Physicians' estimates of the 10 year cardiovascular risk in hypertensive patients: an evaluation in primary care physicians in training.

To evaluate how young physicians in training perceive their patients' cardiovascular risk based on the medical charts and their clinical judgment. Cross sectional observational study. University outpatient clinic, Lausanne, Switzerland. Two hundred hypertensive patients and 50 non-hypertensive patients with at least one cardiovascular risk factor. Comparison of the absolute 10-year cardiovascular risk calculated by a computer program based on the Framingham score and adapted for physicians by the WHO/ISH with the perceived risk as assessed clinically by the physicians. Physicians underestimated the 10-year cardiovascular risk of their patients compared to that calculated with the Framingham score. Concordance between methods was 39% for hypertensive patients and 30% for non-hypertensive patients. Underestimation of cardiovascular risks for hypertensive patients was related to the fact they had a stabilized systolic blood pressure under 140 mm Hg (OR = 2.1 [1.1; 4.1]). These data show that young physicians in training often have an incorrect perception of the cardiovascular risk of their patients with a tendency to underestimate the risk. However, the calculated risk could also be slightly overestimated when applying the Framingham Heart Study model to a Swiss population. To implement a systematic evaluation of risk factors in primary care a greater emphasis should be placed on the teaching of cardiovascular risk evaluation and on the implementation of quality improvement programs.

Fonaments d'un programa informàtic de suport psicològic i superació personal : dels llibres d'autoajuda al software d'autoajuda

Aquest treball descriu els principis de disseny i els components essencials d'un hipotètic programa informàtic que té per finalitat facilitar el procés d'autoajuda i que també pot ser utilitzat com a eina de desenvolupament personal i motivació. Prèviament, l'autor fa una revisió dels mètodes existents, des de l'èxit dels llibres d'autoajuda del segle XX fins al'expansió de la interactivitat impulsada pel desenvolupament de les tecnologiesinformàtiques. A través d'aquest recorregut es constata la pobre implantació de les novestecnologies com a instruments populars d'autoajuda i s'advoca per la creació i ús deprogrames informàtics flexibles i generalistes com a mitjà de suport psicològic.

Technical note: Preliminary estimation of rockfall runout zones

Rockfall propagation areas can be determined using a simple geometric rule known as shadow angle or energy line method based on a simple Coulomb frictional model implemented in the CONEFALL computer program. Runout zones are estimated from a digital terrain model (DTM) and a grid file containing the cells representing rockfall potential source areas. The cells of the DTM that are lowest in altitude and located within a cone centered on a rockfall source cell belong to the potential propagation area associated with that grid cell. In addition, the CONEFALL method allows estimation of mean and maximum velocities and energies of blocks in the rockfall propagation areas. Previous studies indicate that the slope angle cone ranges from 27° to 37° depending on the assumptions made, i.e. slope morphology, probability of reaching a point, maximum run-out, field observations. Different solutions based on previous work and an example of an actual rockfall event are presented here.

El papel de la lengua en la construcción de la identidad: un estudio cualitativo con una muestra multicultural

En las últimas décadas ha incrementado considerablemente el contacto y la heterogeneidad de lenguas, culturas e identidades. La movilidad humana se ha convertido en una de las características estructurales de nuestras sociedades (Bauman, 1998) y la pluralización de las formas de vida (Berger y Luckman, 1997) en una de sus más destacadas consecuencias. El estudio que presentamos tiene el objetivo de explorar la función de la lengua en relación a la construcción narrativa de la identidad. Para ello se presentan diez historias de vida según la adaptación de la entrevista elaborada por Dan P. McAdams (2006). El análisis de los datos empíricos se ha realizado mediante el programa informático Atlas.ti (Muñoz, 2005). Se concluye que básicamente la lengua ejerce, en los sujetos entrevistados, tres funciones que responden a tres necesidades. Por un lado está la lengua familiar, identitaria o materna. Por otro, la lengua de intercomunicación sociolaboral que permite la comunicación en el trabajo o en los distintos escenarios socioculturales y, finalmente, la lengua de interconexión global, actualmente el inglés, presente en Internet y en los escenarios internacionales

Apprentissage automatique de la morphologie : le cas des structures racine-schème

RÉSUMÉ Cette thèse porte sur le développement de méthodes algorithmiques pour découvrir automatiquement la structure morphologique des mots d'un corpus. On considère en particulier le cas des langues s'approchant du type introflexionnel, comme l'arabe ou l'hébreu. La tradition linguistique décrit la morphologie de ces langues en termes d'unités discontinues : les racines consonantiques et les schèmes vocaliques. Ce genre de structure constitue un défi pour les systèmes actuels d'apprentissage automatique, qui opèrent généralement avec des unités continues. La stratégie adoptée ici consiste à traiter le problème comme une séquence de deux sous-problèmes. Le premier est d'ordre phonologique : il s'agit de diviser les symboles (phonèmes, lettres) du corpus en deux groupes correspondant autant que possible aux consonnes et voyelles phonétiques. Le second est de nature morphologique et repose sur les résultats du premier : il s'agit d'établir l'inventaire des racines et schèmes du corpus et de déterminer leurs règles de combinaison. On examine la portée et les limites d'une approche basée sur deux hypothèses : (i) la distinction entre consonnes et voyelles peut être inférée sur la base de leur tendance à alterner dans la chaîne parlée; (ii) les racines et les schèmes peuvent être identifiés respectivement aux séquences de consonnes et voyelles découvertes précédemment. L'algorithme proposé utilise une méthode purement distributionnelle pour partitionner les symboles du corpus. Puis il applique des principes analogiques pour identifier un ensemble de candidats sérieux au titre de racine ou de schème, et pour élargir progressivement cet ensemble. Cette extension est soumise à une procédure d'évaluation basée sur le principe de la longueur de description minimale, dans- l'esprit de LINGUISTICA (Goldsmith, 2001). L'algorithme est implémenté sous la forme d'un programme informatique nommé ARABICA, et évalué sur un corpus de noms arabes, du point de vue de sa capacité à décrire le système du pluriel. Cette étude montre que des structures linguistiques complexes peuvent être découvertes en ne faisant qu'un minimum d'hypothèses a priori sur les phénomènes considérés. Elle illustre la synergie possible entre des mécanismes d'apprentissage portant sur des niveaux de description linguistique distincts, et cherche à déterminer quand et pourquoi cette coopération échoue. Elle conclut que la tension entre l'universalité de la distinction consonnes-voyelles et la spécificité de la structuration racine-schème est cruciale pour expliquer les forces et les faiblesses d'une telle approche. ABSTRACT This dissertation is concerned with the development of algorithmic methods for the unsupervised learning of natural language morphology, using a symbolically transcribed wordlist. It focuses on the case of languages approaching the introflectional type, such as Arabic or Hebrew. The morphology of such languages is traditionally described in terms of discontinuous units: consonantal roots and vocalic patterns. Inferring this kind of structure is a challenging task for current unsupervised learning systems, which generally operate with continuous units. In this study, the problem of learning root-and-pattern morphology is divided into a phonological and a morphological subproblem. The phonological component of the analysis seeks to partition the symbols of a corpus (phonemes, letters) into two subsets that correspond well with the phonetic definition of consonants and vowels; building around this result, the morphological component attempts to establish the list of roots and patterns in the corpus, and to infer the rules that govern their combinations. We assess the extent to which this can be done on the basis of two hypotheses: (i) the distinction between consonants and vowels can be learned by observing their tendency to alternate in speech; (ii) roots and patterns can be identified as sequences of the previously discovered consonants and vowels respectively. The proposed algorithm uses a purely distributional method for partitioning symbols. Then it applies analogical principles to identify a preliminary set of reliable roots and patterns, and gradually enlarge it. This extension process is guided by an evaluation procedure based on the minimum description length principle, in line with the approach to morphological learning embodied in LINGUISTICA (Goldsmith, 2001). The algorithm is implemented as a computer program named ARABICA; it is evaluated with regard to its ability to account for the system of plural formation in a corpus of Arabic nouns. This thesis shows that complex linguistic structures can be discovered without recourse to a rich set of a priori hypotheses about the phenomena under consideration. It illustrates the possible synergy between learning mechanisms operating at distinct levels of linguistic description, and attempts to determine where and why such a cooperation fails. It concludes that the tension between the universality of the consonant-vowel distinction and the specificity of root-and-pattern structure is crucial for understanding the advantages and weaknesses of this approach.

Pile Design and Tests for Integral Abutment Bridges, HR-273, 1987

Expansion joints increase both the initial cost and the maintenance cost of bridges. Integral abutment bridges provide an attractive design alternative because expansion joints are eliminated from the bridge itself. However, the piles in these bridges are subjected to horizontal movement as the bridge expands and contracts during temperature changes. The objective of this research was to develop a method of designing piles for these conditions. Separate field tests simulating a pile and a bridge girder were conducted for three loading cases: (1) vertical load only, (2) horizontal displacement of pile head only, and (3) combined horizontal displacement of pile head with subsequent vertical load. Both tests (1) and (3) reached the same ultimate vertical load, that is, the horizontal displacement had no effect on the vertical load capacity. Several model tests were conducted in sand with a scale factor of about 1:10. Experimental results from both the field and model tests were used to develop the vertical and horizontal load-displacement properties of the soil. These properties were input into the finite element computer program Integral Abutment Bridge Two-Dimensional (IAB2D), which was developed under a previous research contract. Experimental and analytical results compared well for the test cases. Two alternative design methods, both based upon the American Association of State Highway and Transportation Officials (AASHTO) Specification, were developed. Alternative One is quite conservative relative to IAB2D results and does not permit plastic redistribution of forces. Alternative Two is also conservative when compared to IAB2D, but plastic redistribution is permitted. To use Alternative Two, the pile cross section must have sufficient inelastic rotation capacity before local buckling occurs. A design example for a friction pile and an end-bearing pile illustrates both alternatives.

User's Manual for the County Road Evaluation Program - Volume I, HR-242, 1986

Provides instructions for using the computer program which was developed under the research project, "The Economics of Reducing the County Road System: Three Case Studies In Iowa". This program operates on an IBP personal computer with 300K storage. A fixed disk is required with at least 3 megabytes of storage. The computer must be equipped with DOS version 3.0; the programs are written in Fortran. The user's manual describes all data requirements including network preparation, trip information, cost for maintenance, reconstruction, etc. Program operation instructions are presented, as well as sample solution output and a listing of the computer programs.

Spatial behavior in groups: an agent-based approach

We present an agent-based model with the aim of studying how macro-level dynamics of spatial distances among interacting individuals in a closed space emerge from micro-level dyadic and local interactions. Our agents moved on a lattice (referred to as a room) using a model implemented in a computer program called P-Space in order to minimize their dissatisfaction, defined as a function of the discrepancy between the real distance and the ideal, or desired, distance between agents. Ideal distances evolved in accordance with the agent's personal and social space, which changed throughout the dynamics of the interactions among the agents. In the first set of simulations we studied the effects of the parameters of the function that generated ideal distances, and in a second set we explored how group macrolevel behavior depended on model parameters and other variables. We learned that certain parameter values yielded consistent patterns in the agents' personal and social spaces, which in turn led to avoidance and approaching behaviors in the agents. We also found that the spatial behavior of the group of agents as a whole was influenced by the values of the model parameters, as well as by other variables such as the number of agents. Our work demonstrates that the bottom-up approach is a useful way of explaining macro-level spatial behavior. The proposed model is also shown to be a powerful tool for simulating the spatial behavior of groups of interacting individuals.

A Computer Based Information System for County Equipment Cost Records, Interim Report, HR-173, 1975

This report describes the work accomplished to date on research project HR-173, A Computer Based Information System for County Equipment Cost Records, and presents the initial design for this system. The specific topics discussed here are findings from the analysis of information needs, the system specifications developed from these findings, and the proposed system design based upon the system specifications. The initial system design will include tentative input designs for capturing input data, output designs to show the output formats and the items to be output for use in decision making, file design showing the organization of information to be kept on each piece of equipment in the computer data file, and general system design explaining how the entire system will operate. The Steering Committee appointed by Iowa Highway Research Board is asked to study this report, make appropriate suggestions, and give approval to the proposed design subject to any suggestions made. This approval will permit the designer to proceed promptly with the development of the computer program implementation phase of the design.

Comparison of microscopic method and computational program for pesticide deposition evaluation of spraying

The main objective of this work was to compare two methods to estimate the deposition of pesticide applied by aerial spraying. Hundred and fifty pieces of water sensitive paper were distributed over an area of 50 m length by 75 m width for sampling droplets sprayed by an aircraft calibrated to apply a spray volume of 32 L/ha. The samples were analysed by visual microscopic method using NG 2 Porton graticule and by an image analyser computer program. The results reached by visual microscopic method were the following: volume median diameter, 398±62 mum; number median diameter, 159±22 mum; droplet density, 22.5±7.0 droplets/cm² and estimated deposited volume, 22.2±9.4 L/ha. The respective ones reached with the computer program were: 402±58 mum, 161±32 mum, 21.9±7.5 droplets/cm² and 21.9±9.2 L/ha. Graphs of the spatial distribution of droplet density and deposited spray volume on the area were produced by the computer program.

Simulando una vía de comunicación: el tramo de la vía romana entre el Coll de Panissars y Girona

Mediante programa informático es posible simular las vías de comunicación existentes entre asentamientos humanos, siendo muchos los trabajos publicados y varias las formas de aproximación al problema. El objetivo del trabajo que nos ocupa ha consistido en la generación de un nuevo modelo a partir del cual fuera posible simular una vía de comunicación, con la salvedad de que en este caso ya existía una idea aproximada de cual sería su trayectoria a partir de trabajos de otros autores. Esta vía de comunicación es la vía Augusta, en el tramo que une el Coll de Panissars y la ciudad de Girona.

Computer Analysis of Twin Box Culverts, 1959

The paper presents a method of analyzing Rigid Frames by use of the Conjugate Beam Theory. The development of the method along with an example is given. This method has been used to write a computer program for the analysis of twin box culverts. The culverts may be analyzed under any fill height and any of the standard truck loadings. The wall and slab thickness are increased by the computer program as necessary. The final result is steel requirements both for moment and shear, and the slab and wall thickness.

Putkilämmönsiirtimien mitoitustyökalujen kehittäminen

Diplomityön tarkoituksena on kehittää tietokoneohjelma putkilämmönsiirtimen vaippapuolen painehäviön laskemiseksi. Ohjelmalla voidaan varmistaa lämmönsiirtimen mitoitusvaiheessa, että vaippapuolen painehäviö ei ylitä sallittuja rajoja. Ohjelmatäydentää olemassa olevia mitoitusohjelmia. Tässä diplomityössä käsitellään ainoastaan höyryvoimalaitosprosesseissa käytettäviä putkilämmönsiirtimiä. Työn kirjallisessa osassa on selvitetty periaate höyryvoimalaitosprosessista ja siinä käytettävistä putkilämmönsiirtimistä sekä esitetty putkilämmönsiirtimien rakenne, yleinen suunnittelu ja lämpö- ja virtaustekninen mitoitus. Painehäviön laskennassa käytetyt ja lämpö- ja virtausteknistä mitoitusta käsittelevässä kappaleessa esitetyt yhtälöt perustuvat Bell-Delawaren menetelmään. Painehäviönlaskentaohjelma on toteutettu hyväksikäyttäen Microsoft Excel taulukkolaskentaa ja Visual Basic -ohjelmointikieltä. Painehäviön laskenta perustuu segmenttivälilevyillä varustetun putkilämmönsiirtimen vaippapuolen yksifaasivirtaukseen. Lämmönsiirtimen lauhdutinosan painehäviö oletetaan merkityksettömäksi, joten kokonaispainehäviö muodostuu höyryn- ja lauhteenjäähdyttimessä. Kehitetty ohjelma on suunniteltu erityisesti lauhteenjäähdyttimessä muodostuvan painehäviön laskentaan. Ohjelmalla laskettuja painehäviön arvoja on verrattu todellisesta lämmönsiirtimestä mitattuihin arvoihin. Lasketut arvotvastaavat hyvin mittaamalla saatuja, eikä tuloksissa ilmene mitään systemaattista virhettä. Ohjelma on valmis käytettäväksi putkilämmönsiirtimien mitoitustyökaluna. Diplomityön pohjalta on tehty ehdotukset ohjelman edelleen kehittämiseksi.

Mekatronisen portaattomasti säädettävän ajoneuvotehonsiirtokoneiston suunnittelu ja simulointi

Työn tarkoituksena on tutkia tehonsiirron ratkaisuja, jotka mahdollistavat jatkuvanopeus ja -momentinsäädön. Työ on rajattu käsittämään kahta eri planeettavaihdetuotetta. Tutkimuksen kohteena ovat valittujen vaihdetuotteiden planeettapyörästöjen eri kytkentämahdollisuudet ja niiden vaikutus toisiinsa. Vaihteiden teknistä toteutusta ja toimivuutta tarkastellaan fyysisten testien, simuloinnin sekä analyyttisen laskennan avulla. Apuna työssä on käytetty Dymola simulointiohjelmaa, jossa kinemaattisten kuvakeliitäntöjen avulla on rakennettu virtuaalimalli tarkastellusta tuotteesta ja sen toiminnasta. Tietokoneen avulla luotua dynaamista simulointimallia on muokattu tutkimuksen edistyessä differentiaalisesti jatkuvasäätöisen momentinmuuntimen aikaan saamiseksi. Tuotteissa on käytetty aurinkopyörällisiä ja aurinkopyörättömiä planeettapyörästöjä. Ensimmäisessä tutkittavassa tuotteessa on kolme planeettapyörästöä ja toisessa kaksi. Teholähteeksi käy polttomoottori tai sähkömoottori. Välitys- ja pyörimissuhteiden muuntoon vaikuttaa planeettavaihteistoon kytketty sähkömoottori, jonka toimintaa voidaan ohjata erikseen. Työssä on selvitetty, millaisia kulmanopeuksia ja momentteja eri ajanhetkellä ja eri pisteissä simulointimallia esiintyy.Lisäksi selvitetään vaihteistojen portaattoman välityssuhteen muuntomahdollisuudet. Tarkoituksena on saada realistista informaatiota tutkittavien laitteiden toiminnasta. Johtavana ajatuksena on modernien menetelmien käyttäminen uusien innovaatioiden toimivuuden ja äärikohtien tutkimiseksi.

Automated formulation of optimisation models for steel beam structures

Over 70% of the total costs of an end product are consequences of decisions that are made during the design process. A search for optimal cross-sections will often have only a marginal effect on the amount of material used if the geometry of a structure is fixed and if the cross-sectional characteristics of its elements are property designed by conventional methods. In recent years, optimalgeometry has become a central area of research in the automated design of structures. It is generally accepted that no single optimisation algorithm is suitable for all engineering design problems. An appropriate algorithm, therefore, mustbe selected individually for each optimisation situation. Modelling is the mosttime consuming phase in the optimisation of steel and metal structures. In thisresearch, the goal was to develop a method and computer program, which reduces the modelling and optimisation time for structural design. The program needed anoptimisation algorithm that is suitable for various engineering design problems. Because Finite Element modelling is commonly used in the design of steel and metal structures, the interaction between a finite element tool and optimisation tool needed a practical solution. The developed method and computer programs were tested with standard optimisation tests and practical design optimisation cases. Three generations of computer programs are developed. The programs combine anoptimisation problem modelling tool and FE-modelling program using three alternate methdos. The modelling and optimisation was demonstrated in the design of a new boom construction and steel structures of flat and ridge roofs. This thesis demonstrates that the most time consuming modelling time is significantly reduced. Modelling errors are reduced and the results are more reliable. A new selection rule for the evolution algorithm, which eliminates the need for constraint weight factors is tested with optimisation cases of the steel structures that include hundreds of constraints. It is seen that the tested algorithm can be used nearly as a black box without parameter settings and penalty factors of the constraints.