Evolution of the SPS Power Converter Controls towards the LHC Era

By the end of the nineties, the power converter control system (Mugef) of the CERN proton accelerator (SPS) had undergone a complete modernization. This resulted in newly developed hardware for function generation, measurement and I/O in a VME environment, under the LynxOS real-time operating system. This has provided a platform on which extensions can be developed for future operation in the Large Hadron Collider (LHC) era. This paper describes some of these extensions, in particular a fast Surveillance and Interlock system for monitoring the power converter output currents. This will be mandatory for the safe operation of the SPS transfer lines TI2 & TI8 to LHC and for similar applications in the future. The strategies employed to cope with various failure modes of the power converters and the timely activation of the interlock are outlined. The new SPS controls infrastructure now under development, will give rise to new modes of operation for the Mugef systems. Integration with the proposed middleware must be undertaken in a structured evolution, while retaining compatibility with the current usage.Comment: Paper is 3 pages for ICAPEPCS 01 27 - 30 November 2001 San Jose. John C L Brazier is the principal author and a consultant to CERN (hence the CERN Email address but UK Organisation

A review of generic preference-based measures of health-related quality of life in visual disorders

Purpose: This review examines generic preference based measures and their ability to reflect health related quality of life in patients with visual disorders. Methods: A systematic search was undertaken to identify clinical studies of patients with visual disorders where health state utility values (HSUVs) were measured and reported. Data were extracted to assess the validity and responsiveness of the measures. A narrative synthesis of the data was undertaken due to the heterogeneity between different studies. Results: There was considerable heterogeneity in the 31 studies identified in terms of patient characteristics, visual disorders and outcomes reported. Vision loss was associated with a reduction in scores across the preference-based measure, but the evidence on validity and responsiveness was mixed. The EQ-5D’s performance differed according to condition, with poor performance in age-related macular degeneration and diabetic retinopathy. The more limited evidence on the HUI-3 found it performed best in differentiating between severity groups of patients with glaucoma, AMD, cataracts and diabetic retinopathy. One study reported data on the SF-6D and showed it was able to differentiate between patients with AMD. Conclusion: The performance of the EQ-5D in visual disorders was mixed. The HUI-3 seemed to perform better in some conditions, but the evidence on this and SF-6D is limited. More head to head comparisons of these three measures are required. The new 5-level version of EQ-5D may do better at the milder end of visual function and there is research being undertaken into adding a vision relevant dimension

Using Rasch analysis to form plausible health states amenable to valuation: the development of CORE-6D from CORE-OM in order to elicit preferences for common mental health problems

Purpose: To describe a new approach for deriving a preference-based index from a condition specific measure that uses Rasch analysis to develop health states. Methods: CORE-OM is a 34-item instrument monitoring clinical outcomes of people with common mental health problems. CORE-OM is characterised by high correlation across its domains. Rasch analysis was used to reduce the number of items and response levels in order to produce a set of unidimensionally-behaving items, and to generate a credible set of health states corresponding to different levels of symptom severity using the Rasch item threshold map. Results: The proposed methodology resulted in the development of CORE-6D, a 2-dimensional health state description system consisting of a unidimensionally-behaving 5-item emotional component and a physical symptom item. Inspection of the Rasch item threshold map of the emotional component helped identify a set of 11 plausible health states, which, combined with the physical symptom item levels, will be used for the valuation of the instrument, resulting in the development of a preference-based index. Conclusions: This is a useful new approach to develop preference-based measures where the domains of a measure are characterised by high correlation. The CORE-6D preference-based index will enable calculation of Quality Adjusted Life Years in people with common mental health problems

Le nombre d’Avogadro en prend pour son rhume : l’homéopathie en question

Même si de plus en plus de psychoéducateurs utilisent des approches appuyées sur des données probantes, ils sont également confrontés dans leur pratique quotidienne à des approches dites alternatives dont la validité, dans la majorité des cas, reste à démontrer. Parmi celles-ci, l’homéopathie prétend traiter un ensemble de problèmes psychosociaux dont le TDAH, les troubles d’apprentissage, l’anxiété, la peur, etc. L’objectif de cet article est de considérer la pertinence de cette approche non seulement pour traiter les problèmes psychosociaux mais également l’ensemble des troubles qu’elle prétend soigner. Cet article comprend cinq parties. Dans la première, nous situons l’histoire de l’homéopathie dans le cadre de la chimie et de la pharmacologie modernes. La deuxième est consacrée à ce qu’il est convenu maintenant d’appeler « l’affaire de la mémoire de l’eau » que des homéopathes ont tenté de récupérer à leur profit pour justifier l’activité de leurs produits même lorsque la dilution de ceux-ci est telle qu’ils ne contiennent plus de molécule active. Au cours de la troisième partie, nous faisons état de la recherche concernant l’efficacité des traitements homéopathiques. Dans la quatrième partie, nous montrons brièvement que l’homéopathie vétérinaire n’est pas plus efficace que l’homéopathie appliquée aux humains. Dans la cinquième partie, nous soulevons quelques aspects éthiques en soulignant entre autres éléments que la prescription des produits homéopathiques et l’utilisation des « vaccins » de même nature ne sont pas sans conséquences.Although there is an increasing body of psychoeducators who rely on evidence-based approaches, it is also common for them to employ alternative methods in the context of their daily practice. More often than not, the validity of these theories has yet to be established. Among the complementary approaches, homeopathy is one that could supposedly treat various psychosocial problems, including ADHD, learning disorders, anxiety, fear, etc. The objective of this article is to determine whether or not such an alternative therapy should be considered an appropriate course of treatment for psychosocial issues as well as all of the other disorders allegedly treated by homeopathy. This article is divided into five parts. Firstly, we discuss the historical background of homeopathy in the context of modern chemistry and pharmacology. The second part of this text is dedicated to what is nowadays referred to as ‘’water memory’’, a concept seized by homeopaths in an attempt to justify their claims regarding the efficiency of products lacking active molecules due to over-dilution. Thirdly, we outline the current state of research concerning the effectiveness of homeopathic treatments. In part four, we briefly demonstrate that veterinary homeopathy isn’t more efficient than homeopathy applied to humans. Finally, in part five, we ponder the ethical issues surrounding the prescription of homeopathic products and the use of vaccines of the same nature in consideration of their potential consequences

EQ-5D in skin conditions: an assessment of validity and responsiveness

Aims and objectives This systematic literature review aims to assess the reliability, validity and responsiveness of three widely used generic preference-based measures of health-related quality of life (HRQL), i.e., EQ-5D, Health Utility Index 3 (HUI3) and SF-6D in patients with skin conditions. Methods A systematic search was conducted to identify studies reporting health state utility values obtained using EQ-5D, SF-6D, or HUI3 alongside other HRQL measures or clinical indices for patients with skin conditions. Data on test-retest analysis for reliability, known group differences or correlation and regression analyses for validity, and change over time or responsiveness indices analysis were extracted and reviewed. Results A total of 16 papers reporting EQ-5D utilities in people with skin conditions were included in the final review. No papers for SF-6D and HUI3 were found. Evidence of reliability was not found for any of these measures. The majority of studies included in the review (12 out of 16) examined patients with plaque psoriasis or psoriatic arthritis and the remaining four studies examined patients with either acne, hidradenitis suppurativa, hand eczema, or venous leg ulcers. The findings were generally positive in terms of performance of EQ-5D. Six studies showed that EQ-5D was able to reflect differences between severity groups and only one reported differences that were not statistically significant. Four studies found that EQ-5D detected differences between patients and the general population, and differences were statistically different for three of them. Further, moderate-to-strong correlation coefficients were found between EQ-5D and other skin-specific HRQL measures in four studies. Eight studies showed that EQ-5D was able to detect change in HRQL appropriately over time and the changes were statistically significant in seven studies. Conclusions Overall, the validity and responsiveness of the EQ-5D was found to be good in people with skin diseases, especially plaque psoriasis or psoriatic arthritis. No evidence on SF-6D and HUI3 was available to enable any judgments to be made on their performance

An assessment of validity and responsiveness of generic measures of health-related quality of life in hearing impairment

This article is made available through the Brunel Open Access Publishing Fund. This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.Purpose: This review examines psychometric performance of three widely used generic preference-based measures, that is, EuroQol 5 dimensions (EQ-5D), Health Utility Index 3 (HUI3) and Short-form 6 dimensions (SF-6D) in patients with hearing impairments. Methods: A systematic search was undertaken to identify studies of patients with hearing impairments where health state utility values were measured and reported. Data were extracted and analysed to assess the reliability, validity (known group differences and convergent validity) and responsiveness of the measures across hearing impairments. Results: Fourteen studies (18 papers) were included in the review. HUI3 was the most commonly used utility measures in hearing impairment. In all six studies, the HUI3 detected difference between groups defined by the severity of impairment, and four out of five studies detected statistically significant changes as a result of intervention. The only study available suggested that EQ-5D only had weak ability to discriminate difference between severity groups, and in four out of five studies, EQ-5D failed to detected changes. Only one study involved the SF-6D; thus, the information is too limited to conclude on its performance. Also evidence for the reliability of these measures was not found. Conclusion: Overall, the validity and responsiveness of the HUI3 in hearing impairment was good. The responsiveness of EQ-5D was relatively poor and weak validity was suggested by limited evidence. The evidence on SF-6D was too limited to make any judgment. More head-to-head comparisons of these and other preference measures of health are required.Medical Research Counci

Chasing the second gamma-ray bright isolated neutron star: 3EG J1835+5918/RX J1836.2+5925

The EGRET telescope aboard NASAs Compton GRO has repeatedly detected 3EG J1835+5918, a bright and steady source of high-energy gamma-ray emission with no identification suggested until recently. The long absence of any likely counterpart for a bright gamma-ray source located 25 degrees off the Galactic plane initiated several attempts of deep observations at other wavelengths. We report on counterparts in X-rays on a basis of a 60 ksec ROSAT HRI image. In order to conclude on the plausibility of the X-ray counterparts, we reanalyzed data from EGRET at energies above 100 MeV and above 1 GeV, including data up to CGRO observation cycle 7. The gamma-ray source location represents the latest and probably the final positional assessment based on EGRET data. The X-ray counterparts were studied during follow-up optical identification campaigns, leaving only one object to be likely associated with the gamma-ray source 3EG J1835+5918. This object, RX J1836.2+5925, has the characteristics of an isolated neutron star and possibly of a radio-quiet pulsar.Comment: 5 pages, 3 figures. To appear in the Proceedings of the 270. WE-Heraeus Seminar on Neutron Stars, Pulsars and Supernova Remnants, Jan. 21-25, 2002, Physikzentrum Bad Honnef, eds W. Becker, H. Lesch & J. Truemper. Proceedings are available as MPE-Report 27

Evolution in controls methods for the SPS power converters

In common with much accelerator specific material, there is a constant need to improve both hardware and software for power converter control. Maintenance and performance improvements of older systems have become extremely tedious and in some areas impossible. By using modern real-time software and the latest high-performance processors, such problems should be substantially reduced. This paper describes the software concepts and the hardware chosen for the upgrade of the existing facilities. Using the UNIX compatible LynxOS real time kernel, running on a PowerPC 603 in a VME environment, this new approach provides excellent performance while retaining the desired flexibility for future enhancements. The 64 channel system is implemented as a set of cooperating processes, several of which are multi-threaded. Processes include analogue function generation, analogue measurement and digital I/O, all of which are accurately scheduled by the accelerator timing system. This generalised structure, which performs complex sequences of operations is described in detail, as well as how it can be adapted to a wide variety of accelerator tasks

Physical characteristics underpinning lunging and change of direction speed in fencing

Lunge velocity (LV) and change of direction speed (CODS) are considered fundamental to success during fencing competitions; investigating the physical characteristics that underpin these is the aim of this study. Seventy fencers from the British Fencing National Academy took part and on average (± SD) were 16.83 ± 1.72 years of age, 178.13 ± 8.91 cm tall, 68.20 ± 9.64 kg in mass and had 6.25 ± 2.23 years fencing experience. The relationship between anthropometric characteristics (height, arm-spam and adductor flexibility) and measures of lower-body power (bilateral and unilateral countermovement jump height and reactive strength index) were examined in their ability to influence LV and CODS. In testing the former, fencers lunged (over a self-selected distance) to and from a force plate, where front leg impact and rear leg propulsive force was quantified; the lunging distance was divided by time to establish LV. CODS was measured over 12 m involving shuttles of between 2 and 4 m. Results revealed that LV and CODS averaged at 3.35 m/s and 5.45 s respectively and in both cases, standing broad jump was the strongest predictor (r = 0.51 and -0.65 respectively) of performance. Rear leg drive and front leg impact force averaged at 14.61 N/kg and 3-times bodyweight respectively, with single leg jumps revealing an asymmetry favoring the front leg of 9%. In conclusion, fencers should train lower-body power emphasizing horizontal displacement, noting that this seems to offset any advantage one would expect fencers of a taller stature to have. Also, the commonly reported asymmetry between legs is apparent from adolescence and thus also requires some attention