2,707 research outputs found

    Mapping EQ-5D utilities to GBD 2010 and GBD 2013 disability weights : results of two pilot studies in Belgium

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    Background: Utilities and disability weights (DWs) are metrics used for calculating Quality-Adjusted Life Years and Disability-Adjusted Life Years (DALYs), respectively. Utilities can be obtained with multi-attribute instruments such as the EuroQol 5 dimensions questionnaire (EQ-5D). In 2010 and 2013, Salomon et al. proposed a set of DWs for 220 and 183 health states, respectively. The objective of this study is to develop an approach for mapping EQ-5D utilities to existing GBD 2010 and GBD 2013 DWs, allowing to predict new GBD 2010/2013 DWs based on EQ-5D utilities. Methods: We conducted two pilot studies including respectively four and twenty-seven health states selected from the 220 DWs of the GBD 2010 study. In the first study, each participant evaluated four health conditions using the standard written EQ-5D-5 L questionnaire. In the second study, each participant evaluated four health conditions randomly selected among the twenty-seven health states using a previously developed web-based EQ-5D-5 L questionnaire. The EQ-5D responses were translated into utilities using the model developed by Cleemput et al. A loess regression allowed to map EQ-5D utilities to logit transformed DWs. Results: Overall, 81 and 393 respondents completed the first and the second survey, respectively. In the first study, a monotonic relationship between derived utilities and predicted GBD 2010/2013 DWs was observed, but not in the second study. There were some important differences in ranking of health states based on utilities versus GBD 2010/2013 DWs. The participants of the current study attributed a relatively higher severity level to musculoskeletal disorders such as ‘Amputation of both legs’ and a relatively lower severity level to non-functional disorders such as ‘Headache migraine’ compared to the participants of the GBD 2010/2013 studies. Conclusion: This study suggests the possibility to translate any utility derived from EQ-5D scores into a DW, but also highlights important caveats. We observed a satisfactory result of this methodology when utilities were derived from a population of public health students, a written questionnaire and a small number of health states in the presence of a study leader. However the results were unsatisfactory when utilities were derived from a sample of the general population, using a web-based questionnaire. We recommend to repeat the study in a larger and more diverse sample to obtain a more representative distribution of educational level and age

    From quantum pulse gate to quantum pulse shaper -- enigneered frequency conversion in nonlinear optical waveguides

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    Full control over the spatio-temporal structure of quantum states of light is an important goal in quantum optics, to generate for instance single-mode quantum pulses or to encode information on multiple modes, enhancing channel capacities. Quantum light pulses feature an inherent, rich spectral broadband-mode structure. In recent years, exploring the use of integrated optics as well as source-engineering has led to a deep understanding of the pulse-mode structure of guided quantum states of light. In addition, several groups have started to investigate the manipulation of quantum states by means of single-photon frequency conversion. In this paper we explore new routes towards complete control of the inherent pulse-modes of ultrafast pulsed quantum states by employing specifically designed nonlinear waveguides with adapted dispersion properties. Starting from our recently proposed quantum pulse gate (QPG) we further generalize the concept of spatio-spectral engineering for arbitrary \chitwo-based quantum processes. We analyse the sum-frequency generation based QPG and introduce the difference-frequency generation based quantum pulse shaper (QPS). Together, these versatile and robust integrated optics devices allow for arbitrary manipulations of the pulse-mode structure of ultrafast pulsed quantum states. The QPG can be utilized to select an arbitrary pulse mode from a multimode input state, whereas the QPS enables the generation of specific pulse modes from an input wavepacket with Gaussian-shaped spectrum.Comment: 21 pages, 9 figure

    Model for the low-temperature magnetic phases observed in doped YBa_2Cu_3O_{6+x}

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    A classical statistical model for the antiferromagnetic (AFM) ordering of the Cu-spins in the CuO_2 planes of reduced YBa_2Cu_3O_{6+x} type materials is presented. The magnetic phases considered are the experimentally observed high-temperature AFI phase with ordering vector Q_I=(1/2,1/2,0), and the low-temperature phases: AFII with Q_II=(1/2,1/2,1/2) and intermediate TA (Turn Angle) phases TAI, TAII and TAIII with components of both ordering vectors. It is shown that the AFII and TA phases result from an effective ferromagnetic (FM) type coupling mediated by free spins in the CuO_x basal plane. Good agreement with experimental data is obtained for realistic model parameters.Comment: 11 pages, 2 Postscript figures, Submitted to Phys.Rev.Let

    Construction, start-up and operation of a continuously aerated laboratory-scale SHARON reactor in view of coupling with an Anammox reactor

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    In this study practical experiences during start-up and operation of a laboratory-scale SHARON reactor are discussed, along with the construction of the reactor. Special attention is given to the start-up in view of possible toxic effects of high nitrogen concentrations (up to 4 000 mgN(.)l(-1)) on the nitrifier population and because the reactor was inoculated with sludge from an SBR reactor operated under completely different conditions. Because of these considerations, the reactor was first operated as an SBR to prevent biomass washout and to allow the selection of a strong nitrifying population. A month after the inoculation the reactor was switched to normal chemostat operation. As a result the nitrite oxidisers were washed out and only the ammonium oxidisers persisted in the reactor. In this contribution also some practical considerations concerning the operation of a continuously aerated SHARON reactor, such as mixing, evaporation and wall growth are discussed. These considerations are not trivial, since the reactor will be used for kinetic characterisation and modelling studies. Finally the performance of the SHARON reactor under different conditions is discussed in view of its coupling with an Anammox unit. Full nitrification was proven to be feasible for nitrogen loads up to 1.5 gTAN-N(.)l(-1.)d(-1), indicating the possibility of the SHARON process to treat highly loaded nitrogen streams. Applying different influent concentrations led to different effluent characteristics indicating the need for proper control of the SHARON reactor

    Parameterizing Gravity Waves and Understanding Their Impacts on Venus' Upper Atmosphere

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    The complexity of Venus upper atmospheric circulation is still being investigated. Simulations of Venus upper atmosphere largely depend on the utility of Rayleigh Friction (RF) as a driver and necessary process to reproduce observations (i.e. temperature, density, nightglow emission). Currently, there are additional observations which provide more constraints to help characterize the driver(s) of the circulation. This work will largely focus on the impact parameterized gravity waves have on Venus upper atmosphere circulation within a three dimensional hydrodynamic model (Venus Thermospheric General Circulation Model)

    Examining Seasonal Trends of the Martian Polar Warming with the NASA Ames Mars Global Climate Model

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    The presented work focuses on polar warming as a diagnostic of the mean circulation to increase our understanding of processes that control the mean meridional circulation and transport in the Mars middle atmosphere. The NASA Ames Mars Global Climate Model is utilized to isolate physical processes to determine their impact on polar warming and its seasonal trends

    The Latest on the Venus Thermospheric General Circulation Model: Capabilities and Simulations

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    Venus has a complex and dynamic upper atmosphere. This has been observed many times by ground-based, orbiters, probes, and fly-by missions going to other planets. Two over-arching questions are generally asked when examining the Venus upper atmosphere: (1) what creates the complex structure in the atmosphere, and (2) what drives the varying dynamics. A great way to interpret and connect observations to address these questions utilizes numerical modeling; and in the case of the middle and upper atmosphere (above the cloud tops), a 3D hydrodynamic numerical model called the Venus Thermospheric General Circulation Model (VTGCM) can be used. The VTGCM can produce climatological averages of key features in comparison to observations (i.e. nightside temperature, O2 IR nightglow emission). More recently, the VTGCM has been expanded to include new chemical constituents and airglow emissions, as well as new parameterizations to address waves and their impact on the varying global circulation and corresponding airglow distributions
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