746 research outputs found
Measuring Health and Broader Well-Being Benefits in the Context of Opiate Dependence: The Psychometric Performance of the ICECAP-A and the EQ-5D-5L
BACKGROUND: Measuring outcomes in economic evaluations of social care interventions is challenging because both health and well-being benefits are evident. The ICEpop CAPability instrument for adults (ICECAP-A) and the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L) are measures potentially suitable for the economic evaluation of treatments for substance use disorders. Evidence for their validity in this context is, however, lacking. OBJECTIVES: To assess the construct validity of the ICECAP-A and the EQ-5D-5L in terms of convergent and discriminative validity and sensitivity to change on the basis of standard clinical measures (Clinical Outcomes in Routine Evaluation-Outcome Measure, Treatment Outcomes Profile, Interpersonal Support Evaluation List, Leeds Dependence Questionnaire, and Social Satisfaction Questionnaire). METHODS: A secondary analysis of pilot trial data for heroin users in opiate substitution treatment was conducted. Baseline convergence with clinical measures was assessed using the Pearson correlation coefficient. Discriminative validity was assessed using one-way analysis of variance and stepwise regressions. Sensitivity to changes in clinical indicators was assessed at 3 and 12 months using the standardized response mean statistic and parametric and nonparametric testing. RESULTS: Both measures had the same level of construct validity, except for clinical indicators of well-being, for which the ICECAP-A performed better. The ICECAP-A was sensitive to changes in both health and well-being indicators. The EQ-5D-5L had lower levels of sensitivity to change, and a ceiling effect (27%), particularly evident in the dimensions of self-care (89%), mobility (75%), and usual activities (72%). CONCLUSIONS: The findings support the construct validity of both measures, but the ICECAP-A gives more attention to broader impacts and is more sensitive to change. The ICECAP-A shows promise in evaluating treatments for substance use disorders for which recovery is the desired outcome
Multi-vehicle Control in a Strong Flowfield with Application to Hurricane Sampling
A major obstacle to path-planning and formation-control algorithms in multi-vehicle systems are strong flows in which the ambient flow speed is greater than the vehicle speed relative to the flow. This challenge is espe-cially pertinent in the application of unmanned aircraft used for collecting targeted observations in a hurricane. The presence of such a flowfield may inhibit a vehicle from making forward progress relative to a ground-fixed frame, thus limiting the directions in which it can travel. Using a self-propelled particle model in which each particle moves at constant speed relative to the flow, this paper presents results for motion coordination in a strong, known flowfield. We present the particle model with respect to inertial and rotating reference frames and provide for each case a set of con-ditions on the flowfield that ensure trajectory feasibility. Results from the Lyapunov-based design of decentralized control algorithms are presented for circular, folium, and spirograph trajectories, which are selected for their potential use as hurricane sampling trajectories. The theoretical results are illustrated using numerical simulations in an idealized hurricane model. Nomenclature N Number of particles in the system k Particle index k = 1,..., N rk Position of k th particle with respect to inertial frame r̃k Position of k th particle with respect to rotating fram
The Chandra X-ray Survey of Planetary Nebulae (ChanPlaNS): Probing Binarity, Magnetic Fields, and Wind Collisions
We present an overview of the initial results from the Chandra Planetary
Nebula Survey (ChanPlaNS), the first systematic (volume-limited) Chandra X-ray
Observatory survey of planetary nebulae (PNe) in the solar neighborhood. The
first phase of ChanPlaNS targeted 21 mostly high-excitation PNe within ~1.5 kpc
of Earth, yielding 4 detections of diffuse X-ray emission and 9 detections of
X-ray-luminous point sources at the central stars (CSPNe) of these objects.
Combining these results with those obtained from Chandra archival data for all
(14) other PNe within ~1.5 kpc that have been observed to date, we find an
overall X-ray detection rate of ~70%. Roughly 50% of the PNe observed by
Chandra harbor X-ray-luminous CSPNe, while soft, diffuse X-ray emission tracing
shocks formed by energetic wind collisions is detected in ~30%; five objects
display both diffuse and point-like emission components. The presence of X-ray
sources appears correlated with PN density structure, in that molecule-poor,
elliptical nebulae are more likely to display X-ray emission (either point-like
or diffuse) than molecule-rich, bipolar or Ring-like nebulae. All but one of
the X-ray point sources detected at CSPNe display X-ray spectra that are harder
than expected from hot (~100 kK) central star photospheres, possibly indicating
a high frequency of binary companions to CSPNe. Other potential explanations
include self-shocking winds or PN mass fallback. Most PNe detected as diffuse
X-ray sources are elliptical nebulae that display a nested shell/halo structure
and bright ansae; the diffuse X-ray emission regions are confined within inner,
sharp-rimmed shells. All sample PNe that display diffuse X-ray emission have
inner shell dynamical ages <~5x10^3 yr, placing firm constraints on the
timescale for strong shocks due to wind interactions in PNe.Comment: 41 pages, 6 figures; submitted to the Astronomical Journa
Improving Influenza and Tdap Vaccination during Pregnancy: A Cluster-randomized Trial of a Multi-component Antenatal Vaccine Promotion Package in Late Influenza Season
Background Evidence-based interventions to improve influenza vaccine coverage among pregnant women are needed, particularly among those who remain unvaccinated late into the influenza season. Improving rates of antenatal tetanus, diphtheria and acellular pertussis (Tdap) vaccination is also needed
Spitzer IRAC observations of newly-discovered planetary nebulae from the Macquarie-AAO-Strasbourg H-alpha Planetary Nebula Project
We compare H-alpha, radio continuum, and Spitzer Space Telescope (SST) images
of 58 planetary nebulae (PNe) recently discovered by the Macquarie-AAO-Strasbo-
urg H-alpha PN Project (MASH) of the SuperCOSMOS H-alpha Survey. Using InfraRed
Array Camera (IRAC) data we define the IR colors of PNe and demonstrate good
isolation between these colors and those of many other types of astronomical
object. The only substantive contamination of PNe in the color-color plane we
illustrate is due to YSOs. However, this ambiguity is readily resolved by the
unique optical characteristics of PNe and their environs. We also examine the
relationships between optical and MIR morphologies from 3.6 to 8.0um and
explore the ratio of mid-infrared (MIR) to radio nebular fluxes, which is a
valuable discriminant between thermal and nonthermal emission. MASH emphasizes
late evolutionary stages of PNe compared with previous catalogs, enabling study
of the changes in MIR and radio flux that attend the aging process. Spatially
integrated MIR energy distributions were constructed for all MASH PNe observed
by the GLIMPSE Legacy Project, using the H-alpha morphologies to establish the
dimensions for the calculations of the Midcourse Space Experiment (MSX), IRAC,
and radio continuum (from the Molonglo Observatory Synthesis Telescope and the
Very Large Array) flux densities. The ratio of IRAC 8.0-um to MSX 8.3-um flux
densities provides a measure of the absolute diffuse calibration of IRAC at 8.0
um. We independently confirm the aperture correction factor to be applied to
IRAC at 8.0um to align it with the diffuse calibration of MSX. The result
agrees with the recommendations of the Spitzer Science Center and with results
from a parallel study of HII regions. These PNe probe the diffuse calibration
of IRAC on a spatial scale of 9-77 arcsec.Comment: 48 pages, LaTeX (aastex), incl. 18 PostScript (eps) figures and 3
tables. Accepted by Astrophysical Journa
Instability of LBV-stars against radial oscillations
In this study we consider the nonlinear radial oscillations exciting in
LBV--stars with effective temperatures 1.5e4 K <= Teff <= 3e4 K, bolometric
luminosities 1.2e6 L_odot <= L <= 1.9e6 L_odot and masses 35.7 M_odot <= M <=
49.1 M_odot. Hydrodynamic computations were carried out with initial conditions
obtained from evolutionary sequences of population I stars (X=0.7, Z=0.02) with
initial masses from 70M_odot to 90 M_odot. All hydrodynamical models show
instability against radial oscillations with amplitude growth time comparable
with dynamical time scale of the star. Radial oscillations exist in the form of
nonlinear running waves propagating from the boundary of the compact core to
the upper boundary of the hydrodynamical model. The velocity amplitude of outer
layers is of several hundreds of km/s while the bolometric light amplitude does
not exceed 0.2 mag. Stellar oscillations are not driven by the kappa-mechanism
and are due to the instability of the gas with adiabatic exponent close to the
critical value Gamma_1 = 4/3 due to the large contribution of radiation in the
total pressure. The range of the light variation periods (6 day <= P <= 31 day)
of hydrodynamical models agrees with periods of microvariability observed in
LBV--stars.Comment: 14 pages, 5 figures, submitted to Astronomy Letter
Iron uptake and physiological response of phytoplankton during a mesoscale Southern Ocean Iron enrichment.
Iron supply is thought to regulate primary production in high nitrate, low chlorophyll (HNLC) regions of the sea in both the past and the present. A critical aspect of this relationship is acquisition of iron (Fe) by phytoplankton, which occurs through a complex series of extracellular reactions that are influenced by Fe chemistry and speciation. During the first in situ mesoscale Fe-enrichment experiment in the Southern Ocean (Southern Ocean iron release experiment [SOIREE]), we monitored the uptake of Fe by three size classes of plankton and their ensuing physiological response to the Fe enrichment. Rates of Fe uptake from both inorganic Fe (Fe') and organic Fe complexes (FeL) were initially fast, indicative of Fe-limitation. After Fe enrichment phytoplankton down-regulated Fe uptake and optimized physiological performance, but by day 12 they had greatly increased their capacity to acquire Fe from FeL. The increase in Fe uptake from FeL coincided with a sixfold decrease in Fe' that followed the production of Fe-binding organic ligands. Phytoplankton were able to use organically bound Fe at rates sufficient to maintain net growth for more than 42 d. Adaptation to such shifts in Fe chemistry may contribute to bloom longevity in these polar HNLC waters
Long-Term Optical Monitoring of Eta Carinae. Multiband light curves for a complete orbital period
The periodicity of 5.5 years for some observational events occurring in Eta
Carinae manifests itself across a large wavelength range and has been
associated with its binary nature. These events are supposed to occur when the
binary components are close to periastron. To detect the previous periastron
passage of Eta Car in 2003, we started an intensive, ground-based, optical,
photometric observing campaign. We continued observing the object to monitor
its photometric behavior and variability across the entire orbital cycle. Our
observation program consisted of daily differential photometry from CCD images,
which were acquired using a 0.8 m telescope and a standard BVRI filter set at
La Plata Observatory. The photometry includes the central object and the
surrounding Homunculus nebula. We present up-to-date results of our observing
program, including homogeneous photometric data collected between 2003 and
2008. Our observations demonstrated that Eta Car has continued increasing in
brightness at a constant rate since 1998. In 2006, it reached its brightest
magnitude (V ~ 4.7) since about 1860s. The object then suddenly reverted its
brightening trend, fading to V = 5.0 at the beginning of 2007, and has
maintained a quite steady state since then. We continue the photometric
monitoring of Eta Car in anticipation of the next "periastron passage",
predicted to occur at the beginning of 2009.Comment: Accepted by A&A. The paper contains 3 figures and 2 table
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