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Cross-classified Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) to evaluate hospital performance : the case of hospital differences in patient survival after acute myocardial infarction

OBJECTIVE: To describe a novel strategy, Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) to evaluate hospital performance, by analysing differences in 30-day mortality after a first-ever acute myocardial infarction (AMI) in Sweden.DESIGN: Cross-classified study.SETTING: 68 Swedish hospitals.PARTICIPANTS: 43 247 patients admitted between 2007 and 2009, with a fi

Design of Full-Scale Endwall Film Cooling of a Turbine Vane

Endwall film cooling is a significant cooling method to protect the endwall region and the junction region of endwall and a turbine vane, where usually a relatively high temperature load exists. This work aims to find the optimized arrangement of film cooling holes on the endwall and improve the film cooling in some difficult regions on the endwall, such as pressure side-endwall junction region. S

Recent advances in surface x-ray diffraction and the potential for determining structure-sensitivity relations in single-crystal electrocatalysis

Determining how electrode structure governs the performance of an electrocatalyst requires techniques capable of probing structure at the atomic scale, often in situ and operando. In recent years, there have been numerous advances in the main experimental techniques for determining the structure of the electrochemical interface. In situ/operando synchrotron surface x-ray diffraction measurements a

Vortical structures and heat transfer augmentation of a cooling channel in a gas turbine blade with various arrangements of tip bleed holes

This study investigates the internal cooling processes affected by the tip bleed holes in gas turbine blades. Double bleed holes are fixed at the center of the blade tip near the pressure side and suction side, respectively. Five different arrangements of the holes along the center line of the tip are studied. The purely double holes are set as the Baseline. The purpose of the present study is to

MicroRNA-340-5p inhibits colon cancer cell migration via targeting of RhoA

Colon cancer is the third most common cancer and a significant cause of cancer-related deaths worldwide. Metastasis is the most insidious aspect of cancer progression. Convincing data suggest that microRNAs (miRs) play a key function in colon cancer biology. We examined the role of miR-340-5p in regulating RhoA expression as well as cell migration and invasion in colon cancer cells. Levels of miR-

Individual and Contextual Factors Associated With Hazardous Drinking in Spain : Evidence From a National Population-Based Study

BACKGROUND: Heavy drinking (HD) and binge drinking (BD) exhibit marked differences in their relationships with contextual-level factors imbedded in geographical areas of residence. The objective is to identify sociodemographic factors, both at the individual and at the contextual level, associated with these 2 main hazardous consumption patterns.METHODS: Cross-sectional study using data from the 2

Experimental optimization of X-ray propagation-based phase contrast imaging geometry

Propagation-based phase contrast imaging (PB-PCI) with an X-ray lab source is a powerful technique to study low absorption samples, e.g. soft tissue or plastics, on the micrometer scale but is often limited by the low flux and coherence of the source. The setup geometry is essential for the performance since there is a trade-off where a short source distance yields a high contrast-to-noise ratio (

Heat-dissipation performance of nanocomposite phase-change materials in a twin-heat-source system

In this paper, pure paraffin was mixed with CuO (high thermal conductivity) and Span-80 (as a dispersant). The CuO/paraffin nanocomposite phase-change materials (PCMs) were synthesized with mass fractions of 0.3%, 0.6%, and 1.2%, by a two-step method. Heat-transfer characteristics of the heat-pipe-PCMs module and effects of fan power and heating power on the performance of the cooling module in a

Experimental investigation of heat transfer performance of a heat pipe combined with thermal energy storage materials of CuO-paraffin nanocomposites

As the phase change material (PCM), pure paraffin wax is mixed with CuO (high heat conduction) and Span-80 (as a dispersant) in this research. The CuO/paraffin nanocomposite PCMs is synthesized with mass fractions of 0.3%, 0.6%, 0.9% and 1.2% by a two-step method. Dispersion stability and nanoparticle morphology of CuO/paraffin nanocomposite PCMs are analyzed by using a spectrophotometer and a sca

Single-Molecule Magnets DyM2N@C80and Dy2MN@C80(M=Sc, Lu): The Impact of Diamagnetic Metals on Dy3++Magnetic Anisotropy, Dy···Dy Coupling, and Mixing of Molecular and Lattice Vibrations

The substitution of scandium in fullerene single‐molecule magnets (SMMs) DySc2N@C80 and Dy2ScN@C80 by lutetium has been studied to explore the influence of the diamagnetic metal on the SMM performance of dysprosium nitride clusterfullerenes. The use of lutetium led to an improved SMM performance of DyLu2N@C80, which shows a higher blocking temperature of magnetization (TB=9.5 K), longer relaxation

Real-world effectiveness of osteoporosis treatment in the oldest old

Summary: We studied effectiveness of osteoporosis treatment in women older than 80 years, who often are not included in clinical trials. Treatments were as effective on bone density and fractures as in younger women. Introduction: To study real-world effectiveness of osteoporosis treatment on BMD and fractures in the oldest old women (≥ 80 years) compared with women (60–79 years) in the clinical s

Synthesis and experimental study of novel double perovskite Ba2NixCo2−xO6 as promising oxygen carrier materials for CO2 capture application

Novel oxygen-deficient double-perovskite type oxide Ba2NixCo2−xO6 was applied to produce O2/CO2 mixed stream gas for oxyfuel combustion application. A series of different Co concentration substituted Ba2NixCo2−xO6 was synthesized by an EDTA-citrate sol-gel combustion method. The oxygen carriers, Ba2Ni0.25Co1.75O6, Ba2Ni0.45Co1.55O6, Ba2Ni0.65Co1.35O6 and Ba2Ni0.85Co1.15O6 were c\characterized by s

Diagnostic Stability of Mild Cognitive Impairment, and Predictors of Reversion to Normal Cognitive Functioning

Objective: Studies that investigate predictive factors for spontaneous recovery (reversion) from mild cognitive impairment (MCI) are only beginning to emerge, and the long-term course of MCI is not properly understood. We aimed to investigate stability of the MCI diagnosis, predictors for reversion, as well as the trajectory of MCI over the course of 12 years. Materials and Methods: Data were draw

Managing an altered social context—Patients experiences of staying away from home while undergoing proton beam therapy

Aim: To illuminate the experience of an altered social context for patients with primary brain tumours living away from home while undergoing proton beam therapy. Design: A descriptive, qualitative cross-sectional interview study. Methods: Nineteen patients were interviewed between December 2015–August 2016, either during (N = 7) or before and after (N = 12) their proton beam therapy. A hermeneuti

Flow and thermal performance of supercritical n-decane in double-layer channels for regenerative cooling of a scramjet combustor

In order to improve the active regenerative cooling performance of a scramjet using supercritical n-decane, a new type of cooling channel, the double-layer channel, is proposed. Based on reliable numerical simulations, temperature profiles, fluid flow track, vortex structure and buoyancy force distribution of three cases are presented, respectively. It is found that the heat transfer performance o

Improved modeling of heat transfer in dropwise condensation

Dropwise condensation has drawn significant attention due to its efficient heat transfer performance compared to filmwise condensation. In this paper, typical experimental data for dropwise condensation on smooth hydrophobic surfaces were collected as well as the typical available heat transfer models. The comparisons between the prediction results and the experimental data indicated that the exis

Proteomic profiles before and during weight loss : Results from randomized trial of dietary intervention

Inflammatory and cardiovascular biomarkers have been associated with obesity, but little is known about how they change upon dietary intervention and concomitant weight loss. Further, protein biomarkers might be useful for predicting weight loss in overweight and obese individuals. We performed secondary analyses in the Diet Intervention Examining The Factors Interacting with Treatment Success (DI

Androgens in men study (AIMS) : Protocol for meta-analyses of individual participant data investigating associations of androgens with health outcomes in men

Introduction This study aims to clarify the role(s) of endogenous sex hormones to influence health outcomes in men, specifically to define the associations of plasma testosterone with incidence of cardiovascular events, cancer, dementia and mortality risk, and to identify factors predicting testosterone concentrations. Data will be accrued from at least three Australian, two European and four Nort

The association between Single Nucleotide Polymorphisms of Klotho Gene and Mortality in Elderly Men : The MrOS Sweden Study

The Klotho (KL) gene is involved in phosphate homeostasis. Polymorphisms in this gene have been reported to be associated with the risk of cardiovascular disease. Here we used computational tools to predict the damage-associated single nucleotide polymorphisms (SNPs) in the human KL gene. We further investigated the association of SNPs in the KL gene and mortality in the Swedish multicenter prospe