Factors associated with appropriate inhaler use in patients with COPD - lessons from the REAL survey

The authors thank Clarice Field (PhD) and Paul McKiernan (PhD) of Novartis for providing medical writing support, which was funded by Novartis AG, Basel, Switzerland, in accordance with Good Publication Practice (GPP3) guidelines (http://www.ismpp.org/gpp3). Pankaj Goyal and Joao Mendes, Novartis Pharma AG, Basel, contributed to the design and conceptualization of study. The survey was designed by PDD, London, United Kingdom, and GfK Switzerland AG, Basel, Switzerland. The survey was conducted by GfK Switzerland AG, Basel, Switzerland, and sponsored by Novartis Pharma AG, Basel, Switzerland.Peer reviewedPublisher PD

Tidal interaction in binary black hole inspiral

In rotating viscous fluid stars, tidal torque leads to an exchange of spin and orbital angular momentum. The horizon of a black hole has an effective viscosity that is large compared to that of stellar fluids, and an effective tidal torque may lead to important effects in the strong field interaction at the endpoint of the inspiral of two rapidly rotating holes. In the most interesting case both holes are maximally rotating and all angular momenta (orbital and spins) are aligned. We point out here that in such a case (i) the transfer of angular momentum may have an important effect in modifying the gravitational wave ``chirp'' at the endpoint of inspiral. (ii) The tidal transfer of spin energy to orbital energy may increase the amount of energy being radiated. (iii) Tidal transfer in such systems may provide a mechanism for shedding excess angular momentum. We argue that numerical relativity, the only tool for determining the importance of tidal torque, should be more specifically focused on binary configurations with aligned, large, angular momenta.Comment: 5 pages, 2 figure

Artifacts at 4.5 and 8.0 um in Short Wavelength Spectra from the Infrared Space Observatory

Spectra from the Short Wavelength Spectrometer (SWS) on ISO exhibit artifacts at 4.5 and 8 um. These artifacts appear in spectra from a recent data release, OLP 10.0, as spurious broad emission features in the spectra of stars earlier than ~F0, such as alpha CMa. Comparison of absolutely calibrated spectra of standard stars to corresponding spectra from the SWS reveals that these artifacts result from an underestimation of the strength of the CO and SiO molecular bands in the spectra of sources used as calibrators by the SWS. Although OLP 10.0 was intended to be the final data release, these findings have led to an additional release addressing this issue, OLP 10.1, which corrects the artifacts.Comment: 14 pages, AASTex, including 5 figures. Accepted by ApJ Letter

Examining the Effect of Pore Size Distribution and Shape on Flow through Unsaturated Peat using Computer Tomography

The hydraulic conductivity of unsaturated peat soil is controlled by the air-filled porosity, pore size and geometric distribution as well as other physical properties of peat materials. This study investigates how the size and shape of pores affects the flow of water through peat soils. In this study we used X-ray Computed Tomography (CT), at 45μm resolution under 5 specific soil-water pressure head levels to provide 3-D, high-resolution images that were used to detect the inner pore structure of peat samples under a changing water regime. Pore structure and configuration were found to be irregular, which affected the rate of water transmission through peat soils. The 3-D analysis suggested that pore distribution is dominated by a single large pore-space. At low pressure head, this single large air-filled pore imparted a more effective flowpath compared to smaller pores. Smaller pores were disconnected and the flowpath was more tortuous than in the single large air-filled pore, and their contribution to flow was negligible when the single large pore was active. We quantify the pore structure of peat soil that affects the hydraulic conductivity in the unsaturated condition, and demonstrate the validity of our estimation of peat unsaturated hydraulic conductivity by making a comparison with a standard permeameter-based method. Estimates of unsaturated hydraulic conductivities were made for the purpose of testing the sensitivity of pore shape and geometry parameters on the hydraulic properties of peats and how to evaluate the structure of the peat and its affects on parameterization. We also studied the ability to quantify these factors for different soil moisture contents in order to define how the factors controlling the shape coefficient vary with changes in soil water pressure head. The relation between measured and estimated unsaturated hydraulic conductivity at various heads shows that rapid initial drainage, that changes the air-filled pore properties, creates a sharp decline in hydraulic conductivity. This is because the large pores readily lose water, the peat rapidly becomes less conductive and the flow path among pores, more tortuous

Asymptotic power-law tails of massive scalar fields in Reissner-Nordstr\"{o}m background

We investigate dominant late-time tail behaviors of massive scalar fields in nearly extreme Reissner-Nordstr\"{o}m background. It is shown that the oscillatory tail of the scalar fields has the decay rate of $t^{-5/6}$ at asymptotically late times. The physical mechanism by which the asymptotic $t^{-5/6}$ tail yields and the relation between the field mass and the time scale when the tail begins to dominate, are discussed in terms of resonance backscattering due to spacetime curvature.Comment: 18 pages, 1 figure, accepted for publication in Physical Review

Burden of podoconiosis in poor rural communities in Guliso woreda, western Ethiopia

Background. Podoconiosis is an environmental lymphoedema affecting people living and working barefoot on irritant red clay soil. Podoconiosis is relatively well described in southern Ethiopia, but remains neglected in other parts of the Ethiopian highlands. This study aimed to assess the burden of podoconiosis in rural communities in western Ethiopia. Methodology/Principal Findings. A cross-sectional study was conducted in Gulliso woreda (district), west Ethiopia. A household survey in the 26 rural kebeles (villages) of this district was conducted to identify podoconiosis patients and to measure disease prevalence. A more detailed study was done in six randomly selected kebeles to describe clinical features of the disease, patients’ experiences of foot hygiene, and shoe wearing practice. 1,935 cases of podoconiosis were registered, giving a prevalence of 2.8%. The prevalence was higher in those aged 15 – 64 years (5.2%) and in females than males (prevalence ratio 2.6:1). 90.3% of patients were in the 15 – 64 year age group. In the detailed study, 335 cases were interviewed and their feet assessed. The majority of patients were farmers, uneducated, and poor. Two-third of patients developed the disease before the age of thirty. Almost all patients (97.0%) had experienced adenolymphangitis (ALA - red, hot legs, swollen and painful groin) at least once during the previous year. Patients experienced an average of 5.5 ALA episodes annually, each of average 4.4 days, thus 24 working days were lost annually. The incidence of ALA in podoconiosis patients was higher than that reported for filariasis in other countries. Shoe wearing was limited mainly due to financial problems. Conclusions. We have documented high podoconiosis prevalence, frequent adenolymphangitis and high disease-related morbidity in west Ethiopia. Interventions must be developed to prevent, treat and control podoconiosis, one of the core neglected tropical diseases in Ethiopia