Development of a Consensus Statement for the Definition, Diagnosis, and Treatment of Acute Exacerbations of Idiopathic Pulmonary Fibrosis Using the Delphi Technique.

© 2015, The Author(s).Introduction: There is a lack of agreed and established guidelines for the treatment of acute exacerbations of idiopathic pulmonary fibrosis (AE-IPF). This reflects, in part, the limited evidence-base underpinning the management of AE-IPF. In the absence of high-quality evidence, the aim of this research was to develop a clinician-led consensus statement for the definition, diagnosis and treatment of AE-IPF. Methods: A literature review was conducted to obtain published material on the definition and treatment of AE-IPF. The results of this review were circulated to an online panel of clinicians for review. Statements were then shared with ten expert respiratory clinicians who regularly treat patients with IPF. A Delphi technique was then used to develop a consensus statement for the definition, diagnosis and treatment of AE-IPF. During the first round of review, clinicians rated the clarity of each statement, the extent to which the statement should be included and provided comments. In two subsequent rounds of review, clinicians were provided with the group median inclusion rating for each statement, and any revised wording of statements to aid clarity. Clinicians were asked to repeat the clarity and inclusion ratings for the revised statements. Results: The literature review, online panel discussion, and face-to-face meeting generated 65 statements covering the definition, diagnosis, and management of AE-IPF. Following three rounds of blind review, 90% of clinicians agreed 39 final statements. These final statements included a definition of AE-IPF, approach to diagnosis, and treatment options, specifically: supportive measures, use of anti-microbials, immunosuppressants, anti-coagulants, anti-fibrotic therapy, escalation, transplant management, and long-term management including discharge planning. Conclusion: This clinician-led consensus statement establishes the ‘best practice’ for the management and treatment of AE-IPF based on current knowledge, evidence, and available treatments. Funding: Boehringer Ingelheim Ltd., Bracknell, West Berkshire, UK

Symmetry characterization of eigenstates in opal-based photonic crystals

The complete symmetry characterization of eigenstates in bare opal systems is obtained by means of group theory. This symmetry assignment has allowed us to identify several bands that cannot couple with an incident external plane wave. Our prediction is supported by layer-KKR calculations, which are also performed: the coupling coefficients between bulk modes and externally excited field tend to zero when symmetry properties mismatch.Comment: 7 pages, 5 figures, submitted to Physical Review

EVM and Achievable Data Rate Analysis of Clipped OFDM Signals in Visible Light Communication

Orthogonal frequency division multiplexing (OFDM) has been considered for visible light communication (VLC) thanks to its ability to boost data rates as well as its robustness against frequency-selective fading channels. A major disadvantage of OFDM is the large dynamic range of its time-domain waveforms, making OFDM vulnerable to nonlinearity of light emitting diodes (LEDs). DC biased optical OFDM (DCO-OFDM) and asymmetrically clipped optical OFDM (ACO-OFDM) are two popular OFDM techniques developed for the VLC. In this paper, we will analyze the performance of the DCO-OFDM and ACO-OFDM signals in terms of error vector magnitude (EVM), signal-to-distortion ratio (SDR), and achievable data rates under both average optical power and dynamic optical power constraints. EVM is a commonly used metric to characterize distortions. We will describe an approach to numerically calculate the EVM for DCO-OFDM and ACO-OFDM. We will derive the optimum biasing ratio in the sense of minimizing EVM for DCO-OFDM. Additionally, we will formulate the EVM minimization problem as a convex linear optimization problem and obtain an EVM lower bound against which to compare the DCO-OFDM and ACO-OFDM techniques. We will prove that the ACO-OFDM can achieve the lower bound. Average optical power and dynamic optical power are two main constraints in VLC. We will derive the achievable data rates under these two constraints for both additive white Gaussian noise (AWGN) channel and frequency-selective channel. We will compare the performance of DCO-OFDM and ACO-OFDM under different power constraint scenarios

Exotic radiation from a photonic crystal excited by an ultra-relativistic electron beam

We report the observation of an exotic radiation (unconventional Smith-Purcell radiation) from a one-dimensional photonic crystal. The physical origin of the exotic radiation is direct excitation of the photonic bands by an ultra-relativistic electron beam. The spectrum of the exotic radiation follows photonic bands of a certain parity, in striking contrast to the conventional Smith-Purcell radiation, which shows solely a linear dispersion. Key ingredients for the observation are the facts that the electron beam is in an ultra-relativistic region and that the photonic crystal is finite. The origin of the radiation was identified by comparison of experimental and theoretical results.Comment: 4 pages, 5 figure

Probing onset of strong localization and electron-electron interactions with the presence of direct insulator-quantum Hall transition

We have performed low-temperature transport measurements on a disordered two-dimensional electron system (2DES). Features of the strong localization leading to the quantum Hall effect are observed after the 2DES undergoes a direct insulator-quantum Hall transition with increasing the perpendicular magnetic field. However, such a transition does not correspond to the onset of strong localization. The temperature dependences of the Hall resistivity and Hall conductivity reveal the importance of the electron-electron interaction effects to the observed transition in our study.Comment: 9 pages, 4 figure

Duality Relation among Periodic Potential Problems in the Lowest Landau Level

Using a momentum representation of a magnetic von Neumann lattice, we study a two-dimensional electron in a uniform magnetic field and obtain one-particle spectra of various periodic short-range potential problems in the lowest Landau level.We find that the energy spectra satisfy a duality relation between a period of the potential and a magnetic length. The energy spectra consist of the Hofstadter-type bands and flat bands. We also study the connection between a periodic short-range potential problem and a tight-binding model.Comment: 6 pages, 3 figures, final version to appear in PR

A model of semimetallic behavior in strongly correlated electron systems

Metals with values of the resistivity and the Hall coefficient much larger than typical ones, e.g., of sodium, are called semimetals. We suggest a model for semimetals which takes into account the strong Coulomb repulsion of the charge carriers, especially important in transition-metal and rare-earth compounds. For that purpose we extend the Hubbard model by coupling one additional orbital per site via hybridization to the Hubbard orbitals. We calculate the spectral function, resistivity and Hall coefficient of the model using dynamical mean-field theory. Starting from the Mott-insulating state, we find a transition to a metal with increasing hybridization strength (``self-doping''). In the metallic regime near the transition line to the insulator the model shows semimetallic behavior. We compare the calculated temperature dependence of the resistivity and the Hall coefficient with the one found experimentally for $\rm Yb_4As_3$. The comparison demonstrates that the anomalies in the transport properties of $\rm Yb_4As_3$ possibly can be assigned to Coulomb interaction effects of the charge carriers not captured by standard band structure calculations.Comment: 9 pages RevTeX with 7 ps figures, accepted by PR