Graded tetrahedral finite element meshes

Vertices in the body centred cubic (bcc) lattice are used to create a tetrahedral spatial decomposition. With this spatial decomposition an octree approach is combined with Delaunay triangulations to decompose solids into tetrahedral finite element meshes. Solids must have their surfaces triangulated and the vertices in the triangulation are finite element nodes. Local densities of interior tetrahedra are controlled by the densities of surface triangles. Accuracy of the decomposition into finite elements depends on the accuracy of the surface triangulation which can be constructed with state of the art computer aided design systems.     

Who gets to what? Access to community resources in two New Zealand cities

This article explores patterns of access to services, amenities and facilities in two neighbouring New Zealand cities. An area-level indicator of community resource access, based on priorities identified by caregivers of young children, is analysed alongside census data to examine associations with community resource access in each city. Analysis reveals variations in resource access between the two cities that could not be solely explained by population density. Associations were found between resource access and patterns of deprivation, population density, age, and families with children. Of particular note was a positive association between areas of higher levels of resource access and areas of higher levels of deprivation within cities. There were, however, higher overall levels of resource access in the city with a less deprived profile. These findings support action by both central and local government to ensure equitable resource distribution to promote local well-being.     

Periodically porous top electrodes on vertical nanowire arrays for highly sensitive gas detection

Nanowires of various materials and configurations have been shown to be highly effective in the detection of chemical and biological species. In this paper, we report a novel, nanosphere-enabled approach to fabricating highly sensitive gas sensors based on ordered arrays of vertically aligned silicon nanowires topped with a periodically porous top electrode. The vertical array configuration helps to greatly increase the sensitivity of the sensor while the pores in the top electrode layer significantly improve sensing response times by allowing analyte gases to pass through freely. Herein, we show highly sensitive detection to both nitrogen dioxide (NO(2)) and ammonia (NH(3)) in humidified air. NO(2) detection down to 10 parts per billion (ppb) is demonstrated and an order-of-magnitude improvement in sensor response time is shown in the detection of NH(3).     

笼型异步电动机启动场路耦合时步有限元仿真

针对传统的电路磁路方法和电磁场解析法难以分析电动机动态过程的缺点,以一台笼型异步电动机为例,从运动电磁场的角度出发,建立了该电动机的场路耦合时步有限元计算模型,分析计算了该电动机的空载启动过程。结果表明,使用该模型可以得到比传统方法更为合理的结论。该研究工作对提高电动机的设计制造及运行水平具有一定价值。     

General practitioner's perceptions of the route to evidence based medicine: a questionnaire survey

OBJECTIVES: To determine the attitude of general practitioners towards evidence based medicine and their related educational needs. DESIGN: A questionnaire study of general practitioners. SETTING: General practice in the former Wessex region, England. SUBJECTS: Randomly selected sample of 25% of all general practitioners (452), of whom 302 replied. MAIN OUTCOME MEASURES: Respondents' attitude towards evidence based medicine, ability to access and interpret evidence, perceived barriers to practising evidence based medicine, and best method of moving from opinion based to evidence based medicine. RESULTS: Respondents mainly welcomed evidence based medicine and agreed that its practice improves patient care. They had a low level of awareness of extracting journals, review publications, and databases (only 40% knew of the Cochrane Database of Systematic Reviews), and, even if aware, many did not use them. In their surgeries 20% had access to bibliographic databases and 17% to the world wide web. Most had some understanding of the technical terms used. The major perceived barrier to practising evidence based medicine was lack of personal time. Respondents thought the most appropriate way to move towards evidence based general practice was by using evidence based guidelines or proposals developed by colleagues. CONCLUSION: Promoting and improving access to summaries of evidence, rather than teaching all general practitioners literature searching and critical appraisal, would be the more appropriate method of encouraging evidence based general practice. General practitioners who are skilled in accessing and interpreting evidence should be encouraged to develop local evidence based guidelines and advice.     

Time to clinical stability in patients hospitalized with community-acquired pneumonia: implications for practice guidelines

CONTEXT: Many groups have developed guidelines to shorten hospital length of stay in pneumonia in order to decrease costs, but the length of time until a patient hospitalized with pneumonia becomes clinically stable has not been established. OBJECTIVE: To describe the time to resolution of abnormalities in vital signs, ability to eat, and mental status in patients with community-acquired pneumonia and assess clinical outcomes after achieving stability. DESIGN: Prospective, multicenter, observational cohort study. SETTING: Three university and 1 community teaching hospital in Boston, Mass, Pittsburgh, Pa, and Halifax, Nova Scotia. PATIENTS: Six hundred eighty-six adults hospitalized with community-acquired pneumonia. MAIN OUTCOME MEASURES: Time to resolution of vital signs, ability to eat, mental status, hospital length of stay, and admission to an intensive care, coronary care, or telemetry unit. RESULTS: The median time to stability was 2 days for heart rate (< or =100 beats/min) and systolic blood pressure (> or =90 mm Hg), and 3 days for respiratory rate (< or =24 breaths/min), oxygen saturation (> or =90%), and temperature (< or =37.2 degrees C [99 degrees F]). The median time to overall clinical stability was 3 days for the most lenient definition of stability and 7 days for the most conservative definition. Patients with more severe cases of pneumonia at presentation took longer to reach stability. Once stability was achieved, clinical deterioration requiring intensive care, coronary care, or telemetry monitoring occurred in 1% of cases or fewer. Between 65% to 86% of patients stayed in the hospital more than 1 day after reaching stability, and fewer than 29% to 46% were converted to oral antibiotics within 1 day of stability, depending on the definition of stability. CONCLUSIONS: Our estimates of time to stability in pneumonia and explicit criteria for defining stability can provide an evidence-based estimate of optimal length of stay, and outline a clinically sensible approach to improving the efficiency of inpatient management.