4,114 research outputs found
Free vibration analysis of laminated composite plates based on FSDT using one-dimensional IRBFN method
This paper presents a new effective radial basis function (RBF) collocation technique for the free vibration
analysis of laminated composite plates using the first order shear deformation theory (FSDT). The plates, which can be rectangular or non-rectangular, are simply discretised by means of Cartesian grids. Instead of using conventional differentiated RBF networks, one-dimensional integrated RBF networks (1D-IRBFN) are employed on grid lines to approximate the field variables. A number of examples concerning various thickness-to-span ratios, material properties and boundary conditions are considered. Results obtained are compared with the exact solutions and numerical results by other techniques in the literature to
investigate the performance of the proposed method
Stochastic polarization formation in exciton-polariton Bose-Einstein condensates
We demonstrate theoretically the spontaneous formation of a stochastic
polarization in exciton-polariton Bose-Einstein condensates in planar
microcavities under pulsed excitation. Below the threshold pumping intensity
(dependent on the polariton life-time) the average polarization degree is close
to zero, whilst above threshold the condensate acquires a polarization
described by a (pseudospin) vector with random orientation, in general. We
establish the link between second order coherence of the polariton condensate
and the distribution function of its polarization. We examine also the
mechanisms of polarization dephasing and relaxation.Comment: 4 pages, 3 figure
Federated edge learning with misaligned over-the-air computation
Over-the-air computation (OAC) is a promising technique to realize fast model aggregation in the uplink of federated edge learning (FEEL). OAC, however, hinges on accurate channel-gain precoding and strict synchronization among edge devices, which are challenging in practice. As such, how to design the maximum likelihood (ML) estimator in the presence of residual channel-gain mismatch and asynchronies is an open problem. To fill this gap, this paper formulates the problem of misaligned OAC for FEEL and puts forth a whitened matched filtering and sampling scheme to obtain oversampled, but independent samples from the misaligned and overlapped signals. Given the whitened samples, a sum-product ML (SP-ML) estimator and an aligned-sample estimator are devised to estimate the arithmetic sum of the transmitted symbols. In particular, the computational complexity of our SP-ML estimator is linear in the packet length, and hence is significantly lower than the conventional ML estimator. Extensive simulations on the test accuracy versus the average received energy per symbol to noise power spectral density ratio (EsN0) yield two main results: 1) In the low EsN0 regime, the aligned-sample estimator can achieve superior test accuracy provided that the phase misalignment is not severe. In contrast, the ML estimator does not work well due to the error propagation and noise enhancement in the estimation process. 2) In the high EsN0 regime, the ML estimator attains the optimal learning performance regardless of the severity of phase misalignment. On the other hand, the aligned-sample estimator suffers from a test-accuracy loss caused by phase misalignment
Reassessing the cost-effectiveness of Nivolumab for the treatment of renal cell carcinoma based on mature survival data, updated safety and lower comparator price.
Aims: The aim of this study was to estimate the cost-effectiveness of nivolumab versus everolimus for second-line treatment of renal cell carcinoma (RCC) based on mature data, updated safety and decreased everolimus price.
Materials and methods: A 3-state (pre-progression/progression-free disease, progressive disease and death) Markov model was developed from the perspective of the Australian health care system. Two scenarios were tested. Scenario 1 used 30-months clinical data and scenario 2 used updated 80-months clinical data with updated everolimus price. Inputs for quality-of-life and costs were informed by the literature and government sources. Incremental cost-effectiveness ratio (ICER) per quality adjusted life years (QALY) gained was reported and an ICER threshold of AU105,000 for nivolumab and 1.48 QALYs at AU266,871/QALY gained. A rebate of 54.4% was needed for nivolumab to reach the ICER threshold. For scenario 2, 1.93 QALYs at AU31,942 for everolimus with an ICER of AU$213,320/QALY gained. The rebate needed to reach the ICER threshold was 54.9%. One-way sensitivity analyses for both scenarios showed that the cost of nivolumab, time horizon and utilities were main drivers. The cost-effectiveness acceptability curves highlighted the differences in cost-effectiveness of the two scenarios, as well as significant uncertainty in the results.
Conclusions: A 54% rebate of the published price is needed for nivolumab to be cost-effective in Australia for the treatment of RCC. At that rebate, nivolumab remains cost-effective despite severe price erosion of everolimus because of improved longer term follow-up data. We recommend that generic price erosion should be accounted for when performing cost-effectiveness analysis
Current Issues in Health Technology Assessment of Cancer Therapies: A Survey of Stakeholders and Opinion Leaders in Australia.
OBJECTIVE: The aim of this study was to find ways of bridging the gap in opinions concerning health technology assessment (HTA) in reimbursement submission between manufacturers and payers to avoid access delays for patients of vital medicines such as oncology drugs. This was done by investigating differences and similarities of opinion among key stakeholders in Australia. METHODS: The survey comprised of nine sections: background demographics, general statements on HTA, clinical claim, extrapolations, quality of life, costs and health resource utilization, agreements, decision making, and capability/capacity. Responses to each question were summarized using descriptive statistics and comparisons were made using chi-square statistics. RESULTS: There were ninety-seven respondents in total, thirty-seven from the public sector (academia/government) and sixty from the private sector (industry/consultancies). Private and public sector respondents had similar views on clinical claims. They were divided when it came to extrapolation of survival data and costs and health resource utilization. However, they generally agreed that rebates are useful, outcomes-based agreements are difficult to implement, managed entry schemes are required when data are limited, and willingness to pay is higher in cancer compared to other therapeutic areas. They also agreed that training mostly takes place through on the job training and that guideline updates were a least favored opportunity for continued training. CONCLUSIONS: Private sector respondents favor methods that reduce the incremental cost-effectiveness ratio when compared to the public sector respondents. There still exist a number of challenges for HTA in oncology and many research opportunities as a result of this study
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