Search results for: normal strength concrete
Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 2501

Search results for: normal strength concrete

1151 Math Curriculum Adaptation for Disadvantaged Students in an Inclusive Classroom

Authors: Tai-Hwa Emily Lu

Abstract:

This study was a part of the three-year longitudinal research on setting up an math learning model for the disadvantaged students in Taiwan. A target 2nd grade class with 10 regular students and 6 disadvantaged students at a disadvantaged area in Taipei participated in this study. Two units of a market basal math textbook concerning fractions, three-dimensional figures, weight and capacity were adapted to enhance their math learning motivations, confidences and effects. The findings were (1) curriculum adaptation was effective on enhancing students- learning motivations, confidences and effects; (2) story-type problems and illustrations decreased difficulties on understanding math language for students from new immigrant families and students with special needs; (3) “concrete – semiconcrete – abstract" teaching strategies and hands-on activities were essential to raise students learning interests and effects; and (4) curriculum adaptation knowledge and skills needed to be included in the pre- and in-service teacher training programs.

Keywords: curriculum adaptations, mathematics, disadvantaged students, inclusive classroom

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1150 Computational Investigations of Concrete Footing Rotational Rigidity

Authors: E. S. Fraser, G. P. A. G. van Zijl

Abstract:

In many buildings we rely on large footings to offer structural stability. Designers often compensate for the lack of knowledge available with regard to foundation-soil interaction by furnishing structures with overly large footings. This may lead to a significant increase in building expenditures if many large foundations are present. This paper describes the interface material law that governs the behavior along the contact surface of adjacent materials, and the behavior of a large foundation under ultimate limit loading. A case study is chosen that represents a common foundation-soil system frequently used in general practice and therefore relevant to other structures. Investigations include compressing versus uplifting wind forces, alterations to the foundation size and subgrade compositions, the role of the slab stiffness and presence and the effect of commonly used structural joints and connections. These investigations aim to provide the reader with an objective design approach, efficiently preventing structural instability.

Keywords: Computational investigation of footing rotation.

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1149 Bayesian Deep Learning Algorithms for Classifying COVID-19 Images

Authors: I. Oloyede

Abstract:

The study investigates the accuracy and loss of deep learning algorithms with the set of coronavirus (COVID-19) images dataset by comparing Bayesian convolutional neural network and traditional convolutional neural network in low dimensional dataset. 50 sets of X-ray images out of which 25 were COVID-19 and the remaining 20 were normal, twenty images were set as training while five were set as validation that were used to ascertained the accuracy of the model. The study found out that Bayesian convolution neural network outperformed conventional neural network at low dimensional dataset that could have exhibited under fitting. The study therefore recommended Bayesian Convolutional neural network (BCNN) for android apps in computer vision for image detection.

Keywords: BCNN, CNN, Images, COVID-19, Deep Learning.

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1148 Fractional Order Controller Design for Vibration Attenuation in an Airplane Wing

Authors: Birs Isabela, Muresan Cristina, Folea Silviu, Prodan Ovidiu

Abstract:

The wing is one of the most important parts of an airplane because it ensures stability, sustenance and maneuverability of the airplane. Because of its shape, the airplane wing can be simplified to a smart beam. Active vibration suppression is realized using piezoelectric actuators that are mounted on the surface of the beam. This work presents a tuning procedure of fractional order controllers based on a graphical approach of the frequency domain representation. The efficacy of the method is proven by practically testing the controller on a laboratory scale experimental stand.

Keywords: Fractional order controller, piezoelectric actuators, smart beam, vibration suppression.

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1147 Health Assessment of Electronic Products using Mahalanobis Distance and Projection Pursuit Analysis

Authors: Sachin Kumar, Vasilis Sotiris, Michael Pecht

Abstract:

With increasing complexity in electronic systems there is a need for system level anomaly detection and fault isolation. Anomaly detection based on vector similarity to a training set is used in this paper through two approaches, one the preserves the original information, Mahalanobis Distance (MD), and the other that compresses the data into its principal components, Projection Pursuit Analysis. These methods have been used to detect deviations in system performance from normal operation and for critical parameter isolation in multivariate environments. The study evaluates the detection capability of each approach on a set of test data with known faults against a baseline set of data representative of such “healthy" systems.

Keywords: Mahalanobis distance, Principle components, Projection pursuit, Health assessment, Anomaly.

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1146 Sensorless Commutation Control of Switched Reluctance Motor

Authors: N.H. Mvungi

Abstract:

This paper addresses control of commutation of switched reluctance (SR) motor without the use of a physical position detector. Rotor position detection schemes for SR motor based on magnetisation characteristics of the motor use normal excitation or applied current /voltage pulses. The resulting schemes are referred to as passive or active methods respectively. The research effort is in realizing an economical sensorless SR rotor position detector that is accurate, reliable and robust to suit a particular application. An effective and reliable means of generating commutation signals of an SR motor based on inductance profile of its stator windings determined using active probing technique is presented. The scheme has been validated online using a 4-phase 8/6 SR motor and an 8-bit processor.

Keywords: Position detection, rotor position, sensorless, switched reluctance, SR.

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1145 Membership Surface and Arithmetic Operations of Imprecise Matrix

Authors: Dhruba Das

Abstract:

In this paper, a method has been developed to construct the membership surfaces of row and column vectors and arithmetic operations of imprecise matrix. A matrix with imprecise elements would be called an imprecise matrix. The membership surface of imprecise vector has been already shown based on Randomness-Impreciseness Consistency Principle. The Randomness- Impreciseness Consistency Principle leads to defining a normal law of impreciseness using two different laws of randomness. In this paper, the author has shown row and column membership surfaces and arithmetic operations of imprecise matrix and demonstrated with the help of numerical example.

Keywords: Imprecise number, Imprecise vector, Membership surface, Imprecise matrix.

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1144 Evaluation of PTFE Composites with Mineral Tailing Considering Friction, Wear and Cost

Authors: Antônio P. de Araújo Neto, Ruy D. A. da Silva Neto, Juliana R. de Souza, Salete K. P. de Medeiros, João T. N. de Medeiros

Abstract:

The tribological test with Pin-On-Disc configuration measures friction and wear properties in dry or lubricated sliding surfaces of a variety of materials and coatings. Polymeric matrix composites loaded with mineral filler were used, 1%, 3%, 10%, 30%, and 50% mass percentage of filler, to reduce the material cost by using mineral tailings. Using a pin-on-disc tribometer to quantify coefficient of friction and wear resistance of the specimens. The parameters known to performing the test were 300 rpm rotation, normal load of 16N and duration of 33.5 minutes. The composite with 10% mineral filler performed better, considering that the wear resistance was good when compared to the other compositions and an average low coefficient of friction, in the order of μ ≤ 0.15.

Keywords: Microcomposites, microparticles tailings of scheelite, PTFE, tribology.

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1143 Asymmetric Tukey’s Control Chart Robust to Skew and Non-Skew Process Observation

Authors: S. Sukparungsee

Abstract:

In reality, the process observations are away from the assumption that are normal distributed. The observations could be skew distributions which should use an asymmetric chart rather than symmetric chart. Consequently, this research aim to study the robustness of the asymmetric Tukey’s control chart for skew and non-skew distributions as Lognormal and Laplace distributions. Furthermore, the performances in detecting of a change in parameter of asymmetric and symmetric Tukey’s control charts are compared by Average ARL (AARL). The results found that the asymmetric performs better than symmetric Tukey’s control chart for both cases of skew and non-skew process observation.

Keywords: Asymmetric control limit, average of average run length, Tukey’s control chart and skew distributions.

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1142 Design and Implementation of Real-Time Automatic Censoring System on Chip for Radar Detection

Authors: Imron Rosyadi, Ridha A. Djemal, Saleh A. Alshebeili

Abstract:

Design and implementation of a novel B-ACOSD CFAR algorithm is presented in this paper. It is proposed for detecting radar target in log-normal distribution environment. The BACOSD detector is capable to detect automatically the number interference target in the reference cells and detect the real target by an adaptive threshold. The detector is implemented as a System on Chip on FPGA Altera Stratix II using parallelism and pipelining technique. For a reference window of length 16 cells, the experimental results showed that the processor works properly with a processing speed up to 115.13MHz and processing time0.29 ┬Ás, thus meets real-time requirement for a typical radar system.

Keywords: CFAR, FPGA, radar.

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1141 Involving Action Potential Morphology on a New Cellular Automata Model of Cardiac Action Potential Propagation

Authors: F. Pourhasanzade, S. H. Sabzpoushan

Abstract:

Computer modeling has played a unique role in understanding electrocardiography. Modeling and simulating cardiac action potential propagation is suitable for studying normal and pathological cardiac activation. This paper presents a 2-D Cellular Automata model for simulating action potential propagation in cardiac tissue. We demonstrate a novel algorithm in order to use minimum neighbors. This algorithm uses the summation of the excitability attributes of excited neighboring cells. We try to eliminate flat edges in the result patterns by inserting probability to the model. We also preserve the real shape of action potential by using linear curve fitting of one well known electrophysiological model.

Keywords: Cellular Automata, Action Potential Propagation, cardiac tissue, Isotropic Pattern, accurate shape of cardiac actionpotential.

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1140 The Effect of Insurance on Foreign Direct Investments Inflow to Nigeria

Authors: Chimaobi V. Okolo, Afamefuna J. Ani, Ebere U. Okolo

Abstract:

This paper seeks to assess the implications of insurance to foreign direct investment inflow in Nigeria. Multiple linear regression technique and correlation matrix test were employed to measure the extent to which foreign direct investment was influenced. The result showed that insurance premium (IP), asset size of insurance industry (AS), and total investment of the industry (TI) impacted significantly and positively on foreign direct investment inflow in Nigeria. There should be effective risk transfer mechanism and financial intermediation, which gives the investor confidence in the risk management strength of the host country.

Keywords: Foreign direct investment, insurance.

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1139 Factors Affecting General Practitioners’ Transfer of Specialized Self-Care Knowledge to Patients

Authors: Weidong Xia, Malgorzata Kolotylo, Xuan Tan

Abstract:

This study examines the key factors that influence general practitioners’ learning and transfer of specialized arthritis knowledge and self-care techniques to patients during normal patient visits. Drawing on the theory of planed behavior and using matched survey data collected from general practitioners before and after training sessions provided by specialized orthopedic physicians, the study suggests that the general practitioner’s intention to use and transfer learned knowledge was influenced mainly by intrinsic motivation, organizational learning culture and absorptive capacity, but was not influenced by extrinsic motivation. The results provide both theoretical and practical implications.

Keywords: Empirical study, healthcare knowledge management, patient self-care, physician knowledge transfer.

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1138 Utilizing Innovative Techniques to Improve Email Security

Authors: Amany M. Alshawi, Khaled Alduhaiman

Abstract:

This paper proposes a technique to protect against email bombing. The technique employs a statistical approach, Naïve Bayes (NB), and Neural Networks to show that it is possible to differentiate between good and bad traffic to protect against email bombing attacks. Neural networks and Naïve Bayes can be trained by utilizing many email messages that include both input and output data for legitimate and non-legitimate emails. The input to the model includes the contents of the body of the messages, the subject, and the headers. This information will be used to determine if the email is normal or an attack email. Preliminary tests suggest that Naïve Bayes can be trained to produce an accurate response to confirm which email represents an attack.

Keywords: Email bombing, Legitimate email, Naïve Bayes, Neural networks, Non-legitimate email.

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1137 Improvement of Load Carrying Capacity of an RCC T-Beam Bridge Longitudinal Girder by Replacing Steel Bars with SMA Bars

Authors: N. K. Paul, S. Saha

Abstract:

An innovative three dimensional finite element model has beed developed and tested under two point loading system to examine the structural behavior of the longitudinal reinforced concrete Tee-beam bridge girder, reinforcing with steel and shape memory alloy bars respectively. 25% of steel bars are replaced with superelastic Shape Memory Alloy bars in this study. Finite element analysis is performed using ANSYS 11.0 program. Experimentally a model of steel reinforced girder has been casted and its load deflection responses are checked with ANSYS analysis. A comparison of load carrying capacity for the model between steel RC girder and the girder combined reinforcement with SMA and steel are also performed.

Keywords: Shape memory alloy, bridge girder, ANSYS, load-deflection.

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1136 Reduction of Differential Column Shortening in Tall Buildings

Authors: Hansoo Kim, Seunghak Shin

Abstract:

The differential column shortening in tall buildings can be reduced by improving material and structural characteristics of the structural systems. This paper proposes structural methods to reduce differential column shortening in reinforced concrete tall buildings; connecting columns with rigidly jointed horizontal members, using outriggers, and placing additional reinforcement at the columns. The rigidly connected horizontal members including outriggers reduce the differential shortening between adjacent vertical members. The axial stiffness of columns with greater shortening can be effectively increased by placing additional reinforcement at the columns, thus the differential column shortening can be reduced in the design stage. The optimum distribution of additional reinforcement can be determined by applying a gradient based optimization technique.

Keywords: Column shortening, long-term behavior, optimization, tall building.

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1135 Structural Characteristics of Three-Dimensional Random Packing of Aggregates with Wide Size Distribution

Authors: Kasthurirangan Gopalakrishnan, Naga Shashidhar

Abstract:

The mechanical properties of granular solids are dependent on the flow of stresses from one particle to another through inter-particle contact. Although some experimental methods have been used to study the inter-particle contacts in the past, preliminary work with these techniques indicated that they do not have the necessary resolution to distinguish between those contacts that transmit the load and those that do not, especially for systems with a wide distribution of particle sizes. In this research, computer simulations are used to study the nature and distribution of contacts in a compact with wide particle size distribution, representative of aggregate size distribution used in asphalt pavement construction. The packing fraction, the mean number of contacts and the distribution of contacts were studied for different scenarios. A methodology to distinguish and compute the fraction of load-bearing particles and the fraction of space-filling particles (particles that do not transmit any force) is needed for further investigation.

Keywords: Computer simulation, three-dimensional particlepacking, coordination number, asphalt concrete, aggregates.

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1134 Smart Airport: Application of Internet of Things for Confronting Airport Challenges

Authors: Ali Safaeianpour, Nima Shamandi

Abstract:

As air traffic expands, many airports have evolved into transit centers for people, information, and commerce, and technology implementation is an absolute part of airport development. Several challenges are in the way of implementing technology in an airport. Airport 4.0 proposes the "Smart Airport" concept, which focuses on using modern technologies such as Big Data, the Internet of Things (IoT), advanced biometric systems, blockchain, and cloud computing to alter and enhance passengers' journeys. Several common IoT concrete topics as partial keys to smart airports are discussed and introduced, ranging from automated check-in systems to exterior tracking processes, with the goal of enlightening more and more insightful ideas and proposals about smart airport solutions. IoT will dramatically alter people's lives by infusing intelligence, boosting the quality of life, and assembling it smarter. This paper reviews the approaches to transforming an airport into a smart airport and describes several enabling components of IoT and challenges that can hinder the implementation of a smart airport's function, which require to be addressed.

Keywords: Airport 4.0, Digital Airport, Smart airport, IoT.

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1133 Marangoni Convection in a Fluid Saturated Porous Layer with a Deformable Free Surface

Authors: Nor Fadzillah Mohd Mokhtar, Norihan Md Arifin, Roslinda Nazar, Fudziah Ismail, MohamedSuleiman

Abstract:

The stability analysis of Marangoni convection in porous media with a deformable upper free surface is investigated. The linear stability theory and the normal mode analysis are applied and the resulting eigenvalue problem is solved exactly. The Darcy law and the Brinkman model are used to describe the flow in the porous medium heated from below. The effect of the Crispation number, Bond number and the Biot number are analyzed for the stability of the system. It is found that a decrease in the Crispation number and an increase in the Bond number delay the onset of convection in porous media. In addition, the system becomes more stable when the Biot number is increases and the Daeff number is decreases.

Keywords: Deformable, Marangoni, Porous, Stability.

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1132 Optimal Design of Motorcycle Crash Bar Using CAD and Finite Element Analysis

Authors: Sharon S. Wu, Yong S. Park

Abstract:

This project aims to study and evaluate the motorcycle crash bar, which is used to reduce injuries caused by side impacts to the motorcycle, and then develop an improved design using the engineering design process theory based on the current benchmark crash bar in order to lower the severity of motorcycle crash injuries. For this purpose, simulations for the crash bar are set up so that it travels at an angle towards a fixed concrete wall and collides at certain velocities. 3D CAD models are first designed in SolidWorks and dynamic crash simulations are then carried out using ANSYS to determine the lowest maximum Von-Mises stress over time and deformations by adjusting the parameters used in manufacturing the crash bar, including the velocity of the crash, material used, geometries with various radius fillets, and different thicknesses for the bar. The results of the simulation are used to determine the optimum parameters for a safer crash bar to withstand higher stress and deformation. Specifically, the von-Mises stress was reduced by at least 75% compared with the benchmark design by choosing aluminum alloy and a true unibar design.

Keywords: Crash bar, crash simulation, engineering design, motorcycle safety.

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1131 Utilization of Nanoclay to Reinforce Flax Fabric-Geopolymer Composites

Authors: H. Assaedi, F. U. A. Shaikh, I. M. Low

Abstract:

Geopolymer composites reinforced with flax fabrics and nanoclay are fabricated and studied for physical and mechanical properties using X-Ray Diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR), and Scanning Electron Microscope (SEM). Nanoclay platelets at a weight of 1.0%, 2.0%, and 3.0% were added to geopolymer pastes. Nanoclay at 2.0 wt.% was found to improve density and decrease porosity while improving flexural strength and post-peak toughness. A microstructural analysis indicated that nanoclay behaves as filler and as an activator supporting geopolymeric reaction while producing a higher content geopolymer gel improving the microstructure of binders. The process enhances adhesion between the geopolymer matrix and flax fibres.

Keywords: Flax fibres, geopolymer, mechanical properties, nanoclay.

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1130 Study of Biocomposites Based of Poly(Lactic Acid) and Olive Husk Flour

Authors: Samra Isadounene, Amar Boukerrou, Dalila Hammiche

Abstract:

In this work, the composites were prepared with poly(lactic acid) (PLA) and olive husk flour (OHF) with different percentages (10, 20 and 30%) using extrusion method followed by injection molding. The morphological, mechanical properties and thermal behavior of composites were investigated. Tensile strength and elongation at break of composites showed a decreasing trend with increasing fiber content. On the other hand, Young modulus and storage modulus were increased. The addition of OHF resulted in a decrease in thermal stability of composites. The presence of OHF led to an increase in percentage of crystallinity (Xc) of PLA matrix.

Keywords: Biopolymers, composites, mechanical properties, poly(lactic acid).

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1129 Process-based Business Transformation through Services Computing

Authors: Sinnakkrishnan Perumal, Nitish Pandey

Abstract:

Business transformation initiatives are required by any organization to jump from its normal mode of operation to the one that is suitable for the change in the environment such as competitive pressures, regulatory requirements, changes in labor market, etc., or internal such as changes in strategy/vision, changes in the capability, change in the management, etc. Recent advances in information technology in automating the business processes have the potential to transform an organization to provide it with a sustained competitive advantage. Process constitutes the skeleton of a business. Thus, for a business to exist and compete well, it is essential for the skeleton to be robust and agile. This paper details “transformation" from a business perspective, methodologies to bring about an effective transformation, process-based transformation, and the role of services computing in this. Further, it details the benefits that could be achieved through services computing.

Keywords: Business Transformation, Services Oriented Architecture, Business Processes, Process-based Transformation.

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1128 FT-IR Study of Stabilized PAN Fibers for Fabrication of Carbon Fibers

Authors: R. Eslami Farsani, S. Raissi, A. Shokuhfar, A. Sedghi

Abstract:

In this investigation, types of commercial and special polyacrylonitrile (PAN) fibers contain sodium 2-methyl-2- acrylamidopropane sulfonate (SAMPS) and itaconic acid (IA) comonomers were studied by fourier transform infrared (FT-IR) spectroscopy. The study of FT-IR spectra of PAN fibers samples with different comonomers shows that during stabilization of PAN fibers, the peaks related to C≡N bonds and CH2 are reduced sharply. These reductions are related to cyclization of nitrile groups and stabilization procedure. This reduction in PAN fibers contain IA comonomer is very intense in comparison with PAN fibers contain SAMPS comonomer. This fact indicates the cycling and stabilization for sample contain IA comonomer have been conducted more completely. Therefore the carbon fibers produced from this material have higher tensile strength due to suitable stabilization.

Keywords: PAN Fibers, Stabilization, Carbon Fibers, FT-IR.

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1127 Response Surface Methodology for Optimum Hardness of TiN on Steel Substrate

Authors: R. Joseph Raviselvan, K. Ramanathan, P. Perumal, M. R. Thansekhar

Abstract:

Hard coatings are widely used in cutting and forming tool industries. Titanium Nitride (TiN) possesses good hardness, strength, and corrosion resistance. The coating properties are influenced by many process parameters. The coatings were deposited on steel substrate by changing the process parameters such as substrate temperature, nitrogen flow rate and target power in a D.C planer magnetron sputtering. The structure of coatings were analysed using XRD. The hardness of coatings was found using Micro hardness tester. From the experimental data, a regression model was developed and the optimum response was determined using Response Surface Methodology (RSM).

Keywords: Hardness, RSM, sputtering, TiN XRD.

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1126 Experimental and Numerical Study of The Shock-Accelerated Elliptic Heavy Gas Cylinders

Authors: Jing S. Bai, Li Y. Zou, Tao Wang, Kun Liu, Wen B. Huang, Jin H. Liu, Ping Li, Duo W. Tan, CangL. Liu

Abstract:

We studied the evolution of elliptic heavy SF6 gas cylinder surrounded by air when accelerated by a planar Mach 1.25 shock. A multiple dynamics imaging technology has been used to obtain one image of the experimental initial conditions and five images of the time evolution of elliptic cylinder. We compared the width and height of the circular and two kinds of elliptic gas cylinders, and analyzed the vortex strength of the elliptic ones. Simulations are in very good agreement with the experiments, but due to the different initial gas cylinder shapes, a certain difference of the initial density peak and distribution exists between the circular and elliptic gas cylinders, and the latter initial state is more sensitive and more inenarrable.

Keywords: About four key words or phrases in alphabeticalorder, separated by commas.

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1125 Durability of Mortar in Presence of Rice Husk Ash

Authors: Md. Harunur Rashid, Md. Keramat Ali Molla, Tarif Uddin Ahmed

Abstract:

The purpose of this paper is to investigate the durability of cement mortar in presence of Rice Husk Ash (RHA). The strength and durability of mortar with different replacement level (0%, 10%, 15%, 20%, 25% and 30%) of Ordinary Portland Cement (OPC) by RHA is investigated here. RHA was manufactured from an uncontrolled burning process. Test samples were prepared with river sand of FM 2.73. Samples were kept in controlled environment up to test time. The results show that addition of RHA was shown better results for 20% replacement level than OPC at 90 days. In durability test all samples passed for 20 cycles except 25% and 30% replacement level.

Keywords: Rice Husk Ash; durability; mortar, graded sand.

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1124 An EWMA p Chart Based On Improved Square Root Transformation

Authors: S. Sukparungsee

Abstract:

Generally, the traditional Shewhart p chart has been developed by for charting the binomial data. This chart has been developed using the normal approximation with condition as low defect level and the small to moderate sample size. In real applications, however, are away from these assumptions due to skewness in the exact distribution. In this paper, a modified Exponentially Weighted Moving Average (EWMA) control chat for detecting a change in binomial data by improving square root transformations, namely ISRT p EWMA control chart. The numerical results show that ISRT p EWMA chart is superior to ISRT p chart for small to moderate shifts, otherwise, the latter is better for large shifts.

Keywords: Number of defects, Exponentially Weighted Moving Average, Average Run Length, Square root transformations.

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1123 Metrology-Inspired Methods to Assess the Biases of Artificial Intelligence Systems

Authors: Belkacem Laimouche

Abstract:

With the field of Artificial Intelligence (AI) experiencing exponential growth, fueled by technological advancements that pave the way for increasingly innovative and promising applications, there is an escalating need to develop rigorous methods for assessing their performance in pursuit of transparency and equity. This article proposes a metrology-inspired statistical framework for evaluating bias and explainability in AI systems. Drawing from the principles of metrology, we propose a pioneering approach, using a concrete example, to evaluate the accuracy and precision of AI models, as well as to quantify the sources of measurement uncertainty that can lead to bias in their predictions. Furthermore, we explore a statistical approach for evaluating the explainability of AI systems based on their ability to provide interpretable and transparent explanations of their predictions.

Keywords: Artificial intelligence, metrology, measurement uncertainty, prediction error, bias, machine learning algorithms, probabilistic models, inter-laboratory comparison, data analysis, data reliability, bias impact assessment, bias measurement.

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1122 Poststreptococcal Reactive Arthritis in Children: A Serial Case

Authors: A. Lubis, S. S. Pasulu, Z. Hikmah, A. Endaryanto, A. Harsono

Abstract:

Infection by group A streptococci (GAS) can trigger an autoantibody that cause a poststreptococcal reactive arthritis (PSRA). Four patients with PSRA aged 10 years to 14 years old with the main complaint of joint pain for five days to 10 days after suffering a fever and sore throat. The joint pain was persistent, additive, and non migratory. All patients revealed an increase in erythrocyte sedimentation rate (ESR) and anti-streptolysin O (ASLO), but the chest x-ray, electrocardiography, and echocardiography were normal. Bone imaging showed no destruction on the affected joint. Jones Criteria were not fulfilled in all patients. Erythromycin and ibuprofen were given in all patients and an improvement was shown. Erythromycin was continued for one year and routine controls were conducted for cardiac evaluation. The prognosis of all the patients was good.

Keywords: Arthritis, group A streptococcus, autoantibody, Jones criteria.

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