10,327 research outputs found
A study of commuter airplane design optimization
Problems of commuter airplane configuration design were studied to affect a minimization of direct operating costs. Factors considered were the minimization of fuselage drag, methods of wing design, and the estimated drag of an airplane submerged in a propellor slipstream; all design criteria were studied under a set of fixed performance, mission, and stability constraints. Configuration design data were assembled for application by a computerized design methodology program similar to the NASA-Ames General Aviation Synthesis Program
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How accessible and acceptable are current GP referral mechanisms for IAPT for low-income patients? Lay and primary care perspectives
Background: Improving Access to Psychological Therapies (IAPT) constitutes a key element of England’s national mental health strategy. Accessing IAPT usually requires patients to self-refer on the advice of their GP. Little is known about how GPs perceive and communicate IAPT services with patients from low-income communities, nor how the notion of self-referral is understood and responded to by such patients.
Aims: This paper examines how IAPT referrals are made by GPs and how these referrals are perceived and acted on by patients from low-income backgrounds
Method: Findings are drawn from in-depth interviews with low-income patients experiencing mental distress (n = 80); interviews with GPs (n = 10); secondary analysis of video-recorded GP-patient consultations for mental health (n = 26).
Results: GPs generally supported self-referral, perceiving it an important initial step towards patient recovery. Most patients however, perceived self-referral as an obstacle to accessing IAPT, and felt their mental health needs were being undermined. The way that IAPT was discussed and the pathway for referral appears to affect uptake of these services.
Conclusions: A number of factors deter low-income patients from self-referring for IAPT. Understanding these issues is necessary in enabling the development of more effective referral and support mechanisms within primary care
Analogs of Schur functions for rank two Weyl groups obtained from grid-like posets
In prior work, the authors, along with M. McClard, R. A. Proctor, and N. J.
Wildberger, studied certain distributive lattice models for the "Weyl
bialternants" (aka "Weyl characters") associated with the rank two root
systems/Weyl groups. These distributive lattices were uniformly described as
lattices of order ideals taken from certain grid-like posets, although the
arguments connecting the lattices to Weyl bialternants were case-by-case
depending on the type of the rank two root system. Using this connection with
Weyl bialternants, these lattices were shown to be rank symmetric and rank
unimodal, and their rank generating functions were shown to have beautiful
quotient-of-products expressions. Here, these results are re-derived from
scratch using completely uniform and elementary combinatorial reasoning in
conjunction with some new combinatorial methodology developed elsewhere by the
second listed author.Comment: 15 page
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Afatinib use in recurrent epithelial ovarian carcinoma.
•Genomic tumor testing is an important tool in guiding treatment for gynecologic malignancies.•Targetable mutations may lead to new therapies in gynecologic cancer treatment.•Her2/neu mutations in serous ovarian carcinomas can be targeted with ERBB2 inhibitors.•Afatinib shows promising response rates in lung cancers carrying Her2/neu mutations.•Afatinib may be effective in serous ovarian tumors exhibiting Her2/neu or ERBB2 mutations
Steady-state evolution of debris disks around A stars
In this paper a simple analytical model for the steady-state evolution of
debris disks due to collisions is confronted with Spitzer observations of main
sequence A stars. All stars are assumed to have planetesimal belts with a
distribution of initial masses and radii. In the model disk mass is constant
until the largest planetesimals reach collisional equilibrium whereupon the
mass falls off oc 1/t. We find that the detection statistics and trends seen at
both 24 and 70um can be fitted well by the model. While there is no need to
invoke stochastic evolution or delayed stirring to explain the statistics, a
moderate rate of stochastic events is not ruled out. Potentially anomalous
systems are identified by a high dust luminosity compared with the maximum
permissible in the model (HD3003, HD38678, HD115892, HD172555). Their
planetesimals may have unusual properties (high strength or low eccentricity)
or this dust could be transient. While transient phenomena are also favored for
a few systems in the literature, the overall success of our model, which
assumes planetesimals in all belts have the same strength, eccentricity and
maximum size, suggests a large degree of uniformity in the outcome of planet
formation. The distribution of planetesimal belt radii, once corrected for
detection bias, follows N(r) oc r^{-0.8+-0.3} for 3-120AU. Since the inner edge
is often attributed to an unseen planet, this provides a unique constraint on
the planetary systems of A stars. It is also shown that P-R drag may sculpt the
inner edges of A star disks close to the Spitzer detection threshold (HD2262,
HD19356, HD106591, HD115892). This model can be readily applied to the
interpretation of future surveys, and predictions are made for the upcoming
SCUBA-2 survey, including that >17% of A stars should be detectable at 850um.Comment: Accepted by Ap
Nonlinear Device Noise Models:Thermodynamic Requirements
All correspondence concerning this article should be addressed to
Prof. John WyattThis paper proposes three tests to determine whether a given nonlinear device noise model
is in agreement with accepted thermodynamic principles. These tests are applied to several
models. One conclusion is that every Gaussian noise model for any nonlinear device predicts
thermodynamically impossible circuit behavior: these models should be abandoned. But
the nonlinear shot-noise model predicts thermodynamically acceptable behavior under a
constraint derived here. Further, this constraint specifies the current noise amplitude at
each operating point from knowledge of the device v - i curve alone. For the Gaussian and
shot-noise models, this paper shows how the thermodynamic requirements can be reduced
to concise mathematical tests involving no approximatioSupported by the National Science Foundation Contract No. 94-23221
Collisional evolution of eccentric planetesimal swarms
Models for the steady state collisional evolution of low eccentricity
planetesimal belts identify debris disks with hot dust at 1AU, like eta Corvi
and HD69830, as anomalous since collisional processing should have removed most
of the planetesimal mass over their >1 Gyr lifetimes. This paper looks at the
effect of large planetesimal eccentricities (e>>0.3) on their collisional
lifetime and the amount of mass that can remain at late times M_{late}. For an
axisymmetric planetesimal disk with common pericentres and eccentricities e, we
find that M_{late} \propto e^{-5/3}(1+e)^{4/3}(1-e)^{-3}. For a scattered
disk-like population (i.e., common pericentres), in the absence of dynamical
evolution, the mass evolution at late times would be as if only planetesimals
with the largest eccentricity were present. Despite the increased remaining
mass, higher eccentricities do not increase the hot emission from the
collisional cascade until e>0.99, partly because most collisions occur near
pericentre thus increasing the dust blow-out diameter. However, at high
eccentricities (e>0.97) the blow-out population extending out from pericentre
may be detectable above the collisional cascade; higher eccentricities also
increase the probability of witnessing a recent collision. All of the imaging
and spectroscopic constraints for eta Corvi can be explained with a single
planetesimal population with pericentre at 0.75AU, apocentre at 150AU, and mass
5M_\oplus; however, the origin of such a high eccentricity population remains
challenging. The mid-IR excess to HD69830 can be explained by the ongoing
destruction of a debris belt produced in a recent collision in an eccentric
planetesimal belt, but the lack of far-IR emission requires small bound grains
to be absent from the parent planetesimal belt, possibly due to sublimation.Comment: MNRAS in pres
Hepatitis B and C co-Infection are independent predictors of progressive kidney disease in HIV-positive, antiretroviral-treated adults
Chronic kidney disease (CKD) is an important cause of morbidity and mortality in HIV-positive individuals. Hepatitis C (HCV) co-infection has been associated with increased risk of CKD, but prior studies lack information on potential mechanisms. We evaluated the association between HCV or hepatitis B (HBV) co-infection and progressive CKD among 3,441 antiretroviral-treated clinical trial participants. Progressive CKD was defined as the composite of end-stage renal disease, renal death, or significant glomerular filtration rate (eGFR) decline (25% decline to eGFR 800,000 IU/ml had increased odds (OR 3.07; 95% CI 1.60–5.90). Interleukin-6, hyaluronic acid, and the FIB-4 hepatic fibrosis index were higher among participants who developed progressive CKD, but were no longer associated with progressive CKD after adjustment. Future studies should validate the relationship between HCV viremia and CKD
Searching for a dusty cometary belt around TRAPPIST-1 with ALMA
Low-mass stars might offer today the best opportunities to detect and characterize planetary systems, especially those harbouring close-in low-mass temperate planets. Among those stars, TRAPPIST-1 is exceptional since it has seven Earth-sized planets, of which three could sustain liquid water on their surfaces. Here we present new and deep ALMA observations of TRAPPIST-1 to look for an exo-Kuiper belt which can provide clues about the formation and architecture of this system. Our observations at 0.88 mm did not detect dust emission, but can place an upper limit of 23 µJy if the belt is smaller than 4 au, and 0.15 mJy if resolved and 100 au in radius. These limits correspond to low dust masses of ̃10-5 to 10-2 M⊕, which are expected after 8 Gyr of collisional evolution unless the system was born with a >20 M⊕ belt of 100 km-sized planetesimals beyond 40 au or suffered a dynamical instability. This 20 M⊕ mass upper limit is comparable to the combined mass in TRAPPIST-1 planets, thus it is possible that most of the available solid mass in this system was used to form the known planets. A similar analysis of the ALMA data on Proxima Cen leads us to conclude that a belt born with a mass ≳1 M⊕ in 100 km-sized planetesimals could explain its putative outer belt at 30 au. We recommend that future characterizations of debris discs around low-mass stars should focus on nearby and young systems if possible
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