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Table 9.1 Priority selection for rehabilitation. Priority Structure Bridge #1 Method of Rehabilitation/ Reconstruction Rehabilitation/ Reconstruction Cost Year Built (2009 $) FHWA Condition $7 million Satisfactory NBIS/SI&A Suf ciency Rating BMS Deck (0 100) Condition Rating 80.0 1.5

Cam follower systems are classi ed by referring to the follower or the cam or both Let us consider the follower rst The follower movement is translation, oscillation, or indexing The follower surface is knife-edge, at, curved, or roller The follower restraint to the cam is positive-driven by the use of rollers in the cam groove or multiple conjugate cams, is spring-loaded, or occurs by gravity Also, the translating follower line of motion with reference to the cam center may be radial or offset The radial translating follower shown in Figure 14 will be used as an example The popular oscillating follower and the rotating follower are discussed later The knife-edge, or point, follower (Fig 14a), is, as the name implies, a sharp edge in contact with the cam.

10-12

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the underlying stroma, myometrium, and vascular spaces There are two types of endometrial cancer based on light microscopic appearance, clinical behavior, and epidemiology, Type 1 and Type II. What are these types Type 1: These have an endometrioid histology and comprise 70 80% of newly diagnosed cases of endometrial cancer in the United States. They are associated with unopposed estrogen exposure and are often preceded by premalignant disease Type II: These have nonendometrioid histology (usually papillary serous or clear cell) with an aggressive clinical course. Hormonal risk factors have not been identified, and there is no readily observed premalignant phase How common is endometrial cancer and in whom does it occur What are the major symptoms of endometrial cancer What are the roles of estrogen and progesterone in endometrial cancer It is the most common gynecologic cancer; 75% of these cancers occur in postmenopausal women Abnormal uterine bleeding (primarily postmenopausal bleeding) Estrogen stimulates endometrial growth while progesterone has antiproliferative effects. Long-term unopposed estrogen stimulation can eventually lead to atypical endometrial hyperplasia and endometrial cancer Exogenous unopposed estrogen (i.e., estrogen replacement therapy); chronic anovulation (i.e., polycystic ovarian syndrome [PCOS]); estrogenproducing tumors (i.e., granulosa cell tumors); obesity Obesity; diet; diabetes; hypertension; early menarche/late menopause; nulliparity; PCOS (infertility); tamoxifen treatment for breast cancer; family predisposition (hereditary nonpolyposis colorectal cancer [HNPCC]/Lynch syndrome II) Combined oral contraceptives; exercise; multiparity; smoking (through increased hepatic metabolism of estrogen) Endometrial hyperplasia is a benign condition associated with hyperestrogenic states. Atypical

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Although simple in construction, this type of follower is not practical because it results in excessive wear of the contact point It is employed in design as the center of the roller follower For proper performance the follower is constrained to the cam at all speeds The roller follower, Fig 14b, is the most popular design for accomplishing this criterion Commercially available roller followers use ball or needle bearings supported by a stem Positive drive action is accomplished by a roller follower internally in a cam groove or track (Fig 18), by followers on the opposite side of a single cam (yoke cam, Fig 110), or by conjugate dual disk cams (Fig 111) The roller follower has a low coef cient of friction when compared to the other followers and is most frequently used in production machinery and some automotive engines.

(5.25)

In contact with the cam surface the follower roller action at low speeds can be that of pure rolling; however, at higher speeds signi cant sliding is evident In groove cams the uctuation in roller speeds is the result of the driven rotational acceleration of the roller as it rides on different radial surfaces of the cam Experience has shown that the grooved cam roller follower does not provide exact positive-driven action because of the necesLoad Load Load Load.

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