Deaths certified as asthma and use of medical services: A national case-control study

This is an open access publication. The official published version can be accessed from the link below.Background: Studies have linked asthma death to either increased or decreased use of medical services. Methods: A population based case-control study of asthma deaths in 1994–8 was performed in 22 English, six Scottish, and five Welsh health authorities/boards. All 681 subjects who died were under the age of 65 years with asthma in Part I on the death certificates. After exclusions, 532 hospital controls were matched to 532 cases for age, district, and date of asthma admission/death. Data were extracted blind from primary care records. Results: The median age of the subjects who died was 53 years; 60% of cases and 64% of controls were female. There was little difference in outpatient attendance (55% and 55%), hospital admission for asthma (51% and 54%), and median inpatient days (20 days and 15 days) in the previous 5 years. After mutual adjustment and adjustment for sex, using conditional logistic regression, three variables were independently associated with asthma death: fewer general practice contacts (odds ratio 0.82 (95% confidence interval (CI) 0.74 to 0.91) per 5 contacts) in the previous year, more home visits (1.14 (95% CI 1.08 to 1.21) per visit) in the previous year, and fewer peak expiratory flow recordings (0.83 (95% CI 0.74 to 0.92) per occasion) in the previous 3 months. These associations were similar after adjustment for markers of severity, psychosocial factors, systemic steroids, short acting bronchodilators and antibiotics, although the association with peak flow was weakened and just lost significance. Conclusion: Asthma death is associated with less use of primary care services. Both practice and patient factors may be involved and a better understanding of these may offer possibilities for reducing asthma death.This study was funded jointly between the National Research and Development Asthma Management Programme (contract number AM1/ 05/002) and the National Asthma Campaign through a grant from Glaxo Wellcome (now GlaxoSmithKline)

The Escape of Ionizing Photons from the Galaxy

The Magellanic Stream and several high velocity clouds have now been detected in optical line emission. The observed emission measures and kinematics are most plausibly explained by photoionization due to hot, young stars in the Galactic disk. The highly favorable orientation of the Stream allows an unambiguous determination of the fraction of ionizing photons, F_esc, which escape the disk. We have modelled the production and transport of ionizing photons through an opaque interstellar medium. Normalization to the Stream detections requires F_esc = 6%, in reasonable agreement with the flux required to ionize the Reynolds layer. Neither shock heating nor emission within a hot Galactic corona can be important in producing the observed H-alpha emission. If such a large escape fraction is typical of L_* galaxies, star-forming systems dominate the extragalactic ionizing background. Within the context of this model, both the three-dimensional orientation of the Stream and the distances to high-velocity clouds can be determined by sensitive H-alpha observations.Comment: 4 pages; LaTeX2e, emulateapj.sty, apjfonts.sty; 4 encapsulated PS figures. For correct labels, may need to print Fig. 3 separately due to psfig limitation. Astrophysical Journal (Letters), accepte

Large scale excitation of the ISM in NGC 1068

Researchers have shown that photoionization by the continuum of the hidden Seyfert I nucleus in NGC 1068 can have a significant effect on the ionization state and energetics of this disk's Interstellar Medium (ISM). Photoionization models with appropriate power law spectra can produce (NII) lambda lambda 6538, 6584/H alpha line ratios of 1.25 for ionization parameters Q approx. 10 (exp -12). However the data indicate large regions where the (NII)/H alpha ratio is 1 to 3. Since the abundances are known to be solar, there must be additional heating sources. Hardening of the incident radiation field by intervening absorption should be able to raise T sub e, thereby raising the (NII)/H alpha ratio. Heating with moderate efficiency by the intense starburst ring should also be a significant factor in raising the temperature of the ISM. The photoionization models with additional heating predict enhanced emission from other forbidden lines including (OII) lambda 3727 and (SII) lambda 6731

Magnetoswitching of current oscillations in diluted magnetic semiconductor nanostructures

Strongly nonlinear transport through Diluted Magnetic Semiconductor multiquantum wells occurs due to the interplay between confinement, Coulomb and exchange interaction. Nonlinear effects include the appearance of spin polarized stationary states and self-sustained current oscillations as possible stable states of the nanostructure, depending on its configuration and control parameters such as voltage bias and level splitting due to an external magnetic field. Oscillatory regions grow in size with well number and level splitting. A systematic analysis of the charge and spin response to voltage and magnetic field switching of II-VI Diluted Magnetic Semiconductor multiquantum wells is carried out. The description of stationary and time-periodic spin polarized states, the transitions between them and the responses to voltage or magnetic field switching have great importance due to the potential implementation of spintronic devices based on these nanostructures.Comment: 14 pages, 4 figures, Revtex, to appear in PR

Threshold Resummation for W-Boson Production at RHIC

We study the resummation of large logarithmic perturbative corrections to the partonic cross sections relevant for the process pp -> W^+- X at the BNL Relativistic Heavy Ion Collider (RHIC). At RHIC, polarized protons are available, and spin asymmetries for this process will be used for precise measurements of the up and down quark and anti-quark distributions in the proton. The corrections arise near the threshold for the partonic reaction and are associated with soft-gluon emission. We perform the resummation to next-to-leading logarithmic accuracy, for the rapidity-differential cross section. We find that resummation leads to relatively moderate effects on the cross sections and spin asymmetries.Comment: 25 pages, 15 figures as eps files. One reference added and typo correcte

MMTF: The Maryland-Magellan Tunable Filter

This paper describes the Maryland-Magellan Tunable Filter (MMTF) on the Magellan-Baade 6.5-meter telescope. MMTF is based on a 150-mm clear aperture Fabry-Perot (FP) etalon that operates in low orders and provides transmission bandpass and central wavelength adjustable from ~5 to ~15 A and from ~5000 to over ~9200 A, respectively. It is installed in the Inamori Magellan Areal Camera and Spectrograph (IMACS) and delivers an image quality of ~0.5" over a field of view of 27' in diameter (monochromatic over ~10'). This versatile and easy-to-operate instrument has been used over the past three years for a wide variety of projects. This paper first reviews the basic principles of FP tunable filters, then provides a detailed description of the hardware and software associated with MMTF and the techniques developed to observe with this instrument and reduce the data. The main lessons learned in the course of the commissioning and implementation of MMTF are highlighted next, before concluding with a brief outlook on the future of MMTF and of similar facilities which are soon coming on line.Comment: 38 pages, 12 figures, 3 tables, now accepted for publication to the Astronomical Journa

Instability of Rotationally Tuned Dipolar Bose-Einstein Condensates

The possibility of effectively inverting the sign of the dipole-dipole interaction, by fast rotation of the dipole polarization, is examined within a harmonically trapped dipolar Bose-Einstein condensate. Our analysis is based on the stationary states in the Thomas-Fermi limit, in the corotating frame, as well as direct numerical simulations in the Thomas-Fermi regime, explicitly accounting for the rotating polarization. The condensate is found to be inherently unstable due to the dynamical instability of collective modes. This ultimately prevents the realization of robust and long-lived rotationally tuned states. Our findings have major implications for experimentally accessing this regime.Comment: 9 pages with 5 figure

Mathematical model for lift/cruise fan V/STOL aircraft simulator programming data

Simulation data are reported for the purpose of programming the flight simulator for advanced aircraft for tests of the lift/cruise fan V/STOL Research Technology Aircraft. These simulation tests are to provide insight into problem areas which are encountered in operational use of the aircraft. A mathematical model is defined in sufficient detail to represent all the necessary pertinent aircraft and system characteristics. The model includes the capability to simulate two basic versions of an aircraft propulsion system: (1) the gas coupled configuration which uses insulated air ducts to transmit power between gas generators and fans in the form of high energy engine exhaust and (2) the mechanically coupled power system which uses shafts, clutches, and gearboxes for power transmittal. Both configurations are modeled such that the simulation can include vertical as well as rolling takeoff and landing, hover, powered lift flight, aerodynamic flight, and the transition between powered lift and aerodynamic flight