The effectiveness, safety and cost-effectiveness of cytisine versus varenicline for smoking cessation in an Australian population: a study protocol for a randomized controlled non-inferiority trial

Smoking cessation medications are effective but often underutilised because of costs and side effects. Cytisine is a plant-based smoking cessation medication with over 50 years of use in Central and Eastern Europe. While cytisine has been found to be well-tolerated and more effective than nicotine replacement therapy, direct comparison with varenicline have not been conducted. This study evaluates the effectiveness, safety and cost-effectiveness of cytisine compared with varenicline.Two arm, parallel group, randomised, non-inferiority trial, with allocation concealment and blinded outcome assessment.Australian population-based study.Adult daily smokers (N=1266) interested in quitting will be recruited through advertisements and Quitline telephone-based cessation support services.Eligible participants will be randomised (1:1 ratio) to receive either cytisine capsules (25-day supply) or varenicline tablets (12-week supply), prescribed in accordance with the manufacturer's recommended dosing regimen. The medication will be mailed to each participant's nominated residential address. All participants will also be offered standard Quitline behavioural support (up to six 10-12 minute sessions).Assessments will be undertaken by telephone at baseline, 4- and 7-months post-randomisation. Participants will also be contacted twice (two and four weeks post-randomisation) to ascertain adverse events, treatment adherence and smoking status. The primary outcome will be self-reported 6-month continuous abstinence from smoking, verified by carbon monoxide at 7-month follow-up. We will also evaluate the relative safety and cost-effectiveness of cytisine compared with varenicline. Secondary outcomes will include self-reported continuous and 7-day point prevalence abstinence and cigarette consumption at each follow-up interview.If cytisine is as effective as varenicline, its lower cost and natural plant-based composition may make it an acceptable and affordable smoking cessation medication that could save millions of lives worldwide

Subpicosecond adiabatic rapid passage on a single semiconductor quantum dot: Phonon-mediated dephasing in the strong-driving regime

We demonstrate adiabatic rapid passage on a subpicosecond time scale in a single semiconductor quantum dot, enabling the exploration of a regime of strong (and rapidly varying) Rabi energies for optical control of excitons. An observed dependence of the exciton inversion efficiency on the sign of the pulse chirp demonstrates the dominance of phonon-mediated dephasing, which is suppressed for positive chirp at low temperature. Our findings will support the realization of dynamical decoupling strategies and suggest that multiphonon emission and/or non-Markovian effects should be taken into account

Comparative evaluation of [(99m)tc]tilmanocept for sentinel lymph node mapping in breast cancer patients: results of two phase 3 trials.

BackgroundSentinel lymph node (SLN) surgery is used worldwide for staging breast cancer patients and helps limit axillary lymph node dissection. [(99m)Tc]Tilmanocept is a novel receptor-targeted radiopharmaceutical evaluated in 2 open-label, nonrandomized, within-patient, phase 3 trials designed to assess the lymphatic mapping performance.MethodsA total of 13 centers contributed 148 patients with breast cancer. Each patient received [(99m)Tc]tilmanocept and vital blue dye (VBD). Lymph nodes identified intraoperatively as radioactive and/or blue stained were excised and histologically examined. The primary endpoint, concordance (lower boundary set point at 90 %), was the proportion of nodes detected by VBD and [(99m)Tc]tilmanocept.ResultsA total of 13 centers contributed 148 patients who were injected with both agents. Intraoperatively, 207 of 209 nodes detected by VBD were also detected by [(99m)Tc]tilmanocept for a concordance rate of 99.04 % (p < 0.0001). [(99m)Tc]tilmanocept detected a total of 320 nodes, of which 207 (64.7 %) were detected by VBD. [(99m)Tc]Tilmanocept detected at least 1 SLN in more patients (146) than did VBD (131, p < 0.0001). In 129 of 131 patients with ≥1 blue node, all blue nodes were radioactive. Of 33 pathology-positive nodes (18.2 % patient pathology rate), [(99m)Tc]tilmanocept detected 31 of 33, whereas VBD detected only 25 of 33 (p = 0.0312). No pathology-positive SLNs were detected exclusively by VBD. No serious adverse events were attributed to [(99m)Tc]tilmanocept.Conclusion[(99m)Tc]Tilmanocept demonstrated success in detecting a SLN while meeting the primary endpoint. Interestingly, [(99m)Tc]tilmanocept was additionally noted to identify more SLNs in more patients. This localization represented a higher number of metastatic breast cancer lymph nodes than that of VBD

Controller design with regional pole constraints - Hyperbolic and horizontal strip regions

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/76652/1/AIAA-1992-4401-149.pd

Description and Status of the North Alabama Lightning Mapping Array

The North Alabama Lightning Mapping Array (LMA) is a network LMA detectors that detects and maps lightning using VHF radiation (TV Channel 5) in a region centered about Huntsville, Alabama that includes North Alabama, Central Tennessee and parts of Georgia and Mississippi. The North Alabama LMA has been in operation since late 2001, and has been providing real time data to regional National Weather Service (NSF) Weather Forecast Offices (WFOs) since mid 2003 through the NASA Short-term Prediction Research and Transition (SPoRT) center. Data from this network (as well as other from other LMA systems) are now being used to create proxy Geostationary Lightning Mapper (GLM) data sets for GOES-R risk reduction and algorithm development activities. In addition, since spring 2009 data are provided to the Storm Prediction Center in support of Hazardous Weather Testbed and GOES-R Proving Ground activities during the Spring Program. Description, status and plans will be discussed

Living for the weekend: youth identities in northeast England

Consumption and consumerism are now accepted as key contexts for the construction of youth identities in de-industrialized Britain. This article uses empirical evidence from interviews with young people to suggest that claims of `new community' are overstated, traditional forms of friendship are receding, and increasingly atomized and instrumental youth identities are now being culturally constituted and reproduced by the pressures and anxieties created by enforced adaptation to consumer capitalism. Analysis of the data opens up the possibility of a critical rather than a celebratory exploration of the wider theoretical implications of this process

Characterization of the near-Earth Asteroid 2002NY40

In August 2002, the near-Earth asteroid 2002 NY40, made its closest approach to the Earth. This provided an opportunity to study a near-Earth asteroid with a variety of instruments. Several of the telescopes at the Maui Space Surveillance System were trained at the asteroid and collected adaptive optics images, photometry and spectroscopy. Analysis of the imagery reveals the asteroid is triangular shaped with significant self-shadowing. The photometry reveals a 20-hour period and the spectroscopy shows that the asteroid is a Q-type

Ecological Monitoring and Compliance Program 2006 Report

The Ecological Monitoring and Compliance program (EMAC), funded through the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office (NNSA/NSO), monitors the ecosystem of the Nevada Test Site (NTS) and ensures compliance with laws and regulations pertaining to NTS biota. This report summarizes the program's activities conducted by National Security Technologies LLC (NSTec) during the Calendar Year 2006. Program activities included: (a) biological surveys at proposed construction sites, (b) desert tortoise compliance, (c) ecosystem mapping and data management, (d) sensitive plant species monitoring, (e) sensitive and protected/regulated animal monitoring, (f) habitat monitoring, (g) habitat restoration monitoring, and (h) monitoring of the Nonproliferation Test and Evaluation Complex (NPTEC). Sensitive and protected/regulated species of the NTS include 44 plants, 1 mollusk, 2 reptiles, over 250 birds, and 26 mammals protected, managed, or considered sensitive as per state or federal regulations and natural resource agencies and organizations. The threatened desert tortoise (Gopherus agassizii) is the only species on the NTS protected under the Endangered Species Act. Biological surveys for the presence of sensitive and protected/regulated species and important biological resources on which they depend were conducted for 34 projects. A total of 342.1 hectares (ha) (845.37 acres [ac]) was surveyed for these projects. Sensitive and protected/regulated species and important biological resources found included: 2 inactive tortoise burrows, 2 western burrowing owls (Athene cunicularia hypugaea), several horses (Equus caballus), 2 active predator burrows, mature Joshua trees (Yucca brevifolia), yuccas and cacti; and also 1 bird nest (2 eggs), 1 barn owl (Tyto alba) and 2 great-horned owls (Bubo virginianus). NSTec provided a written summary report of all survey findings and mitigation recommendations, where applicable. All flagged burrows were avoided during construction activities. Twenty one of the 34 projects had sites within the distribution range of the threatened desert tortoise. NNSA/NSO must comply with the terms and conditions of a permit (called a Biological Opinion) from the U.S. Fish and Wildlife Service (FWS) when conducting work in tortoise habitat. No tortoises were found in or displaced from project areas. No desert tortoises were accidentally injured or killed, nor were any captured or displaced from project sites. One desert tortoise was accidentally killed along a paved road. One site specific re-vegetation plan was submitted this year as required by the desert tortoise habitat re-vegetation plan approved in 2004. This year a total of 1.89 ha (4.69 ac) of tortoise habitat was disturbed. Re-vegetation of habitat at the Bren Tower burn was completed in the spring of 2006. In the summer of 2006, NSTec scientists prepared a Biological Assessment of the security activities that were being conducted at the Device Assembly Facility (DAF). NNSA requested a Biological Opinion from FWS in late 2006. Ecosystem mapping and data management in 2006 focused primarily on two tasks: (a) converting hardcopies of about 17 reports (EMAC annual reports and selected topical reports from 1996 to 2003) into electronic versions (Portable Document Format [PDF] files) to facilitate electronic document exchange, rapid retrieval, duplication, and printing, and (b) conducting an annual vegetation survey to determine wildland fire hazards on the NTS. Copies of the PDF documents were sent to DOE's Office of Scientific and Technical Information website in Oak Ridge, Tennessee, and the DOE National Nuclear Security Administration Nevada Site Office (NNSA/NSO) Public Reading Facility

Efficient transplacental IgG transfer in women infected with Zika virus during pregnancy

Zika virus (ZIKV) is a newly-identified infectious cause of congenital disease. Transplacental transfer of maternal IgG to the fetus plays an important role in preventing many neonatal infections. However, antibody transfer may also have negative consequences, such as mediating enhancement of flavivirus infections in early life, or trafficking of virus immune complexes to the fetal compartment. ZIKV infection produces placental pathology which could lead to impaired IgG transfer efficiency as occurs in other maternal infections, such as HIV-1 and malaria. In this study, we asked whether ZIKV infection during pregnancy impairs transplacental transfer of IgG. We enrolled pregnant women with fever or rash in a prospective cohort in Vitoria, Brazil during the recent ZIKV epidemic. ZIKV and dengue virus (DENV)-specific IgG, ZIKV and DENV neutralizing antibodies, and routine vaccine antigenspecific IgG were measured in maternal samples collected around delivery and 20 paired cord blood samples. We concluded that 8 of these mothers were infected with ZIKV during pregnancy and 12 were ZIKV-uninfected. The magnitude of flavivirus-specific IgG, neutralizing antibody, and vaccine-elicited IgG were highly correlated between maternal plasma and infant cord blood in both ZIKV-infected and -uninfected mother-infant pairs. Moreover, there was no difference in the magnitude of plasma flavivirus-specific IgG levels between mothers and infants regardless of ZIKV infection status. Our data suggests that maternal ZIKV infection during pregnancy does not impair the efficiency of placental transfer of flavivirus-specific, functional, and vaccine-elicited IgG. These findings have implications for the neonatal outomes of maternal ZIKV infection and optimal administration of antibody-based ZIKV vaccines and therapeutics

Asteroseismology of the open clusters NGC 6791, NGC 6811, and NGC 6819 from nineteen months of Kepler photometry

We studied solar-like oscillations in 115 red giants in the three open clusters NGC 6791, NGC 6811, and NGC 6819, based on photometric data covering more than 19 months with NASA's Kepler space telescope. We present the asteroseismic diagrams of the asymptotic parameters \delta\nu_02, \delta\nu_01 and \epsilon, which show clear correlation with fundamental stellar parameters such as mass and radius. When the stellar populations from the clusters are compared, we see evidence for a difference in mass of the red giant branch stars, and possibly a difference in structure of the red clump stars, from our measurements of the small separations \delta\nu_02 and \delta\nu_01. Ensemble \'{e}chelle diagrams and upper limits to the linewidths of l = 0 modes as a function of \Delta\nu of the clusters NGC 6791 and NGC 6819 are also shown, together with the correlation between the l = 0 ridge width and the T_eff of the stars. Lastly, we distinguish between red giant branch and red clump stars through the measurement of the period spacing of mixed dipole modes in 53 stars among all the three clusters to verify the stellar classification from the color-magnitude diagram. These seismic results also allow us to identify a number of special cases, including evolved blue stragglers and binaries, as well as stars in late He-core burning phases, which can be potentially interesting targets for detailed theoretical modeling.Comment: 30 pages, 15 figures, 1 table, accepted to Ap