The moment index of minima (II)

The moment index of a nonnegative random variable X has the property that the moment index of the minimum of two independent r.v.s X and Y is greater than or equal to the sum of the moment indices of X and Y. We characterize conditions under which equality holds for a given r.v. X and every independent nonnegative r.v. Y, and discuss extensions to related r.v.s and their distributions

Estimating the Cost of Cervical Cancer Screening in Five Developing Countries

Background: Cost-effectiveness analyses (CEAs) can provide useful information to policymakers concerned with the broad allocation of resources as well as to local decision makers choosing between different options for reducing the burden from a single disease. For the latter, it is important to use country-specific data when possible and to represent cost differences between countries that might make one strategy more or less attractive than another strategy locally. As part of a CEA of cervical cancer screening in five developing countries, we supplemented limited primary cost data by developing other estimation techniques for direct medical and non-medical costs associated with alternative screening approaches using one of three initial screening tests: simple visual screening, HPV DNA testing, and cervical cytology. Here, we report estimation methods and results for three cost areas in which data were lacking. Methods: To supplement direct medical costs, including staff, supplies, and equipment depreciation using country-specific data, we used alternative techniques to quantify cervical cytology and HPV DNA laboratory sample processing costs. We used a detailed quantity and price approach whose face validity was compared to an adaptation of a US laboratory estimation methodology. This methodology was also used to project annual sample processing capacities for each laboratory type. The cost of sample transport from the clinic to the laboratory was estimated using spatial models. A plausible range of the cost of patient time spent seeking and receiving screening was estimated using only formal sector employment and wages as well as using both formal and informal sector participation and country-specific minimum wages. Data sources included primary data from country-specific studies, international databases, international prices, and expert opinion. Costs were standardized to year 2000 international dollars using inflation adjustment and purchasing power parity. Results: Cervical cytology laboratory processing costs were I$1.57–3.37 using the quantity and price method compared to I$1.58–3.02 from the face validation method. HPV DNA processing costs were I$6.07–6.59. Rural laboratory transport costs for cytology were I$0.12–0.64 and I$0.14–0.74 for HPV DNA laboratories. Under assumptions of lower resource efficiency, these estimates increased to I$0.42–0.83 and I$0.54–1.06. Estimates of the value of an hour of patient time using only formal sector participation were I$0.07–4.16, increasing to I$0.30–4.80 when informal and unpaid labor was also included. The value of patient time for traveling, waiting, and attending a screening visit was I$0.68–17.74. With the total cost of screening for cytology and HPV DNA testing ranging from I$4.85–40.54 and I$11.30–48.77 respectively, the cost of the laboratory transport, processing, and patient time accounted for 26–66% and 33–65% of the total costs. From a payer perspective, laboratory transport and processing accounted for 18–48% and 25–60% of total direct medical costs of I$4.11–19.96 and I$10.57–28.18 respectively. Conclusion: Cost estimates of laboratory processing, sample transport, and patient time account for a significant proportion of total cervical cancer screening costs in five developing countries and provide important inputs for CEAs of alternative screening modalities

Assessment and Improvement of the Efficiency of Nitrogen Use on Commercial Dairy Farms

Dairy farming systems have a low efficiency of converting nitrogen (N) into milk protein, due to the many transfers which occur in the production process. Losses of N from the system can be detrimental to the environment and represent wasted inputs. At SAC, in a systems research project, management changes achieved increases in nitrogen efficiency (milk N output/ N inputs) (NE) from 23 to 34% in a grass-clover based system (GC), and 13 to 21% in a purchased fertiliser based system (GN) (Leach & Roberts, 2002). Nitrogen surplus (NS = N inputs - N output in sold produce) was reduced from 184 to 90 kg N/ha in GC and from 369 to 258 kg N/ha in GN. This work was then incorporated into a participatory research project, to obtain data on N balances in commercial dairy systems and investigate the effects of suggesting management changes to improve NE

Suppressed-gap millimetre wave kinetic inductance detectors using DC-bias current

Funder: CSC Cambridge ScholarshipAbstract: In this study, we evaluate the suitability of using DC-biased aluminium resonators as low-frequency kinetic inductance detectors capable of operating in the frequency range of 50–120 GHz. Our analysis routine for supercurrent-biased resonators is based on the Usadel equations and gives outputs including density of states, complex conductivities, transmission line properties, and quasiparticle lifetimes. Results from our analysis confirm previous experimental observations on resonant frequency tuneability and retention of high quality factor. Crucially, our analysis suggests that DC-biased resonators demonstrate significantly suppressed superconducting density of states gap. Consequently these resonators have lower frequency detection threshold and are suitable materials for low-frequency kinetic inductance detectors