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The extracorporeal circuit in hemodialysis and related therapies facilitates passage of blood to and from the patient and forms an integral link with the safety systems of the proportioning system. Historically, elements of the circuit were subject to problems such as spallation introduced by the blood pump and plasticizer from the tubing sets leaching into the blood. Many of these early issues have been largely resolved, although there is still potential for further improvement and innovation. The introduction of such improvements and innovations into clinical practice is critically dependent upon their cost and benefit to patient and renal unit staff.  相似文献   
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Managed care has become the dominant economic force in health care delivery and has challenged many of professional psychology's training concepts and cherished attitudes. Organized psychology has not kept pace with the rapid industrialization of health care during the past decade and has been overlooked as a participant in health economic decisions. A number of changes need to be made in professional education and training if psychology is to be a major player in the new health systems. Additionally, professional psychologists must reexamine some of their most generally accepted attitudes and beliefs if they are to survive. These are described with a number of recommendations for the survival of an embattled profession. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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A numerical procedure which integrates optimization, finite element analysis and automatic finite element mesh generation is developed for solving a two-dimensional inverse/parameter estimation problem in solid mechanics. The problem consists of determining the location and size of a circular inclusion in a finite matrix and the elastic material properties of the inclusion and the matrix. Traction and displacement boundary conditions sufficient for solving a direct problem are applied to the boundary of the domain. In addition, displacements are measured at discrete points on the part of the boundary where the tractions are prescribed. The inverse problem is solved using a modified Levenberg-Marquardt method to match the measured displacements to a finite element model solution which depends on the unknown parameters. Numerical experiments are presented to show how different factors in the problem and the solution procedure influence the accuracy of the estimated parameters.  相似文献   
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People who enact multiple identities behave as if they possess 2 or more selves, each with its own characteristic moods, memories, and behavioral repertoire. Under different names, this phenomenon occurs in many cultures; in North American culture, it is frequently labeled multiple personality disorder (MPD). This article reviews experimental, cross-cultural, historical, and clinical findings concerning multiplicity and examines the implications of these findings for an understanding of MPD. Multiplicity is viewed from a sociocognitive perspective, and it is concluded that MPD, like other forms of multiplicity, is socially constructed. It is context bounded, goal-directed, social behavior geared to the expectations of significant others, and its characteristics have changed over time to meet changing expectations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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The Rescorla-Wagner model has been the most influential theory of associative learning to emerge from the study of animal behavior over the last 25 years. Recently, equivalence to this model has become a benchmark in assessing connectionist models, with such equivalence often achieved by incorporating the Widrow-Hoff delta rule. This article presents the Rescorla-Wagner model's basic assumptions, reviews some of the model's predictive successes and failures, relates the failures to the model's assumptions, and discusses the model's heuristic value. It is concluded that the model has had a positive influence on the study of simple associative learning by stimulating research and contributing to new model development. However, this benefit should neither lead to the model being regarded as inherently "correct" nor imply that its predictions can be profitably used to assess other models. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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A method for machine interpretation of architectural (or other) schematic drawings is presented. The central problem is to build an efficient drawing parser (i.e., a program that identifies the semantic entities, characteristics, and relationships that are represented in the drawing). The parser is built from specifications of the drawing grammar and an underlying spatial model. The grammar describes what to look for, and the spatial model enables the parser to find it quickly. Coupled with existing optical recognition technology, this technique enables the use of drawings directly as: (1) a database to drive various Architecture-Engineering-Construction (AEC) applications; (2) a communication protocol to integrate CAD systems; (3) a traditional user interface.  相似文献   
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This paper documents the first of the two interrelated studies that were conducted to more fundamentally understand the scalability of flame heat flux, the motivation being that it has been reported that flame heat flux back to the burning surface in bench‐scale experiments is not the same as for large‐scale fires. The key aspect was the use of real scale applied heat flux up to 200kW/m2 which is well beyond that typically considered in contemporary testing. The main conclusions are that decomposition kinetics needs to be included in the study of ignition and the energy balance for steady burning is too simplistic to represent the physics occurring. An unexpected non‐linear trend is observed in the typical plotting methods currently used in fire protection engineering for ignition and mass loss flux data for several materials tested and this non‐linearity is a true material response. Using measured temperature profiles in the condensed phase shows that viewing ignition as an inert material process is inaccurate at predicting the surface temperature at higher heat fluxes. The steady burning temperature profiles appear to be invariant with applied heat flux. This possible inaccuracy was investigated by obtaining the heat of gasification via the ‘typical technique’ using the mass loss flux data and comparing it to the commonly considered ‘fundamental’ value obtained from differential scanning calorimetry measurements. This comparison suggests that the ‘typical technique’ energy balance is too simplified to represent the physics occurring for any range of applied heat flux. Observed bubbling and melting phenomena provide a possible direction of study. Copyright © 2007 John Wiley & Sons, Ltd.  相似文献   
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