A patient preference study that evaluated fluticasone furoate and mometasone furoate nasal sprays for allergic rhinitis

Background: Corticosteroid nasal sprays are the mainstay of treatment for allergic rhinitis. These sprays have sensory attributes such as scent and/or odor, taste and aftertaste, and run down the throat and/or the nose, which, when unpleasant, can affect patient preference for, and compliance with, treatment. Objective: This study examined patient preference for fluticasone furoate nasal spray (FFNS) or mometasone furoate nasal spray (MFNS) based on their sensory attributes after administration in patients with allergic rhinitis. Methods: This was a multicenter, randomized, double-blind, cross-over study. Patient preferences were determined by using three questionnaires (Overall Preference, Immediate Attributes, and Delayed Attributes). Results: Overall, 56% of patients stated a preference for FFNS versus 32% for MFNS (p _ 0.001); the remaining 12% stated no preference. More patients stated a preference for FFNS versus MFNS for the attributes of “less drip down the throat” (p _ 0.001), “less run out of the nose” (p _ 0.05), “more soothing” (p _ 0.05), and “less irritating” (p _ 0.001). More patients responded in favor of FFNS versus MFNS for the immediate attributes, “run down the throat” (p _ 0.001), and “run out of the nose” (p _ 0.001), and, in the delayed attributes, “run down the throat” (p _ 0.001), “run out of the nose” (p _ 0.01), “presence of aftertaste” (p _ 0.01), and “no nasal irritation” (p _ 0.001). Conclusion: Patients with allergic rhinitis preferred FFNS versus MFNS overall and based on a number of individual attributes, including “less drip down the throat,” “less run out of the nose,” and “less irritating.” Greater preference may improve patient adherence and thereby improve symptom management of the patient’s allergic rhinitis

On the Maximum Expected Electric Field in Electrically Small, Undermoded Enclosures

This paper reports the experimental validation of an improved statistical model for the prediction of maximum expected electric field in electrically small and under-moded enclosures. The aerospace community is interested in application of Hills statistical models to design of avionics boxes for shielding effectiveness and for tailoring EMC test requirements for critical applications. However, it is observed that the probability distribution for mean-squared electric field (|E(sub x)|(exp 2)) in an electrically small enclosure differs from the exponential distribution which is widely used in reverberation chamber testing. It is postulated here that the difference is attributable to the under-moded character of the small enclosure. We will define under-moded as the condition where a single excitation frequency does not excite enough closely spaced resonant modes to achieve Hills assumption of an isotropic (or fully diffuse) plane wave field in the enclosure

Validation of Methods to Predict Vibration of a Panel in the Near Field of a Hot Supersonic Rocket Plume

This paper describes the measurement and analysis of surface fluctuating pressure level (FPL) data and vibration data from a plume impingement aero-acoustic and vibration (PIAAV) test to validate NASA s physics-based modeling methods for prediction of panel vibration in the near field of a hot supersonic rocket plume. For this test - reported more fully in a companion paper by Osterholt & Knox at 26th Aerospace Testing Seminar, 2011 - the flexible panel was located 2.4 nozzle diameters from the plume centerline and 4.3 nozzle diameters downstream from the nozzle exit. The FPL loading is analyzed in terms of its auto spectrum, its cross spectrum, its spatial correlation parameters and its statistical properties. The panel vibration data is used to estimate the in-situ damping under plume FPL loading conditions and to validate both finite element analysis (FEA) and statistical energy analysis (SEA) methods for prediction of panel response. An assessment is also made of the effects of non-linearity in the panel elasticity

Surface-acoustic-wave-driven luminescence from a lateral p-n junction

The authors report surface-acoustic-wave-driven luminescence from a lateral p-n junction formed by molecular beam epitaxy regrowth of a modulation doped GaAs/AlGaAs quantum well on a patterned GaAs substrate. Surface-acoustic-wave-driven transport is demonstrated by peaks in the electrical current and light emission from the GaAs quantum well at the resonant frequency of the transducer. This type of junction offers high carrier mobility and scalability. The demonstration of surface-acoustic-wave luminescence is a significant step towards single-photon applications in quantum computation and quantum cryptography.Comment: 4 pages, 3 figure

A convenient and efficient synthesis of (S)-lysine and (S)-arginine homologues via olefin cross-metathesis

A convenient five step synthesis of (S)-homolysine, incorporating a key olefin cross-metathesis step in the chain extension methodology, has been developed, together with a six step related synthesis of a new homologue of arginine, (S)-bishomoarginine

Contact Representations of Graphs in 3D

We study contact representations of graphs in which vertices are represented by axis-aligned polyhedra in 3D and edges are realized by non-zero area common boundaries between corresponding polyhedra. We show that for every 3-connected planar graph, there exists a simultaneous representation of the graph and its dual with 3D boxes. We give a linear-time algorithm for constructing such a representation. This result extends the existing primal-dual contact representations of planar graphs in 2D using circles and triangles. While contact graphs in 2D directly correspond to planar graphs, we next study representations of non-planar graphs in 3D. In particular we consider representations of optimal 1-planar graphs. A graph is 1-planar if there exists a drawing in the plane where each edge is crossed at most once, and an optimal n-vertex 1-planar graph has the maximum (4n - 8) number of edges. We describe a linear-time algorithm for representing optimal 1-planar graphs without separating 4-cycles with 3D boxes. However, not every optimal 1-planar graph admits a representation with boxes. Hence, we consider contact representations with the next simplest axis-aligned 3D object, L-shaped polyhedra. We provide a quadratic-time algorithm for representing optimal 1-planar graph with L-shaped polyhedra

Coerced Hospital Admission and Symptom Change-A Prospective Observational Multi-Centre Study

PMCID: PMC3227658 Freely available online via CCplosone.org

Lie group weight multiplicities from conformal field theory

Dominant weight multiplicities of simple Lie groups are expressed in terms of the modular matrices of Wess-Zumino-Witten conformal field theories, and related objects. Symmetries of the modular matrices give rise to new relations among multiplicities. At least for some Lie groups, these new relations are strong enough to completely fix all multiplicities.Comment: 12 pages, Plain TeX, no figure

Myocardial infarction: Sex differences in symptoms reported to emergency dispatch

Background: Emergency management of myocardial infarction(MI) is time-critical, because improved patient outcomes are associated with reduced time from symptom onset to definitive care. Previous studies have identified that women are less likely to present with chest pain.Objective: We sought to measure the effect of sex on symptoms reported to the ambulance dispatch and ambulance times for MIpatients.Methods: The Western Australia Emergency Department Information System (EDIS) was used to identify patients with emergency department (ED) diagnoses of MI(ST-segment elevation MI and non–ST-segment elevation MI) who arrived by ambulance between January 1, 2008,and October 31, 2009. Their emergency telephone calls to the ambulance service were transcribed to identify presenting symptoms. Ambulance data were used to examine ambulance times. Sex differences were analyzed using descriptive and age-adjusted regression analysis.Results: Of 3,329MI patients who presented to Perth EDs, 2,100 (63.1%) arrived by ambulance. After predefined exclusions, 1,681 emergency calls were analyzed. The women (n = 621; 36.9%) were older than the men (p < 0.001) and, even after age adjustment, were less likely to report chest pain (odds ratio[OR] = 0.70; 95% confidence interval [CI] 0.57, 0.88). After age adjustment, ambulance times did not differ between the male and female patients with chest pain. The women with chest pain were less likely than the men with chest pain to be allocated a “priority 1” (lights and sirens) ambulance response (men 98.3% vs. women 95.5%; OR = 0.39; 95% CI0.18, 0.87).Conclusion. Ambulance dispatch officers (and paramedics) need to be aware of potential sex differences in MI presentation in order to ensure appropriate ambulance response