Burton Leon "Burt" Reynolds is an American actor and director who has starred in many films, such as Deliverance, Smokey and the Bandit, White Lightning with its sequel Gator, The Longest Yard with its 2005 remake and Boogie Nights in which he won the Golden Globe Award for Best Supporting Actor – Motion Picture and was nominated for the Academy Award for Best Supporting Actor. Wikipedia.
Bulletin of the World Health Organization | Year: 2011
This paper considers how operational research and management science can improve the design of health systems and the delivery of health care, particularly in low-resource settings. It identifies some gaps in the way operational research is typically used in global health and proposes steps to bridge them. It then outlines some analytical tools of operational research and management science and illustrates how their use can inform some typical design and delivery challenges in global health. The paper concludes by considering factors that will increase and improve the contribution of operational research and management science to global health.
Rheumatology (Oxford, England) | Year: 2014
OBJECTIVES: The prevalence of interstitial lung disease (ILD) in RA is ∼5%. Previous work identified increasing age, active articular disease and articular damage as risk factors for RA-associated ILD (RA-ILD). The roles of high-resolution CT (HRCT) and lung function testing in defining the nature and extent of pulmonary involvement have recently been explored. This study is the first to examine predictive and prognostic factors for the development of RA-ILD and to report on the physiological and radiological characteristics of the condition from a large multicentre UK network.METHODS: We collected data from centres across the UK on patients with both RA and ILD (proved on HRCT) diagnosed over a 25-year period from 1987 to 2012 using a standard pro forma. Potential predictors of RA-ILD were analysed. Baseline lung function data were recorded and related to HRCT findings. We analysed HRCT for subtype and extent of lung involved and examined the relationship between these and both all-cause and pulmonary mortality. We compared our results with case controls matched for age and gender using computer-generated selection from the RA population from one contributing centre.RESULTS: A total of 230 patients were identified from across the UK with proven RA-ILD diagnosed over 25 years. Median age at diagnosis was 64 years and the male:female ratio was 1:1.09. Univariate analysis showed anti-CCP antibody titres to be the single most strongly associated predictor of RA-ILD. Male gender, age at onset, smoking and RF were all independently associated with RA-ILD on multivariate analysis. Vital capacity (VC) was preserved in limited disease but reduced in extensive disease, while gas transfer was reduced in both. Usual interstitial pneumonia (UIP) was the most common subtype on HRCT and both this and extensive disease were associated with increased all-cause mortality.CONCLUSION: This is the largest study of RA-ILD in the UK. Anti-CCP antibodies were strongly associated with RA-ILD in both sexes. Smoking was strongly associated with ILD in males, which may explain the higher frequency of RA-ILD in men. The predominant HRCT pattern was UIP and most patients had limited disease at presentation. The presence of UIP and extensive disease are associated with increased mortality. Baseline gas transfer is a useful screening tool for ILD, while the preservation of VC at baseline might predict limited disease on HRCT. © The Author 2014. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: email@example.com.
Information and Organization | Year: 2013
The claims for sociomateriality are reviewed and two key problems are isolated: a failure to be specific about technology and a neglect of broader social structures. These problems are located in the formulations of Barad. Her notion of agential realism is contrasted to an alternative perspective constructed using the resources of critical realism. The potential of the latter to contribute to the refreshing of the socio-technical tradition is outlined. This tradition offers more resources for the consideration of the important role of the material in contemporary organizing than sociomateriality, which is argued to be a wrong turning. © 2013 Elsevier Ltd.
Burton | Date: 2015-06-19
A fastener for use in connection with a tubular boss has a shaft with at least one rib along the length thereof and at least one thread segment extending at least partially around the shaft. The shaft is inserted into the boss in first position, and rotated to a second position wherein the at least one thread segment engages at least one column formed in the tubular boss. The shaft can be integrally formed with a first molded part to be fastened to a second molded part with an integrally formed tubular boss. Various locking features for locking the shaft in the boss are also disclosed.
Burton | Date: 2014-01-28
An earphone or adapter for attaching to an earphone includes an ear portion including a tubular sidewall. In one embodiment, the tubular sidewall includes an inner surface defining an air channel extending through the sidewall. The air channel redirects sound at an angle to the speaker axis, and may have a smooth contour to maintain sound quality. In one embodiment, the inner surface has a twin cone shape including a converging cone portion extending from the first end and a diverging cone portion extending from the converging cone portion to the second end. The outer surface of the tubular portion may include a plurality of outwardly extending fins In one embodiment, the tubular portion includes both a plurality of fins, and a twin cone air channel.