NICE shared decision making guidelines and mental health: challenges for research, practice and implementation

The National Institute for Health and Care Excellence (NICE) initiated an ambitious effort to develop the first shared decision making guidelines. The purpose of this commentary is to identify three main concerns pertaining to the new published guidelines for shared decision making research, practice, implementation and cultural differences in mental health

Generating Secure Service Compositions

Ensuring that the compositions of services that constitute service-based systems satisfy given security properties is a key prerequisite for the adoption of the service oriented computing paradigm. In this paper, we address this issue using a novel approach that guarantees service composition security by virtue of the generation of compositions. Our approach generates service compositions that are guaranteed to satisfy security properties based on secure service orchestration (SESO) patterns. These patterns express primitive (e.g., sequential, parallel) service orchestrations, which are proven to have certain global security properties if the individual services participating in them have themselves other security properties. The paper shows how SESO patterns can be constructed and gives examples of proofs for such patterns. It also presents the process of using SESO patterns to generate secure service compositions and presents the results of an initial experimental evaluation of the approach

Technical implementation of feasibility study-II design

An updated Feasibility Study for a high-performance Neutrino Factory has been undertaken by Brookhaven National Laboratory (BNL) and the Neutrino Factory and Muon Collider Collaboration (MC). We describe the technical implementation of the facility. Details of the key components are shown, and R and D activities that need to be addressed to proceed toward a facility design are indicated

Feasibility Study II of a Muon Based Neutrino Source.

The concept of using a muon storage ring to provide a well characterized beam of muon and electron neutrinos (a Neutrino Factory) has been under study for a number of years now at various laboratories throughout the world. The physics program of a Neutrino Factoryis focused on the relatively unexplored neutrino sector. In conjunction with a detector located a suitable distance from the neutrino source, the facility would make valuable contributions to the study of neutrino masses and lepton mixing. A Neutrino Factory is expected to improve the measurement accuracy of sin{sup 2}(2{theta}{sub 23}) and {Delta}m{sup 2}{sub 32} and provide measurements of sin{sup 2}(2{theta}{sub 13}) and the sign of {Delta}m{sup 2}{sub 32}. It may also be able to measure CP violation in the lepton sector

XTraQue: traceability for product line systems

Product line engineering has been increasingly used to support the development and deployment of software systems that share a common set of features and are developed based on the reuse of core assets. The large number and heterogeneity of documents generated during the development of product line systems may cause difficulties to identify common and variable aspects among applications, and to reuse core assets that are available under the product line. In this paper, we present a traceability approach for product line systems. Traceability has been recognised as an important task in in software system development. Traceability relations can improve the quality of the product being developed and reduce development time and cost. We present a rule-based approach to support automatic generation of traceability relations between feature-based object-oriented documents. The traceability rules used in our work are classified into two groups namely (a) direct rules, which support the creation of traceability relations that do not depend on the existence of other relations, and (b) indirect rules, which require the existence of previously generated relations. The documents are represented in XML and the rules are represented in an extension of XQuery. A prototype tool called XTraQue has been implemented. This tool, together with a mobile phone product line case study, has been used to demonstrate and evaluate our work in various experiments. The results of these experiments are encouraging and comparable with other approaches that support automatic generation of traceability relations

A Cost-Effective Design for a Neutrino Factory

There have been active efforts in the U.S., Europe, and Japan on the design of a Neutrino Factory. This type of facility produces intense beams of neutrinos from the decay of muons in a high energy storage ring. In the U.S., a second detailed Feasibility Study (FS2) for a Neutrino Factory was completed in 2001. Since that report was published, new ideas in bunching, cooling and acceleration of muon beams have been developed. We have incorporated these ideas into a new facility design, which we designate as Study 2B (ST2B), that should lead to significant cost savings over the FS2 design.Comment: 46 pages, 38 figures; to be submitted to Physical Review Special Topics: Accelerators and Beam

Surface free energy of polyurethane coatings with improved hydrophobicity

The polarity of polyurethane coats was studied on the basis of the goniometric method for determination of wetting angle values, on the basis of calculated surface free energy (SFE) values by the van Oss–Good and Owens–Wendt methods, and on the basis of polarity measurements with the use of the 1H NMR spectra. Test polyurethanes were synthesised in the reaction of methylene diphenyl 4,4′-diisocyanate (MDI) or 3-izocyanatomethyl –3,5,5- trimethylcyclohexyl isocyanate (IPDI) and polyoxyethylene glycols or polyesters poly(ε-caprolactone) diols and poly(ethyleneadipate) diol with different molecular weights, and some diols as chain extenders, in dioxane. The type of raw material was found to significantly affect the phase structure of the obtained polyurethane elastomers and to control physical interactions within those structures, thus influencing the SFE values. Fundamental reduction in the SFE value of a coating below 28 mJ/m2 was achieved by the use of 2,2,3,3-tetrafluoro-1,4-butanediol as the urethane prepolymer chain extender

Metastatic renal cell cancer treatments: An indirect comparison meta-analysis

Abstract Background Treatment for metastatic renal cell cancer (mRCC) has advanced dramatically with understanding of the pathogenesis of the disease. New treatment options may provide improved progression-free survival (PFS). We aimed to determine the relative effectiveness of new therapies in this field. Methods We conducted comprehensive searches of 11 electronic databases from inception to April 2008. We included randomized trials (RCTs) that evaluated bevacizumab, sorafenib, and sunitinib. Two reviewers independently extracted data, in duplicate. Our primary outcome was investigator-assessed PFS. We performed random-effects meta-analysis with a mixed treatment comparison analysis. Results We included 3 bevacizumab (2 of bevacizumab plus interferon-a [IFN-a]), 2 sorafenib, 1 sunitinib, and 1 temsirolimus trials (total n = 3,957). All interventions offer advantages for PFS. Using indirect comparisons with interferon-α as the common comparator, we found that sunitinib was superior to both sorafenib (HR 0.58, 95% CI, 0.38–0.86, P = < 0.001) and bevacizumab + IFN-a (HR 0.75, 95% CI, 0.60–0.93, P = 0.001). Sorafenib was not statistically different from bevacizumab +IFN-a in this same indirect comparison analysis (HR 0.77, 95% CI, 0.52–1.13, P = 0.23). Using placebo as the similar comparator, we were unable to display a significant difference between sorafenib and bevacizumab alone (HR 0.81, 95% CI, 0.58–1.12, P = 0.23). Temsirolimus provided significant PFS in patients with poor prognosis (HR 0.69, 95% CI, 0.57–0.85). Conclusion New interventions for mRCC offer a favourable PFS for mRCC compared to interferon-α and placebo