3,491 research outputs found

    Reusable rocket engine turbopump condition monitoring

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    Significant improvements in engine readiness with attendant reductions in maintenance costs and turnaround times can be achieved with an engine condition monitoring system (CMS). The CMS provides real time health status of critical engine components, without disassembly, through component monitoring with advanced sensor technologies. Three technologies were selected to monitor the rotor bearings and turbine blades: the isotope wear detector and fiber optic deflectometer (bearings), and the fiber optic pyrometer (blades). Signal processing algorithms were evaluated and ranked for their utility in providing useful component health data to unskilled maintenance personnel. Design modifications to current configuration Space Shuttle Main Engine (SSME) high pressure turbopumps and the MK48-F turbopump were developed to incorporate the sensors

    Understanding the Recovery Process in Psychosis

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    Conceptualizing recovery in the context of severe and persisting mental health conditions is a complex issue. In recent years, there has been a call to re-focus research from understanding the concept of recovery to improving understanding of the process of recovery. There is a paucity of knowledge about the core processes involved in recovery from psychosis. Objective: The authors aimed to gain insight into possible processes involved in recovery through analyzing data generated from a large qualitative study investigating employment barriers and support needs of people living with psychosis. Research Design and Methods: Participants were 137 individuals drawn from six key stakeholder groups. Data obtained from focus groups (14) and individual interviews (34) were analyzed using thematic analysis. Results: The main recovery processes identified were: learning effective coping strategies; recognizing personal potential; identifying and realizing personal goals; participation in social and occupational roles; positive risk-taking; and reclaiming personal identity. Discussion: The results of this study have implications for treatment as well as the daily support needs of people recovering from psychosis

    Brain connectivity Patterns Dissociate action of specific Acupressure Treatments in Fatigued Breast cancer survivors

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    Funding This work was supported by grants R01 CA151445 and 2UL1 TR000433-06 from the National Institutes of Health. The funding source had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. We thank the expert assistance by Dr. Bradley Foerster in acquisition of 1H-MRS and fMRI data.Peer reviewedPublisher PD

    Social inclusion: Context, theory and practice

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    This paper reviews the literature on social inclusion in Australia and provides an overview of the current situation regarding university/community engagement. Social inclusion is a contested term in both academic and policy literature entailing a range of interpretations. The paper will argue that there is a spectrum of ideological positions underlying theory, policy and practice. The broad theoretical construct put forward regards social inclusion in relation to areas (who is to be included?) and degrees (ideologies) of inclusion. Possible areas of inclusion are socio‐economic status, culture (including indigenous cultures), linguistic group, religion, geography (rural and remote/isolated), gender, sexual orientation, age (including youth and old age), physical and mental health/ability, and status with regard to unemployment, homelessness and incarceration. Degree of inclusion comprises a nested threefold schema incorporating a spectrum of ideologies involving—from narrowest to most encompassing—the neoliberal focus on access and economic factors, the social justice focus on community participation and the human potential focus on personal and collective empowerment stemming from positive psychology and critical/transformative pedagogies. Contemporary Australian social inclusion policy is related to UK policy. While policy rhetoric indicates a broad interpretation of social inclusion, concerns are raised that a dominant Economicist agenda favours corporate and national economic interests over social and psychological ones. Questions are also raised about the privileging of some areas of inclusion over others and the possibility that reductive interpretations of social inclusion are forms of cultural assimilation. Social inclusion in practice is addressed both in relation to degrees of inclusion and through case studies. The paper provides an overview of examples of social inclusion interventions, including a review of two initiatives of RMIT University and Victoria University focussing on industry/community partnerships. The paper concludes with some challenges and issues for further research on social inclusion including a proposed in-depth survey and consideration of literature on integrative phenomena such as ecological sustainability, and contextualisation of social inclusion within broader movements of global socio‐cultural change

    Heterogeneity in the spread and control of infectious disease: consequences for the elimination of canine rabies

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    Understanding the factors influencing vaccination campaign effectiveness is vital in designing efficient disease elimination programmes. We investigated the importance of spatial heterogeneity in vaccination coverage and human-mediated dog movements for the elimination of endemic canine rabies by mass dog vaccination in Region VI of the Philippines (Western Visayas). Household survey data was used to parameterise a spatially-explicit rabies transmission model with realistic dog movement and vaccination coverage scenarios, assuming a basic reproduction number for rabies drawn from the literature. This showed that heterogeneous vaccination reduces elimination prospects relative to homogeneous vaccination at the same overall level. Had the three vaccination campaigns completed in Region VI in 2010–2012 been homogeneous, they would have eliminated rabies with high probability. However, given the observed heterogeneity, three further campaigns may be required to achieve elimination with probability 0.95. We recommend that heterogeneity be reduced in future campaigns through targeted efforts in low coverage areas, even at the expense of reduced coverage in previously high coverage areas. Reported human-mediated dog movements did not reduce elimination probability, so expending limited resources on restricting dog movements is unnecessary in this endemic setting. Enhanced surveillance will be necessary post-elimination, however, given the reintroduction risk from long-distance dog movements

    Response to a rabies epidemic in Bali, Indonesia

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    Emergency vaccinations and culling failed to contain an outbreak of rabies in Bali, Indonesia, during 2008–2009. Subsequent island-wide mass vaccination (reaching 70% coverage, >200,000 dogs) led to substantial declines in rabies incidence and spread. However, the incidence of dog bites remains high, and repeat campaigns are necessary to eliminate rabies in Bali

    Evaluation of cost-effective strategies for rabies post-exposure vaccination in low-income countries

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    <b>Background:</b> Prompt post-exposure prophylaxis (PEP) is essential in preventing the fatal onset of disease in persons exposed to rabies. Unfortunately, life-saving rabies vaccines and biologicals are often neither accessible nor affordable, particularly to the poorest sectors of society who are most at risk and upon whom the largest burden of rabies falls. Increasing accessibility, reducing costs and preventing delays in delivery of PEP should therefore be prioritized.<p></p> <b>Methodology/Principal Findings:</b> We analyzed different PEP vaccination regimens and evaluated their relative costs and benefits to bite victims and healthcare providers. We found PEP vaccination to be an extremely cost-effective intervention (from 200tolessthan200 to less than 60/death averted). Switching from intramuscular (IM) administration of PEP to equally efficacious intradermal (ID) regimens was shown to result in significant savings in the volume of vaccine required to treat the same number of patients, which could mitigate vaccine shortages, and would dramatically reduce the costs of implementing PEP. We present financing mechanisms that would make PEP more affordable and accessible, could help subsidize the cost for those most in need, and could even support new and existing rabies control and prevention programs.<p></p> <b>Conclusions/Significance:</b> We conclude that a universal switch to ID delivery would improve the affordability and accessibility of PEP for bite victims, leading to a likely reduction in human rabies deaths, as well as being economical for healthcare providers.<p></p&gt

    Comparing methods of assessing dog rabies vaccination coverage in rural and urban communities in Tanzania

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    Rabies can be eliminated by achieving comprehensive coverage of 70% of domestic dogs during annual mass vaccination campaigns. Estimates of vaccination coverage are, therefore, required to evaluate and manage mass dog vaccination programs; however, there is no specific guidance for the most accurate and efficient methods for estimating coverage in different settings. Here, we compare post-vaccination transects, school-based surveys, and household surveys across 28 districts in southeast Tanzania and Pemba island covering rural, urban, coastal and inland settings, and a range of different livelihoods and religious backgrounds. These approaches were explored in detail in a single district in northwest Tanzania (Serengeti), where their performance was compared with a complete dog population census that also recorded dog vaccination status. Post-vaccination transects involved counting marked (vaccinated) and unmarked (unvaccinated) dogs immediately after campaigns in 2,155 villages (24,721 dogs counted). School-based surveys were administered to 8,587 primary school pupils each representing a unique household, in 119 randomly selected schools approximately 2 months after campaigns. Household surveys were conducted in 160 randomly selected villages (4,488 households) in July/August 2011. Costs to implement these coverage assessments were 12.01,12.01, 66.12, and $155.70 per village for post-vaccination transects, school-based, and household surveys, respectively. Simulations were performed to assess the effect of sampling on the precision of coverage estimation. The sampling effort required to obtain reasonably precise estimates of coverage from household surveys is generally very high and probably prohibitively expensive for routine monitoring across large areas, particularly in communities with high human to dog ratios. School-based surveys partially overcame sampling constraints, however, were also costly to obtain reasonably precise estimates of coverage. Post-vaccination transects provided precise and timely estimates of community-level coverage that could be used to troubleshoot the performance of campaigns across large areas. However, transects typically overestimated coverage by around 10%, which therefore needs consideration when evaluating the impacts of campaigns. We discuss the advantages and disadvantages of these different methods and make recommendations for how vaccination campaigns can be better monitored and managed at different stages of rabies control and elimination programs
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