Оценка взаимосвязи иммунного статуса и холестеринового профиля у пациентов с облитерирующим атеросклерозом артерий нижних конечностей

АРТЕРИОСКЛЕРОЗ ОБЛИТЕРИРУЮЩИЙИММУНИТЕТКОНЕЧНОСТЬ НИЖНЯЯХОЛЕСТЕРИ

Экономическая эффективность ранней диагностики и реабилитации при заболеваниях желчевыводящей системы у детей в Республике Беларусь

экономика медицинскаяжелчных путей болезниздравоохранение Республики Беларус

Use of cost-effectiveness data in priority setting decisions: experiences from the national guidelines for heart diseases in Sweden

Background: The inclusion of cost-effectiveness data, as a basis for priority setting rankings, is a distinguishing feature in the formulation of the Swedish national guidelines. Guidelines are generated with the direct intent to influence health policy and support decisions about the efficient allocation of scarce healthcare resources. Certain medical conditions may be given higher priority rankings i.e. given more resources than others, depending on how serious the medical condition is. This study investigated how a decision-making group, the Priority Setting Group (PSG), used cost-effectiveness data in ranking priority setting decisions in the national guidelines for heart diseases. Methods: A qualitative case study methodology was used to explore the use of such data in ranking priority setting healthcare decisions. The study addressed availability of cost-effectiveness data, evidence understanding, interpretation difficulties, and the reliance on evidence. We were also interested in the explicit use of data in ranking decisions, especially in situations where economic arguments impacted the reasoning behind the decisions. Results: This study showed that cost-effectiveness data was an important and integrated part of the decision-making process. Involvement of a health economist and reliance on the data facilitated the use of cost-effectiveness data. Economic arguments were used both as a fine-tuning instrument and a counterweight for dichotomization. Cost- effectiveness data were used when the overall evidence base was weak and the decision-makers had trouble making decisions due to lack of clinical evidence and in times of uncertainty. Cost-effectiveness data were also used for decisions on the introduction of new expensive medical technologies. Conclusion: Cost-effectiveness data matters in decision-making processes and the results of this study could be applicable to other jurisdictions where health economics is implemented in decision-making. This study contributes to knowledge on how cost-effectiveness data is used in actual decision-making, to ensure that the decisions are offered on equal terms and that patients receive medical care according their needs in order achieve maximum benefit

Power market models for the clean energy transition: State of the art and future research needs

As power systems around the world are rapidly evolving to achieve decarbonization objectives, it is crucial that power system planners and operators use appropriate models and tools to analyze and address the associated challenges. This paper provides a detailed overview of the properties of power market models in the context of the clean energy transition. We review common power market model methodologies, their readiness for low- and zero‑carbon grids, and new power market trends. Based on the review, we suggest model improvements and new designs to increase modeling capabilities for future grids. The paper highlights key modeling concepts related to power system flexibility, with a particular focus on hydropower and energy storage, as well as the representation of grid services, price formation, temporal structure, and the importance of uncertainty. We find that a changing resource mix, market restructuring, and growing price uncertainty require more precise modeling techniques to adequately capture the new technology constraints and the dynamics of future power markets. In particular, models must adequately represent resource opportunity costs, multi-horizon flexibility, and energy storage capabilities across the full range of grid services. Moreover, at the system level, it is increasingly important to consider sub-hourly time resolution, enhanced uncertainty representation, and introduce co-optimization for dual market clearing of energy and grid services. Likewise, models should capture interdependencies between multiple energy carriers and demand sectors.publishedVersio

Properties of Generalized Freud Polynomials

We consider the semi-classical generalized Freud weight function w?(x;t)=|x|2?+1exp(?x4+tx2),x??, with ?>?1 and t?? parameters. We analyze the asymptotic behavior of the sequences of monic polynomials that are orthogonal with respect to w?(x;t), as well as the asymptotic behavior of the recurrence coefficient, when the degree, or alternatively, the parameter t, tend to infinity. We also investigate existence and uniqueness of positive solutions of the nonlinear difference equation satisfied by the recurrence coefficients and prove properties of the zeros of the generalized Freud polynomials

The exponential law: Monopole detectors, Bogoliubov transformations, and the thermal nature of the Euclidean vacuum in RP^3 de Sitter spacetime

We consider scalar field theory on the RP^3 de Sitter spacetime (RP3dS), which is locally isometric to de Sitter space (dS) but has spatial topology RP^3. We compare the Euclidean vacua on RP3dS and dS in terms of three quantities that are relevant for an inertial observer: (i) the stress-energy tensor; (ii) the response of an inertial monopole particle detector; (iii) the expansion of the Euclidean vacuum in terms of many-particle states associated with static coordinates centered at an inertial world line. In all these quantities, the differences between RP3dS and dS turn out to fall off exponentially at early and late proper times along the inertial trajectory. In particular, (ii) and (iii) yield at early and late proper times in RP3dS the usual thermal result in the de Sitter Hawking temperature. This conforms to what one might call an exponential law: in expanding locally de Sitter spacetimes, differences due to global topology should fall off exponentially in the proper time.Comment: 22 pages, REVTex v3.1 with amsfonts and epsf, includes 2 eps figures. (v2: Minor typos corrected, references updated.

Free subgroups of one-relator relative presentations

Suppose that G is a nontrivial torsion-free group and w is a word over the alphabet G\cup\{x_1^{\pm1},...,x_n^{\pm1}\}. It is proved that for n\ge2 the group \~G= always contains a nonabelian free subgroup. For n=1 the question about the existence of nonabelian free subgroups in \~G is answered completely in the unimodular case (i.e., when the exponent sum of x_1 in w is one). Some generalisations of these results are discussed.Comment: V3: A small correction in the last phrase of the proof of Theorem 1. 4 page

Scalar Levin-Type Sequence Transformations

Sequence transformations are important tools for the convergence acceleration of slowly convergent scalar sequences or series and for the summation of divergent series. Transformations that depend not only on the sequence elements or partial sums $s_n$ but also on an auxiliary sequence of so-called remainder estimates $\omega_n$ are of Levin-type if they are linear in the $s_n$, and nonlinear in the $\omega_n$. Known Levin-type sequence transformations are reviewed and put into a common theoretical framework. It is discussed how such transformations may be constructed by either a model sequence approach or by iteration of simple transformations. As illustration, two new sequence transformations are derived. Common properties and results on convergence acceleration and stability are given. For important special cases, extensions of the general results are presented. Also, guidelines for the application of Levin-type sequence transformations are discussed, and a few numerical examples are given.Comment: 59 pages, LaTeX, invited review for J. Comput. Applied Math., abstract shortene