17,662 research outputs found
Rural land mobile radio market assessment and satellite and terrestrial system concepts
Market potential exists; the nature of the market in terms of service needs, usage characteristics, service requirements, and forecasting the demand to the year 2000; alternative system cncepts that show promise in addressing the identified needs, in a cost effective manner; and advanced technology requirements associated with these concepts are considered
From Loop Groups to 2-Groups
We describe an interesting relation between Lie 2-algebras, the Kac-Moody
central extensions of loop groups, and the group String(n). A Lie 2-algebra is
a categorified version of a Lie algebra where the Jacobi identity holds up to a
natural isomorphism called the "Jacobiator". Similarly, a Lie 2-group is a
categorified version of a Lie group. If G is a simply-connected compact simple
Lie group, there is a 1-parameter family of Lie 2-algebras g_k each having
Lie(G) as its Lie algebra of objects, but with a Jacobiator built from the
canonical 3-form on G. There appears to be no Lie 2-group having g_k as its Lie
2-algebra, except when k = 0. Here, however, we construct for integral k an
infinite-dimensional Lie 2-group whose Lie 2-algebra is equivalent to g_k. The
objects of this 2-group are based paths in G, while the automorphisms of any
object form the level-k Kac-Moody central extension of the loop group of G.
This 2-group is closely related to the kth power of the canonical gerbe over G.
Its nerve gives a topological group that is an extension of G by K(Z,2). When k
= +-1, this topological group can also be obtained by killing the third
homotopy group of G. Thus, when G = Spin(n), it is none other than String(n).Comment: 40 page
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
Challenging the orthodoxy: union learning representatives as organic intellectuals
Teacher education and continuing professional development have become a key areas of controversy in England since the period of school sector restructuring following the 1988 Education Reform Act. More recently teacher training and professional development have often been used to promote and reinforce a narrow focus on the government’s ‘standards agenda’. However, the emerging discourse of ‘new professionalism’ has raised the profile of professional development in schools, and together with union learning representatives, there are opportunities to secure real improvements in teachers’ access to continuing professional development. This paper argues however that union learning representatives must go beyond advocating for better access to professional development and should raise more fundamental questions about the nature of professional development and the education system it serves. Drawing on Gramsci’s notion of the ‘organic intellectual’, the paper argues that union learning representatives have a key role as organisers of ideas – creating spaces in which the ideological dominance of current policy orthodoxy might be challenged
Assessing the contribution of shallow and deep knowledge sources for word sense disambiguation
Corpus-based techniques have proved to be very beneficial in the development of efficient and accurate approaches to word sense disambiguation (WSD) despite the fact that they generally represent relatively shallow knowledge. It has always been thought, however, that WSD could also benefit from deeper knowledge sources. We describe a novel approach to WSD using inductive logic programming to learn theories from first-order logic representations that allows corpus-based evidence to be combined with any kind of background knowledge. This approach has been shown to be effective over several disambiguation tasks using a combination of deep and shallow knowledge sources. Is it important to understand the contribution of the various knowledge sources used in such a system. This paper investigates the contribution of nine knowledge sources to the performance of the disambiguation models produced for the SemEval-2007 English lexical sample task. The outcome of this analysis will assist future work on WSD in concentrating on the most useful knowledge sources
ULTRACAM photometry of the eclipsing cataclysmic variable OU Vir
We present high-speed, three-colour photometry of the faint eclipsing
cataclysmic variable OU Vir. For the first time in OU Vir, separate eclipses of
the white dwarf and bright spot have been observed. We use timings of these
eclipses to derive a purely photometric model of the system, obtaining a mass
ratio of q = 0.175 +/- 0.025, an inclination of i = 79.2 +/- 0.7 degrees and a
disc radius of Rd/a = 0.2315 +/- 0.0150. We separate the white dwarf eclipse
from the lightcurve and, by fitting a blackbody spectrum to its flux in each
passband, obtain a white dwarf temperature of T = 21700 +/- 1200 K and a
distance of D = 650 +/- 210 pc. Assuming that the primary obeys the Nauenberg
(1972) mass-radius relation for white dwarfs and allowing for temperature
effects, we also find a primary mass Mw/Msun = 0.90 +/- 0.19, primary radius
Rw/Rsun = 0.0097 +/- 0.0031 and orbital separation a/Rsun = 0.75 +/- 0.05.Comment: 8 pages LaTeX, 6 figures. Accepted by MNRAS; erratum added at end.
Mon.Not.Roy.Astron.Soc. 347 (2004) 1173, erratum in pres
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