50,413 research outputs found
A variety of lepton number violating processes related to Majorana neutrino masses
A Majorana type of the neutrino mass matrix induces a class of lepton number
violating processes. Cross sections of these reactions are given in terms of
the neutrino mass matrix element, and a semi-realistic event rate is estimated.
These processes provide mass and mixing parameters not directly accessible by
the neutrino oscillation experiments. If these processes are discovered with a
larger rate than given here, it would imply a new physics of the lepton number
violation not directly related to the Majorana neutrino mass, such as R-parity
violating operators in SUSY models.Comment: 15 pages, 1 figur
Supporting memory and identity in older people: findings from a ‘Sandpit’ process
Identity in old age is challenged by physical changes, evolving roles within the family, and life transitions such as retirement. Supporting identity is therefore important in later life, and might be assisted by media technologies which allow people to reflect on their lives, record their personal histories and share these with family, friends and caregivers. This possibility was explored in two creative ‘Sandpits’ with older people as part of the SUS-IT project, funded by the New Dynamics of Ageing programme in the UK. Discussions were held with PC and non-PC user groups of retirement age to understand memory and identity practices and elicit reactions to three novel product concepts. These included a Reminiscing Radio for life review, a Story Lamp for associating spoken stories with photographs and memorabilia, and a pair of virtual reality Travel Glasses for transporting you back to a special place in the past. The main findings of these discussions will be presented, along with concepts generated by the participants in a re-design exercise. This paper will also show how the sandpits enabled older people to be involved in the design process by allowing them to shape early design concepts through exploring their own ideas and motivations
The clinical effectiveness and cost-effectiveness of inhaler devices used in the routine management of chronic asthma in older children: a systematic review and economic evaluation
Background:
This review examines the clinical effectiveness and
cost-effectiveness of hand-held inhalers to deliver
medication for the routine management of chronic
asthma in children aged between 5 and 15 years.
Asthma is a common disease of the airways, with a
prevalence of treated asthma in 5–15-year-olds of
around 12% and an actual prevalence in the community
as high as 23%. Treatment for the condition
is predominantly by inhalation of medication. There
are three main types of inhaler device, pressurised
metered dose, breath actuated, and dry powder, with
the option of the attachment of a spacer to the first
two devices under some prescribed circumstances.
Two recent reviews have examined the clinical and
cost-effectiveness evidence on inhaler devices, but
one was for children aged under 5 years and the
comparison in the second was made between pressurised
metered dose inhalers and other types only.
Objectives:
This review examines the clinical effectiveness and
cost-effectiveness of manual pressurised metered
dose inhalers, breath-actuated metered dose
inhalers, and breath-actuated dry powder inhalers,
with and without spacers as appropriate, to deliver
medication for the routine management of chronic
asthma in children aged between 5 and 15 years.
Methods:
Two previous HTA reviews have compared the
effectiveness of inhaler devices, one focusing on
asthma in children aged under 5 years and the
other on asthma and chronic obstructive airways
disease in all age groups. For the current review, a
literature search was carried out to identify all
evidence relating to the use of inhalers in older
children with chronic asthma. A search of in-vitro
studies undertaken for one of the previous reviews
was also updated.
The data sources used were: 15 electronic bibliographic
databases; the reference lists of one of the
previous HTA reports and other relevant articles;
health services research-related internet resources;
and all sponsor submissions.
Studies were selected according to strict inclusion
and exclusion criteria, and relevant information
concerning effectiveness and patient compliance
and preference was extracted directly on to an
extraction/evidence table. Quality assurance
was monitored.
Economic evaluation was undertaken by reviewing
existing cost-effective evidence. Further economic
modelling was carried out, and tables constructed
to determine device cost-minimisation and
incremental quality-adjusted life-year (QALY)
thresholds between devices.
Results:
Number and quality of studies, and
direction of evidence:
Fourteen randomised controlled studies were
identified relating to the clinical effectiveness of
inhaler devices for delivering β2-agonists. A further
five were on devices delivering corticosteroids and
one concerned the delivery of cromoglicate.
Overall, there were no differences in clinical
efficacy between inhaler devices, but a pressurised
metered dose inhaler with a spacer would appear
to be more effective than one without. These
findings endorse those of a previous HTA review
but extend them to other inhaler devices.
Seven randomised controlled trials examined the
impact on clinical effectiveness of using a nonchlorofluorocarbon
(CFC) propellant in place of
a CFC propellant in metered dose inhalers, both
pressurised and breath activated, although only one
study considered the latter type. No differences were
found between inhalers containing either propellant.
A further 30 studies of varying quality, from 12 randomised
controlled trials to non-controlled studies,
were identified that concerned the impact of use
by, and preference for, inhaler type, and treatment
adherence in children. Differences between the
studies, and limitations in comparative data between
various inhaler device types, make it difficult to draw
any firm conclusions from this evidence.
Summary of benefits:
No obvious benefits for one inhaler device type
over another for use in children aged 5–15 years
were identified.
Costs and cost per quality-adjusted
life-year:
Two approaches have been taken: cost-minimisation
and QALY threshold. In the QALY threshold
approach, additional QALYs that each device must
produce compared with a cheaper device to achieve
an acceptable cost per QALY were calculated. Using
the cheapest and most expensive devices for delivering
200 μg of beclometasone per day, assuming no
cost offset for any device, and a threshold of £5000,
the largest QALY needed was 0.00807. With such
a small QALY increase, no intervention can be
categorically rejected as not cost-effective.
Conclusions:
Generalisability of findings:
On the available evidence there are no obvious
benefits for one inhaler device over another
when used by children aged 5–15 years with
chronic asthma. However, the evidence, in the
majority of cases, was compiled on children
with mild to moderate asthma and restricted
to a limited number of drugs. Therefore the
findings may not be generalisable to those at
the more severe end of the spectrum of the
disease or to inhaler devices delivering some
of the drugs used in the management of asthma.
Need for further research:
Many of the previous studies are likely to
have been underpowered. Further clinical
trials with a robust methodology, sufficient
power and qualitative components are needed
to demonstrate any differences in clinical
resource use and patients’ asthma symptoms.
Further studies should also include the
behavioural aspects of patients towards their
medication and its delivery mechanisms.
It is acknowledged that sufficient power may
prove impractical owing to the large numbers
of patients required
Properties of kinematic singularities
The locally rotationally symmetric tilted perfect fluid Bianchi type V
cosmological model provides examples of future geodesically complete spacetimes
that admit a `kinematic singularity' at which the fluid congruence is
inextendible but all frame components of the Weyl and Ricci tensors remain
bounded. We show that for any positive integer n there are examples of Bianchi
type V spacetimes admitting a kinematic singularity such that the covariant
derivatives of the Weyl and Ricci tensors up to the n-th order also stay
bounded. We briefly discuss singularities in classical spacetimes.Comment: 13 pages. Published version. One sentence from version 2 correcte
Space Biosciences Division
In the Space Biosciences Division at NASA's Ames Research Center, we perform the biological research and technology development necessary to tackle the challenges of living in the extreme environments of space and to enable NASA's long-term human exploration mission. This brochure provides a broad overview for our research and development capabilities, several case study examples, and finally real-world applications and collaborative partnerships
Intersubband transitions in nonpolar GaN/Al(Ga)N heterostructures in the short and mid-wavelength infrared regions
This paper assesses nonpolar m- and a-plane GaN/Al(Ga)N multi-quantum-wells
grown on bulk GaN for intersubband optoelectronics in the short- and
mid-wavelength infrared ranges. The characterization results are compared to
those for reference samples grown on the polar c-plane, and are verified by
self-consistent Schr\"odinger-Poisson calculations. The best results in terms
of mosaicity, surface roughness, photoluminescence linewidth and intensity, as
well as intersubband absorption are obtained from m-plane structures, which
display room-temperature intersubband absorption in the range from 1.5 to 2.9
um. Based on these results, a series of m-plane GaN/AlGaN multi-quantum-wells
were designed to determine the accessible spectral range in the mid-infrared.
These samples exhibit tunable room-temperature intersubband absorption from 4.0
to 5.8 um, the long-wavelength limit being set by the absorption associated
with the second order of the Reststrahlen band in the GaN substrates
Moving boundary and photoelastic coupling in GaAs optomechanical resonators
Chip-based cavity optomechanical systems are being considered for
applications in sensing, metrology, and quantum information science. Critical
to their development is an understanding of how the optical and mechanical
modes interact, quantified by the coupling rate . Here, we develop GaAs
optomechanical resonators and investigate the moving dielectric boundary and
photoelastic contributions to . First, we consider coupling between the
fundamental radial breathing mechanical mode and a 1550 nm band optical
whispering gallery mode in microdisks. For decreasing disk radius from
m to m, simulations and measurements show that changes
from being dominated by the moving boundary contribution to having an equal
photoelastic contribution. Next, we design and demonstrate nanobeam
optomechanical crystals in which a GHz mechanical breathing mode couples
to a 1550 nm optical mode predominantly through the photoelastic effect. We
show a significant (30 ) dependence of on the device's in-plane
orientation, resulting from the difference in GaAs photoelastic coefficients
along different crystalline axes, with fabricated devices exhibiting
as high as 1.1 MHz for orientation along the [110] axis.
GaAs nanobeam optomechanical crystals are a promising system which can combine
the demonstrated large optomechanical coupling strength with additional
functionality, such as piezoelectric actuation and incorporation of optical
gain media
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