The Human Right to Equal Access to Health Care

The right to equal access to health care is a fundamental principle that is part of the human right to health care. For victims of a violation of the human right to equal access to health care it is important that a judicial or quasi-judicial human rights body can adjudicate their complaints in this regard. Justiciability contributes to the protection and realisation of the right to equal access to health care and further determines the meaning of this right. The justiciability of the human right to equal access to health care is complex. It is one of the economic, social and cultural rights, and ever since the emergence of these rights, their justiciability has been a contentious issue. Moreover, in practice it is much more difficult for an alleged violation of an economic, social or cultural right to be subject of review by a court of law or a quasi-judicial procedure than it is for a civil or political right. Nevertheless, over the last two decades several developments at international United Nations and regional Council of Europe human rights level have strengthened the justiciability of economic, social and cultural rights, which also has implications for the justiciability of t

Pharmacology, particle deposition and drug administration techniques of intranasal corticosteroids for treating allergic rhinitis

This review presents an overview of the available literature regarding intranasal corticosteroids (INCs) for the treatment of allergic rhinitis (AR). Various treatment options exist for AR including INCs, antihistamines and leukotriene antagonists. INCs are considered to be the most effective therapy for moderate to severe AR, as they are effective against nasal and ocular symptoms and improve quality of life. Their safety has been widely observed. INCs are effective and safe for short-term use. Local adverse events are observed but generally well-tolerated. The occurrence of (serious) systemic adverse events is unlikely but cannot be ruled out. There is a lack of long-term safety data. INC may cause serious eye complications. The risk of INCs on the hypothalamic-pituitary-adrenal axis, on bone mineral density reduction or osteoporosis and on growth in children should be considered during treatment. Pharmacological characteristics of INCs (e.g. the mode of action and pharmacokinetics) are well known and described. We sought to gain insight into whether specific properties affect the efficacy and safety of INCs, including nasal particle deposition, which the administration technique affects. However, advances are lacking regarding the improved understanding of the effect of particle deposition on efficacy and safety and the effect of the administration technique. This review emphasizes the gaps in knowledge regarding this subject. Advances in research and healthcare are necessary to improve care for patients with AR

Robust projections of Fire Weather Index in the Mediterranean using statistical downscaling

The effect of climate change on wildfires constitutes a serious concern in fire-prone regions with complex fire behavior such as the Mediterranean. The coarse resolution of future climate projections produced by General Circulation Models (GCMs) prevents their direct use in local climate change studies. Statistical downscaling techniques bridge this gap using empirical models that link the synoptic-scale variables from GCMs to the local variables of interest (using e.g. data from meteorological stations). In this paper, we investigate the application of statistical downscaling methods in the context of wildfire research, focusing in the Canadian Fire Weather Index (FWI), one of the most popular fire danger indices. We target on the Iberian Peninsula and Greece and use historical observations of the FWI meteorological drivers (temperature, humidity, wind and precipitation) in several local stations. In particular, we analyze the performance of the analog method, which is a convenient first choice for this problem since it guarantees physical and spatial consistency of the downscaled variables, regardless of their different statistical properties. First we validate the method in perfect model conditions using ERA-Interim reanalysis data. Overall, not all variables are downscaled with the same accuracy, with the poorest results (with spatially averaged daily correlations below 0.5) obtained for wind, followed by precipitation. Consequently, those FWI components mostly relying on those parameters exhibit the poorest results. However, those deficiencies are compensated in the resulting FWI values due to the overall high performance of temperature and relative humidity. Then, we check the suitability of the method to downscale control projections (20C3M scenario) from a single GCM (the ECHAM5 model) and compute the downscaled future fire danger projections for the transient A1B scenario. In order to detect problems due to non-stationarities related to climate change, we compare the results with those obtained with a Regional Climate Model (RCM) driven by the same GCM. Although both statistical and dynamical projections exhibit a similar pattern of risk increment in the first half of the 21st century, they diverge during the second half of the century. As a conclusion, we advocate caution in the use of projections for this last period, regardless of the regionalization technique applied.We are grateful to the Spanish Meteorological Agency (AEMET) and to the Hellenic National Meteorological Service (HNMS) for providing the observational data used in this study. We would also like to thank Erik van Meijgaard from the Royal Netherlands Meteorological Institute for making available ENSEMBLES RACMO2 climate model output verifying at 12:00 UTC and to the Max Planck Institute for providing the appropriate data for the ECHAM5 model used in this work. This work was partly funded by European Union's Seventh Framework Programme (FP7/2007-2013) under grant agreements 243888 (FUME Project) and from Spanish Ministry MICINN under grant EXTREMBLES (CGL2010-21869). We thank tw

Assessing and Improving the Local Added Value of WRF for Wind Downscaling

Limited area models (LAMs) are widely used tools to downscale the wind speed forecasts issued by general circulation models. However, only a few studies have systematically analyzed the value added by the LAMs to the coarser-resolution-model wind. The goal of the present work is to investigate how added value depends on the resolution of the driving global model. With this aim, the Weather Research and Forecasting (WRF) Model was used to downscale three different global datasets (GFS, ERA-Interim, and NCEP?NCAR) to a 9-km-resolution grid for a 1-yr period. Model results were compared with a large set of surface observations, including land station and offshore buoy data. Substantial biases were found at this resolution over mountainous terrain, and a slight modification to the subgrid orographic drag parameterization was introduced to alleviate the problem. It was found that, at this resolution, WRF is able to produce significant added value with respect to the NCEP?NCAR reanalysis and ERA-Interim but only a small amount of added value with respect to GFS forecasts. Results suggest that, as model resolution increases, traditional skill scores tend to saturate. Thus, adding value to high-resolution global models becomes significantly more difficult.The authors thank Puertos del Estado (Spanish National Ports and Harbour Authority) and AEMET (Spanish Meteorological Agency) for providing buoy and land observational records. This work was partly supported by the projects EXTREMBLES (CGL2010-21869) and CORWES (GL2010-22158-C02-01), funded by the Spanish R&D program. The WRF simulations performed in this study were managed by WRF4G, which is an open-source tool funded by the Spanish government and cofunded by the European Regional Development Fund under Grant CGL2011-28864

Production of excited beauty states in Z decays

A data sample of about 3.0 million hadronic Z decays collected by the ALEPH experiment at LEP in the years 1991 through 1994, is used to make an inclusive selection of B~hadron events. In this event sample 4227 \pm 140 \pm 252 B^* mesons in the decay B^* \to B \gamma and 1944 \pm 108 \pm 161 B^{**} mesons decaying into a B~meson and a charged pion are reconstructed. For the well established B^* meson the following quantities areobtained: \Delta M = M_{B^*} - M_{B} = (45.30\pm 0.35\pm 0.87)~\mathrm{MeV}/c^2 and N_{B^*}/(N_B+N_{B^*}) = (77.1 \pm 2.6 \pm 7.0)\%. The angular distribution of the photons in the B^* rest frame is used to measure the relative contribution of longitudinal B^* polarization states to be \sigma_L/(\sigma_L + \sigma_T)= (33 \pm 6 \pm 5)\%. \\ Resonance structure in the M(B\pi)-M(B) mass difference is observed at (424 \pm 4 \pm 10)~\mathrm{MeV}/c^2. Its shape and position is in agreement with the expectation for B^{**}_{u,d} states decaying into B_{u,d}^{(*)} \pi^\pm. The signal is therefore interpreted as arising from them. The relative production rate is determined to be \frac{BR(Z \to b \to B_{u,d}^{**})}{BR(Z \to b \to B_{u,d})} = [27.9 \pm 1.6(stat) \pm 5.9(syst) \phantom{a}^{+3.9}_{-5.6}(model)]\%. where the third error reflects the uncertainty due to different production and decay models for the broad B_{u,d}^{**} states

Tau hadronic branching ratios

From 64492 selected \tau-pair events, produced at the Z^0 resonance, the measurement of the tau decays into hadrons from a global analysis using 1991, 1992 and 1993 ALEPH data is presented. Special emphasis is given to the reconstruction of photons and \pi^0's, and the removal of fake photons. A detailed study of the systematics entering the \pi^0 reconstruction is also given. A complete and consistent set of tau hadronic branching ratios is presented for 18 exclusive modes. Most measurements are more precise than the present world average. The new level of precision reached allows a stringent test of \tau-\mu universality in hadronic decays, g_\tau/g_\mu \ = \ 1.0013 \ \pm \ 0.0095, and the first measurement of the vector and axial-vector contributions to the non-strange hadronic \tau decay width: R_{\tau ,V} \ = \ 1.788 \ \pm \ 0.025 and R_{\tau ,A} \ = \ 1.694 \ \pm \ 0.027. The ratio (R_{\tau ,V} - R_{\tau ,A}) / (R_{\tau ,V} + R_{\tau ,A}), equal to (2.7 \pm 1.3) \ \%, is a measure of the importance of QCD non-perturbative contributions to the hadronic \tau decay widt

Measurement of the tau lepton lifetime

The mean lifetime of the tau lepton is measured in a sample of 25700 tau pairs collected in 1992 with the ALEPH detector at LEP. A new analysis of the 1-1 topology events is introduced. In this analysis, the dependence of the impact parameter sum distribution on the daughter track momenta is taken into account, yielding improved precision compared to other impact parameter sum methods. Three other analyses of the one- and three-prong tau decays are updated with increased statistics. The measured lifetime is 293.5+/-3.1+/-1.7 fs. Including previous (1989-1991) ALEPH measurements, the combined tau lifetime is 293.7+/-2.7+/-1.6 fs