reinforcement of concrete structures due to its practicality and versatility in application, low weight, high tensile strength and corrosion resistance. Some construction companies use CFRP in flexural strengthening of reinforced concrete beams, but without anchor systems. Therefore, the aim of this study is analyze, through an experimental program, the structural behavior of reinforced concrete beams flexural strengthened by CFRP without anchor fibers, varying steel reinforcement and the amount of carbon fibers reinforcement layers. Thus, two groups of reinforced concrete beams were produced with the same geometric feature but with different steel reinforcement. Each group had five beams: one that is not reinforced with CFRP (reference and other reinforced with two, three, four and five layers of carbon fibers. Beams were designed using a computational routine developed in MAPLE software and subsequently tested in 4-point points flexural test up to collapse. Experimental tests have confirmed the effectiveness of the reinforcement, ratifying that beams collapse at higher loads and lower deformation as the amount of fibers in the reinforcing layers increased. However, the increase in the number of layers did not provide a significant increase in the performance of strengthened beams, indicating that it was not possible to take full advantage of strengthening applied due to the occurrence of premature failure mode in the strengthened beams for pullout of the cover that could have been avoided through the use of a suitable anchoring system for CFRP.

An ancient stone facing strengthening with metal wedges at Iasos (Caria

Directory of Open Access Journals (Sweden)

Paolo Vitti

2017-12-01

Full Text Available This paper discusses a masonry strengthening on the wall of the Great bath building at Iasos in Caria. The analysis is based on the observation of a peculiar use of iron elements, inserted in the joints of a wall of the caldarium. The survey and the study of the wall has demonstrated that the facing of the wall separated from its core, probably due to an earthquake. The damage is likely to have occurred because of the big and heavy stones of the facing which were not bonded to the core of the wall. The use of iron wedges might have been an ideal solution for strengthening the wall without dismantling it.

Creep resistant, precipitation-dispersion-strengthened, martensitic stainless steel and method thereof

Science.gov (United States)

Buck, R.F.

1994-05-10

An iron-based, corrosion-resistant, precipitation strengthened, martensitic steel essentially free of delta ferrite for use at high temperatures has a nominal composition of 0.05--0.1 C, 8--12 Cr, 1--5 Co, 0.5--2.0 Ni, 0.41--1.0 Mo, 0.1--0.5 Ti, and the balance iron. This steel is different from other corrosion-resistant martensitic steels because its microstructure consists of a uniform dispersion of fine particles, which are very closely spaced, and which do not coarsen at high temperatures. Thus at high temperatures this steel combines the excellent creep strength of dispersion-strengthened steels, with the ease of fabricability afforded by precipitation hardenable steels. 2 figures.

Creep resistant, precipitation-dispersion-strengthened, martensitic stainless steel and method thereof

Science.gov (United States)

Buck, Robert F.

1994-01-01

An iron-based, corrosion-resistant, precipitation strengthened, martensitic steel essentially free of delta ferrite for use at high temperatures has a nominal composition of 0.05-0.1 C, 8-12 Cr, 1-5 Co, 0.5-2.0 Ni, 0.41-1.0 Mo, 0.1-0.5 Ti, and the balance iron. This steel is different from other corrosion-resistant martensitic steels because its microstructure consists of a uniform dispersion of fine particles, which are very closely spaced, and which do not coarsen at high temperatures. Thus at high temperatures this steel combines the excellent creep strength of dispersion-strengthened steels, with the ease of fabricability afforded by precipitation hardenable steels.

Small-scale Aquaculture to Strengthen Food Security in Cambodia ...

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

Small-scale Aquaculture to Strengthen Food Security in Cambodia (CIFSRF) ... for their families' consumption in the same ponds as large fish, which can be sold for income. ... The project also studies opportunities to scale up the model for broader use ... Assessing improvements in nutrition outcomes following agricultural ...

Strengthening Parent-Child Relationships through Co-Playing Video Games

Science.gov (United States)

Sheffield, Anneliese; Lin, Lin

2013-01-01

Parent-child relationships may be strengthened when parents and children play video games together. Literature is limited in addressing the impact of co-playing video games on parent-child relationships. Family systems theory, in particular, parental mediation through co-play, may provide insights into parent-child relationships. Parents who…

Interfacial stresses in strengthened beam with shear cohesive zone ...

Indian Academy of Sciences (India)

Department of Civil Engineering, University of Constantine 1, Constantine, Algeria e-mail: zergua.abdesselam@umc.edu.dz. MS received 24 April 2014; revised 14 July 2014; accepted 12 September 2014. Abstract. The failure of strengthened beams with fibre-reinforced polymer (FRP) materials is due to high stress ...

Predicting sales performance: Strengthening the personality – job performance linkage

NARCIS (Netherlands)

T.B. Sitser (Thomas)

2014-01-01

markdownabstract__Abstract__ Many organizations worldwide use personality measures to select applicants for sales jobs or to assess incumbent sales employees. In the present dissertation, consisting of four independent studies, five approaches to strengthen the personality-sales performance

Professional exposure of medical workers: radiation levels, radiation risk and personal dose monitoring

International Nuclear Information System (INIS)

Bai Guang

2005-01-01

The application of radiation in the field of medicine is the most active area. Due to the rapid and strong development of intervention radiology at present near 20 years, particularly, the medical workers become a popularize group which most rapid increasing and also receiving the must high of professional exposure dose. Because, inter alias, radiation protection management nag training have not fully follow up, the aware of radioactive protection and appropriate approach have tot fully meet the development and need, the professional exposure dose received by medical workers, especially those being engaged in intervention radiology, are more higher, as well as have not yet fully receiving the complete personal dose monitoring, the medical workers become the population group which should be paid the most attention to. The writer would advice in this paper that all medical workers who being received a professional radiation exposure should pay more attention to the safety and healthy they by is strengthening radiation protection and receiving complete personal dose monitoring. (authors)

Establishing a regulatory value chain model: An innovative approach to strengthening medicines regulatory systems in resource-constrained settings.

Science.gov (United States)

Chahal, Harinder Singh; Kashfipour, Farrah; Susko, Matt; Feachem, Neelam Sekhri; Boyle, Colin

2016-05-01

Medicines Regulatory Authorities (MRAs) are an essential part of national health systems and are charged with protecting and promoting public health through regulation of medicines. However, MRAs in resource-constrained settings often struggle to provide effective oversight of market entry and use of health commodities. This paper proposes a regulatory value chain model (RVCM) that policymakers and regulators can use as a conceptual framework to guide investments aimed at strengthening regulatory systems. The RVCM incorporates nine core functions of MRAs into five modules: (i) clear guidelines and requirements; (ii) control of clinical trials; (iii) market authorization of medical products; (iv) pre-market quality control; and (v) post-market activities. Application of the RVCM allows national stakeholders to identify and prioritize investments according to where they can add the most value to the regulatory process. Depending on the economy, capacity, and needs of a country, some functions can be elevated to a regional or supranational level, while others can be maintained at the national level. In contrast to a "one size fits all" approach to regulation in which each country manages the full regulatory process at the national level, the RVCM encourages leveraging the expertise and capabilities of other MRAs where shared processes strengthen regulation. This value chain approach provides a framework for policymakers to maximize investment impact while striving to reach the goal of safe, affordable, and rapidly accessible medicines for all.

A brief history of medical education in Sub-Saharan Africa.

Science.gov (United States)

Monekosso, G L

2014-08-01

Developments in medical education in Sub-Saharan Africa over the past 100 years have been characterized by the continent's unique history. During the first half of the 20th century, the Europeans effectively installed medical education in their African colonies. The years 1950 to 1960 were distinguished by successful movements for independence, with new governments giving priority to medical education. By 1980, there were 51 medical schools in Sub-Saharan Africa. The period from 1975 to 1990 was problematic both politically and economically for Sub-Saharan Africa, and medical schools did not escape the general difficulties. War, corruption, mounting national debts, and political instability were characteristics of this period. In many countries, maintaining medical school assets--faculty members, buildings, laboratories, libraries--became difficult, and emigration became the goal of many health professionals. In contrast, the past 20 years have seen rapid growth in the number of medical schools in Sub-Saharan Africa. Economic growth and political stability in most Sub-Saharan African countries augur well for investment in health systems strengthening and in medical education. There are, nonetheless, major problem areas, including inadequate funding, challenges of sustainability, and the continuing brain drain. The 20th century was a time of colonialism and the struggle for independence during which medical education did not advance as quickly or broadly as it did in other regions of the world. The 21st century promises a different history, one of rapid growth in medical education, leading to better care and better health for the people of Africa.

Exploring the possibility for business model innovation in Laerdal Medical using Virtual Reality

OpenAIRE

Ullestad, Freddie; Søndenaa, Thomas

2017-01-01

Master's thesis in Business administration: Executive MBA The purpose of this paper is to check how Virtual Reality patient simulation as a disruptive technology may give opportunities for established companies, such as Laerdal Medical, to create innovative business models in the nursing and healthcare education market. The goal of the new and innovative business model would be to maintain and further strengthen existing business, when faced with threats from established and potential new ...

Significance of dislocations in the mechanism of Hadfield cast steel strengthening

International Nuclear Information System (INIS)

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

1999-01-01

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

Hot spots, weak links: Strengthening nuclear security in a changing world

International Nuclear Information System (INIS)

Taniguchi, Tomihiro; Nilsson, Anita

2004-01-01

Protection against nuclear terrorism is one of the critical issues facing the international community today. New and challenging security dimensions must be met. During the Cold War, the main international security concern was the fear of a nuclear war and the spread of nuclear weapons. The post-Cold War era presented new security challenges, which recognized the need to strengthen the international regime of physical protection of nuclear materials. In the post-9/11 period, threat perceptions include the potential terrorist use of an improvised nuclear explosive device, the use of a radiological dispersal device (RDD) and attacks against nuclear facilities, i.e. sabotage. These threats point to the need for an overall strengthening of the global nuclear security regime with attention to 'weak links' that may offer soft targets for terrorists or criminals. This article discusses some of the basic concepts and developments in the field of nuclear security; the legacy of the Cold War and the rise of new challenges to the global nuclear security agenda in the post-Cold War and post-9/11 periods; and efforts of the IAEA to strengthen the global nuclear security regime. The IAEA is filling an important and expanding role, yet more measures are needed

Response of solute and precipitation-strengthened copper alloys at high neutron exposure

International Nuclear Information System (INIS)

Garner, F.A.; Hamilton, M.L.; Shikama, T.; Edwards, D.J.; Newkirk, J.W.

1991-11-01

A variety of solute and precipitation strengthened copper base alloys have been irradiated to neutron-induced displacement levels of 34 to 150 dpa at 415 degrees C and 32 dpa at 529 degrees C in the Fast Flux Test Facility to assess their potential for high heat flux applications in fusion reactors. Several MZC-type alloys appear to offer the most promise for further study. For low fluence applications CuBeNi and spinodally strengthened CuNiTi alloys may also be suitable. Although Cu-2Be resists swelling, it is not recommended for fusion reactor applications because of its low conductivity

Response of solute and precipitation-strengthened copper alloys at high neutron exposure

Energy Technology Data Exchange (ETDEWEB)

Garner, F.A.; Hamilton, M.L. [Pacific Northwest Lab., Richland, WA (United States); Shikama, T. [Tohoku Univ., Oarai Branch (Japan); Edwards, D.J.; Newkirk, J.W. [Missouri Univ., Rolla, MO (United States)

1991-11-01

A variety of solute and precipitation strengthened copper base alloys have been irradiated to neutron-induced displacement levels of 34 to 150 dpa at 415{degrees}C and 32 dpa at 529{degrees}C in the Fast Flux Test Facility to assess their potential for high heat flux applications in fusion reactors. Several MZC-type alloys appear to offer the most promise for further study. For low fluence applications CuBeNi and spinodally strengthened CuNiTi alloys may also be suitable. Although Cu-2Be resists swelling, it is not recommended for fusion reactor applications because of its low conductivity.

The role of TiB2 in strengthening TiB2 reinforced aluminium casting composites

International Nuclear Information System (INIS)

Chen, Z; Kang, H; Zhao, Y; Zheng, Y; Wang, T

2016-01-01

With an aim of developing high quality in situ TiB 2 reinforced aluminium foundry alloy based composites, the conventional direct synthesis method was modified into a two-step route. In step one we optimized the halide salt route to fabricate in situ TiB 2 particulate reinforced aluminium matrix composites and in step two we investigated the effects of the Al-5wt.% TiB 2 composite, as a “master composite”, on strengthening the practical foundry alloys. The in situ formed TiB 2 particles play two roles while strengthening the composites: (1) The grain refinement effect that improves the quality of the alloy matrix; and (2) The interactions between the hard particulates and the matrix add extra increment to the material strength. In different alloy systems, TiB 2 may play distinct roles in these two aspects (figure 1). Further analysis of the strengthening mechanisms shows that particle agglomeration behaviour during solidification is responsible for the latter one. The present work details the role of TiB 2 in strengthening TiB 2 reinforced aluminium casting composites. (paper)

Flexural repair/strengthening of pre-damaged R.C. beams using embedded CFRP rods

Directory of Open Access Journals (Sweden)

Alaa M. Morsy

2015-12-01

Full Text Available Many reinforced concrete R.C. elements need either strengthening due to the need of increasing the service loads or repair due to overloading stress or environmental deterioration affecting these elements. In this paper an experimental program is presented to investigate the effect of using embedded CFRP rod as NSM reinforcement for strengthening/repairing R.C. beams pre-damaged by loading to different loading levels and comparing the results to those of non-preloaded beams. A total of five beams were cast and six beams were tested under four point loading. The main objective of this paper was to investigate the effect of providing one 12 mm diameter CFRP rod in addition to the existing steel reinforcement. Three beams were tested to failure directly without any preloading, whereas the other three beams were firstly subjected to preloading to different load levels. Following that these three beams were strengthened and were tested up to failure.

Integrated Approach to Repair and Seismic Strengthening of Mustafa Pasha Mosque in Skopje

International Nuclear Information System (INIS)

Sendova, Veronika; Gavrilovic, Predrag; Stojanoski, Blagojce

2008-01-01

Mustafa Pasha's Mosque is one of the biggest and the best preserved monuments of the Ottoman sacral architecture in Skopje and the Balkan. As a cultural historic monument of an extraordinary importance for the city of Skopje and Republic of Macedonia, it is under protection of the Law on Protection of Cultural Heritage. IZIIS is currently elaborating a project on repair and strengthening of Mustafa Pasha's mosque. Respecting the modern requirements in protection of historical monuments, as is the main principles of seismic strengthening are: application of new technologies and materials, reversibility and invisibility of the applied technique. The concept of structural strengthening and repair aimed at reaching the designed level of earthquake protection has been selected based on: (i) investigations of the soil conditions, (ii) investigations of the characteristics of the built-in materials, (iii) investigation of the main dynamic characteristics, as well as (iv) previous experimental investigation of the mosque model

Memory retrieval and the passage of time: from reconsolidation and strengthening to extinction.

Science.gov (United States)

Inda, Maria Carmen; Muravieva, Elizaveta V; Alberini, Cristina M

2011-02-02

An established memory can be made transiently labile if retrieved or reactivated. Over time, it becomes again resistant to disruption and this process that renders the memory stable is termed reconsolidation. The reasons why a memory becomes labile after retrieval and reconsolidates still remains debated. Here, using inhibitory avoidance learning in rats, we provide evidence that retrievals of a young memory, which are accompanied by its reconsolidation, result in memory strengthening and contribute to its overall consolidation. This function associated to reconsolidation is temporally limited. With the passage of time, the stored memory undergoes important changes, as revealed by the behavioral outcomes of its retrieval. Over time, without explicit retrievals, memory first strengthens and becomes refractory to both retrieval-dependent interference and strengthening. At later times, the same retrievals that lead to reconsolidation of a young memory extinguish an older memory. We conclude that the storage of information is very dynamic and that its temporal evolution regulates behavioral outcomes. These results are important for potential clinical applications.

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

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

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

Development of oxide dispersion strengthened 2205 duplex stainless steel composite

Directory of Open Access Journals (Sweden)

Oladayo OLANIRAN

2015-05-01

Full Text Available Composites of duplex stainless steel were produced by oxide dispersion strengthening with comparatively improved mechanical properties by hot press sintering of partially stabilized Zirconia (PSZ, 3% yttria, mole fraction dispersion in 2205 duplex stainless steels. Ceramic oxide was added as reinforcement, while chromium (Cr and Nickel (Ni were incorporated to maintain the austenitic/ferritic phase balance of the duplex stainless steel. The powders and sintered were characterized in detail using scanning electron microscopy (SEM and X-ray diffraction (XRD. The microstructural evolution and phase formation during oxide dispersion strengthening of duplex stainless steel composites were investigated. The influence of composition variation of the reinforcements on the microstructural and corrosion behaviour in simulated mine water of the composites were investigated. In this manuscript, it was established that composition has great influence on the structure/properties relationship of the composites developed.

In-Plane Strengthening Effect of Prefabricated Concrete Walls on Masonry Structures: Shaking Table Test

OpenAIRE

Li, Weiwei; Liu, Weiqing; Wang, Shuguang; Du, Dongsheng

2017-01-01

The improvement effect of a new strengthening strategy on dynamic action of masonry structure, by installing prefabricated concrete walls on the outer facades, is validated by shaking table test presented in this paper. We carried out dynamic tests of two geometrically identical five-story reduced scaled models, including an unstrengthened and a strengthened masonry model. The experimental analysis encompasses seismic performances such as cracking patterns, failure mechanisms, amplification f...

PROTECTIVE GUARANTEES AND OTHER REQUIREMENTS TO STRENGTHEN DEVELOPMENT OF THE BANK-CUSTOMER CONTRACTUAL RELATIONSHIP

Directory of Open Access Journals (Sweden)

MEDAR LUCIAN-ION

2013-02-01

Full Text Available Contractual relationships between individuals and credit institutions are increasingly lower in the sphere of lendingactivity. Implementation of the new Civil Procedure Code starting with February, 2013, strengthened even moreconsumer protection which has disturbed some commercial banks. Trust between banks and customers is an essentialrequirement for developing banking businesses. As a result of occurrence of new legislation is necessary to know themain elements that strengthen bank-client contractual relationship.

Medical Education in Decentralized Settings: How Medical Students Contribute to Health Care in 10 Sub-Saharan African Countries.

Science.gov (United States)

Talib, Zohray; van Schalkwyk, Susan; Couper, Ian; Pattanaik, Swaha; Turay, Khadija; Sagay, Atiene S; Baingana, Rhona; Baird, Sarah; Gaede, Bernhard; Iputo, Jehu; Kibore, Minnie; Manongi, Rachel; Matsika, Antony; Mogodi, Mpho; Ramucesse, Jeremais; Ross, Heather; Simuyeba, Moses; Haile-Mariam, Damen

2017-12-01

African medical schools are expanding, straining resources at tertiary health facilities. Decentralizing clinical training can alleviate this tension. This study assessed the impact of decentralized training and contribution of undergraduate medical students at health facilities. Participants were from 11 Medical Education Partnership Initiative-funded medical schools in 10 African countries. Each school identified two clinical training sites-one rural and the other either peri-urban or urban. Qualitative and quantitative data collection tools were used to gather information about the sites, student activities, and staff perspectives between March 2015 and February 2016. Interviews with site staff were analyzed using a collaborative directed approach to content analysis, and frequencies were generated to describe site characteristics and student experiences. The clinical sites varied in level of care but were similar in scope of clinical services and types of clinical and nonclinical student activities. Staff indicated that students have a positive effect on job satisfaction and workload. Respondents reported that students improved the work environment, institutional reputation, and introduced evidence-based approaches. Students also contributed to perceived improvements in quality of care, patient experience, and community outreach. Staff highlighted the need for resources to support students. Students were seen as valuable resources for health facilities. They strengthened health care quality by supporting overburdened staff and by bringing rigor and accountability into the work environment. As medical schools expand, especially in low-resource settings, mobilizing new and existing resources for decentralized clinical training could transform health facilities into vibrant service and learning environments.

Dislocation-based plasticity and strengthening mechanisms in sub-20 nm lamellar structures in pearlitic steel wire

DEFF Research Database (Denmark)

Zhang, Xiaodan; Hansen, Niels; Godfrey, Andrew

2016-01-01

The tensile properties and the deformation microstructure of pearlitic steel (0.8 wt % C) have been quantified in wires drawn to strains in the range from 3.7 to 5.4, having a flow stress in the range from 3.5 to 4.5 GPa. With increasing strain the interlamellar spacing (ILS) decreases from about...... mechanism in the wire and three strengthening mechanisms are applied: boundary strengthening, dislocation strengthening and solid solution hardening with their relative contributions to the total flow stress which change as the strain is increased. Based on linear additivity good correspondence between...

Exploring the Case for a Global Alliance for Medical Diagnostics Initiative

Directory of Open Access Journals (Sweden)

Melissa L. Mugambi

2017-01-01

Full Text Available In recent years, the private and public sectors have increased investments in medical diagnostics for low- and middle-income countries (LMICs. Despite these investments, numerous barriers prevent the adoption of existing diagnostics and discourage the development and introduction of new diagnostics in LMICs. In the late 1990s, the global vaccine community had similar challenges, as vaccine coverage rates stagnated and the introduction of new vaccines was viewed as a distraction to delivering existing vaccines. To address these challenges, the international community came together and formed the Global Alliance for Vaccines Initiative (GAVI. Sixteen years after the formation of GAVI, we see evidence of a healthier global vaccine landscape. We discuss how GAVI’s four guiding principles (product, health systems strengthening, financing and market shaping might apply to the advancement of medical diagnostics in LMICs. We present arguments for the international community and existing organizations to establish a Global Alliance for Medical Diagnostics Initiative (GAMDI.

Building a medical system for nuclear facilities

International Nuclear Information System (INIS)

Maeda, Mitsuya

2016-01-01

To build a medical system for nuclear facilities, I explained what kinds of actions were performed with the TEPCO Fukushima Daiichi Nuclear Power Plant Accident and what kinds of actions are going to be performed in the future. We examined the health and medical care of the emergency workers in nuclear facilities including TEPCO Fukushima Daiichi Nuclear Power Plant from 2014 to 2015 in the Ministry of Health, Labour and Welfare (MHLW). We carried out a detailed hearing from stakeholders of electric companies and medical institutions about the medical system in nuclear facilities carrying out urgent activities. It has been said that the electric company is responsible to maintain the medical system for affected workers in nuclear facilities. However, TEPCO could not find the medical staff, such as doctors, by their own effort at the TEPCO Fukushima Daiichi Nuclear Power Plant Accident. The network of doctors familiar with emergency medical care support dispatched the medical staff after July of 2011. The stakeholders indicated that the following six tasks must be resolved: (1) the fact that no electric company performs the action of bringing up medical staff who can be dispatched into nuclear facilities in emergencies in 2015; (2) bringing up personnel in charge of radiation management and logistics other than the medical staff, such as doctors; (3) cooperation with the community medicine system given the light and shade by nuclear facilities; (4) performing training for the many concurrent wounded based on the scenario of a severe accident; (5) indicating both the condition of the contract and the guarantee of status that is appropriate for dispatched medical staffs; and (6) clarifying the organization of the network of stakeholders. The stakeholders showed the future directionality as follows: (1) To recruit the medical staff expected to be dispatched into nuclear facilities, (2) to carry out the discussion and conveyance training to strengthen cooperation with

Strengthening of reinforced concrete beams with basalt-based FRP sheets: An analytical assessment

International Nuclear Information System (INIS)

Nerilli, Francesca; Vairo, Giuseppe

2016-01-01

In this paper the effectiveness of the flexural strengthening of RC beams through basalt fiber-reinforced sheets is investigated. The non-linear flexural response of RC beams strengthened with FRP composites applied at the traction side is described via an analytical formulation. Validation results and some comparative analyses confirm soundness and consistency of the proposed approach, and highlight the good mechanical performances (in terms of strength and ductility enhancement of the beam) produced by basalt-based reinforcements in comparison with traditional glass or carbon FRPs.

Strengthening of reinforced concrete beams with basalt-based FRP sheets: An analytical assessment

Energy Technology Data Exchange (ETDEWEB)

Nerilli, Francesca [Unicusano - Università degli Studi Niccolò Cusano Telematica Roma, 00166 Rome (Italy); Vairo, Giuseppe [Università degli Studi di Roma “Tor Vergata”- (DICII), 00133 Rome (Italy)

2016-06-08

In this paper the effectiveness of the flexural strengthening of RC beams through basalt fiber-reinforced sheets is investigated. The non-linear flexural response of RC beams strengthened with FRP composites applied at the traction side is described via an analytical formulation. Validation results and some comparative analyses confirm soundness and consistency of the proposed approach, and highlight the good mechanical performances (in terms of strength and ductility enhancement of the beam) produced by basalt-based reinforcements in comparison with traditional glass or carbon FRPs.

Strengthening of reinforced concrete beams with basalt-based FRP sheets: An analytical assessment

Science.gov (United States)

Nerilli, Francesca; Vairo, Giuseppe

2016-06-01

In this paper the effectiveness of the flexural strengthening of RC beams through basalt fiber-reinforced sheets is investigated. The non-linear flexural response of RC beams strengthened with FRP composites applied at the traction side is described via an analytical formulation. Validation results and some comparative analyses confirm soundness and consistency of the proposed approach, and highlight the good mechanical performances (in terms of strength and ductility enhancement of the beam) produced by basalt-based reinforcements in comparison with traditional glass or carbon FRPs.

The Evolution of World Health Organization's Initiatives for the Strengthening of Nursing and Midwifery.

Science.gov (United States)

Ventura, Carla Aparecida Arena; Mendes, Isabel Amélia Costa; Fumincelli, Laís; Trevizan, Maria Auxiliadora

2015-09-01

To describe the evolution in the resolutions approved by World Health Organization (WHO)'s World Health Assembly (WHA) to strengthen nursing and midwifery. Qualitative and descriptive study, undertaken through a search of resolutions presented by WHA, on the WHO website, regarding the theme "strengthening of nursing and midwifery." The resolutions on the theme "nursing and midwifery" were included, whose titles were available and whose full texts were accessed, excluding those on general health themes. The key words used were resolutions, strengthening, and nursing and midwifery. Among the 20 resolutions found, 12 were selected, adopted between 1948 and 2013, in accordance with the study inclusion criteria. The data were interpreted using thematic qualitative analysis, identifying and grouping the data in categories related to the study theme. Based on the content analysis of the 12 resolutions studied, three thematic categories were defined: "nursing and midwifery in primary health"; "role of nursing and midwifery in health for all"; and "nurses and midwives' professional training." Based on the categories, the evolution in the strengthening of nursing and midwifery was demonstrated through the initiatives and resolutions approved by WHA, highlighting the importance of nurses and midwives as multiprofessional health team members and their fundamental role in the improvements of the health system. Therefore, in accordance with the needs of each country, the member states can implement strategies presented by the WHA resolutions to strengthen nursing and midwifery services. This study has relevance for the development of health policies considering the relevant contributions of nurses and midwives to healthcare systems and services, based on the analysis of WHO resolutions involving these professions. © 2015 Sigma Theta Tau International.

Engineered cementitious composites for strengthening masonry infilled reinforced concrete frames

DEFF Research Database (Denmark)

Dehghani, Ayoub; Nateghi-Alahi, Fariborz; Fischer, Gregor

2015-01-01

The results of the second part of a comprehensive experimental program, aimed at investigating the behavior of masonry infilled reinforced concrete (RC) frames strengthened with fiber reinforced engineered cementitious composites (ECC) used as an overlay on the masonry wall, are presented...

Strengthening Parents and Families during the Early Childhood Years.

Science.gov (United States)

Swick, Kevin J.

This book provides early childhood educators with perspectives and tools that will enable them to strengthen parents and families during the child's earliest year of development. The 25 chapters are divided into 6 parts or themes. Part one focuses on understanding families as learners from an ecological and empathetic perspective, with the premise…

Strengthening of Existing Bridge Structures for Shear and Bending with Carbon Textile-Reinforced Mortar

Directory of Open Access Journals (Sweden)

Martin Herbrand

2017-09-01

Full Text Available Increasing traffic loads and changes in code provisions lead to deficits in shear and flexural capacity of many existing highway bridges. Therefore, a large number of structures are expected to require refurbishment and strengthening in the future. This projection is based on the current condition of many older road bridges. Different strengthening methods for bridges exist to extend their service life, all having specific advantages and disadvantages. By applying a thin layer of carbon textile-reinforced mortar (CTRM to bridge deck slabs and the webs of pre-stressed concrete bridges, the fatigue and ultimate strength of these members can be increased significantly. The CTRM layer is a combination of a corrosion resistant carbon fiber reinforced polymer (CFRP fabric and an efficient mortar. In this paper, the strengthening method and the experimental results obtained at RWTH Aachen University are presented.

Intermediate Crack Induced Debonding in Concrete Beams Strengthened with CFRP Plates - An Experimental Study

DEFF Research Database (Denmark)

Rusinowski, Piotr Michal; Täljsten, Björn

2009-01-01

, ductility and even durability. Design of structural strengthening applications using externally bonded FRP composites is usually based on conventional design approaches with improvement to account for the presence and characteristics of the FRP material. Non-conventional design issues that are specific...... of the strengthening method. End-peeling has governed a large interest and several debonding models have been presented. However, interfacial peeling at flexural cracks has not attained the same focus – even though this debonding failure is most likely more common. This paper presents laboratory tests of concrete...... beams strengthened in flexure with CFRP epoxy bonded plates. Wrapping with CFRP sheets was applied in order to try to localize the failure initiation. Concrete cracking as well as debonding initiation and propagation was possible to observe with help of advanced optical measuring system and high speed...

Strengthening of Existing Bridge Structures for Shear and Bending with Carbon Textile-Reinforced Mortar.

Science.gov (United States)

Herbrand, Martin; Adam, Viviane; Classen, Martin; Kueres, Dominik; Hegger, Josef

2017-09-19

Increasing traffic loads and changes in code provisions lead to deficits in shear and flexural capacity of many existing highway bridges. Therefore, a large number of structures are expected to require refurbishment and strengthening in the future. This projection is based on the current condition of many older road bridges. Different strengthening methods for bridges exist to extend their service life, all having specific advantages and disadvantages. By applying a thin layer of carbon textile-reinforced mortar (CTRM) to bridge deck slabs and the webs of pre-stressed concrete bridges, the fatigue and ultimate strength of these members can be increased significantly. The CTRM layer is a combination of a corrosion resistant carbon fiber reinforced polymer (CFRP) fabric and an efficient mortar. In this paper, the strengthening method and the experimental results obtained at RWTH Aachen University are presented.

Brownfield regeneration: Towards strengthening social cohesion?

Directory of Open Access Journals (Sweden)

Minić Marta

2016-01-01

Full Text Available In broader terms, the paper refers to the topic of brownfield regeneration, as one of the most complex mechanisms for sustainable spatial development. In addition to the fact that brownfield regeneration demands a variety of instruments, such as: tax subsidies, the change of land use ownership, soil remediation, planning regulative amendments, etc., the complexity of brownfield regeneration is primarily seen in a number of stakeholders participating in such a process. Thus, the paper focuses on the social aspect of brownfield regeneration - precisely, on researching the community role and reviewing the possibilities for achieving the 'local' interests in complex developmental processes. The main research hypothesis is that brownfield regeneration positively affects the creation of and strengthening the social cohesion in the areas close to the brownfield site. More precisley, the paper presents the ways towards strenghtening social cohesion in the initial phase of the brownfield regeneration process, as well as the effects of such a process in its operationalisation phase on social cohesion. The thesis is examined by two main parameters: 1 participation of local community, and 2 social costs and benefits of brownfield regeneration versus greenfield investment. The research results are presented in the form of argumentative essay. In fact, the critical overview of arguments for and against the main research hypothesis is provided based on the review of interdisciplinary literature in the domain of brownfield regeneration. Such research organisation ensures the identification and description of the measures needed for strengthening social cohesion, as an utmost goal of this research. The final research contribution is about offering the guidelines for similar methodological approach in urban research.

Sleep Strengthens but does Not Reorganize Memory Traces in a Verbal Creativity Task.

Science.gov (United States)

Landmann, Nina; Kuhn, Marion; Maier, Jonathan-Gabriel; Feige, Bernd; Spiegelhalder, Kai; Riemann, Dieter; Nissen, Christoph

2016-03-01

Sleep after learning promotes the quantitative strengthening of new memories. Less is known about the impact of sleep on the qualitative reorganization of memory content. This study tested the hypothesis that sleep facilitates both memory strengthening and reorganization as indexed by a verbal creativity task. Sixty healthy university students (30 female, 30 male, 20-30 years) were investigated in a randomized, controlled parallel-group study with three experimental groups (sleep, sleep deprivation, daytime wakefulness). At baseline, 60 items of the Compound Remote Associate (CRA) task were presented. At retest after the experimental conditions, the same items were presented again together with 20 new control items to disentangle off-line incubation from online performance effects. Sleep significantly strengthened formerly encoded memories in comparison to both wake conditions (improvement in speed of correctly resolved items). Offline reorganization was not enhanced following sleep, but was enhanced following sleep-deprivation in comparison to sleep and daytime wakefulness (solution time of previously incubated, newly solved items). Online performance did not differ between the groups (solution time of new control items). The results support the notion that sleep promotes the strengthening, but not the reorganization, of newly encoded memory traces in a verbal creativity task. Future studies are needed to further determine the impact of sleep on different types of memory reorganization, such as associative thinking, creativity and emotional memory processing, and potential clinical translations, such as the augmentation of psychotherapy through sleep interventions. © 2016 Associated Professional Sleep Societies, LLC.

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

Directory of Open Access Journals (Sweden)

Fábio Renovato França

2010-01-01

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

Strong Motion Instrumentation of Seismically-Strengthened Port Structures in California by CSMIP

Science.gov (United States)

Huang, M.J.; Shakal, A.F.

2009-01-01

The California Strong Motion Instrumentation Program (CSMIP) has instrumented five port structures. Instrumentation of two more port structures is underway and another one is in planning. Two of the port structures have been seismically strengthened. The primary goals of the strong motion instrumentation are to obtain strong earthquake shaking data for verifying seismic analysis procedures and strengthening schemes, and for post-earthquake evaluations of port structures. The wharves instrumented by CSMIP were recommended by the Strong Motion Instrumentation Advisory Committee, a committee of the California Seismic Safety Commission. Extensive instrumentation of a wharf is difficult and would be impossible without the cooperation of the owners and the involvement of the design engineers. The instrumentation plan for a wharf is developed through study of the retrofit plans of the wharf, and the strong-motion sensors are installed at locations where specific instrumentation objectives can be achieved and access is possible. Some sensor locations have to be planned during design; otherwise they are not possible to install after construction. This paper summarizes the two seismically-strengthened wharves and discusses the instrumentation schemes and objectives. ?? 2009 ASCE.

The role of the psychiatrist: job satisfaction of medical directors and staff psychiatrists.

Science.gov (United States)

Ranz, J; Stueve, A; McQuistion, H L

2001-12-01

In a previous survey of Columbia University Public Psychiatry Fellowship alumni, medical directors reported experiencing higher job satisfaction compared to staff psychiatrists. To further this inquiry, the authors conducted an expanded survey among the membership of the American Association of Community Psychiatrists (AACP). We mailed a questionnaire to all AACP members. Respondents categorized their positions as staff psychiatrist, program medical director or agency medical director, and rated their overall job satisfaction. The form also included a number of demographic and job characteristic items. Of 479 questionnaires mailed, a total of 286 individuals returned questionnaires (61%-12 forms were undeliverable). As in our previous survey, medical directors experience significantly higher job satisfaction compared to staff psychiatrists. Program and agency medical directors do not differ significantly. In addition, job satisfaction is strongly and negatively correlated with age for staff psychiatrists but not for medical directors. This survey strengthens the previously reported advantage medical directors have over staff psychiatrists regarding job satisfaction. The finding that job satisfaction decreases with increasing age of staff psychiatrists but not medical directors is particularly interesting, suggesting that staff psychiatrist positions may come to be regarded as "dead-end" over time. Psychiatrists are advised to seek promotions to program medical director positions early in their careers, since these positions are far more available, and provide equal job satisfaction, compared to agency medical director positions.

Conducting Quantitative Medical Education Research: From Design to Dissemination.

Science.gov (United States)

Abramson, Erika L; Paul, Caroline R; Petershack, Jean; Serwint, Janet; Fischel, Janet E; Rocha, Mary; Treitz, Meghan; McPhillips, Heather; Lockspeiser, Tai; Hicks, Patricia; Tewksbury, Linda; Vasquez, Margarita; Tancredi, Daniel J; Li, Su-Ting T

2018-03-01

Rigorous medical education research is critical to effectively develop and evaluate the training we provide our learners. Yet many clinical medical educators lack the training and skills needed to conduct high-quality medical education research. We offer guidance on conducting sound quantitative medical education research. Our aim is to equip readers with the key skills and strategies necessary to conduct successful research projects, highlighting new concepts and controversies in the field. We utilize Glassick's criteria for scholarship as a framework to discuss strategies to ensure that the research question of interest is worthy of further study and how to use existing literature and conceptual frameworks to strengthen a research study. Through discussions of the strengths and limitations of commonly used study designs, we expose the reader to particular nuances of these decisions in medical education research and discuss outcomes generally focused on, as well as strategies for determining the significance of consequent findings. We conclude with information on critiquing research findings and preparing results for dissemination to a broad audience. Practical planning worksheets and comprehensive tables illustrating key concepts are provided in order to guide researchers through each step of the process. Medical education research provides wonderful opportunities to improve how we teach our learners, to satisfy our own intellectual curiosity, and ultimately to enhance the care provided to patients. Copyright © 2018 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Implementing the patient-centered medical home model for chronic disease care in small medical practices: practice group characteristics and physician understanding.

Science.gov (United States)

Baxter, Louisa; Nash, David B

2013-01-01

Strengthening primary care may improve health outcomes and restrain spending. The patient-centered medical home (PCMH) model is endorsed as a tool to achieve this. Early evaluations in large group practices demonstrate improvements in some health outcomes. Evidence is lacking from small medical practices that deliver the majority of primary health care. This was a national survey of 200 physicians that explored perceptions of PCMH. There was considerable interest in adoption of the model; however, providing PCMH care was seen as an extension of traditional roles that requires additional reimbursement. No differentiation was made among a variety of payment models to do this. All joint principle components of the model were identified as important: extending access and information technology were the most contentious. There was consensus that PCMH might improve the quality of primary care; however, tension between wider societal benefits and rising costs for individual practices was a challenge to implementation.

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

International Nuclear Information System (INIS)

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

2009-01-01

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

A trend study on radiodiagnosis and radiotherapy and radiological protection for medical exposure in Shanghai

International Nuclear Information System (INIS)

Zheng Junzheng; Gao Linfeng; Yao Jie; Wang Bin; Qian Aijun; Ji Guiyi; Xiao Hong; Zhuo Weihai

2014-01-01

This paper reviews the rapid development of various types of Radiodiagnosis and Radiotherapy in China and aboard, which leads to a dramatic increase of application frequency of medical exposure. Then summaries the trend found through the investigation on the medical exposure levels during the Eleventh Five-year Plan in Shanghai. According to the above analysis, suggestions to strengthen the medical exposure protection are proposed. When the X-ray diagnosis, interventional radiology, nuclear medicine and radiation oncology become indispensable means to modern medicine, the public exposure due to health examinations and disease diagnosis or treatments has been institutions undergoing X-ray diagnosis in Shanghai by the year of 2010, 2.1 more times of that in 1998. During this period, the total number of X-ray diagnosis equipment increased by 57.7%, and the number of X-CT scanners increased by 131.9%. The annual application frequency of X-ray diagnosis was 780.44 person · time for per 1000 population in 2009. Compared with the data in 1996, the total frequency increased by 58.3%, and the frequency of X-CT scans increased 317.l%. In clinical nuclear medicine, compared with the data in 1996, the annual application frequencies increased by 139.4% and 210.6% for diagnosis and therapy in 2008, respectively. In the field of radiation oncology, the annual frequency also increased by 59.9% during the same period. Shanghai pioneered the survey on medical exposure levels during the Eleventh Five-Year Plan period in China, and has accumulated a lot of valuable new information and mastered the development trends of medical exposure. This work lays a solid foundation for effectively strengthening the radiation protection from medical exposure, provides a scientific basis for the rational planning and utilization of health care resources. Meanwhile, this work is also very useful for promoting the healthy development of radiology career while avoiding disadvantages and to the

Gold's monetary roll will be strengthened - Plumbridge

International Nuclear Information System (INIS)

Anon.

1977-01-01

Delivering his Presidential address at the Chamber's annual general meeting, Mr Plumbridge said the gold market would enter a new phase and listed seven reasons why gold's monetary role would be strengthened. There was a dramatic increase in the demand for gold jewellery. He also forecasted that South African uranium production would again attain its former peak annual production of about 6000t. There is an essential need for a sustained growth in nuclear power and the prospects for uranium mining industry remain encouraging

Fracture toughness of oxide-dispersion strengthened copper

Energy Technology Data Exchange (ETDEWEB)

Alexander, D.J. [Oak Ridge National Lab., TN (United States)

1996-10-01

The fracture toughness of an oxide-dispersion strengthened copper alloy AL-15 has been examined at room temperature and 250{degrees}C, in air and in vacuum (< 10{sup {minus}6} torr). Increasing test temperature causes a significant decrease in the fracture toughness of this material, in either air or vacuum environments. In addition, specimens oriented in the T-L orientation (crack growth parallel to the extrusion direction) show significantly lower toughness than those in the L-T orientation (crack growth perpendicular to the extrusion direction).

[Asymmetry in international relations, industrial property rights and anti-HIV medication].

Science.gov (United States)

Costa-Couto, Maria Helena; Nascimento, Alvaro César

2008-01-01

This paper analyzes the asymmetry in the international relations as refers to the recognition of industrial property rights in the pharmaceutical industry. It focuses on the impact of such relations upon the access to ARV medication, an issue of worldwide interest due to its connection with the development of the nations. Clashing interests and the position taken by some countries in their patent laws point to a scenario less favorable for the access of peripheral countries to anti-HIV/AIDS medication. On the other hand, it seems that the success of the Brazilian STD/AIDS program in negotiating ARV prices will open new possibilities. The solution may be the internal strengthening of the National States and the active role played by the Agencies of the United Nations System in defense of the collective human interests.

Thermomechanical responses of concrete members strengthened with cfrp sheets

Science.gov (United States)

Alqurashi, Abdulaziz

Strengthening structural members means to be able to carry additional loads. Since, 1990s, a lot of materials and techniques have been established to not only increasing the capacity of member but also facing deterioration. Deterioration has become one of the worst highly maintenance cost. According to The ASCE, 27.1% of all bridges in the United States are not effectual. This is because the high traffic reflects negatively to structural members and cause deterioration of these members. This problem has been cost a lot of money. In addition, FRP has approved that it can increase the capacity of member and overcome some disadvantages such as deterioration. Therefore, CFRP sheet has become widely used. However, high temperatures affect the performance of externally bonded CFRP sheet negatively. Investigation should be carried out on relaxation and flexural performance of members under different temperatures. Therefore, this thesis focus on analyzing and investigating the performance of strengthened members exposed to elevated temperatures (25 to 175 °C). The experimental program was divided to two main parts. First, 144 strengthen concrete blocks 100mm X 150mm X 75mm has been exposed to elevated temperatures. These blocks have two main categories, which are different CFRP sheet width, and different CFRP sheet length. Different CFRP width has three types, which are type 0.25B (25mm x 100mm), type 0.5B (50mm x 100mm) and type 0.75B (75mm x 100mm). Also, Different CFRP length has three types, which are type L e (bonded area of 50 mm by 90mm), 1.25 Le (area of 50mm by 125mm) and type 1.5Le (50mm by 137 mm). Second, studying the performance of RC beams exposed to elevated temperatures.

Repeated labilization-reconsolidation processes strengthen declarative memory in humans.

Directory of Open Access Journals (Sweden)

Cecilia Forcato

Full Text Available The idea that memories are immutable after consolidation has been challenged. Several reports have shown that after the presentation of a specific reminder, reactivated old memories become labile and again susceptible to amnesic agents. Such vulnerability diminishes with the progress of time and implies a re-stabilization phase, usually referred to as reconsolidation. To date, the main findings describe the mechanisms associated with the labilization-reconsolidation process, but little is known about its functionality from a biological standpoint. Indeed, two functions have been proposed. One suggests that destabilization of the original memory after the reminder allows the integration of new information into the background of the original memory (memory updating, and the other suggests that the labilization-reconsolidation process strengthens the original memory (memory strengthening. We have previously reported the reconsolidation of human declarative memories, demonstrating memory updating in the framework of reconsolidation. Here we deal with the strengthening function attributed to the reconsolidation process. We triggered labilization-reconsolidation processes successively by repeated presentations of the proper reminder. Participants learned an association between five cue-syllables and their respective response-syllables. Twenty-four hours later, the paired-associate verbal memory was labilized by exposing the subjects to one, two or four reminders. The List-memory was evaluated on Day 3 showing that the memory was improved when at least a second reminder was presented in the time window of the first labilization-reconsolidation process prompted by the earlier reminder. However, the improvement effect was revealed on Day 3, only when at least two reminders were presented on Day 2 and not as a consequence of only retrieval. Therefore, we propose central concepts for the reconsolidation process, emphasizing its biological role and the

Repeated Labilization-Reconsolidation Processes Strengthen Declarative Memory in Humans

Science.gov (United States)

Forcato, Cecilia; Rodríguez, María L. C.; Pedreira, María E.

2011-01-01

The idea that memories are immutable after consolidation has been challenged. Several reports have shown that after the presentation of a specific reminder, reactivated old memories become labile and again susceptible to amnesic agents. Such vulnerability diminishes with the progress of time and implies a re-stabilization phase, usually referred to as reconsolidation. To date, the main findings describe the mechanisms associated with the labilization-reconsolidation process, but little is known about its functionality from a biological standpoint. Indeed, two functions have been proposed. One suggests that destabilization of the original memory after the reminder allows the integration of new information into the background of the original memory (memory updating), and the other suggests that the labilization-reconsolidation process strengthens the original memory (memory strengthening). We have previously reported the reconsolidation of human declarative memories, demonstrating memory updating in the framework of reconsolidation. Here we deal with the strengthening function attributed to the reconsolidation process. We triggered labilization-reconsolidation processes successively by repeated presentations of the proper reminder. Participants learned an association between five cue-syllables and their respective response-syllables. Twenty-four hours later, the paired-associate verbal memory was labilized by exposing the subjects to one, two or four reminders. The List-memory was evaluated on Day 3 showing that the memory was improved when at least a second reminder was presented in the time window of the first labilization-reconsolidation process prompted by the earlier reminder. However, the improvement effect was revealed on Day 3, only when at least two reminders were presented on Day2 and not as a consequence of only retrieval. Therefore, we propose central concepts for the reconsolidation process, emphasizing its biological role and the parametrical constrains

Oxide dispersion strengthened ferritic steels: a basic research joint program in France

Science.gov (United States)

Boutard, J.-L.; Badjeck, V.; Barguet, L.; Barouh, C.; Bhattacharya, A.; Colignon, Y.; Hatzoglou, C.; Loyer-Prost, M.; Rouffié, A. L.; Sallez, N.; Salmon-Legagneur, H.; Schuler, T.

2014-12-01

AREVA, CEA, CNRS, EDF and Mécachrome are funding a joint program of basic research on Oxide Dispersion Strengthened Steels (ODISSEE), in support to the development of oxide dispersion strengthened 9-14% Cr ferritic-martensitic steels for the fuel element cladding of future Sodium-cooled fast neutron reactors. The selected objectives and the results obtained so far will be presented concerning (i) physical-chemical characterisation of the nano-clusters as a function of ball-milling process, metallurgical conditions and irradiation, (ii) meso-scale understanding of failure mechanisms under dynamic loading and creep, and, (iii) kinetic modelling of nano-clusters nucleation and α/α‧ unmixing.

Oxide dispersion strengthened ferritic steels: a basic research joint program in France

Energy Technology Data Exchange (ETDEWEB)

Boutard, J.-L., E-mail: jean-louis.boutard@cea.fr [Cabinet du Haut-Commissaire, CEA/Saclay, 91191 Gif sur Yvette Cedex (France); Badjeck, V. [LPS, UMR CNRS 8502, Building 510, Université Paris-Sud 11, 91405 Orsay Cedex (France); Barguet, L. [LAUM, UMR CNRS 6613, Building IAM – UFR Sciences, Avenue O. Messiaen, 72085 Le Mans Cedex 9 (France); Barouh, C. [DMN/SRMP, CEA/Saclay, Building 520, 91191 Gif sur Yvette Cedex (France); Bhattacharya, A. [DMN/SRMP, CEA/Saclay, Building 520, 91191 Gif sur Yvette Cedex (France); CSNSM, UMR CNRS 8609, Université Paris-Sud 11, Buildings 104 and 108, 91405 Orsay Campus (France); Colignon, Y. [IM2NP, UMR CNRS 7334, Case 142, Faculté des Sciences, Campus de Saint Jérôme, Aix Marseille Université, 13397 Marseille Cedex 20 (France); Hatzoglou, C. [GPM, UMR CNRS 6634, Technopôle du Madrillet, Avenue de l’Université, BP12, 76801 Saint Etienne du Rouvray Cedex (France); Loyer-Prost, M. [DMN/SRMP, CEA/Saclay, Building 520, 91191 Gif sur Yvette Cedex (France); Rouffié, A.L. [DMN/SRMA, CEA/Saclay, Building 455, 91191 Gif sur Yvette Cedex (France); Sallez, N. [SIMAP, UMR CNRS 5266, INPG, Domaine Universitaire, 1130 rue de la Piscine, BP75, 38402 Saint Martin d’Hères Cedex (France); Salmon-Legagneur, H. [DMN/SRMA, CEA/Saclay, Building 455, 91191 Gif sur Yvette Cedex (France); Schuler, T. [DMN/SRMP, CEA/Saclay, Building 520, 91191 Gif sur Yvette Cedex (France)

2014-12-15

AREVA, CEA, CNRS, EDF and Mécachrome are funding a joint program of basic research on Oxide Dispersion Strengthened Steels (ODISSEE), in support to the development of oxide dispersion strengthened 9–14% Cr ferritic–martensitic steels for the fuel element cladding of future Sodium-cooled fast neutron reactors. The selected objectives and the results obtained so far will be presented concerning (i) physical–chemical characterisation of the nano-clusters as a function of ball-milling process, metallurgical conditions and irradiation, (ii) meso-scale understanding of failure mechanisms under dynamic loading and creep, and, (iii) kinetic modelling of nano-clusters nucleation and α/α′ unmixing.

Oxide dispersion strengthened ferritic steels: a basic research joint program in France

International Nuclear Information System (INIS)

Boutard, J.-L.; Badjeck, V.; Barguet, L.; Barouh, C.; Bhattacharya, A.; Colignon, Y.; Hatzoglou, C.; Loyer-Prost, M.; Rouffié, A.L.; Sallez, N.; Salmon-Legagneur, H.; Schuler, T.

2014-01-01

AREVA, CEA, CNRS, EDF and Mécachrome are funding a joint program of basic research on Oxide Dispersion Strengthened Steels (ODISSEE), in support to the development of oxide dispersion strengthened 9–14% Cr ferritic–martensitic steels for the fuel element cladding of future Sodium-cooled fast neutron reactors. The selected objectives and the results obtained so far will be presented concerning (i) physical–chemical characterisation of the nano-clusters as a function of ball-milling process, metallurgical conditions and irradiation, (ii) meso-scale understanding of failure mechanisms under dynamic loading and creep, and, (iii) kinetic modelling of nano-clusters nucleation and α/α′ unmixing

Survey of teaching/learning of healthcare-associated infections in UK and Irish medical schools.

LENUS (Irish Health Repository)

O'Brien, D

2009-10-01

All medical doctors have an important role to play in the diagnosis, management and prevention of healthcare-associated infection (HCAI). Strengthening the contribution of medical doctors and medical students to HCAI prevention programmes should include measures that enhance knowledge, improve practice and develop appropriate attitudes to the safety and quality of patient care. The Hospital Infection Society (HIS) funded a review of medical education on HCAI throughout medical schools in the UK and the Republic of Ireland. A questionnaire was drafted and circulated to all medical schools and 31 of 38 (82%) responded. The prevalence and transmission of HCAI were taught by 97% and 100% of medical schools, respectively, but the importance of HCAI as a quality and safety issue was covered in only 60% of medical schools. Multiple choice questions (MCQs) and objective structure clinical examinations (OSCEs) were the most popular methods of assessment. Lectures, discussion of cases and practical demonstrations were considered useful by >90% of respondents and online material and log books by 67% and 60%, respectively. More than 80% were willing to share a common pool of educational resources. An agreed curriculum should be developed for educating medical students in HCAI prevention and control, to outline optimum methods for assessment and develop a shared pool of educational resources.

Strengthening Family Practices for Latino Families.

Science.gov (United States)

Chartier, Karen G; Negroni, Lirio K; Hesselbrock, Michie N

2010-01-01

The study examined the effectiveness of a culturally-adapted Strengthening Families Program (SFP) for Latinos to reduce risks for alcohol and drug use in children. Latino families, predominantly Puerto Rican, with a 9-12 year old child and a parent(s) with a substance abuse problem participated in the study. Pre- and post-tests were conducted with each family. Parental stress, parent-child dysfunctional relations, and child behavior problems were reduced in the families receiving the intervention; family hardiness and family attachment were improved. Findings contribute to the validation of the SFP with Latinos, and can be used to inform social work practice with Puerto Rican families.

Strengthening health promotion in Australian workplaces.

Science.gov (United States)

Fisher, K J; Deeds, S; Siebel, R; Allen, J

1997-01-01

The Australian workplace has emerged as an important venue for influencing the health of employees through regulations and behaviour change programs. Recent surveys have highlighted a growth in this activity but the effectiveness of these programs in changing unhealthy work practices and policies is questionable. The need for strengthening programs by stronger designs and evaluation, and addressing organisational factors and employee participation in planning and implementation processes is documented. Efforts in that direction in Queensland are cited, Building on these existing foundations, redirecting existing resources, and building intersectoral cooperation in public-private partnerships hold a creative, exemplary vision of the future for Australian workplace programming.

Catalysis-enhanced strengthening of porous materials

International Nuclear Information System (INIS)

Sokolova, L.N.; Shchukin, E.D.; Burenkova, L.N.; Romanovskij, B.V.

2000-01-01

Change in the strength of compressed tablets of the catalyst on the basis of ZrO 2 (84 mass %) and Y 2 O 3 (16 mass %) after conducting the endothermal reaction of the methanol and ethanol dehydration at 700-800 deg C is studied. It is shown, that the key factor, determining the strengthening effect by 65-88% is not at all the reaction exothermal nature, which could lead to local heating of the catalyst surface. In reality significant increase in concentration of surface defects, as compared to the equilibrium at the given temperature is achieved on the account of conjugation of processes of catalysis and surface defects formation [ru

Strengthening regional innovation through network-based innovation brokering

OpenAIRE

Svare, Helge; Gausdal, Anne Haugen

2015-01-01

The primary objective of this paper is to demonstrate how regional innovation system theory may be translated into manageable micro-level methods with the potential for strengthening the productive dynamics of a regional innovation system. The paper meets this objective by presenting network-based innovation brokering (NBIB), a practical method designed using insights from regional innovation system theory and trust theory. Five cases from two Norwegian regional innovation networks show that ...

The evaluation of non-ionizing radiation (near-infrared radiation) based medical imaging application: Diabetes foot

Energy Technology Data Exchange (ETDEWEB)

Jung, Young Jin [Dept. of Radiological Science, Dongseo University, Busan (Korea, Republic of); Shin, Cheol Won; Ahn, Sung Min; Hong, Jun Yong; Ahn, Yun Jin; Lim, Cheong Hwan [Dept. of Radiological Science, Hanseo University, Seosan (Korea, Republic of)

2016-09-15

Near-infrared radiation (NIR) is non-ionizing, non-invasive, and deep tissue penetration in biological material, thereby increasing research interests as a medical imaging technique in the world. However, the use of current near-infrared medical image is extremely limited in Korea (ROK) since it is not well known among radiologic technologists and radiological researchers. Therefore to strengthen the knowledge for NIR medical imaging is necessary so as to prepare a qualified radiological professionals to serve medical images in high-quality on the clinical sites. In this study, an overview of the features and principles of N IR imaging was demonstrated. The latest research topics and worldwide research trends were introduced for radiologic technologist to reinforce their technical skills. In particular, wound care and diabetic foot which have high feasibility for clinical translation were introduced in order to contribute to accelerating NIR research for developing the field of radiological science.

The evaluation of non-ionizing radiation (near-infrared radiation) based medical imaging application: Diabetes foot

International Nuclear Information System (INIS)

Jung, Young Jin; Shin, Cheol Won; Ahn, Sung Min; Hong, Jun Yong; Ahn, Yun Jin; Lim, Cheong Hwan

2016-01-01

Near-infrared radiation (NIR) is non-ionizing, non-invasive, and deep tissue penetration in biological material, thereby increasing research interests as a medical imaging technique in the world. However, the use of current near-infrared medical image is extremely limited in Korea (ROK) since it is not well known among radiologic technologists and radiological researchers. Therefore to strengthen the knowledge for NIR medical imaging is necessary so as to prepare a qualified radiological professionals to serve medical images in high-quality on the clinical sites. In this study, an overview of the features and principles of N IR imaging was demonstrated. The latest research topics and worldwide research trends were introduced for radiologic technologist to reinforce their technical skills. In particular, wound care and diabetic foot which have high feasibility for clinical translation were introduced in order to contribute to accelerating NIR research for developing the field of radiological science

STRENGTHENING BIOTECHNOLOGY RESEARCH IN INDONESIA

Directory of Open Access Journals (Sweden)

S. Sastrapradja

2012-09-01

Full Text Available The wave of biotechnology promises has struck not only the developed countries but the developing countries as well. The scientific community in Indonesia is aware of the opportunities and is eager to take an active part in this particular endeavour. Meanwhile resources are required to welcoming the biotech­nology era. The need of trained manpower, appropriate infrastructure and equipment, operational and maintenance costs requires serious consideration if a unit or a laboratory is expected to be functional in biotechnology. There is a good opportunity of applying biotechnology in the field of agriculture and industry considering the availability of biological resources in Indonesia. This paper outlines what have been done so far, the difficulties encountered and the efforts made to strengthening biotechnology research in Indonesia.

Seriously Implementing Health Capacity Strengthening Programs in Africa; Comment on “Implementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique”

Directory of Open Access Journals (Sweden)

Luis Velez Lapão

2015-10-01

Full Text Available Faced with the challenges of healthcare reform, skills and new capabilities are needed to support the reform and it is of crucial importance in Africa where shortages affects the health system resilience. Edwards et al provides a good example of the challenge of implementing a mentoring program in one province in a sub-Saharan country. From this example, various aspects of strengthening the capacity of managers in healthcare are examined based on our experience in action-training in Africa, as mentoring shares many characteristics with action-training. What practical lessons can be drawn to promote the strengthening so that managers can better intervene in complex contexts? Deeper involvement of health authorities and more rigorous approaches are seriously desirable for the proper development of health capacity strengthening programs in Africa.

SURFACE CAST IRON STRENGTHENING USING COMBINED LASER AND ULTRASONIC PROCESSING

Directory of Open Access Journals (Sweden)

O. G. Devojno

2013-01-01

Full Text Available The paper provides an analysis of ultrasonic surface plastic deformation and subsequent laser thermal strengthening of gray cast iron parts in the regime of hardening from a solid state with the purpose to obtain strengthened surface layers of bigger depth and less roughness of the processed surface. Program complex ANSYS 11.0 has been used for calculation of temperature fields induced by laser exposure.  The appropriate regime of laser processing without surface fusion has been selected on the basis of the applied complex. The possibility of displacement in the bottom boundary of α–γ-transformation temperature  for СЧ20 with 900 °С up to 800 °С is confirmed due to preliminary ultrasonic surface plastic deformation of the surface that allows to expand technological opportunities of laser quenching  of gray  cast iron from a solid state. 

Strengthening Regulatory Competence through Techno-managerial Knowledge Integration: Indian Experience

International Nuclear Information System (INIS)

Kuchibhotla, S.

2016-01-01

Competence development is the process of identifying the competencies required to perform a given job, role or set of tasks successfully at workplace. Strengthening regulatory competence, for the nuclear regulator, is essential to ensure skilled and competent human resources for performing the functions of the Regulatory Body. The strengthening of existing competence level for the Indian nuclear regulator, takes into account the understanding of the elements such as legal basis and regulatory processes governing operations of regulatory body, technological competences for performing regulatory functions, competences pertinent to regulatory practices, and competences related to personal and interpersonal effectiveness within the organization. Competency data from AERB divisions was compiled to identify gaps at various positions with recommendations for making specialized training modules and modifications to basic and refresher training modules. The exercise is aimed at providing continual improvement in skills and knowledge of human resources at AERB in a phased manner. (author)

The prevalence and association of stress with sleep quality among medical students.

Science.gov (United States)

Almojali, Abdullah I; Almalki, Sami A; Alothman, Ali S; Masuadi, Emad M; Alaqeel, Meshal K

2017-09-01

Medical students tend to reduce their sleep, in an effort to adjust and cope with their workload and stressful environment. This study estimated the prevalence of and the relationship between poor sleep quality and stress among medical students. This cross-sectional study was conducted using a stratified random sample of male and female medical students in King Saud bin Abdulaziz University for Health Sciences in Riyadh, Saudi Arabia. A self-administered questionnaire was distributed to assess sleep quality using the Pittsburgh Sleep Quality Index, and the stress level by using the Kessler Psychological Distress Scale. A high prevalence of poor sleep quality (76%) and stress (53%) were found, with a statistically significant association (pstress are less likely to have poor sleep quality (OR=0.28, pstress and poor sleep quality. A recommendation for the management of medical college is to establish academic counseling centers focusing in promoting good sleep hygiene and strengthening students' study skills and coping with their stressful environment. Copyright © 2017 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

简论在就业指导工作中对医学生实施医德教育%On the Implementation of Medical Ethics Education for Medical Students in Employment Guidance

Institute of Scientific and Technical Information of China (English)

周大进; 黄中岩

2015-01-01

在新的教育改革背景下，教育部要求进一步加强医学院校医德教育，并贯穿于整个医学教育全过程。阐述医德教育与就业指导之间的关系，医学院校就业指导工作中，医德教育实施路径如下：在信息指导中传递医德教育；在思想指导中融入医德教育；在求职技术中嵌入医德教育。%In the new background of education reform,The requirements of the Ministry of education to further strengthen medical ethics education in medical colleges and throughout the entire process of medical education. Describe the relationship between moral education and employment guidance. In the course of the employment guidance work in medical colleges, medical ethics education path as follows: transfer medical ethics education in the information instruction. Give medical ethics education in the ideological guidance. The application technology of embedded medical ethics education.Embedded in the job in medical ethics education.

Neuroscience and Brain Science Special Issue begins in the Malaysian Journal of Medical Sciences

Science.gov (United States)

ABDULLAH, Jafri Malin

2014-01-01

The Malaysian Journal of Medical Sciences and the Orient Neuron Nexus have amalgated to publish a yearly special issue based on neuro- and brain sciences. This will hopefully improve the quality of peer-reviewed manuscripts in the field of fundamental, applied, and clinical neuroscience and brain science from Asian countries. One focus of the Universiti Sains Malaysia is to strengthen neuroscience and brain science, especially in the field of neuroinformatics. PMID:25941457

Promoting networks between evidence-based medicine and values-based medicine in continuing medical education.

Science.gov (United States)

Altamirano-Bustamante, Myriam M; Altamirano-Bustamante, Nelly F; Lifshitz, Alberto; Mora-Magaña, Ignacio; de Hoyos, Adalberto; Avila-Osorio, María Teresa; Quintana-Vargas, Silvia; Aguirre, Jorge A; Méndez, Jorge; Murata, Chiharu; Nava-Diosdado, Rodrigo; Martínez-González, Oscar; Calleja, Elisa; Vargas, Raúl; Mejía-Arangure, Juan Manuel; Cortez-Domínguez, Araceli; Vedrenne-Gutiérrez, Fernand; Sueiras, Perla; Garduño, Juan; Islas-Andrade, Sergio; Salamanca, Fabio; Kumate-Rodríguez, Jesús; Reyes-Fuentes, Alejandro

2013-02-15

In recent years, medical practice has followed two different paradigms: evidence-based medicine (EBM) and values-based medicine (VBM). There is an urgent need to promote medical education that strengthens the relationship between these two paradigms. This work is designed to establish the foundations for a continuing medical education (CME) program aimed at encouraging the dialogue between EBM and VBM by determining the values relevant to everyday medical activities. A quasi-experimental, observational, comparative, prospective and qualitative study was conducted by analyzing through a concurrent triangulation strategy the correlation between healthcare personnel-patient relationship, healthcare personnel's life history, and ethical judgments regarding dilemmas that arise in daily clinical practice.In 2009, healthcare personnel working in Mexico were invited to participate in a free, online clinical ethics course. Each participant responded to a set of online survey instruments before and after the CME program. Face-to-face semi-structured interviews were conducted with healthcare personnel, focusing on their views and representations of clinical practice. The healthcare personnel's core values were honesty and respect. There were significant differences in the clinical practice axiology before and after the course (P ethical discernment, the CME program had an impact on autonomy (P ≤0.0001). Utilitarian autonomy was reinforced in the participants (P ≤0.0001). Regarding work values, significant differences due to the CME intervention were found in openness to change (OC) (P ethical discernment and healthcare personnel-patient relation were beneficence, respect and compassion, respectively. The healthcare personnel participating in a CME intervention in clinical ethics improved high-order values: Openness to change (OC) and Self Transcendence (ST), which are essential to fulfilling the healing ends of medicine. The CME intervention strengthened the role of

Finite element analysis of FRP-strengthened RC beams

Directory of Open Access Journals (Sweden)

Teeraphot Supaviriyakit

2004-05-01

Full Text Available This paper presents a non-linear finite element analysis of reinforced concrete beam strengthened with externally bonded FRP plates. The finite element modeling of FRP-strengthened beams is demonstrated. Concrete and reinforcing bars are modeled together as 8-node isoparametric 2D RC element. The FRP plate is modeled as 8-node isoparametric 2D elastic element. The glue is modeled as perfect compatibility by directly connecting the nodes of FRP with those of concrete since there is no failure at the glue layer. The key to the analysis is the correct material models of concrete, steel and FRP. Cracks and steel bars are modeled as smeared over the entire element. Stress-strain properties of cracked concrete consist of tensile stress model normal to crack, compressive stress model parallel to crack and shear stress model tangential to crack. Stressstrain property of reinforcement is assumed to be elastic-hardening to account for the bond between concrete and steel bars. FRP is modeled as elastic-brittle material. From the analysis, it is found that FEM can predict the load-displacement relation, ultimate load and failure mode of the beam correctly. It can also capture the cracking process for both shear-flexural peeling and end peeling modes similar to the experiment.

Securing the communication of medical information using local biometric authentication and commercial wireless links.

Science.gov (United States)

Ivanov, Vladimir I; Yu, Paul L; Baras, John S

2010-09-01

Medical information is extremely sensitive in nature - a compromise, such as eavesdropping or tampering by a malicious third party, may result in identity theft, incorrect diagnosis and treatment, and even death. Therefore, it is important to secure the transfer of medical information from the patient to the recording system. We consider a portable, wireless device transferring medical information to a remote server. We decompose this problem into two sub-problems and propose security solutions to each of them: (1) to secure the link between the patient and the portable device, and (2) to secure the link between the portable device and the network. Thus we push the limits of the network security to the edge by authenticating the user using their biometric information; authenticating the device to the network at the physical layer; and strengthening the security of the wireless link with a key exchange mechanism. The proposed authentication methods can be used for recording the readings of medical data in a central database and for accessing medical records in various settings.

Strengthening IAEA Safeguards for Research Reactors

Energy Technology Data Exchange (ETDEWEB)

Reid, Bruce D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Anzelon, George A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Budlong-Sylvester, Kory [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2016-09-01

During their December 10-11, 2013, workshop in Grenoble France, which focused on the history and future of safeguarding research reactors, the United States, France and the United Kingdom (UK) agreed to conduct a joint study exploring ways to strengthen the IAEA’s safeguards approach for declared research reactors. This decision was prompted by concerns about: 1) historical cases of non-compliance involving misuse (including the use of non-nuclear materials for production of neutron generators for weapons) and diversion that were discovered, in many cases, long after the violations took place and as part of broader pattern of undeclared activities in half a dozen countries; 2) the fact that, under the Safeguards Criteria, the IAEA inspects some reactors (e.g., those with power levels under 25 MWt) less than once per year; 3) the long-standing precedent of States using heavy water research reactors (HWRR) to produce plutonium for weapons programs; 4) the use of HEU fuel in some research reactors; and 5) various technical characteristics common to some types of research reactors that could provide an opportunity for potential proliferators to misuse the facility or divert material with low probability of detection by the IAEA. In some research reactors it is difficult to detect diversion or undeclared irradiation. In addition, infrastructure associated with research reactors could pose a safeguards challenge. To strengthen the effectiveness of safeguards at the State level, this paper advocates that the IAEA consider ways to focus additional attention and broaden its safeguards toolbox for research reactors. This increase in focus on the research reactors could begin with the recognition that the research reactor (of any size) could be a common path element on a large number of technically plausible pathways that must be considered when performing acquisition pathway analysis (APA) for developing a State Level Approach (SLA) and Annual Implementation Plan (AIP). To

Strengthening Chronic Disease Prevention Programming: the Toward Evidence-Informed Practice (TEIP) Program Assessment Tool

Science.gov (United States)

Albert, Dayna; Fortin, Rebecca; Lessio, Anne; Herrera, Christine; Hanning, Rhona; Rush, Brian

2013-01-01

Best practices identified solely on the strength of research evidence may not be entirely relevant or practical for use in community-based public health and the practice of chronic disease prevention. Aiming to bridge the gap between best practices literature and local knowledge and expertise, the Ontario Public Health Association, through the Toward Evidence-Informed Practice initiative, developed a set of resources to strengthen evidence-informed decision making in chronic disease prevention programs. A Program Assessment Tool, described in this article, emphasizes better processes by incorporating review criteria into the program planning and implementation process. In a companion paper, “Strengthening Chronic Disease Prevention Programming: The Toward Evidence-Informed Practice (TEIP) Program Evidence Tool,” we describe another tool, which emphasizes better evidence by providing guidelines and worksheets to identify, synthesize, and incorporate evidence from a range of sources (eg, peer-reviewed literature, gray literature, local expertise) to strengthen local programs. The Program Assessment Tool uses 19 criteria derived from literature on best and promising practices to assess and strengthen program planning and implementation. We describe the benefits, strengths, and challenges in implementing the tool in 22 community-based chronic disease prevention projects in Ontario, Canada. The Program Assessment Tool helps put best processes into operation to complement adoption and adaptation of evidence-informed practices for chronic disease prevention. PMID:23721789

The Strengthening of Development Capital and Governance towards Sustainable Livelihood in Coastal Areas of Medan

Directory of Open Access Journals (Sweden)

Isfenti Sadalia

2017-09-01

Full Text Available The objective of the research is to analyze the potential and sustainable livelihood through the strengthening of development capital and governance applied to the sustainable livelihood of coastal community in Medan. The present research used descriptive quantitative method. The analysis was used to answer the hypothesis testing using Structural Equation Model or SEM to view relationship in the strengthening between development capital and governance towards the livelihood sustainability in coastal community. Furthermore, through this relationship, a model was then designed for sustainable livelihood development via the strengthening of development capital and governance. The results indicate that sustainable development and governance positively and significantly affect the development capital. However, the existing potential of development capital should be improved through community empowerment model to be better, stronger and more sustainable.

Development and evaluation of a community immersion program during preclinical medical studies: a 15-year experience at the University of Geneva Medical School.

Science.gov (United States)

Chastonay, P; Zesiger, V; Klohn, A; Soguel, L; Mpinga, E K; Vu, Nv; Bernheim, L

2013-01-01

Significant changes in medical education have occurred in recent decades because of new challenges in the health sector and new learning theories and practices. This might have contributed to the decision of medical schools throughout the world to adopt community-based learning activities. The community-based learning approach has been promoted and supported by the World Health Organization and has emerged as an efficient learning strategy. The aim of the present paper is to describe the characteristics of a community immersion clerkship for third-year undergraduate medical students, its evolution over 15 years, and an evaluation of its outcomes. A review of the literature and consensus meetings with a multidisciplinary group of health professionals were used to define learning objectives and an educational approach when developing the program. Evaluation of the program addressed students' perception, achievement of learning objectives, interactions between students and the community, and educational innovations over the years. The program and the main learning objectives were defined by consensus meetings among teaching staff and community health workers, which strengthened the community immersion clerkship. Satisfaction, as monitored by a self-administered questionnaire in successive cohorts of students, showed a mean of 4.4 on a five-point scale. Students also mentioned community immersion clerkship as a unique community experience. The learning objectives were reached by a vast majority of students. Behavior evaluation was not assessed per se, but specific testimonies show that students have been marked by their community experience. The evaluation also assessed outcomes such as educational innovations (eg, students teaching other students), new developments in the curriculum (eg, partnership with the University of Applied Health Sciences), and interaction between students and the community (eg, student development of a website for a community health

Strengthening of nuclear power plant construction safety management

International Nuclear Information System (INIS)

Yu Jun

2012-01-01

The article describes the warning of the Fukushima nuclear accident, and analyzes the major nuclear safety issues in nuclear power development in China, problems in nuclear power plants under construction, and how to strengthen supervision and management in nuclear power construction. It also points out that the development of nuclear power must attach great importance to the safety, and nuclear power plant construction should strictly implement the principle of 'safety first and quality first'. (author)

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

Energy Technology Data Exchange (ETDEWEB)

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

2015-05-25

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

A microcantilever investigation of size effect, solid-solution strengthening and second-phase strengthening for prism slip in alpha-Ti

Energy Technology Data Exchange (ETDEWEB)

Gong Jicheng, E-mail: jicheng.gong@materials.ox.ac.uk [Department of Materials, University of Oxford, Parks Road, Oxford OX1 3PH (United Kingdom); Wilkinson, Angus J. [Department of Materials, University of Oxford, Parks Road, Oxford OX1 3PH (United Kingdom)

2011-09-15

Microcantilevers of various sizes were machined using a focused ion beam from commercially pure (CP) Ti, Ti-6Al and Ti-6Al-4V, and tested in bending using a nanoindentor in order to study the size effect, solution strengthening and second-phase strengthening in {alpha}-Ti. Slip on the prismatic system was activated by selecting the crystal orientation of {alpha}-phase in the cantilevers. The critical resolved shear stresses (CRSSs) were determined via an inverse process of fitting a crystal plasticity finite element model to the experimental load-displacement data. Cantilevers had an equilateral triangular cross-section and cantilevers with widths w of 10, 5, 2 and 1 {mu}m were tested. For each material the increase in CRSS {tau} with reducing cantilever width w is represented well by the expression {tau}={tau}{sub 0}+A/w , where {tau}{sub 0} is the CRSS for an infinite sample and A is a constant. Such a variation of CRSS with beam size is well accounted for by the increased back stress generated by dislocations piling up at the neutral axis. The CRSS values extrapolated to infinite sample size are 86 MPa for the CP-Ti, 308 MPa for the Ti-6Al and 444 MPa for the slip in the Ti-6Al-4V.

Pumping Iron in Australia: Prevalence, Trends and Sociodemographic Correlates of Muscle Strengthening Activity Participation from a National Sample of 195,926 Adults.

Directory of Open Access Journals (Sweden)

Jason A Bennie

Full Text Available The current Australian Physical Activity Guidelines recommend that adults engage in regular muscle-strengthening activity (e.g. strength or resistance training. However, public health surveillance studies describing the patterns and trends of population-level muscle-strengthening activity participation are sparse. The aim of this study is to examine the prevalence, trends and sociodemographic correlates of muscle-strengthening activity participation in a national-representative sample of Australians aged 15 years and over.Between 2001 and 2010, quarterly cross-sectional national telephone surveys were conducted as part of the Australian Sports Commission's 'Exercise, Recreation and Sport Survey'. Pooled population-weighted proportions were calculated for reporting: [i] no muscle-strengthening activity; [ii] insufficient muscle-strengthening activity, and [iii] sufficient muscle-strengthening activity. Associations with sociodemographic variables were assessed using multiple logistic regression analyses.Out of 195,926 participants, aged 15-98 years, only 10.4% (95% CI: 10.1-10.7 and 9.3% (95% CI: 9.1-9.5 met the muscle-strengthening activity recommendations in the past two weeks and in the past year, respectively. Older adults (50+ years, and those living in socioeconomically disadvantaged, outer regional/remote areas and with lower education were less likely to report sufficient muscle-strengthening activity (p<0.001. Over the 10-year monitoring period, there was a significant increase in the prevalence of sufficient muscle-strengthening activity (6.4% to 12.0%, p-value for linear trend <0.001.A vast majority of Australian adults did not engage in sufficient muscle-strengthening activity. There is a need for public health strategies to support participation in muscle-strengthening activity in this population. Such strategies should target older and lower educated adults, and those living in socioeconomically disadvantaged, outer regional

CFRP strengthening of concrete beams - testing in sub-zero temperature

DEFF Research Database (Denmark)

Täljsten, Björn; Carolin, A.

2007-01-01

durability and do not normally need to be maintained over time. However, disadvantages might be mechanical damage and long term properties. There is also a question regarding the behaviour of CFRP strengthen structures in cold climates, for example will the structure behave more brittle during the winter...

Mineral-Based Bonding of Carbon FRP to Strengthen Concrete Structures

DEFF Research Database (Denmark)

Täljsten, Björn; Blanksvärd, T.

2007-01-01

The advantages of fiber-reinforced polymer (FRP) -strengthening have been shown time and again during the last decade. Several thousand structures retrofitted with FRPs exist worldwide. There are various reasons why the retrofit is needed, but it is not uncommon for the demands on the structure...

Strengthening linkages of the financial services and real sectors of ...

African Journals Online (AJOL)

Strengthening linkages of the financial services and real sectors of the ... policy, financial sector credit and capital market activities have impacted on the real sector growth. ... sector as a result such financial crimes like misappropriation of funds. ... better results; more investment instruments such as derivatives, convertibles, ...

Review in Strengthening Technology for Phytoremediation of Soil Contaminated by Heavy Metals

Science.gov (United States)

Wu, Chishan; Zhang, Xingfeng; Deng, Yang

2017-07-01

In view of current problems of phytoremediation technology, this paper summarizes research progress for phytoremediation technology of heavy metal contaminated soil. When the efficiency of phytoremediation may not meet the demand in practice of contaminated soil or water. Effective measures should be taken to improve the plant uptake and translocation. This paper focuses on strengthening technology mechanism, which can not only increase the biomass of plant and hyperaccumulators, but also enhance the tolerance and resistance to heavy metals, and application effect of phytoremediation, including agronomic methods, earthworm bioremediation and chemical induction technology. In the end of paper, deficiencies of each methods also be discussed, methods of strengthening technology for phytoremediation need further research.

The Ad Hoc process to strengthen the framework convention on climate change

Energy Technology Data Exchange (ETDEWEB)

Ramakrishna, K.; Deutz, A.M.; Jacobsen, L.A. [eds.

1995-11-01

The Woods Hole Research Center convened an International Conference on The Ad Hoc Process to Strengthen the Framework Convention on Climate Change in Woods Hole, MA, on October 7-9, 1995. The conference was conducted to examine the prospects for successful adoption of a protocol to the Framework Convention on Climate Change by 1997. In preparation for the Second session of the Ad Hoc Group on the Berlin Mandate, several governmental and nongovernmental representatives met in Woods Hole to discuss the process and possible outcome of the Berlin Mandate negotiations for a protocol or other legal instrument to strengthen the Convention. The conference was by invitation and all participants attended in their personal capacities.

Strengthening diabetes retinopathy services in India: Qualitative insights into providers' perspectives: The India 11-city 9-state study

Directory of Open Access Journals (Sweden)

Nanda Kishore Kannuri

2016-01-01

Full Text Available Context: There is a lack of evidence on the subjective aspects of the provider perspective regarding diabetes and its complications in India. Objectives: The study was undertaken to understand the providers' perspective on the delivery of health services for diabetes and its complications, specifically the eye complications in India. Settings and Design: Hospitals providing diabetic services in government and private sectors were selected in 11 of the largest cities in India, based on geographical distribution and size. Methods: Fifty-nine semi-structured interviews conducted with physicians providing diabetes care were analyzed all interviews were recorded, transcribed, and translated. Nvivo 10 software was used to code the transcripts. Thematic analysis was conducted to analyze the data. Results: The results are presented as key themes: “Challenges in managing diabetes patients,” “Current patient management practices,” and “Strengthening diabetic retinopathy (DR services at the health systems level.” Diabetes affects people early across the social classes. Self-management was identified as an important prerequisite in controlling diabetes and its complications. Awareness level of hospital staff on DR was low. Advances in medical technology have an important role in effective management of DR. A team approach is required to provide comprehensive diabetic care. Conclusions: Sight-threatening DR is an impending public health challenge that needs a concerted effort to tackle it. A streamlined, multi-dimensional approach where all the stakeholders cooperate is important to strengthening services dealing with DR in the existing health care setup.

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

DEFF Research Database (Denmark)

Pedersen, Inge Nygaard

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

Global health initiative investments and health systems strengthening: a content analysis of global fund investments

OpenAIRE

Warren, Ashley E; Wyss, Kaspar; Shakarishvili, George; Atun, Rifat; de Savigny, Don

2013-01-01

Background: Millions of dollars are invested annually under the umbrella of national health systems strengthening. Global health initiatives provide funding for low- and middle-income countries through disease-oriented programmes while maintaining that the interventions simultaneously strengthen systems. However, it is as yet unclear which, and to what extent, system-level interventions are being funded by these initiatives, nor is it clear how much funding they allocate to disease-specific a...

Using fractional order method to generalize strengthening generating operator buffer operator and weakening buffer operator

OpenAIRE

Wu, L.; Liu, S.; Yang, Yingjie

2016-01-01

Traditional integer order buffer operator is extended to fractional order buffer operator, the corresponding relationship between the weakening buffer operator and the strengthening buffer operator is revealed. Fractional order buffer operator not only can generalize the weakening buffer operator and the strengthening buffer operator, but also realize tiny adjustment of buffer effect. The effectiveness of GM(1,1) with the fractional order buffer operator is validated by six cases.

Solute strengthening of both mobile and forest dislocations: The origin of dynamic strain aging in fcc metals

International Nuclear Information System (INIS)

Soare, M.A.; Curtin, W.A.

2008-01-01

A full rate-dependent constitutive theory for dynamic strain aging is developed based on two key ideas. The first idea is that both solute strengthening and forest strengthening must exist and must exhibit aging phenomena. The second idea is that a single physical aging mechanism, cross-core diffusion within a dislocation core, controls the aging of both the solute and forest strengthening mechanisms. All the material parameters in the model, apart from forest dislocation density evolution parameters, are derivable from atomistic-scale studies so that the theory contains essentially no adjustable parameters. The model predicts the steady-state stress/strain/strain-rate/temperature/concentration dependent material response for a variety of Al-Mg alloys, including negative strain-rate sensitivity, in qualitative and quantitative agreement with available experiments. The model also reveals the origin of non-additivity of solute and forest strengthening, and explains observed non-standard transient stress behavior in strain-rate jump tests

Strengthening the Role of Civil Society in Water Governance in ...

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

Strengthening the Role of Civil Society in Water Governance in African Cities - Durban, Maputo, Nairobi. Achieving water security in Africa remains a major challenge for policymakers. Moreover, there is evidence linking climate variability to deteriorating water security in the region, particularly its cities. This project aims to ...

Crack Propagation on ESE(T) Specimens Strengthened with CFRP Sheets

DEFF Research Database (Denmark)

Hansen, Christian Skodborg; Jensen, Peter Holmstrøm; Dyrelund, Jens

2009-01-01

In this paper fatigue tests on side notched steel test specimens strengthened with adhesive bonded fibre reinforced polymer (FRP) sheets are presented. The specimens are subject to crack growth both in the steel and bond line. Influence of the load ratio and initial crack length on the overall...

The role of the cold Okhotsk Sea in strengthening of the Pacific subtropical high and Baiu precipitation

Science.gov (United States)

Kawasaki, K.; Tachibana, Y.; Nakamura, T.; Yamazaki, K.; Kodera, K.

2016-12-01

It is commonly known that the formation of a stationery precipitation zone in association with the Baiu front is influenced by the existence of the warm Tibetan Plateau. Some GCM studies in which the Tibetan Plateau is removed pointed out that without the Tibetan Plateau, the Baiu front wound not appear. The cold Okhotsk Sea, which is located to the north of Japan, is also important in forming cold air for the Bai front. This study focused on the role of the Okhotsk Sea in the formation of the Baiu front by using an atmospheric GCM. One GCM is executed without the Okhotsk Sea, in which was changed to an eastern part of the Eurasian continent as if the Okhotsk Sea was totally landfilled (land run). The other (sea run) is a control run under the boundary condition of climatic seasonal changes of the SST over the globe. The comparison of the land run with the sea run showed that precipitation over Japan would weaken in the Baiu season without the Okhotsk Sea, indicating that the existence of the Okhotsk Sea has an impact on the increase in precipitation. The precipitation increase in the sea run is directly accounted by the strengthening of southeast wind in association with the strengthening of the subtropical high located over the Pacific Ocean (Fig. 1). The westerly jet, which is located at the northern part of the subtropical high, was also accelerated in the sea run. The subtropical high in association with the accelerated jet was strengthened by meridional atmospheric thermal gradient caused by underlying cold Okhotsk Sea and the warm Pacific Ocean. The strengthened thermal gradient also activated the storm track that extends zonally over the Okhotsk Sea, and the activated storm track further strengthened the jet and subtropical high by wave-mean flow feedback. This feedback loop could further strengthen the Baiu precipitation. In consequence, the Okhotsk plays a significant role in the strengthening the subtropical high and its associated Baiu precipitation.

A practical and systematic approach to organisational capacity strengthening for research in the health sector in Africa.

Science.gov (United States)

Bates, Imelda; Boyd, Alan; Smith, Helen; Cole, Donald C

2014-03-03

Despite increasing investment in health research capacity strengthening efforts in low and middle income countries, published evidence to guide the systematic design and monitoring of such interventions is very limited. Systematic processes are important to underpin capacity strengthening interventions because they provide stepwise guidance and allow for continual improvement. Our objective here was to use evidence to inform the design of a replicable but flexible process to guide health research capacity strengthening that could be customized for different contexts, and to provide a framework for planning, collecting information, making decisions, and improving performance. We used peer-reviewed and grey literature to develop a five-step pathway for designing and evaluating health research capacity strengthening programmes, tested in a variety of contexts in Africa. The five steps are: i) defining the goal of the capacity strengthening effort, ii) describing the optimal capacity needed to achieve the goal, iii) determining the existing capacity gaps compared to the optimum, iv) devising an action plan to fill the gaps and associated indicators of change, and v) adapting the plan and indicators as the programme matures. Our paper describes three contrasting case studies of organisational research capacity strengthening to illustrate how our five-step approach works in practice. Our five-step pathway starts with a clear goal and objectives, making explicit the capacity required to achieve the goal. Strategies for promoting sustainability are agreed with partners and incorporated from the outset. Our pathway for designing capacity strengthening programmes focuses not only on technical, managerial, and financial processes within organisations, but also on the individuals within organisations and the wider system within which organisations are coordinated, financed, and managed. Our five-step approach is flexible enough to generate and utilise ongoing learning. We have

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

Science.gov (United States)

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

2017-07-05

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

Change in mechanical properties of low-alloyed molybdenum alloys at two-stage strengthening during aging

International Nuclear Information System (INIS)

Bernshtejn, L.M.; Zakharov, A.M.; Arbuzov, V.K.

1977-01-01

Change in mechanical properties of hardened low-alloyed molybdenum alloys (Mo-Zr-C and Mo-Zr-Nb-C) at two-stage strengthening during ageing at 1400 deg C is studied. The initial strengthening maximum following ageing for 5 hr is caused by separation of dispersed ZrC particles and is accompanied by worsened plasticity, a development characteristic of precipitation hardening processes. The second increase in strength after a 10-hr ageing is not accompanied by reduced plasticity, this being characteristic of strengthening as a result of reconstruction of the dislocation structure. Niobium (0.16 wt.%) added to Mo-Zr-C alloys simultaneously increases their plastic and strength properties. The said effect is caused by prevention of premature decomposition of alloys on account of increased low-temperature plasticity, which permits to obtain high resistance to plastic deformation

Computationally efficient and quantitatively accurate multiscale simulation of solid-solution strengthening by ab initio calculation

International Nuclear Information System (INIS)

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

2015-01-01

We propose an approach for the computationally efficient and quantitatively accurate prediction of solid-solution strengthening. It combines the 2-D Peierls–Nabarro model and a recently developed solid-solution strengthening model. Solid-solution strengthening is examined with Al–Mg and Al–Li as representative alloy systems, demonstrating a good agreement between theory and experiments within the temperature range in which the dislocation motion is overdamped. Through a parametric study, two guideline maps of the misfit parameters against (i) the critical resolved shear stress, τ 0 , at 0 K and (ii) the energy barrier, ΔE b , against dislocation motion in a solid solution with randomly distributed solute atoms are created. With these two guideline maps, τ 0 at finite temperatures is predicted for other Al binary systems, and compared with available experiments, achieving good agreement

[Species composition and distribution of medical mollusca in Shanghai City].

Science.gov (United States)

Guo, Yun-hai; Lv, Shan; Gu, Wen-biao; Liu, He-xiang; Wu, Ying; Zhang, Yi

2015-02-01

To investigate the species diversity and distribution of medical mollusca in Shanghai City. From August 2012 to October 2013, all kinds of habitats in 8 districts and counties in Shanghai City, namely Jiading, Qingpu, Baoshan, Minhang, Songjiang, Jinshan, Chongming, Pudong, were selected for the field survey according to the distribution characteristics of the river system, and all the specimens of medical mollusca in the investigation sites were collected and classified by morphological identification. Meanwhile, the species composition, habitats as well as the fauna of the medical mollusca collected were analyzed. A total of 5,211 specimens were collected, which belonged to 2 classes, 14 families, 18 genera and 25 species, including Oncomelania hupensis hupensis, Pomacea canaliculata, Parafossarulus striatulus, Alocinma longicornis, Physa acuta, Galba pervia, Hippeutis cantori, etc. The species numbers of medical mollusca in Chongming, Jinshan, Pudong new area and Qingpu districts (counties) were 22, 22, 21 and 20, respectively, which were more than those of other areas. The habitat analysis suggested that the species numbers in the river and wetland were the most, both of which were 14 species. The main faunas of the medical mollusca in Shanghai were the cosmopolitan and oriental species. The freshwater gastropod species are paucity in Shanghai City, but almost of them can be served as the intermediate hosts of certain parasites to transmit snail-related parasitic diseases, so the surveillance of medical mollusca should be strengthened.

Hardening and strengthening behavior in rate-independent strain gradient crystal plasticity

DEFF Research Database (Denmark)

Nellemann, C.; Niordson, C. F.; Nielsen, K.L.

2018-01-01

Two rate-independent strain gradient crystal plasticity models, one new and one previously published, are compared and a numerical framework that encompasses both is developed. The model previously published is briefly outlined, while an in-depth description is given for the new, yet somewhat...... related,model. The difference between the two models is found in the definitions of the plastic work expended in the material and their relation to spatial gradients of plastic strains. The model predictions are highly relevant to the ongoing discussion in the literature, concerning 1) what governs...... the increase in the apparent yield stress due to strain gradients (also referred to as strengthening)? And 2), what is the implication of such strengthening in relation to crystalline material behavior at the micron scale? The present work characterizes material behavior, and the corresponding plastic slip...

Exploring Organizational Barriers to Strengthening Clinical Supervision of Psychiatric Nursing Staff

DEFF Research Database (Denmark)

Gonge, Henrik; Buus, Niels

2016-01-01

This article reports findings from a longitudinal controlled intervention study of 115 psychiatric nursing staff. The twofold objective of the study was: (a) To test whether the intervention could increase clinical supervision participation and effectiveness of existing supervision practices, and...... in the experienced effectiveness of supervision. It is concluded that organizational support is an imperative for implementation of clinical supervision......., and (b) To explore organizational constraints to implementation of these strengthened practices. Questionnaire responses and registration of participation in clinical supervision were registered prior and subsequent to the intervention consisting of an action learning oriented reflection on staff......'s existing clinical supervision practices. Major organizational changes in the intervention group during the study period obstructed the implementation of strengthened clinical supervision practices, but offered an opportunity for studying the influences of organizational constraints. The main findings were...

Collection and sharing of medical information and medical intelligence (M2I) in NATO: a transversal survey.

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Bedubourg, Gabriel; Wiik, H; Queyriaux, B; Lausund, P; Meynard, J-B

2018-04-06

There is a requirement for adequate medical expertise to be available throughout the range of potential future operations involving members of the North Atlantic Treaty Organization (NATO). The aim of this study was to assess the collection and sharing of medical intelligence and medical information (M2I) by NATO Nations, Partner Nations and NATO Command Structure and NATO Force Structure Headquarters (NCS/NFS HQs). A transversal survey was conducted between December 2014 and March 2015 using a survey form on M2I sent to NATO Nations and Partnership for Peace (PfP) Nations as well as NCS/NFS HQs. Correctly completed responses were received from 15/40 (37.5%) of the possible NATO and PfP Nations (37.5%) and 7/8 (87.5%) of the NCS/NFS HQs (100.0%). Deficiencies in the collection of M2I data were found due to lack of specific doctrines, networks, tools, structures and organisation. The survey provided an indication even though the participation rate was low for Nations. Part of the problem is thought to be that medical information and medical intelligence often lie in different chains of command. Future directions for this research could include studying the possibilities of a new specific information technology (IT) system to collect and to share M2I. Collection and sharing of M2I within the NATO/PfP community requires facilitation in order to strengthen the basis for decision-making and force health protection. The development of a dedicated NATO IT system may be a precondition for the implementation of an efficient M2I network. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

[Strengthening of social participation of Turkish seniors].

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Fietz, Jennifer; Stupp, Barbara

2018-05-04

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

Self-Monitoring Strengthening System Based on Carbon Fiber Laminate

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Rafal Krzywon

2016-01-01

Full Text Available Externally bonded composites reinforced with high-strength fibers are increasingly popular in construction, especially in structures’ strengthening, where the best possible mechanical properties are required. At the same time the ability to autodetect threats is one of the most desirable features of contemporary structures. The authors of the paper have developed an intelligent fabric, wherein the carbon fibers play the role of not only tensile reinforcement but also strain sensor. The idea is based on the construction of the strain gauge, where the thread of carbon fibers arranged in zig-zag pattern works as electrical conductor and is insulated by parallel thread of glass or acrylic fibers. Preliminary laboratory tests were designed to create effective measurement techniques and assess the effectiveness of the strengthening of selected building structures, as reinforced concrete and timber beams. Presented in the paper, selected results of these studies are very promising, although there were some noted problems to be considered in next steps. The main problem here is the control of the cross section of the fibers tow, affecting the total resistance of the fabric. One of the main deficiencies of the proposed solution is also sensitivity to moisture.

Reducing health disparities: the social role of medical schools.

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Dopelt, Keren; Davidovitch, Nadav; Yahav, Zehava; Urkin, Jacob; Bachner, Yaacov G

2014-06-01

Medical education based on the principles of social medicine can contribute toward reducing health disparities through the "creation" of doctors who are more involved in community programs. This study compared the social medicine orientation of graduates from various medical schools in Israel. The authors conducted an online cross-sectional survey in May 2011 among physicians who are graduates of Israeli medical schools. The study included 1050 physicians practicing medicine in Israel: 36% who are graduates from the Hebrew University, 26% from Tel Aviv University, 22% from the Technion and 16% from Ben-Gurion University. A greater percentage of physicians who studied either at the Technion or Ben-Gurion are working or have worked in the periphery (∼50% vs. ∼30% at the Hebrew and Tel Aviv Universities). Among Ben-Gurion graduates, 47% are active in social medicine programs vs. 34-38% from other schools. Among physicians active in social medicine programs, 32% of Ben-Gurion alumni estimated that their medical education greatly influenced their social medicine involvement vs. 8-15% from other schools. Hebrew University alumni described their studies as more research-oriented. In contrast, Ben-Gurion graduates described their studies as more social medicine-oriented and they exhibited more positive attitudes about the role of physicians in reducing health disparities. Social medicine-oriented medical education induces a socialization process reinforcing human values regarding doctor-patient relationships and produces positive attitudes among future doctors about social involvement. Findings emphasize the need to develop educational programs with this orientation and to strengthen medical schools in the periphery.

Protecting health from climate change: Preparedness of medical interns

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Majra Jai

2009-01-01

Full Text Available Context : Climate change is a significant and emerging threat to public health and to meet the challenge, health systems require qualified staff. Aims : To study the preparedness of medical interns to meet the challenge of protecting health from climate change. Settings and Design: Medical colleges in a coastal town. Cross-sectional study. Materials and Methods: A proportionate number of medical interns from five medical colleges were included in the study. Level of awareness was used as a criterion to judge the preparedness. A self-administered, pretested, open-ended questionnaire was used. Responses were evaluated and graded. Statistical Analysis Used: Proportions, percentage, Chi-test. Results : About 90% of the medical interns were aware of the climate change and human activities that were playing a major role. Ninety-four percent were aware of the direct health impacts due to higher temperature and depletion in ozone concentration, and about 78% of the respondents were aware about the change in frequency / distribution of vector-borne diseases, water borne / related diseases, malnutrition, and health impact of population displacement. Knowledge regarding health protection was limited to mitigation of climate change and training / education. Options like adaptation, establishing / strengthening climate and disease surveillance systems, and health action in emergency were known to only nine (7%, eight (6%, and 17 (13%, respectively. Collegewise difference was statistically insignificant. Extra / co-curricular activities were the major source of knowledge. Conclusions : Majority of medical interns were aware of the causes and health impacts of climate change, but their knowledge regarding health protection measures was limited.

Teaching About Climate Change in Medical Education: An Opportunity.

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Maxwell, Janie; Blashki, Grant

2016-04-26

Climate change threatens many of the gains in development and health over the last century. However, it could also be a catalyst for a necessary societal transformation to a sustainable and healthy future. Doctors have a crucial role in climate change mitigation and health system adaptation to prepare for emergent health threats and a carbon-constrained future. This paper argues that climate change should be integrated into medical education for three reasons: first, to prepare students for clinical practice in a climate-changing world; secondly, to promote public health and eco-health literacy; and finally, to deepen existing learning and strengthen graduate attributes. This paper builds on existing literature and the authors' experience to outline potential learning objectives, teaching methods and assessment tasks. In the wake of recent progress at the United Nations climate change conference, COP-21, it is hoped that this paper will assist universities to integrate teaching about climate change into medical education. Significance for public healthThere is a strong case for teaching about climate change in medical education. Anthropogenic climate change is accepted by scientists, governments and health authorities internationally. Given the dire implications for human health, climate change is of fundamental relevance to future doctors. Integrating climate change into medical education offers an opportunity for future doctors to develop skills and insights essential for clinical practice and a public health role in a climate-changing world. This echoes a broader call for improved public health literacy among medical graduates. This paper provides medical schools with a rationale and an outline for teaching on climate change.

Strengthening family coping resources: the feasibility of a multifamily group intervention for families exposed to trauma.

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Kiser, Laurel J; Donohue, April; Hodgkinson, Stacy; Medoff, Deborah; Black, Maureen M

2010-12-01

Families exposed to urban poverty face a disproportionate risk of exposure to repeated trauma. Repeated exposures can lead to severe and chronic reactions in multiple family members with effects that ripple throughout the family system. Interventions for distressed families residing in traumatic contexts, such as low-income, urban settings are desperately needed. This report presents preliminary data in support of Strengthening Family Coping Resources, a trauma-focused, multifamily, skill-building intervention. Strengthening Family Coping Resources is designed for families living in traumatic contexts with the goal of reducing symptoms of posttraumatic stress disorder and other trauma-related disorders in children and caregivers. Results from open trials suggest Strengthening Family Coping Resources is a feasible intervention with positive effects on children's symptoms of trauma-related distress.

Repair and Strengthening by Use of Superficial Fixed Laminates of Cracked Masonry Walls Sheared Horizontally-Laboratory Tests

International Nuclear Information System (INIS)

Kubica, Jan; Kwiecien, Arkadiusz; Zajac, Boguslaw

2008-01-01

There are many methods of crack repairing in masonry structures. One of them is repair and strengthening by using of superficial fixed laminates, especially in case of masonry walls with plastering on their both sides. The initial laboratory tests of three different types of strengthening of diagonal cracked masonry wallettes are presented. Tests concerned three clay brick masonry walls subjected to horizontal shearing with two levels of precompression and strengthened by flexible polymer injection, superficial glass fixed by polymer fibre laminate plates and using of CRFP strips stiff fixed to the wall surface by polymer and stiff resin epoxy fixing are presented and discussed

Estimating the behavior of RC beams strengthened with NSM system using artificial neural networks

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Seyed Rohollah Hosseini Vaez

2017-12-01

Full Text Available In the last decade, conventional materials such as steel and concrete are being replaced by fiber reinforced polymer (FRP materials for the strengthening of concrete structures. Among the strengthening techniques based on Fiber Reinforced Polymer composites, the use of near-surface mounted (NSM FRP rods is emerging as a promising technology for increasing flexural and shear strength of deficient concrete, masonry and timber members. An artificial neural network is an information processing tool that is inspired by the way biological nervous systems (such as the brain process the information. The key element of this tool is the novel structure of the information processing system. In engineering applications, a neural network can be a vector mapper which maps an input vector to an output one. In the present study, a new approach is developed to predict the behavior of strengthened concrete beam using a large number of experimental data by applying artificial neural networks. Having parameters used as input nodes in ANN modeling such as elastic modulus of the FRP reinforcement, the ratio of the steel longitudinal reinforcement, dimensions of the beam section, the ratio of the NSM-FRP reinforcement and characteristics of concrete, the output node was the flexural strength of beams. The idealized neural network was employed to generate empirical charts and equations to be used in design. The aim of this study is to investigate the behavior of strengthened RC beam using artificial neural networks.

Study on Strengthening and Toughening Mechanisms of Aluminum Alloy 2618-Ti at Elevated Temperature

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Kun, Ma; Tingting, Liu; Ya, Liu; Xuping, Su; Jianhua, Wang

2018-01-01

The tensile properties of the alloy 2618 and 2618-Ti were tested using a tensile testing machine. The morphologies of the fracture of tensile samples were observed using scanning electron microscopy. The strengthening and toughening mechanisms of alloy 2618-Ti at elevated temperature were systematically investigated based on the analyses of experimental results. The results showed that the tensile strength of alloy 2618-Ti is much higher than that of alloy 2618 at the temperature range of 250 and 300 °C. But the elongation of alloy 2618-Ti is much higher than that of alloy 2618 at the temperature range of 200 and 300 °C. The equal-strength temperature of intragranular and grain boundary of alloy 2618-Ti is about 235 °C. When the temperature is lower than 235 °C, the strengthening of alloy 2618-Ti is ascribed to the strengthening effect of fine grains and dispersed Al3Ti/Al18Mg3Ti2 phase. When the temperature is higher than 235 °C, the strengthening effect of alloy 2618-Ti is mainly attributed to the load transfer of Al3Ti and Al18Mg3Ti2 particles. The toughening of alloy 2618-Ti at elevated temperature is mainly ascribed to the fine grain microstructure, excellent combination between matrix and dispersed Al3Ti/Al18Mg3Ti2 particles as well as the recrystallization of the alloy at elevated temperature.

A systems approach to implementation of eLearning in medical education: five MEPI schools' journeys.

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Vovides, Yianna; Chale, Selamawit Bedada; Gadhula, Rumbidzayi; Kebaetse, Masego B; Nigussie, Netsanet Animut; Suleman, Fatima; Tibyampansha, Dativa; Ibrahim, Glory Ramadhan; Ntabaye, Moshi; Frehywot, Seble; Nkomazana, Oathokwa

2014-08-01

How should eLearning be implemented in resource-constrained settings? The introduction of eLearning at four African medical schools and one school of pharmacy, all part of the Medical Education Partnership Initiative (MEPI) eLearning Technical Working Group, highlighted the need for five factors essential for successful and sustainable implementation: institutional support; faculty engagement; student engagement; technical expertise; and infrastructure and support systems. All five MEPI schools reported strengthening technical expertise, infrastructure, and support systems; four schools indicated that they were also successful in developing student engagement; and three reported making good progress in building institutional support. Faculty engagement was the one core component that all five schools needed to enhance.

State-level medical and absenteeism cost of asthma in the United States.

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Nurmagambetov, Tursynbek; Khavjou, Olga; Murphy, Louise; Orenstein, Diane

2017-05-01

For medically treated asthma, we estimated prevalence, medical and absenteeism costs, and projected medical costs from 2015 to 2020 for the entire population and separately for children in the 50 US states and District of Columbia (DC) using the most recently available data. We used multiple data sources, including the Medical Expenditure Panel Survey, U.S. Census Bureau, Kaiser Family Foundation, Medical Statistical Information System, and Current Population Survey. We used a two-part regression model to estimate annual medical costs of asthma and a negative binomial model to estimate annual school and work days missed due to asthma. Per capita medical costs of asthma ranged from $1,860 (Mississippi) to $2,514 (Michigan). Total medical costs of asthma ranged from $60.7 million (Wyoming) to $3.4 billion (California). Medicaid costs ranged from $4.1 million (Wyoming) to $566.8 million (California), Medicare from $5.9 million (DC) to $446.6 million (California), and costs paid by private insurers ranged from $27.2 million (DC) to $1.4 billion (California). Total annual school and work days lost due to asthma ranged from 22.4 thousand (Wyoming) to 1.5 million days (California) and absenteeism costs ranged from $4.4 million (Wyoming) to $345 million (California). Projected increase in medical costs from 2015 to 2020 ranged from 9% (DC) to 34% (Arizona). Medical and absenteeism costs of asthma represent a significant economic burden for states and these costs are expected to rise. Our study results emphasize the urgency for strategies to strengthen state level efforts to prevent and control asthma attacks.

Child survival in England: Strengthening governance for health.

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Wolfe, Ingrid; Mandeville, Kate; Harrison, Katherine; Lingam, Raghu

2017-11-01

The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England. Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity. We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects. We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

Mechanical Properties and Shear Strengthening Capacity of High Volume Fly Ash-Cementitious Composite

Science.gov (United States)

Joseph, Aswin K.; Anand, K. B.

2018-02-01

This paper discusses development of Poly Vinyl Alcohol (PVA) fibre reinforced cementitious composites taking into account environmental sustainability. Composites with fly ash to cement ratios from 0 to 3 are investigated in this study. The mechanical properties of HVFA-cement composite are discussed in this paper at PVA fiber volume fraction maintained at 1% of total volume of composite. The optimum replacement of cement with fly ash was found to be 75%, i.e. fly ash to cement ratio (FA/C) of 3. The increase in fiber content from 1% to 2% showed better mechanical performance. A strain capacity of 2.38% was obtained for FA/C ratio of 3 with 2% volume fraction of fiber. With the objective of evaluating the performance of cementitious composites as a strengthening material in reinforced concrete beams, the beams deficient in shear capacity were strengthened with optimal mix having 2% volume fraction of fiber as the strengthening material and tested under four-point load. The reinforced concrete beams designed as shear deficient were loaded to failure and retrofitted with the composite in order to assess the efficiency as a repair material under shear.

Powder-metallurgy superalloy strengthened by a secondary gamma phase.

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Kotval, P. S.

1971-01-01

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

Prestressed CFRP Fabrics for Flexural Strengthening of Concrete Beams with an Easy Prestressing Technique

Science.gov (United States)

Şakar, G.; Tanarslan, H. M.

2014-09-01

It is proposed to use prestressed CFRP plates for strengthening in order to prevent their debonding and thus to increase their strengthening efficiency. For this purpose, and easy-to-use piece of equipment was created. To determine the effectiveness of this method, an experimental program was carried out, and the effect of prestressed CFRP on the behavior and ultimate strength of reinforced concrete beams was examined in threepoint bending tests. A remarkable increase in their strength with debonding was seen for every specimen to which a prestressed CFRP plate had been applied.

IAEA and EC to Strengthen Cooperation in Nuclear Safety

International Nuclear Information System (INIS)

2013-01-01

Full text: The International Atomic Energy Agency and the European Commission today signed a Memorandum of Understanding on Nuclear Safety, establishing a framework for cooperation to help improve nuclear safety in Europe. The Memorandum, signed by IAEA Director General Yukiya Amano and the European Commissioner for Energy, Guenther Oettinger, is the first concrete result of an enhanced dialogue between the IAEA and the EU, launched in January 2013 at their first Senior Officials Meeting in Brussels. Cooperation has been rapidly growing in recent years between the IAEA and the EU, which, together with its Member States, is one of the biggest donors to the IAEA, both in financial terms and in provision of technical expertise. Cooperation in the field of nuclear safeguards is already well-established and formalised, but in other areas it is less structured. ''The EU is one of our most important partners, providing practical and financial assistance, as well as expertise, in many areas of our work,'' Mr. Amano said. ''This Memorandum of Understanding is further evidence that EU countries take very seriously the need to strengthen nuclear safety in the aftermath of the Fukushima Daiichi accident.'' Mr. Oettinger highlighted that such intensified cooperation is important to ensure that nuclear energy is produced safely all over the world. He added that the EU nuclear stress tests set a global benchmark and contribute to the IAEA's Action Plan on Nuclear Safety , which was endorsed unanimously by the IAEA's Member States in September 2011. ''Under the new Memorandum, all this experience will be made available to the international community. I hope that the European safety approach leads to a global initiative,'' said the Commissioner. The Memorandum creates an enhanced framework for planning and reviewing various forms of cooperation in nuclear safety, such as expert peer reviews and strengthening emergency preparedness and response capabilities. It will allow both

Global health initiative investments and health systems strengthening: a content analysis of global fund investments.

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Warren, Ashley E; Wyss, Kaspar; Shakarishvili, George; Atun, Rifat; de Savigny, Don

2013-07-26

Millions of dollars are invested annually under the umbrella of national health systems strengthening. Global health initiatives provide funding for low- and middle-income countries through disease-oriented programmes while maintaining that the interventions simultaneously strengthen systems. However, it is as yet unclear which, and to what extent, system-level interventions are being funded by these initiatives, nor is it clear how much funding they allocate to disease-specific activities - through conventional 'vertical-programming' approach. Such funding can be channelled to one or more of the health system building blocks while targeting disease(s) or explicitly to system-wide activities. We operationalized the World Health Organization health system framework of the six building blocks to conduct a detailed assessment of Global Fund health system investments. Our application of this framework framework provides a comprehensive quantification of system-level interventions. We applied this systematically to a random subset of 52 of the 139 grants funded in Round 8 of the Global Fund to Fight AIDS, Tuberculosis and Malaria (totalling approximately US$1 billion). According to the analysis, 37% (US$ 362 million) of the Global Fund Round 8 funding was allocated to health systems strengthening. Of that, 38% (US$ 139 million) was for generic system-level interventions, rather than disease-specific system support. Around 82% of health systems strengthening funding (US$ 296 million) was allocated to service delivery, human resources, and medicines & technology, and within each of these to two to three interventions. Governance, financing, and information building blocks received relatively low funding. This study shows that a substantial portion of Global Fund's Round 8 funds was devoted to health systems strengthening. Dramatic skewing among the health system building blocks suggests opportunities for more balanced investments with regard to governance, financing, and

[Interdisciplinary longitudinal curriculum "Medical Psychology, Psychotherapy and Psychosomatics." Experiences from the preclinical segment].

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Schüppel, R; Bayer, A; Hrabal, V; Hölzer, M; Allert, G; Tiedemann, G; Hochkirchen, B; Stephanos, S; Kächele, H; Zenz, H

1998-05-01

The departments of Medical Psychology, Psychosomatics and Psychotherapy developed an interdisciplinary longitudinal curriculum in order to coach medical students for the whole length of their medical education. Experiences from the first four undergraduate semesters are reported. 46 students (33 females, 13 males), mean age 22.3 +/- 2.6 years, attended 60 hours of interdisciplinary group sessions. Frequent motives to join the course were interest in psychosocial disciplines and relevant previous experience. The students expected to benefit from this project in their study, their future practice as a physician, and in their personal development. Important educational goals that could be attained were the adoption of a patient-centred view in medicine as well as strengthening of the students' critical capacities and sensitivity. The students especially appreciated the possibility of group discussions and the opportunity to participate actively in the course. Based on a critical review of the evaluation, the possibility of a transfer of our model is considered and perspectives for the future are developed.

Strengthening Research by Designing for Coherence and Connections to Practice

Science.gov (United States)

Boerst, Timothy; Confrey, Jere; Heck, Daniel; Knuth, Eric; Lambdin, Diana V.; White, Dorothy; Baltzley, Patricia C.; Quander, Judith Reed

2010-01-01

The National Council of Teachers of Mathematics (NCTM) is committed to strengthening relations between research and practice and to the development of a coherent knowledge base that is usable in practice. The need to work toward connection and coherence is not unique to the field of mathematics education. Fields such as medicine, software…

Strengthening Grief Support for Adolescents Coping with a Peer's Death

Science.gov (United States)

Balk, David E.; Zaengle, Donna; Corr, Charles A.

2011-01-01

This article offers suggestions for strengthening school-based grief support following an adolescent's death. Such interventions must be considered within the context of: (a) development during adolescence; (b) the role of peers in adolescent development; and (c) the fact that an adolescent peer's death is a non-normative life crisis in developed…

Effect of solution heat treatment on the precipitation behavior and strengthening mechanisms of electron beam smelted Inconel 718 superalloy

Energy Technology Data Exchange (ETDEWEB)

You, Xiaogang [School of Materials Science and Engineering, Dalian University of Technology, Dalian 116023 (China); Laboratory for New Energy Material Energetic Beam Metallurgical Equipment Engineering of Liaoning Province, Dalian 116024 (China); Tan, Yi, E-mail: tanyi@dlut.edu.cn [School of Materials Science and Engineering, Dalian University of Technology, Dalian 116023 (China); Laboratory for New Energy Material Energetic Beam Metallurgical Equipment Engineering of Liaoning Province, Dalian 116024 (China); Shi, Shuang [School of Materials Science and Engineering, Dalian University of Technology, Dalian 116023 (China); Laboratory for New Energy Material Energetic Beam Metallurgical Equipment Engineering of Liaoning Province, Dalian 116024 (China); Yang, Jenn-Ming [Department of Materials Science and Engineering, University of California, Los Angeles, CA 90095 (United States); Wang, Yinong [School of Materials Science and Engineering, Dalian University of Technology, Dalian 116023 (China); Li, Jiayan; You, Qifan [School of Materials Science and Engineering, Dalian University of Technology, Dalian 116023 (China); Laboratory for New Energy Material Energetic Beam Metallurgical Equipment Engineering of Liaoning Province, Dalian 116024 (China)

2017-03-24

Inconel 718 superalloy was fabricated by electron beam smelting (EBS) technique. The effect of solution heat treatment on the precipitation behavior and mechanical properties of EBS 718 superalloys were studied, the strengthening mechanisms were analyzed and related to the mechanical properties. The results indicate that the optimized microstructures can be acquired by means of EBS, which is attributed to the rapid cooling rate of approximately 280 ℃/min. The solution heat treatment shows a great impact on the microstructures, precipitation behavior and mechanical properties of EBS 718 superalloy. The γ'' phase shows an apt to precipitate at relatively lower solution temperatures followed by aging, while the γ' precipitates are prone to precipitate at higher temperatures. When solution treated at 1150 ℃, the γ' precipitates are dispersively distributed in the matrix with size and volume fraction of 8.43 nm and 21.66%, respectively, a Vickers hardness of approximately 489 HV{sub 0.1} is observed for the aged superalloy. The precipitation strengthening effect of EBS 718 superalloy could be elucidated by considering the interaction between the dislocations and γ''/γ' precipitates. The shearing of γ' is resisted by the coherency strengthening and formation of antiphase boundary (APB), which shows equal effect as weakly coupled dislocation (WCD) model. And for γ'', the strengthening effect is much more prominent with the primary strengthening mechanism of ordering. Moreover, it is interestingly found that the strengthening mechanism of stacking fault (SF) shearing coexists with APB shearing, and SF shearing plays a major role in strengthening of EBS 718 superalloy.

The Strengthening of the Colombian Air Force: An Effective Strategy on the Road to Negotiation

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Janiel Melamed Visbal

2015-10-01

Full Text Available This article discusses how the strengthening of the Colombian Air Force since the beginning of the new millennium, resulted in the military weakening of the Revolutionary Armed Forces of Colombia (FARC-EP. These circumstances, along with the overall strengthening of the national security forces allowed to develop the proper conditions to initiate a set of peace talks between the most remarkable insurgent organization and the Colombian State, in very different conditions from previous experiences.

Parent assessment of medical student skills in ambulatory pediatrics

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Erika Persson

2013-09-01

Full Text Available Background: Partnership with parents is a vital part of pediatric medical education, yet few studies have examined parent attitudes towards learners in pediatric settings. Methods: Questionnaires were used to determine parent and student assessment of professional and clinical skills (primary outcome and parent attitudes towards 3rd year medical students (secondary outcome at the University of Alberta. Chi Square, Kendall’s Tau and Kappa coefficients were calculated to compare parent and student responses in 8 areas: communication, respect, knowledge, listening, history taking, physical examination, supervision, and overall satisfaction. Results: Overall satisfaction with medical student involvement by parents was high: 56.7% of all parents ranked the encounter as ‘excellent’. Areas of lesser satisfaction included physician supervision of students. Compared to the parent assessment, students tended to underrate many of their skills, including communication, history taking and physical exam. There was no relationship between parent demographics and their attitude to rating any of the students’ skills. Conclusions: Parents were satisfied with medical student involvement in the care of their children. Areas identified for improvement included increased supervision of students in both history taking and physical examination. This is one of the largest studies examining parent attitudes towards pediatric students. The results may enhance undergraduate curriculum development and teaching in pediatric ambulatory clinics and strengthen the ongoing partnership between the community and teaching clinics.