The Parkes Multibeam Pulsar Survey: PSR J1811-1736 - a pulsar in a highly eccentric binary system

We are undertaking a high-frequency survey of the Galactic plane for radio pulsars, using the 13-element multibeam receiver on the 64-m Parkes radio telescope. We describe briefly the survey system and some of the initial results. PSR J1811-1736, one of the first pulsars discovered with this system, has a rotation period of 104 ms. Subsequent timing observations using the 76-m radio telescope at Jodrell Bank show that it is in an 18.8-day, highly-eccentric binary orbit. We have measured the rate of advance of periastron which indicates a total system mass of 2.6 +- 0.9 Msun, and the minimum companion mass is about 0.7 Msun. This, the high orbital eccentricity and the recycled nature of the pulsar suggests that this system is composed of two neutron stars, only the fourth or fifth such system known in the disk of the Galaxy.Comment: 6 pages, 3 embedded EPS figures, to be published in MNRA

Parallaxes and proper motions for 20 open clusters as based on the new Hipparcos catalogue

A new reduction of the astrometric data as produced by the Hipparcos mission has been published, claiming that the accuracies for nearly all stars brighter than magnitude $\mathrm{Hp}=8$ are improved, by up to a factor 4, compared to the original catalogue. As correlations between the underlying abscissa residuals have also been reduced by more than an order of magnitude to an insignificant level, our ability to determine reliable parallaxes and proper motions for open clusters should be improved. The new Hipparcos astrometric catalogue is used to derive mean parallax and proper motion estimates for 20 open clusters. The HR-diagrams of the nearest clusters are compared and combined to provide future input to sets of observational isochrones. The positions of the cluster HR diagrams are consistent within different groups of clusters shown for example by the near-perfect alignment of the sequences for the Hyades and Praesepe, for Coma Ber and UMa, and for the Pleiades, NGC 2516, and Blanco 1. The groups are mutually consistent when systematic differences in $\Delta c_0$ are taken into account, where the effect of these differences on the absolute magnitudes has been calibrated using field-star observations.Comment: 34 pages, 36 figures, 7 tables. Accepted for publication by A&

Subgroup analysis of telehealthcare for patients with chronic obstructive pulmonary disease: the cluster-randomized Danish Telecare North Trial

Flemming Witt Udsen,1 Pernille H Lilholt,2 Ole K Hejlesen,2 Lars H Ehlers1 1Danish Centre for Healthcare Improvements, Aalborg University, Aalborg, Denmark; 2Department of Health Science and Technology, Aalborg University, Aalborg, Denmark Purpose: Results from the Danish cluster-randomized trial of telehealthcare to 1,225 patients with chronic obstructive pulmonary disease (COPD), the Danish Telecare North Trial, concluded that the telehealthcare solution was unlikely to be cost-effective, by applying international willingness-to-pay threshold values. The purpose of this article was to assess potential sources of variation across subgroups, which could explain overall cost-effectiveness results or be utilized in future economic studies in telehealthcare research. Methods: First, the cost-structures and cost-effectiveness across COPD severities were analyzed. Second, five additional subgroup analyses were conducted, focusing on differences in cost-effectiveness across a set of comorbidities, age-groups, genders, resource patterns (resource use in the social care sector prior to randomization), and delivery sites. All subgroups were ­investigated post hoc. In analyzing cost-effectiveness, two separate linear mixed-effects models with treatment-by-covariate interactions were applied: one for quality-adjusted life-year (QALY) gain and one for total healthcare and social sector costs. Probabilistic sensitivity analysis was used for each subgroup result in order to quantify the uncertainty around the cost-effectiveness results. Results: The study concludes that, across the COPD severities, patients with severe COPD (GOLD 3 classification) are likely to be the most cost-effective group. This is primarily due to lower hospital-admission and primary-care costs. Telehealthcare for patients younger than 60 years is also more likely to be cost-effective than for older COPD patients. Overall, results indicate that existing resource patterns of patients and variations in delivery-site practices might have a strong influence on cost-effectiveness, possibly stronger than the included health or sociodemographic sources of heterogeneity. Conclusion: Future research should focus more on sources of heterogeneity found in the implementation context and the way telehealthcare is adopted (eg, by integrating formative evaluation into cost-effectiveness analyses). Trial registration: Clinicaltrials.gov, NCT01984840. Keywords: COPD, telemonitoring, telehealth, health economics, heterogeneity, Denmar

A telemonitoring intervention design for patients with poorly controlled type 2 diabetes: protocol for a feasibility study

Abstract Background Maintaining optimal glycemic control in type 2 diabetes (T2D) is difficult. Telemedicine has the potential to support people with poorly regulated T2D in the achievement of glycemic control, especially if the telemedicine solution includes a telemonitoring component. However, the ideal telemonitoring design for people with T2D remains unclear. Therefore, the aim of this feasibility study is to evaluate the feasibility of two telemonitoring designs for people with non-insulin-dependent T2D with a goal of identifying the optimal telemonitoring intervention for a planned future large-scale randomized controlled trial. Method This 3-month randomized feasibility study will be conducted in four municipalities in North Denmark starting in January 2024. There will be 15 participants from each municipality. Two different telemonitoring intervention designs will be tested. One intervention will include self-monitoring of blood glucose (SMBG) combined with sleep and mental health monitoring. The second intervention will include an identical setup but with the addition of blood pressure and activity monitoring. Two municipalities will be allocated to one intervention design, whereas the other two municipalities will be allocated to the second intervention design. Qualitative interviews with participants and clinicians will be conducted to gain insight into their experiences with and acceptance of the intervention designs and trial procedures (e.g., blood sampling and questionnaires). In addition, sources of differences in direct intervention costs between the two alternative interventions will be investigated. Discussion Telemonitoring has the potential to support people with diabetes in achieving glycemic control, but the existing evidence is inconsistent, and thus, the optimal design of interventions remains unclear. The results of this feasibility study are expected to produce relevant information about telemonitoring designs for people with T2D and help guide the design of future studies. A well-tested telemonitoring design is essential to ensure the quality of telemedicine initiatives, with goals of user acceptance and improved patient outcomes. Trial registration ClinicalTrials.gov, ID: NCT06134934 . Registered November 1, 2023. The feasibility trial has been approved (N-20230026) by the North Denmark Region Committee on Health Research Ethics (June 5, 2023)