330 research outputs found

    Does growth in private schooling contribute to Education for All? Evidence from a longitudinal, two cohort study in Andhra Pradesh, India

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    This paper informs debates about the potential role for low-fee private schooling in achieving Education for All goals in India. It reports ‘Young Lives’ longitudinal data for two cohorts (2,906 children) in the state of Andhra Pradesh. Eight year olds uptake of private schooling increased from 24 per cent (children born in 1994-5) to 44 per cent (children born in 2001-2). Children from rural areas, lower socioeconomic backgrounds and girls continue to be under represented. While some access gaps decreased, the gender gap seems to be widening. Evidence on risks to equity strengthen the case for an effectively regulated private sector, along with reforms to government sector schools

    A systematic review of the burden of vaccine preventable pneumococcal disease in UK adults

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    BACKGROUND: Invasive pneumococcal disease (IPD) and pneumococcal pneumonia are common and carry a significant morbidity and mortality. Current strategies to prevent pneumococcal disease are under review in the United Kingdom (UK). We conducted a systematic review to evaluate the burden of vaccine type adult pneumococcal disease specifically in the UK.METHODS: A systematic review conducted and reported according to MOOSE guidelines. Relevant studies from 1990 to 2015 were included. The primary outcome was the incidence of vaccine type pneumococcal disease, focussing on the pneumococcal polysaccharide vaccine (PPSV), the 13-valent conjugate vaccine (PCV13) and the 7-valent conjugate vaccine (PCV7).RESULTS: Data from surveillance in England and Wales from 2013/14 shows an incidence of 6.85 per 100,000 population across all adult age groups for IPD, and an incidence of 20.58 per 100,000 population in those aged &gt;65 years. The corresponding incidences for PCV13 serotype IPD were 1.4 per 100,000 and 3.72 per 100,000. The most recent available data for community-acquired pneumonia (CAP) including non-invasive disease showed an incidence of 20.6 per 100,000 for adult pneumococcal CAP and 8.6 per 100,000 population for PCV13 serotype CAP. Both IPD and CAP data sources in the UK suggest an ongoing herd protection effect from childhood PCV13 vaccination causing a reduction in the proportion of cases caused by PCV13 serotypes in adults. Despite this, applying the incidence rates to UK population estimates suggests more than 4000 patients annually will be hospitalised with PCV13 serotype CAP and more than 900 will be affected by IPD, although with a trend for these numbers to decrease over time. There was limited recent data on serotype distribution in high risk groups such as those with chronic respiratory or cardiac disease and no data available for vaccine type (VT) CAP managed in the community where there is likely to be a considerable unmeasured burden.CONCLUSION: The most recent available data suggests that VT pneumococcal disease continues to have a high burden in UK adults despite the impact of childhood PCV13 vaccination. IPD estimates represent only a fraction of the total burden of pneumococcal disease.STUDY REGISTRATION: PROSPERO CRD42015025043.</p

    Photonic crystals for enhanced light extraction from 2D materials

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    In recent years, a range of two-dimensional (2D) transition metal dichalcogenides (TMDs) have been studied, and remarkable optical and electronic characteristics have been demonstrated. Furthermore, the weak interlayer Van der Waals interaction allows TMDs to adapt to a range of substrates. Unfortunately, the photons emitted from these TMD monolayers are difficult to efficiently collect into simple optics, reducing the practicality of these materials. The realization of on-chip optical devices for quantum information applications requires structures that maximize optical extraction efficiently whilst also minimizing substrate loss. In this work we propose a photonic crystal cavity based on silicon rods that allows maximal spatial and spectral coupling between TMD monolayers and the cavity mode. Finite difference time domain (FDTD) simulations revealed that TMDs coupled to this type of cavity have highly directional emission towards the collection optics, as well as up to 400% enhancement in luminescence intensity, compared to monolayers on flat substrates. We consider realistic fabrication tolerances and discuss the extent of the achievable spatial alignment with the cavity mode field maxima

    Increasing quantum light extraction from TMDC's

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    Much of the recent explosion of research into 2D semiconductor materials has focused on direct bandgap materials such as monolayers of transition metal dichalcogenides (TMDCs), which show great promise in optoelectronic devices such as ultra-thin LEDs [1, 2]. Extraction of light out of these structures can be enhanced in the near field through the integration of these monolayers into waveguides, cavities, or photonic crystals [3]; however these methods are not ideal as they require costly and time consuming processing. Furthermore none of these methods allow you to observe the light directly, therefore are unhelpful in certain applications, such as quantum unique devices [4]. The research we present demonstrates a solution to this problem by encapsulating a range of two-dimensional materials in Solid Immersion Lenses (SILs), dynamically-shaped from UV cure epoxy. We show that the advantages of using SILs formed in this way are numerous, with the most prominent being they can be deterministically placed and directly tuned, to ensure the extraction efficiency is maximised. We will also present detailed photoluminescence maps showing how the reduction of laser spot size caused by focusing through a SIL can allow for very detailed mapping of WSe2 multilayer structures

    Isotopic Evidence for Multiple Recycled Sulfur Reservoirs in the Mangaia Mantle Plume

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    This document is the Accepted Version of Record for "Isotopic Evidence for Multiple Recycled Sulfur Reservoirs in the Mangaia Mantle Plume"Mangaia, an ocean island in the Cook-Austral volcanic chain, is the type locality for the HIMU mantle reservoir and has also been shown to exhibit evidence for recycled sulfur with anomalous δ34S and Δ33S that has been attributed an Archean origin. Here we report bulk S-isotope data from sulfide inclusions in olivine and pyroxene phenocrysts from one of the previously analyzed and four additional Mangaia basalts to further test for the prevalence of anomalous S in the HIMU mantle source feeding Mangaia. We document compositions that range from −5.13‰ to +0.21‰ (±0.3 2σ), +0.006‰ to +0.049‰ (±0.016 2σ), −0.81‰ to +0.69‰ (±0.3 2σ) for δ34S, Δ33S, and Δ36S, respectively. These data extend the range of measured compositions and suggest S-isotope heterogeneity in the HIMU mantle source at Mangaia. We show that S-isotope compositions of bulk sulfide in olivine is not in isotopic equilibrium with bulk sulfide in pyroxene from the same samples and that samples from a confined area (M4, M10, M12, and M13) in the northern central part of the island show a distinct covariation for δ34S and Δ33S. This isotopic variation (forming an array) suggests mixing of sulfur from two sources that were captured at different stages of crystallization by phenocrysts in the Mangaia HIMU sulfur endmember

    Increasing the light extraction and longevity of TMDC monolayers using liquid formed micro-lenses

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    The recent discovery of semiconducting two-dimensional materials is predicted to lead to the introduction of a series of revolutionary optoelectronic components that are just a few atoms thick. Key remaining challenges for producing practical devices from these materials lie in improving the coupling of light into and out of single atomic layers, and in making these layers robust to the influence of their surrounding environment. We present a solution to tackle both of these problems simultaneously, by deterministically placing an epoxy based micro-lens directly onto the materials’ surface. We show that this approach enhances the photoluminescence of tungsten diselenide (WSe2) monolayers by up to 300%, and nearly doubles the imaging resolution of the system. Furthermore, this solution fully encapsulates the monolayer, preventing it from physical damage and degradation in air. The optical solution we have developed could become a key enabling technology for the mass production of ultra-thin optical devices, such as quantum light emitting diodes

    Shielding noises from spins

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    Electrons in InAs/GaAs quantum dots are strong candidates for qubits due to quantum confinement of the spin ½ system. However, electrons couple with nearby nuclear spins and the fluctuating electrostatic environment, these impose an undesired bottleneck on the performance of a quantum spin device. We show that the fluctuating charge and spin environment may be circumvented to an extent. Compared to InAs/GaAs quantum dots, two-dimensional materials may be used to minimise nuclear spin noise; combined with careful sample design a low-decoherence platform is envisioned

    Health professionals' experiences of tuberculosis cohort audit in the North West of England : a qualitative study

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    This research was supported by Public Health England and the Centre for Applied Health Research and Delivery, Liverpool School of Tropical Medicine (LSTM).Objectives. Tuberculosis cohort audit (TBCA) was introduced across the North West (NW) of England in 2012 as an ongoing, multidisciplinary, systematic case review process, designed to improve clinical and public health practice. TBCA has not previously been introduced across such a large and socioeconomically diverse area in England, nor has it undergone formal, qualitative evaluation. This study explored health professionals' experiences of the process after 1515 cases had been reviewed. Design. Qualitative study using semistructured interviews. Respondents were purposively sampled from 3 groups involved in the NW TBCA: (1) TB nurse specialists, (2) consultant physicians and (3) public health practitioners. Data from the 26 respondents were triangulated with further interviews with key informants from the TBCA Steering Group and through observation of TBCA meetings. Analysis. Interview transcripts were analysed thematically using the framework approach. Results. Participants described the evolution of a valuable 'community of practice' where interprofessional exchange of experience and ideas has led to enhanced mutual respect between different roles and a shared sense of purpose. This multidisciplinary, regional approach to TB cohort audit has promoted local and regional team working, exchange of good practices and local initiatives to improve care. There is strong ownership of the process from public health professionals, nurses and clinicians; all groups want it to continue. TBCA is regarded as a tool for quality improvement that improves patient safety. Conclusions. TBCA provides peer support and learning for management of a relatively rare, but important infectious disease through discussion in a no-blame atmosphere. It is seen as an effective quality improvement strategy which enhances TB care, control and patient safety. Continuing success will require increased engagement of consultant physicians and public health practitioners, a secure and ongoing funding stream and establishment of clear reporting mechanisms within the public health system.Publisher PDFPeer reviewe

    Extracting random numbers from quantum tunnelling through a single diode

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    Random number generation is crucial in many aspects of everyday life, as online security and privacy depend ultimately on the quality of random numbers. Many current implementations are based on pseudo-random number generators, but information security requires true random numbers for sensitive applications like key generation in banking, defence or even social media. True random number generators are systems whose outputs cannot be determined, even if their internal structure and response history are known. Sources of quantum noise are thus ideal for this application due to their intrinsic uncertainty. In this work, we propose using resonant tunnelling diodes as practical true random number generators based on a quantum mechanical effect. The output of the proposed devices can be directly used as a random stream of bits or can be further distilled using randomness extraction algorithms, depending on the application

    Atomic-scale authentication with resonant tunneling diodes

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    The room temperature electronic characteristics of resonant tunneling diodes (RTDs) containing AlAs/InGaAs quantum wells are studied. Differences in the peak current and voltages, associated with device-to-device variations in the structure and width of the quantum well are analyzed. A method to use these differences between devices is introduced and shown to uniquely identify each of the individual devices under test. This investigation shows that quantum confinement in RTDs allows them to operate as physical unclonable functions
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