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91.
This study evaluated the accuracy of experts’ predictions of ambulatory function following lower extremity trauma using the Functional capacity index (FCI). Data from three orthopedic trauma studies designed to determine long-term function following specific types of lower extremity injuries were used to examine the extent of agreement between the reported and predicted ambulatory function of 921 subjects. Functional limitations reported by the cohort using a generalized health status measure and more detailed questions on lower extremity function were compared with those predicted by experts based on the injuries sustained. The overall agreement between predicted and self-reported FCI function for ambulation was relatively low (31%). In the majority of cases (80%), the disagreement differed by one functional level. Subjects were more likely to report worse function than predicted by the experts. Multivariate modeling identified different injuries, combinations of injuries, and patient characteristics that significantly influenced agreement. For example, subjects who sustained both a tibia and a femur fracture were three times more likely than subjects who did not sustain either fracture type to report poorer ambulatory function than predicted. Many challenges are faced in predicting long-term function following trauma. More empirical data are needed to inform the process. These data suggest that until the FCI can more accurately predict long-term ambulatory function following different lower extremity injuries, it should not be used for this purpose. 相似文献
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Danial Danaei Amir Abbas Nourbakhsh Parvaneh Asgarian Amirhossein Nourbakhsh Kenneth J.D. MacKenzie 《Ceramics International》2019,45(5):5525-5530
Silicon carbide synthesis by a magnesiothermal method was investigated using MCM-48 as the silica source mechanically mixed with carbon nanotubes (CNTs) as the carbon source, and nanocomposites of MCM-48/functionalized CNTs (CNTF). SiC syntheses were carried out with different molar ratios of MCM-48, carbon and magnesium at 700?°C in argon. The MCM-48 and carbon nanotube starting materials and the SiC products were characterized by BET, XRD, FESEM, EDX and TEM. The effect of the carbon content and the type of CNTs (either functionalized or unfunctionalized) on the SiC synthesis was studied. The results show that an improved yield of SiC is obtained when the carbon nanotubes are functionalized, producing a better contact with the MCM-48. This improved contact between the reactants ensures a good degree of reaction in a stoichiometric mixture of silicon and carbon, with no improvement in product formation being achieved by the use of additional carbon. These findings suggest that the degree of contact between reactants is an important factor in the magnesiothermal synthesis of SiC. The SiC products from magnesiothermal synthesis of the functionalized nanocomposite precursors were shown by TEM and FESEM to have unusual nanofiber morphologies mimicking the morphology of the CNTF nanotubes. 相似文献
94.
The controlled in situ growth of ordered gold nanoparticles and nanowire arrays has been studied by optically tracking changes in the local surface plasmon resonance (LSPR) spectrum. A spectrometer and custom-programmed analysis software track changes in the LSPR spectrum. The peak position, peak height (i.e. extinction intensity) and peak width (e.g. radius of curvature) were tracked over time to quantify the dynamic growth of gold as soon as the system was exposed to a commercial gold enhancement solution. This enables the controlled dynamic growth of nano-objects without the necessity of characterizing the growth and aggregation kinetics of the gold enhancement solution. The result was the successful enhancement of their electrically conductive and plasmonic properties, as well as the controlled growth and transformation of line-patterned nanoparticles into conductive particle-based nanowires. 相似文献
95.
Patrick N. Lemougna Kenneth J.D. MacKenzie U.F. Chinje Melo 《Ceramics International》2011,37(8):3011-3018
The volcanic ash occurring as an abundant and readily accessible natural resource in the Central African country of Cameroon was used to synthesize aluminosilicate geopolymers using sodium hydroxide as the sole alkaline activator. Both the curing conditions and the Na2O/SiO2 molar ratio were found to influence the development of compressive strength of the geopolymer cement paste, which achieved a maximum strength of 55 MPa at Na2O/SiO2 = 0.3. The formation of a mortar by the addition of 40 wt% sand to the optimized geopolymer cement composition reduced the compressive strength to 30 MPa, still within the useful range for construction applications. The geopolymers consist largely of X-ray amorphous material with a small content of crystalline phases. Scanning electron microscopy showed a homogenously distributed mixture of lath-shaped and agglomerated morphologies, with a homogeneous distribution of Si, Al and O in the geopolymer matrix. The geopolymers are relatively stable to heat, shrinking only slowly and retaining about 60% of their as synthesized compressive strength on heating to 900 °C. The FTIR spectra of both the as synthesized and heated geopolymers show two broad absorbance bands, between 820-1250 cm−1 and 450-730 cm−1 assigned to the internal vibrations of Si-O-Si, and Si-O-Al respectively. The compressive strengths and the thermal stability of these materials suggest their suitability for building applications and low-grade refractories. 相似文献
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Kiyoshi Okada Jadambaa Temuujin Yoshikazu KameshimaKenneth J.D MacKenzie 《Materials Research Bulletin》2003,38(5):749-756
The simultaneous uptake of ammonium and phosphate ions from solution by composites of γ-alumina/potassium aluminosilicate (KAS) gel has been investigated. The composites were prepared by selective leaching of calcined kaolinite (Al2Si2O5(OH)4) using KOH solution, followed by neutralization of the leachate at pH 5.5 with nitric acid. The composites were reacted with solutions containing various concentrations of (NH4)2HPO4 at pH 5, 7 and 10 at room temperature for 24 h to examine their uptake of ammonium and phosphate ions. Simultaneous uptake of ammonium and phosphate ions was found, the uptake of ammonium ions being greater than for phosphate ions, especially at pH=7. This observation is considered to result mainly from the porous properties of the composites, which should therefore be controlled to enhance the simultaneous uptake of both ions, especially phosphate ion. 相似文献
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