Should equity in health be target number 1?

Policy measures to reduce socioeconomic health differences (SEHD) must be preceded by an analysis of the possibilities and desirability of a reduction. This paper argues that it is necessary to pursue equality in health, conceived as equal opportunities to achieve health. This principle is justified as part of the principle of maximizing individual freedom of choice, and requires that everyone has the opportunity to be as healthy as possible. By means of this principle a distinction can be made between unjust, unavoidable, and acceptable health inequalities. The determinants of SEHD which lead to inequalities considered unjust must be subject to policy. These are living conditions (physical and social environment and health care) and conditions of choice (e.g. the knowledge of an individual about the health risks of a certain behaviour). Even if SEHD are considered inequities, sometimes conflicting interests will make it difficult to propose a health policy to redress these inequities. These are partly the consequence of the intersectoral character of a policy aimed at equality of opportunities to attain health, in which the importance of health has to be weighed against other goals. Moreover the impact of such a policy on the individual free choice has to be critically weighed. Finally in the context of health care policy, conflicts between the principle of equality and maximizing health can be expected

Final results from the EU project AVATAR: aerodynamic modelling of 10 MW wind turbines

This paper presents final results from the EU project AVATAR in which aerodynamic models are improved and validated for wind turbines on a scale of 10 MW and more. Special attention is paid to the improvement of low fidelity engineering (BEM based) models with higher fidelity (CFD) models but also with intermediate fidelity free vortex wake (FVW) models. The latter methods were found to be a good basis for improvement of induction modelling in engineering methods amongst others for the prediction of yawed cases, which in AVATAR was found to be one of the most challenging subjects to model. FVW methods also helped to improve the prediction of tip losses. Aero-elastic calculations with BEM based and FVW based models showed that fatigue loads for normal production cases were over predicted with approximately 15% or even more. It should then be realised that the outcome of BEM based models does not only depend on the choice of engineering add-ons (as is often assumed) but it is also heavily dependent on the way the induced velocities are solved. To this end an annulus and element approach are discussed which are assessed with the aid of FVW methods. For the prediction of fatigue loads the so-called element approach is recommended but the derived yaw models rely on an annulus approach which pleads for a generalised solution method for the induced velocities

Latest results from the EU project AVATAR: aerodynamic modelling of 10 MW wind turbines

This paper presents the most recent results from the EU project AVATAR in which aerodynamic models are improved and validated for wind turbines on a scale of 10 MW and more. Measurements on a DU 00-W-212 airfoil are presented which have been taken in the pressurized DNW-HDG wind tunnel up to a Reynolds number of 15 Million. These measurements are compared with measurements in the LM wind tunnel for Reynolds numbers of 3 and 6 Million and with calculational results. In the analysis of results special attention is paid to high Reynolds numbers effects. CFD calculations on airfoil performance showed an unexpected large scatter which eventually was reduced by paying even more attention to grid independency and domain size in relation to grid topology. Moreover calculations are presented on flow devices (leading and trailing edge flaps and vortex generators). Finally results are shown between results from 3D rotor models where a comparison is made between results from vortex wake methods and BEM methods at yawed conditions

Simulation of wind farms in flat and complex terrain using CFD

Use of computational fluid dynamic (CFD) methods to predict the power production from wind entire wind farms in flat and complex terrain is presented in this paper. Two full 3D Navier–Stokes solvers for incompressible flow are employed that incorporate the k–ε and k–ω turbulence models respectively. The wind turbines (W/Ts) are modelled as momentum absorbers by means of their thrust coefficient using the actuator disk approach. The WT thrust is estimated using the wind speed one diameter upstream of the rotor at hub height. An alternative method that employs an induction-factor based concept is also tested. This method features the advantage of not utilizing the wind speed at a specific distance from the rotor disk, which is a doubtful approximation when a W/T is located in the wake of another and/or the terrain is complex. To account for the underestimation of the near wake deficit, a correction is introduced to the turbulence model. The turbulence time scale is bounded using the general “realizability” constraint for the turbulent velocities. Application is made on two wind farms, a five-machine one located in flat terrain and another 43-machine one located in complex terrain. In the flat terrain case, the combination of the induction factor method along with the turbulence correction provides satisfactory results. In the complex terrain case, there are some significant discrepancies with the measurements, which are discussed. In this case, the induction factor method does not provide satisfactory results

In Vitro Evaluation of Spider Silk Meshes as a Potential Biomaterial for Bladder Reconstruction

Reconstruction of the bladder by means of both natural and synthetic materials remains a challenge due to severe adverse effects such as mechanical failure. Here we investigate the application of spider major ampullate gland-derived dragline silk from the Nephila edulis spider, a natural biomaterial with outstanding mechanical properties and a slow degradation rate, as a potential scaffold for bladder reconstruction by studying the cellular response of primary bladder cells to this biomaterial. We demonstrate that spider silk without any additional biological coating supports adhesion and growth of primary human urothelial cells (HUCs), which are multipotent bladder cells able to differentiate into the various epithelial layers of the bladder. HUCs cultured on spider silk did not show significant changes in the expression of various epithelial-to-mesenchymal transition and fibrosis associated genes, and demonstrated only slight reduction in the expression of adhesion and cellular differentiation genes. Furthermore, flow cytometric analysis showed that most of the silk-exposed HUCs maintain an undifferentiated immunophenotype. These results demonstrate that spider silk from the Nephila edulis spider supports adhesion, survival and growth of HUCs without significantly altering their cellular properties making this type of material a suitable candidate for being tested in pre-clinical models for bladder reconstruction

Total and Differential Cross Sections for the pp-->pp eta-prime Reaction Near Threshold

The eta-prime meson production in the reaction pp-->pp eta-prime has been studied at excess energies of Q = 26.5, 32.5 and 46.6 MeV using the internal beam facility COSY-11 at the cooler synchrotron COSY. The total cross sections as well as one angular distribution for the highest Q-value are presented. The excitation function of the near threshold data can be described by a pure s-wave phase space distribution with the inclusion of the proton-proton final state interaction and Coulomb effects. The obtained angular distribution of the eta-prime mesons is also consistent with pure s-wave production.Comment: 6 pages, 5 figures, submitted to Eur. Phys. J.

Kaon Production and Interaction

Exclusive data on both the elementary kaon and antikaon production channels have been taken at the cooler synchrotron COSY in proton-proton scattering. In the kaon--hyperon production an enhancement by one order of magnitude of the Lambda/Sigma0 ratio has been observed at excess energies below Q=13 MeV compared to data at higher excess energies (Q>300 MeV). New results obtained at the COSY-11 facility explore the transition region between the regime of this low-energy Sigma0 suppression and excess energies of 60 MeV. A comparison of the energy dependence of the Lambda and Sigma0 total cross sections exhibits distinct qualitative differences between both hyperon production channels. Studies of kaon-antikaon production have been motivated especially by the ongoing discussion about the nature of the scalar resonances f0(980) and a0(980) coupling to the K anti-K channel. For the reaction pp->ppK+K- a first total cross section value is reported at an excess energy of Q=17 MeV, i.e. below the phi threshold. Calculations obtained within an OBE model indicate that the energy dependence of the available total cross section data close to threshold is rather difficult to reconcile with the assumption of a phase-space behaviour modified predominantly by the proton-proton final state interaction.Comment: 10 pages, 4 figures, Presented at Meson 2002: 7th International Workshop on Meson Production, Properties and Interaction, Cracow, Poland, 24-28 May 200

Near-Threshold eta Meson Production in Proton-Proton Collisions

The production of eta mesons has been measured in the proton-proton interaction close to the reaction threshold using the COSY-11 internal facility at the cooler synchrotron COSY. Total cross sections were determined for eight different excess energies in the range from 0.5 MeV to 5.4 MeV. The energy dependence of the total cross section is well described by the available phase-space volume weighted by FSI factors for the proton-proton and proton-eta pairs.Comment: 9 pages, 1 table, 5 figure