Cost-effectiveness of HIV testing in non-traditional settings – the HINTS study

Working Pape

An estimate of costs and benefits of alternative methods of delivery: an empirical analysis

Working Pape

Simulation of Sound Absorption by Scattering Bodies Treated with Acoustic Liners Using a Time-Domain Boundary Element Method

Reducing aircraft noise is a major objective in the field of computational aeroacoustics. When designing next generation quiet aircraft, it is important to be able to accurately and efficiently predict the acoustic scattering by an aircraft body from a given noise source. Acoustic liners are an effective tool for aircraft noise reduction, and are characterized by a complex valued frequency-dependent impedance, Z(w). Converted into the time-domain using Fourier transforms, an impedance boundary condition can be used to simulate the acoustic wave scattering of geometric bodies treated with acoustic liners. This work uses an admittance boundary condition where the admittance, Y(w), is defined to be the inverse of impedance, i.e., Y(w) = 1/Z(w). An admittance boundary condition will be derived and coupled with a time domain boundary integral equation. The solution will be obtained iteratively using spatial and temporal basis functions and will allow for acoustic scattering problems to be modeled with geometries consisting of both unlined and soft surfaces. Stability will be demonstrated through eigenvalue analysis

Characterization of a Method for Inverse Heat Conduction Using Real and Simulated Thermocouple Data

It is often impractical to instrument the external surface of high-speed vehicles due to the aerothermodynamic heating. Temperatures can instead be measured internal to the structure using embedded thermocouples, and direct and inverse methods can then be used to estimate temperature and heat flux on the external surface. Two thermocouples embedded at different depths are required to solve direct and inverse problems, and filtering schemes are used to reduce noise in the measured data. Accuracy in the estimated surface temperature and heat flux is dependent on several factors. Factors include the thermocouple location through the thickness of a material, the sensitivity of the surface solution to the error in the specified location of the embedded thermocouples, and the sensitivity to the error in thermocouple data. The effect of these factors on solution accuracy is studied using the methodology discussed in the work of Pizzo, et. al.1 A numerical study is performed to determine if there is an optimal depth at which to embed one thermocouple through the thickness of a material assuming that a second thermocouple is installed on the back face. Solution accuracy will be discussed for a range of embedded thermocouple depths. Moreover, the sensitivity of the surface solution to (a) the error in the specified location of the embedded thermocouple and to (b) the error in the thermocouple data are quantified using numerical simulation, and the results are discussed

Cost-effectiveness analysis of a FOBT-based colorectal screening programme

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Gallstone ileus treated with non-surgical conservative methods: a case report

INTRODUCTION: The preoperative diagnosis of gallstone ileus is challenging due to the variability of its presentation, often resulting in late diagnosis. Controversy remains regarding the management of gallstone ileus; surgery is the standard treatment, but also less invasive approaches have proven to be successful. We present an unusual case of gallstone ileus and its conservative treatment. CASE PRESENTATION: We describe the case of a 49-year-old Caucasian woman with a bowel sub-occlusion, treated conservatively. The imaging technique (plain abdominal X-ray and computed tomography scan) led to a diagnosis of gallstones ileus. A surgical intervention was not performed. Instead, she underwent extracorporeal shock-wave lithotripsy to fragment the stones, mechanical intestinal dilatation for ileocolic stenosis and endoscopic removal of the gallstone. The presence of an apricot shell contributed to the bowel occlusion and was removed. The intervention was successful and without complications. CONCLUSIONS: Given the variability of the gallstone ileus presentation, surgery could not be the only treatment for our patient. In our case report, we show that colonoscopy could be a non-invasive approach that allows for diagnosis and treatment at the same time. The available data do not show a higher rate of recurrent biliary disease in cases where this method has been used, therefore in select patients, a conservative treatment could be an effective solution

Challenges in Dental Statistics: Survey Methodology Topics

This paper gathers some contributions concerning survey methodology in dental research, as discussed during the first Workshop of the SISMEC STATDENT working group on statistical methods and applications in dentistry, held in Ancona on the 28th September 2011. The first contribution deals with the European Global Oral Health Indicators Development (EGOHID) Project which proposed a comprehensive and standardized system of epidemiological tools (questionnaires and clinical forms) for national data collection on oral health in Europe. The second contribution regards the design and conduct of trials to evaluate the clinical efficacy and safety of toothbrushes and mouthrinses. Finally, a flexible and effective tool used to trace dental age reference charts tailored to Italian children was presented

Challenges in Dental Statistics: Survey Methodology Topics

This paper gathers some contributions concerning survey methodology in dental research, as discussed during the first Workshop of the SISMEC STATDENT working group on statistical methods and applications in dentistry, held in Ancona on the 28th September 2011. The first contribution deals with the European Global Oral Health Indicators Development (EGOHID) Project which proposed a comprehensive and standardized system of epidemiological tools (questionnaires and clinical forms) for national data collection on oral health in Europe. The second contribution regards the design and conduct of trials to evaluate the clinical efficacy and safety of toothbrushes and mouthrinses. Finally, a flexible and effective tool used to trace dental age reference charts tailored to Italian children was presented

The Economic Costs of Child Maltreatment in UK

Child maltreatment is a major public health problem with significant consequences for individual victims and for society. In this paper we quantify for the first time the economic costs of fatal and non-fatal child maltreatment in the UK in relation to several short-, medium- and long-term outcomes ranging from physical and mental health problems, to labour market outcomes and welfare use. We combine novel regression analysis of rich data from the National Child Development Study and the English Longitudinal Study of Ageing with secondary evidence to produce an incidence-based estimate of the lifetime costs of child maltreatment from a societal perspective. The discounted average lifetime incidence cost of non-fatal child maltreatment by a primary caregiver is estimated at £89,390 (95% uncertainty interval £44,896 to £145,508); the largest contributors to this are costs from social care, short-term health and long-term labour market outcomes. The discounted lifetime cost per death from child maltreatment is estimated at £940,758, comprising health care and lost productivity costs. Our estimates provide the first comprehensive benchmark to quantify the costs of child maltreatment in the UK and the benefits of interventions aimed at reducing or preventing it

The economic costs of child maltreatment in the UK

Child maltreatment is a major public health problem with significant consequences for individual victims and for society. In this paper, we quantify for the first time the economic costs of fatal and nonfatal child maltreatment in the UK in relation to several short-, medium-, and long-term outcomes ranging from physical and mental health problems to labor market outcomes and welfare use. We combine novel regression analysis of rich data from the National Child Development Study and the English Longitudinal Study of Aging with secondary evidence to produce an incidence-based estimate of the lifetime costs of child maltreatment from a societal perspective. The discounted average lifetime incidence cost of nonfatal child maltreatment by a primary caregiver is estimated at £89,390 (95% uncertainty interval £44,896 to £145,508); the largest contributors to this are costs from social care, short-term health, and long-term labor market outcomes. The discounted lifetime cost per death from child maltreatment is estimated at £940,758, comprising health care and lost productivity costs. Our estimates provide the first comprehensive benchmark to quantify the costs of child maltreatment in the UK and the benefits of interventions aimed at reducing or preventing it