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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 104 (1997), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To assess variation in diagnoses and management decisions among colposcopists when presented with cervical images; to see the impact of the referral cytology report on diagnostic accuracy.Design A two-part video questionnaire study.Participants Colposcopists from West Midlands RegionMethods Twenty cervical images displaying a range of transformation zones from normal through varying abnormalities up to cervical intraepithelial neoplasia (CIN) grade 3 were shown on video tape together with basic patient information. Two sets of videos were made, the second being identical to the first other than including the referral cytology. Participants recorded their diagnoses and management decisions on prepared questionnaires. The two sets of videos were viewed several weeks apart.Results Completed questionnaires to both videos were received from 30 colposcopists. Diagnostic accuracy improved with knowledge of the cervical cytology result in cases of CIN 2/3 (x2= 19.45, P 〈 0.0001) but not where the histology was CIN 1 or less (x2= 2.64, P= 0.10). Overall inter-observer agreement improved slightly from K = 0.169 to K = 0.212 when the cytology was revealed. While only 2.6% of cases of CIN 2/3 would have been under-managed after the second questionnaire, 37.5% cases where the abnormality did not amount to CIN would have been over-treated.Conclusion There is considerable inter-observer variability and variation in diagnostic accuracy in scoring cervical images particularly at the lower end of the spectrum of abnormality which has the potential to lead to over-treatment. We rely considerably on the cervical cytology result in forming a diagnosis. We recommend that a see-and-treat approach be abandoned when the referral smear shows minor abnormalities. The study has implications for both training and audit in colposcopy
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    [S.l.] : American Institute of Physics (AIP)
    Review of Scientific Instruments 69 (1998), S. 25-31 
    ISSN: 1089-7623
    Source: AIP Digital Archive
    Topics: Physics , Electrical Engineering, Measurement and Control Technology
    Notes: We present experimental results obtained with a cryogenically cooled, high-resolution x-ray spectrometer based on a 141 μm×141 μm Nb-Al-Al2O3-Al-Nb superconducting tunnel junction (STJ) detector in a demonstration experiment. Using monochromatized synchrotron radiation we studied the energy resolution of this energy-dispersive spectrometer for soft x rays with energies between 70 and 700 eV and investigated its performance at count rates up to nearly 60 000 cps. At count rates of several 100 cps we achieved an energy resolution of 5.9 eV (FWHM) and an electronic noise of 4.5 eV for 277 eV x rays (the energy corresponding to C K). Increasing the count rate, the resolution 277 eV remained below 10 eV for count rates up to ∼10 000 cps and then degraded to 13 eV at 23 000 cps and 20 eV at 50 000 cps. These results were achieved using a commercially available spectroscopy amplifier with a baseline restorer. No pile-up rejection was applied in these measurements. Our results show that STJ detectors can operate at count rates approaching those of semiconductor detectors while still providing a significantly better energy resolution for soft x rays. Thus STJ detectors may prove very useful in microanalysis, synchrotron x-ray fluorescence (XRF) applications, and XRF analysis of light elements (K lines) and transition elements (L lines). © 1998 American Institute of Physics.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Woodbury, NY : American Institute of Physics (AIP)
    Applied Physics Letters 79 (2001), S. 4441-4443 
    ISSN: 1077-3118
    Source: AIP Digital Archive
    Topics: Physics
    Notes: Superconducting tunnel junctions can be used as high-resolution particle or photon energy spectrometers. A photon absorbed in a superconductor breaks Cooper pairs into quasiparticles. These quasiparticles tunnel through the junction barrier and are detected as a pulse of excess current. Many junction designs allow the quasiparticles to tunnel more than once, an exponentially mixed Poisson process. However, multiple tunneling increases the fluctuation in the measured charge. We calculate the significance of these fluctuations algebraically as a function of time during the current pulse. We also calculate the finite integration window that minimizes the contribution of this noise. In addition, we calculate the effects of a low-pass amplifier and a Gaussian-shaping amplifier on the tunneling noise. With certain filtering time constants, the tunneling noise can be reduced while still providing some gain. © 2001 American Institute of Physics.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Woodbury, NY : American Institute of Physics (AIP)
    Applied Physics Letters 73 (1998), S. 1295-1297 
    ISSN: 1077-3118
    Source: AIP Digital Archive
    Topics: Physics
    Notes: We have characterized a thin-film Nb/Al/AlOx/Al/Nb superconducting tunnel junction (STJ) optimized for low electronic noise as an x-ray detector in the 0.2–1 keV photon energy range. The spectra measured with this junction have high spectral purity with, to the best of our knowledge, the best energy resolution ever achieved with this type of detector in this energy band. The discrepancy between the theoretical and experimental energy resolution is only about 15%. Part of this small discrepancy may be explained by the fact that our junction has electrodes made from niobium/aluminum bilayers, while the theoretical result is for electrodes made from only one material. To the best of our knowledge, this is the first time that resolution achieved with a STJ x-ray detector is in agreement with the resolution predicted from statistical fluctuations in the creation and tunneling of quasiparticles. © 1998 American Institute of Physics.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1077-3118
    Source: AIP Digital Archive
    Topics: Physics
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Palo Alto, Calif. : Annual Reviews
    Annual Review of Physical Chemistry 5 (1954), S. 267-290 
    ISSN: 0066-426X
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Chemistry and Pharmacology , Physics
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To develop a simple but sensitive instrument to evaluate and document symptoms of both bowel and urinary dysfunction in women.Design A 22-item questionnaire covering a range of bowel and urinary symptoms was developed and underwent rigorous psychometric testing.Setting The gynaecology departments of three hospitals, a urogynaecology clinic, a functional bowel clinic and a general practice.Population Six hundred and thirty women, comprising four groups: 1. women awaiting hysterectomy (n= 379), 2. women following hysterectomy (n= 45), 3. women referred with functional bowel and/or urinary symptoms (n= 65), 4. asymptomatic controls (n= 141).Main outcome measures The content, construct and criterion validity, internal consistency, reliability and responsiveness of the questionnaire were measured.Results Peer and patient reports and missing data patterns supported face and content validity. Factor analysis showed a clinically relevant four-factor structure with low content replication able to distinguish between patient groups, indicating good internal structure. Comparison with clinical, anorectal physiological, videoproctographic, transit time and urodynamic test results provide provisional indication of criterion validity. Key domain question analysis and Cronbach's alphas showed internal consistency. Kappa values demonstrated good test–retest reliability and key question correlation over time proved responsiveness.Conclusions Our findings support the suitability, clinical validity, reliability and responsiveness of a simple questionnaire, which is sensitive to the constraints of clinical practice. The authors recommend its use in health care evaluation research assessing the effects of pelvic surgery and as a useful tool in comparing treatment efficacy.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Science Ltd
    BJOG 109 (2002), S. 0 
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To develop a simple scoring system for a validated 22-item questionnaire used to assess bowel and urinary dysfunction in women.Setting A urogynaecology clinic, a functional bowel clinic, a district general hospital and a general practice.Population One hundred and one women referred with functional bowel and/or urinary symptoms and 131 asymptomatic controls.Methods A user manual has been prepared. Individual responses to questions are categorised into normal and abnormal and odds ratio tests applied to reflect their sensitivity.Results Scoring methods have been detailed, and appropriate and sensitive cutoff points defined.Conclusions The use of this validated questionnaire is now aided by a user manual, facilitating health care evaluation research into the effects of pelvic surgery on pelvic floor symptomatology. A simple scoring system is provided, making the questionnaire a valuable and accessible research tool.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Chester : International Union of Crystallography (IUCr)
    Journal of synchrotron radiation 5 (1998), S. 515-517 
    ISSN: 1600-5775
    Source: Crystallography Journals Online : IUCR Backfile Archive 1948-2001
    Topics: Geosciences , Physics
    Notes: Experimental results are presented obtained with a cryogenically cooled high-resolution X-ray spectrometer based on a 141 × 141 µm Nb-Al-Al2O3-Al-Nb superconducting tunnel junction (STJ) detector in an SR-XRF demonstration experiment. STJ detectors can operate at count rates approaching those of semiconductor detectors while still providing a significantly better energy resolution for soft X-rays. By measuring fluorescence X-rays from samples containing transition metals and low-Z elements, an FWHM energy resolution of 6–15 eV for X-rays in the energy range 180–1100 eV has been obtained. The results show that, in the near future, STJ detectors may prove very useful in XRF and microanalysis applications.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 0022-3832
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Physics
    Notes: Reaction curves for the simplest of cellulose acetylation systems; namely, the homogeneous reaction of secondary cellulose acetates with acetic acid and water, were studied. These reactions were found to be slow and complex, consisting of two interdependent simultaneous reversible second-order processes. The faster process represented the reaction of primary hydroxyl and acetyl groups, while the slower process represented the reaction of the two secondary hydroxyl and acetyl groups. Equilibrium and rate constants and initial and final concentrations of hydroxyl and acetyl groups were calculated for the two simultaneous reactions. Equilibrium constants for the primary groups favored acetylation, while equilibrium constants for the secondary groups favored deacetylation. Final equilibrium was not affected by the presence of sulfuric acid. On the other hand, rate of reaction was increased in the presence of sulfuric acid, indicating catalysis by this reagent. The reaction mechnanism outlined above was confirmed by comparing primary hydroxyl group contents calculated from acetylation results with primary hydroxyl group contents measured by means of the tritylation reaction. Energies of reaction and energies of activation were calculated. Energies of reaction were low, indicating that equilibrium for this process is very nearly temperature independent. Energies of activation were in agreement with energies of activation for esterifications of simple alcohols, from which it was concluded that the acetylation and deacetylation of secondary cellulose acetates in homogeneous solution is but another example of general acid catalyzed esterification with carboxylic acids and general acid catalyzed hydrolysis of fatty acid esters. Degradation of the cellulose chain molecule was followed throughout these studies and energies of activation for this reaction were calculated. These energies of activation were higher than those for the acetylation reactions. It was concluded that degradation is more severe at higher temperatures for a given change in acetyl group substitution. Initial determination of equilibrium and rate constants for acetic acid acetylation of cellulose acetate has been carried out. It is suggested that through use of such procedures as tritylation analysis, which isolates the reaction of the primary groups from the secondary groups, improved values for these constants may be achieved.
    Additional Material: 19 Ill.
    Type of Medium: Electronic Resource
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