48,463 research outputs found
Ligand design for site-selective installation of Pd and Pt centers to generate homo- and heteropolymetallic motifs
The modular synthesis of a series of nitrogen-rich polydentate ligands that feature a common pincer-type framework is reported. These ligands allow for site-selective installation of palladium and platinum to give rise to bi- and trimetallic complexes that have d^(8)–d^(8) interactions
Development of low-temperature transistor modules to improve the MSFC mid-infrared array
This report describes the low-temperature transistor modules designed for use with the MSFC mid-infrared array. The modules were developed in the Space Science Laboratory at Marshall Space Flight Center with Center Director's Discretionary Funds. The transistors (JFETs), which operate at a temperature of 77 K, are epoxied to a copper surface attached to a Teflon substrate. The module substrate insulates the JFETs from the 1.5K detector work surfaces and provides a convenient mounting structure for additional components such as solder pins. These modules have maintained their structural integrity during repeated temperature cycling, and they have to be convenient during maintenance and servicing of the infrared array
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 ÎĽg of beclometasone per day, assuming no
cost offset for any device, and a threshold of ÂŁ5000,
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
Teaching a New Dog Old Tricks: Resurrecting Multilingual Retrieval Using Zero-shot Learning
While billions of non-English speaking users rely on search engines every
day, the problem of ad-hoc information retrieval is rarely studied for
non-English languages. This is primarily due to a lack of data set that are
suitable to train ranking algorithms. In this paper, we tackle the lack of data
by leveraging pre-trained multilingual language models to transfer a retrieval
system trained on English collections to non-English queries and documents. Our
model is evaluated in a zero-shot setting, meaning that we use them to predict
relevance scores for query-document pairs in languages never seen during
training. Our results show that the proposed approach can significantly
outperform unsupervised retrieval techniques for Arabic, Chinese Mandarin, and
Spanish. We also show that augmenting the English training collection with some
examples from the target language can sometimes improve performance.Comment: ECIR 2020 (short
Estimating normal mixture parameters from the distribution of a reduced feature vector
A FORTRAN computer program was written and tested. The measurements consisted of 1000 randomly chosen vectors representing 1, 2, 3, 7, and 10 subclasses in equal portions. In the first experiment, the vectors are computed from the input means and covariances. In the second experiment, the vectors are 16 channel measurements. The starting covariances were constructed as if there were no correlation between separate passes. The biases obtained from each run are listed
A Nonclassical Dihydrogen Adduct of S = ½ Fe(I)
We have exploited the capacity of the “(SiP^(iPr)_3)Fe(I)” scaffold to accommodate additional axial ligands and characterized the mononuclear S = 1/2 H_2 adduct complex (SiP^(iPr)_3)Fe^I(H_2). EPR and ENDOR data, in the context of X-ray structural results, revealed that this complex provides a highly unusual example of an open-shell metal complex that binds dihydrogen as a ligand. The H2 ligand at 2 K dynamically reorients within the ligand-binding pocket, tunneling among the energy minima created by strong interactions with the three Fe–P bonds
Network ST radar and related measurements at Pennsylvania State University
Mesoscale meteorological measurements, analysis and prediction are some of the principal areas of research in the Department of Meteorology at Penn State. In anticipation of a staged turn-on of the three systems during the Summer and Fall of 1984, the nonconstruction-related efforts have focused on the software development necessary to allow essentially immediate use of network data. A 16-bit microcomputer has been programmed to serve as the network controller, communications interface and, at least for real-time purposes, the operational display system. Insofar as possible we have in this task built upon our substantial accumulated experience in working with the processing and display of Doppler sodar system signals. Once the radar-derived wind and turbulence profiles are communicated to the various interconnected Departmental computers they become just one component of a comprehensive data base which can be applied to a diverse set of ongoing basic and operational research programs
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