Die design for rigid PVC—the effect of die land length on extrudate swell

PVC profile extrusion compounds have a unique morphology. While other polymers gradually decrease in extrusion die swell with increasing length/thickness (L/D) ratio, PVC profile extrusion compounds have a low die swell, quite independent of the die's L/D ratio in the range of 5 to 20. The fact that the die land length can be changed without changing the extrudate swell is an important consideration, which makes die design and balancing dies simpler and easier for PVC profile extrusion compounds. While other polymers substantially increase extrudate swell with increased shear rate, the swell of the PVC profile compounds is not much affected by shear or extrusion rate. This unique behavior allows wider processing latitude in profile extrusion and faster extrusion rates than with other polymers. Another unique factor in the rheology of PVC profile extrusion compounds is that extrusion die swell increases with increasing melt temperature, while other polymers have decreasing die swell with increasing melt temperature. The unusual rheology of PVC profile extrusion compounds is attributed to its unique melt morphology, where the melt flow units are 1 um bundles and molecules that have low surface to surface interaction and entanglement at low processing temperatures but increased melting and increased entanglement at higher processing temperatures. Other polymers, unlike PVC, have melt flow at the molecular level.     

Cation interdiffusion between thick film of YBa2Cu3O7-δ and ceramic substrate

Thick films of superconducting oxides, YBa₂Cu₃O_7-, were successfully made by conventional screen-printing technology on Al₂O₃, MgO, and ZrO₂ substrates. Interdiffusion between the superconductive film and substrate was investigated using analytical electron microscopy. The results indicate that MgO and ZrO₂ are superior to Al₂O₃ for substrate materials.     

Prosthetic valve endocarditis: superiority of surgical valve replacement versus medical therapy only

The objective of our study was to assess the long-term outcome of patients with prosthetic valve endocarditis. We used a multicenter, prospective, observational study design. Six university teaching hospitals with high volume cardiothoracic surgery participated. Seventy-four patients with prosthetic valve endocarditis as defined by explicit, objective criteria were selected for participation. All patients were followed up prospectively for 1 year. Thirty-one percent and 69% had development of endocarditis within 60 days of valve insertion ("early") and after 60 days ("late"), respectively. The most common causes were Staphylococcus epidermidis (40%), Staphylococcus aureus (20%), streptococcal species (18%), and aerobic gram-negative bacilli (11%). Physical signs of endocarditis (new or changing murmur, stigmata, emboli) were seen in 58%. At 6 months and 12 months, mortality was 46% and 47%, respectively. Surgical replacement of the infected valve led to significantly lower mortality (23%) as compared with medical therapy alone (56%), as assessed by both univariate and multivariate analyses (p < 0.05). Improved outcome was seen for the surgical group even when controlling for severity of illness at time of diagnosis. From these findings we conclude that accurate assessment of outcome in prosthetic valve endocarditis requires long-term follow-up of at least 6 months following diagnosis. Surgical therapy warrants greater scrutiny; evaluation in controlled clinical trials is appropriate.     

Critical care medicine: opportunities and strategies for improvement

BACKGROUND: Like other areas of health care, critical care faces increasing pressure to improve the quality while reducing the cost of care. Strategies drawn from the literature and the authors' experiences are presented. STRATEGIES AND OPPORTUNITIES FOR IMPROVEMENTS: Ten process- or structure-related areas are targeted as strategically important focuses of improvement: (1) restructuring administrative lines to better suit key processes; (2) physician leadership in critical care units; (3) management training for critical care managers; (4) triage; (5) multidisciplinary critical care; (6) standardization of care; (7) developing alternatives to critical care units; (8) timeliness of care delivery; (9) appropriate use of critical care resources; and (10) tracking quality improvement. TIMELINESS OF CARE DELIVERY: Whatever the root cause(s) of unnecessary delays, the result is inefficient use of critical care resources-and ultimately either a need for more resources or longer wait times. Innovations designed to reduce wait times and waste, such as the establishment of a microchemistry stat laboratory, may prove valuable. APPROPRIATE USE OF CRITICAL CARE RESOURCES: Possible strategies for the appropriate use of critical care resources include better selection of well-informed patients who undergo procedures. Reduction in variation among physicians and organizations in providing therapies will also likely lead to a reduction in some high-risk procedures offering little or no benefit, and therefore a reduction in need for critical care services. Better preparation of patients and families should also make end-of-life decisions easier when questions of "futility" arise. Better information on outcomes and cost-effectiveness and consensus on withdrawal of critical care treatments represent two additional strategies.     

Laparoscopic versus open appendectomy

BACKGROUND: Clinical manifestations and course of sickle-cell anemia are variable. Knowledge about the factors, possibly geographic, that influence prognosis are still scanty. POPULATION AND METHODS: Data of hospitalization and management of children with sickle-cell disease were studied during two years (1992-1993) in the Pediatric Unit of Libreville Hospital. They concerned 205 admissions of 171 children and 131 outpatients. RESULTS: The main causes of hospitalization were: acute anemia (36 cases before the age of 5 years); painful crisis whose frequency increased with age (23% before 5 years, 35% between 5 and 10, 42% after 10 years); infections, essentially pulmonary occurring early, and bone infections at any age. Eight children died (because a complication of their disease). Among the 131 outpatients, half were detected because pyrexia, anemia and/or more often "hand-foot syndrome". More than 60% had hepatomegaly, one third still had splenomegaly after five years of age and more than one third was icteric. More than half children older than ten years had growth disorders. Mean hemoglobin level was 7 g/dL. 21 of the 83 tested children for HBsAg were positive and only one out of 79 was positive for HIV. CONCLUSIONS: Clinical manifestations and course of sickle-cell anemia in our patients are similar to those reported in Congolese children. Genetic and environmental factors may be responsible for differences with children from other, in particular French, cohorts.     

Accidental injuries among naval personnel by occupation, duty status, and pay grade

The relative incidence of accidental injury for Navy enlisted men during 1974-1977 was analyzed for 68 occupations, three pay grade or job responsibility levels, and duty status (on or off duty) at the time of the injury. Thirteen "blue-collar", predominantly sea-going or construction occupations, were significantly higher than the Navy injury rate norm and 26 "white-collar" occupations, typically in clerical, supply, administrative or technical specialties, were significantly lower than the Navy norm. An inverse linear relationship was found between injury rate and job responsibility for all occupations combined. This relationship varied by occupation, however, suggesting that experience and familiarity with the work environment may not moderate risks to the same degree in all occupational fields. Occupations with high on-duty injury rates tended to have high off-duty rates as well, suggesting at least some common causal factors.     

Determination of the Superconducting Penetration Depth From Coplanar-Waveguide Measurements

We introduce a novel transmission-line method for determining the penetration depth in thin high-temperature superconducting (HTS) films. The method is based on the accurate measurement of the inductance per unit length of a superconducting coplanar-waveguide (CPW) transmission line fabricated on the HTS sample. Using the experimentally obtained inductance per unit length, we interpolate the penetration depth from a table of numerically determined values of inductance (per unit length) as a function of penetration depth, calculated from a coupled transmission-line model. A novelty of our procedure is the utilization of the multiline thru-reflect-line (TRL) method and the calibration-comparison method to accurately determine the inductance per unit length of the superconducting transmission line. By measuring different CPW geometries patterned onto the same thin-film sample, we can verify our penetration depth values. We demonstrate this technique by extracting the penetration depth for several different HTS films at 76 K. Estimated uncertainties in the extracted penetration depth are also provided. Contribution of an agency of the US government not subject to copyright.     

Some Systematic Supersaturated Designs

Supersaturated designs are factorial designs in which the number of factors exceeds the number of observations. Satterthwaite has suggested constructing such designs by a randomization procedure (random balance designs). In the present paper systematic designs are constructed which are, in a certain sense, m nearly orthogonal M possible. Examples of such designs are given constructed on an electronic computer and some properties of the designs are discussed.