The blue one takes a battering why do young adults with asthma overuse bronchodilator inhalers? A qualitative study

Objective: Overuse of short-acting bronchodilators is internationally recognised as a marker of poor asthma control, high healthcare use and increased risk of asthma death. Young adults with asthma commonly overuse short-acting bronchodilators. We sought to determine the reasons for overuse of bronchodilator inhalers in a sample of young adults with asthma. Design: Qualitative study using a purposive extreme case sample. Setting: A large urban UK general practice. Participants: Twenty-one adults with moderate asthma, aged 20-32 years. Twelve were high users of short-acting bronchodilators, nine were low users. Results: Asthma had a major impact on respondents' lives, disrupting their childhood, family life and career opportunities. High users of short-acting bronchodilators had adapted poorly to having asthma and expressed anger at the restrictions they experienced. Overuse made sense to them: shortacting bronchodilators were a rapid, effective, cheap 'quick-fix' for asthma symptoms. High users had poorer control of asthma and held explanatory models of asthma which emphasised short-term relief via bronchodilation over prevention. Both high and low users held strong views about having to pay for asthma medication, with costs cited as a reason for not purchasing anti-inflammatory inhalers. Conclusions: Young adults who were high users of short-acting bronchodilators had adapted poorly to having asthma and had poor asthma control. They gave coherent reasons for overuse. Strategies that might address high bronchodilator use in young adults include improving education to help young people accept and adapt to their illness, reducing stigmatisation and providing free asthma medication to encourage the use of anti-inflammatory inhalers

Multivariate Jacobi and Laguerre polynomials, infinite-dimensional extensions, and their probabilistic connections with multivariate Hahn and Meixner polynomials

Multivariate versions of classical orthogonal polynomials such as Jacobi, Hahn, Laguerre, Meixner are reviewed and their connection explored by adopting a probabilistic approach. Hahn and Meixner polynomials are interpreted as posterior mixtures of Jacobi and Laguerre polynomials, respectively. By using known properties of Gamma point processes and related transformations, a new infinite-dimensional version of Jacobi polynomials is constructed with respect to the size-biased version of the Poisson-Dirichlet weight measure and to the law of the Gamma point process from which it is derived

Orthogonal polynomial kernels and canonical correlations for Dirichlet measures

We consider a multivariate version of the so-called Lancaster problem of characterizing canonical correlation coefficients of symmetric bivariate distributions with identical marginals and orthogonal polynomial expansions. The marginal distributions examined in this paper are the Dirichlet and the Dirichlet multinomial distribution, respectively, on the continuous and the N-discrete d-dimensional simplex. Their infinite-dimensional limit distributions, respectively, the Poisson-Dirichlet distribution and Ewens's sampling formula, are considered as well. We study, in particular, the possibility of mapping canonical correlations on the d-dimensional continuous simplex (i) to canonical correlation sequences on the d+1-dimensional simplex and/or (ii) to canonical correlations on the discrete simplex, and vice versa. Driven by this motivation, the first half of the paper is devoted to providing a full characterization and probabilistic interpretation of n-orthogonal polynomial kernels (i.e., sums of products of orthogonal polynomials of the same degree n) with respect to the mentioned marginal distributions. We establish several identities and some integral representations which are multivariate extensions of important results known for the case d=2 since the 1970s. These results, along with a common interpretation of the mentioned kernels in terms of dependent Polya urns, are shown to be key features leading to several non-trivial solutions to Lancaster's problem, many of which can be extended naturally to the limit as $d\rightarrow\infty$.Comment: Published in at http://dx.doi.org/10.3150/11-BEJ403 the Bernoulli (http://isi.cbs.nl/bernoulli/) by the International Statistical Institute/Bernoulli Society (http://isi.cbs.nl/BS/bshome.htm

Ancestral inference from haplotypes and mutations

We consider inference about the history of a sample of DNA sequences, conditional upon the haplotype counts and the number of segregating sites observed at the present time. After deriving some theoretical results in the coalescent setting, we implement rejection sampling and importance sampling schemes to perform the inference. The importance sampling scheme addresses an extension of the Ewens Sampling Formula for a configuration of haplotypes and the number of segregating sites in the sample. The implementations include both constant and variable population size models. The methods are illustrated by two human Y chromosome data sets

Recruiting ethnic minority participants to a clinical trial: a qualitative study

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non-commercial and is otherwise in compliance with the license.To compare the motives and experiences of different ethnic groups participating in a randomised double blind placebo-controlled trial of montelukast in preschool wheeze, and to assess parents' or guardians' understanding of trial procedures and their implications, including the collection of genetic material.National Institute of Health Research Efficacy and Mechanism Evaluation Stream(grant number: 08-43-03)

The attitudes, feelings and experiences of online gamers: a qualitative analysis

The playing of massively multiplayer online role-playing games (MMORPGs) is now a highly popular leisure activity. The present study set out to explore the attitudes, experiences, and feelings of online gamers. The study entailed 71 interviews with online gamers (52 males, 19 females) from 11 different countries. Six main themes emerged from the analyses of the interview transcripts: (a) online gaming and integration into day-to-day lives; (b) online gaming, excessive play, and problems; (c) addiction; (d) psychosocial impact of online gaming; (e) online gaming, dissociation, and time loss; and (f) online gaming and the alleviation of negative feelings and mood states. These findings specifically showed how gamers used MMORPGs to alleviate negative feelings and provided detailed descriptions of personal problems that had arisen due to playing MMORPGs. The implications of these findings are discussed in relation to previous qualitative and quantitative research in the area

Optimal Eavesdropping in Quantum Cryptography. II. Quantum Circuit

It is shown that the optimum strategy of the eavesdropper, as described in the preceding paper, can be expressed in terms of a quantum circuit in a way which makes it obvious why certain parameters take on particular values, and why obtaining information in one basis gives rise to noise in the conjugate basis.Comment: 7 pages, 1 figure, Latex, the second part of quant-ph/970103