Religion in clinical practice: Implicit and explicit integration.

Author(s):  
Siang-Yang Tan
2018 ◽  
Vol 9 (4) ◽  
pp. 465-474 ◽  
Author(s):  
Evangelos Gavalas ◽  
Ioannis Pressas ◽  
Spyros Papaefthymiou

Purpose The purpose of this paper is to compare the performance of implicit and explicit integration schemes for simulating the metal rolling process using commercial software packages ANSYS™ and LS-DYNA™. Design/methodology/approach For the industrial application of finite element method, the time discretization is one of the most important factors that determine the stability and efficiency of the analysis. An iterative approach, which is unconditionally stable in linear analyses, is the obvious choice for a quasi-static problem such as metal rolling. However, this approach may be challenging in achieving convergence with non-linear material behavior and complicated contact conditions. Therefore, a non-iterative method is usually adopted, in order to achieve computational accuracy through very small time steps. Models using both methods were constructed and compared for computational efficiency. Findings The results indicate that the explicit method yields higher levels of efficiency compared to the implicit method as model complexity increases. Furthermore, the implicit method displayed instabilities and numerical difficulties in certain load conditions further disfavoring the solver’s performance. Originality/value Comparison of the implicit and explicit procedures for time stepping was applied in 3D finite element analysis of the plate rolling process in order to evaluate and quantify the computational efficiency.


2020 ◽  
Vol 48 (5) ◽  
pp. 2295-2305
Author(s):  
Jiawei Zhang ◽  
Dandan Li ◽  
Rui Zhang ◽  
Peng Gao ◽  
Rongxue Peng ◽  
...  

The role of miR-21 in the pathogenesis of various liver diseases, together with the possibility of detecting microRNA in the circulation, makes miR-21 a potential biomarker for noninvasive detection. In this review, we summarize the potential utility of extracellular miR-21 in the clinical management of hepatic disease patients and compared it with the current clinical practice. MiR-21 shows screening and prognostic value for liver cancer. In liver cirrhosis, miR-21 may serve as a biomarker for the differentiating diagnosis and prognosis. MiR-21 is also a potential biomarker for the severity of hepatitis. We elucidate the disease condition under which miR-21 testing can reach the expected performance. Though miR-21 is a key regulator of liver diseases, microRNAs coordinate with each other in the complex regulatory network. As a result, the performance of miR-21 is better when combined with other microRNAs or classical biomarkers under certain clinical circumstances.


2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.


2019 ◽  
Vol 4 (2) ◽  
pp. 322-324
Author(s):  
Thomas F. Burke

Purpose The purpose of this article was to describe a model for “hybrid speech telecoaching” developed for a Fortune 100 organization and offer a “thought starter” on how clinicians might think of applying these corporate strategies within future clinical practice. Conclusion The author contends in this article that corporate telecommunications and best practices gleaned from software development engineering teams can lend credibility to e-mail, messaging apps, phone calls, or other emerging technology as viable means of hybrid telepractice delivery models and offer ideas about the future of more scalable speech-language pathology services.


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