Patient perceptions of epinephrine auto-injectors: Exploring barriers to use

Background: In recent years, government initiatives have proposed that patient self-care should serve as a key resource in response to the anticipated increase in global demand for health care. However, if patients are to be empowered as self-carers, barriers to engagement must be identified and overcome. Anaphylaxis is an increasingly common life threatening allergic reaction. Patients at risk of anaphylaxis are prescribed epinephrine auto-injectors and play a crucial role in delivering their own care and management of this condition. One key recommendation is that patients routinely carry an epinephrine auto-injector with them, and deploy the device when needed. However, only a small proportion of patients that require epinephrine actually receive it. Objective: To explore the reasons why patients who have been prescribed epinephrine auto-injectors fail to adhere to self-care and management recommendations. Methods: In-depth interviews with 15 adults who have been prescribed epinephrine auto-injectors were carried out to explore the barriers that exist in the provision of effective self-care and management of anaphylaxis. Results: Inconsistent health professional advice, perceived stigma of carrying a ‘weapon-like’ device, poor device design and limited patient training were identified as barriers to carriage or use. Patients were reluctant to carry devices in public because of perceived and observed stigma and suspicion. They were happy to ignore expiry dates and some participants were confident that the emergency services would provide them with the appropriate care they needed, and therefore did not carry the device in urban areas. Conclusions and clinical implications: Improved training of patients, the public and health professionals around both the carriage and use of auto-injectors are areas for urgent attention if improved levels of self-care are to be attained. The design of epinephrine auto-injectors should also receive attention as patients often fail to carry them due to size and aesthetics. Key words: Adherence, allergy, anaphylaxis, empowerment, epinephrine, self-care, self-management, patient perspectivesThis study was funded by grant number Ref: GR/S29874/01 from the Engineering and Physical Sciences Research Council

Temperature dependence of the average electron-hole pair creation energy in Al0.8Ga0.2As

The temperature dependence of the average energy consumed in the creation of an electron-hole pair in the wide bandgap compound semiconductor Al 0.8Ga0.2As is reported following X-ray measurements made using an Al0.8Ga0.2As photodiode diode coupled to a low-noise charge-sensitive preamplifier operating in spectroscopic photon counting mode. The temperature dependence is reported over the range of 261 K-342 K and is found to be best represented by the equation ε AlGaAs 7.327-0.0077 T, where εAlGaAs is the average electron-hole pair creation energy in eV and T is the temperature in K. © 2013 © 2013 Author(s)

A Socio-Informatic Approach to Automated Account Classification on Social Media

Automated accounts on social media have become increasingly problematic. We propose a key feature in combination with existing methods to improve machine learning algorithms for bot detection. We successfully improve classification performance through including the proposed feature.Comment: International Conference on Social Media and Societ

Optimal minimum-cost quantum measurements for imperfect detection

Knowledge of optimal quantum measurements is important for a wide range of situations, including quantum communication and quantum metrology. Quantum measurements are usually optimised with an ideal experimental realisation in mind. Real devices and detectors are, however, imperfect. This has to be taken into account when optimising quantum measurements. In this paper, we derive the optimal minimum-cost and minimum-error measurements for a general model of imperfect detection.Comment: 5 page

GaAsP on GaP top solar cells

GaAsP on GaP top solar cells as an attachment to silicon bottom solar cells are being developed. The GaAsP on GaP system offers several advantages for this top solar cell. The most important is that the gallium phosphide substrate provides a rugged, transparent mechanical substrate which does not have to be removed or thinned during processing. Additional advantages are that: (1) gallium phosphide is more oxidation resistant than the III-V aluminum compounds, (2) a range of energy band gaps higher than 1.75 eV is readily available for system efficiency optimization, (3) reliable ohmic contact technology is available from the light-emitting diode industry, and (4) the system readily lends itself to graded band gap structures for additional increases in efficiency

Transition state theory and the dynamics of hard disks

The dynamics of two and five disk systems confined in a square has been studied using molecular dynamics simulations and compared with the predictions of transition state theory. We determine the partition functions Z and Z^\ddagger of transition state theory using a procedure first used by Salsburg and Wood for the pressure. Our simulations show this procedure and transition state theory are in excellent agreement with the simulations. A generalization of the transition state theory to the case of a large number of disks N is made and shown to be in full agreement with simulations of disks moving in a narrow channel. The same procedure for hard spheres in three dimensions leads to the Vogel-Fulcher-Tammann formula for their alpha relaxation time.Comment: 1 new author, new simulations and figures, less speculation. Now 6 pages, 6 figures, 1 animation. Animation may be viewed at http://www.theory.physics.manchester.ac.uk/~godfrey/supplement/activated_dynamics2.htm

Discrimination of two mixed quantum states with maximum confidence and minimum probability of inconclusive results

We study an optimized measurement that discriminates two mixed quantum states with maximum confidence for each conclusive result, thereby keeping the overall probability of inconclusive results as small as possible. When the rank of the detection operators associated with the two different conclusive outcomes does not exceed unity we obtain a general solution. As an application, we consider the discrimination of two mixed qubit states. Moreover, for the case of higher-rank detection operators we give a solution for particular states. The relation of the optimized measurement to other discrimination schemes is also discussed.Comment: 7 pages, 1 figure, accepted for publication in Phys. Rev.