8,341 research outputs found

    Effectiveness and reach of a directed-population approach to improving dental health and reducing inequalities: a cross sectional study

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    Background Childsmile School adopts a directed-population approach to target fluoride varnish applications to 20% of the primary one (P1) population in priority schools selected on the basis of the proportion of enrolled children considered to be at increased-risk of developing dental caries. The study sought to compare the effectiveness of four different methods for identifying individuals most in need when a directed-population approach is taken. <p></p> Methods The 2008 Basic National Dental Inspection Programme (BNDIP) cross-sectional P1 Scottish epidemiological survey dataset was used to model four methods and test three definitions of increased-risk. Effectiveness was determined by the positive predictive value (PPV) and explored in relation to 1-sensitivity and 1-specificity. <p></p> Results Complete data was available on 43470 children (87% of the survey). At the Scotland level, at least half (50%) of the children targeted were at increased-risk irrespective of the method used to target or the definition of increased-risk. There was no one method across all definitions of <i>increased-risk</i> that maximised PPV. Instead, PPV was highest when the targeting method complimented the definition of <i>increased-risk</i>. There was a higher percentage of children at <i>increased-risk</i> who were not targeted (1-sensitivity) when caries experience (rather than deprivation) was used to define <i>increased-risk</i>, irrespective of the method used for targeting. Over all three definitions of <i>increased-risk</i>, there was no one method that minimised (1-sensitivity) although this was lowest when the method and definition of <i>increased-risk</i> were complimentary. The false positive rate (1-specificity) for all methods and all definitions of <i>increased-risk</i> was consistently low (<20%), again being lowest when the method and definition of <i>increased-risk</i> were complimentary. <p></p> Conclusion Developing a method to reach all (or even the vast majority) of individuals at <i>increased-risk</i> defined by either caries experience or deprivation is difficult using a directed-population approach at a group level. There is a need for a wider debate between politicians and public health experts to decide how best to reach those most at need of intervention to improve health and reduce inequalities. <p></p&gt

    Binary open clusters in the Milky Way: photometric and spectroscopic analysis of NGC 5617 and Trumpler 22

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    Using photometry and high resolution spectroscopy we investigate for the first time the physical connection between the open clusters NGC 5617 and Trumpler 22. Based on new CCD photometry we report their spatial proximity and common age of ~70 Myr. Based on high resolution spectra collected using the HERMES and UCLES spectrographs on the Anglo-Australian telescope, we present radial velocities and abundances for Fe, Na, Mg, Al, Si, Ca and Ni. The measured radial velocities are -38.63 +/-2.25 km/s for NGC 5617 and -38.46 +/-2.08 km/s for Trumpler 22. The mean metallicity of NGC 5617 was found to be [Fe/H] =-0.18 +/-0.02 and for Trumpler 22 was found to be [Fe/H] = -0.17 +/-0.04. The two clusters share similar abundances across the other elements, indicative of a common chemical enrichment history of these clusters. Together with common motions and ages we confirm that NGC 5617 and Trumpler 22 are a primordial binary cluster pair in the Milky Way.Comment: 7 pages, 3 figure, accepted by MNRA

    Advanced electrostatic ion thruster for space propulsion

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    The suitability of the baseline 30 cm thruster for future space missions was examined. Preliminary design concepts for several advanced thrusters were developed to assess the potential practical difficulties of a new design. Useful methodologies were produced for assessing both planetary and earth orbit missions. Payload performance as a function of propulsion system technology level and cost sensitivity to propulsion system technology level are among the topics assessed. A 50 cm diameter thruster designed to operate with a beam voltage of about 2400 V is suggested to satisfy most of the requirements of future space missions

    Seeing with sound? Exploring different characteristics of a visual-to-auditory sensory substitution device

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    Sensory substitution devices convert live visual images into auditory signals, for example with a web camera (to record the images), a computer (to perform the conversion) and headphones (to listen to the sounds). In a series of three experiments, the performance of one such device (‘The vOICe’) was assessed under various conditions on blindfolded sighted participants. The main task that we used involved identifying and locating objects placed on a table by holding a webcam (like a flashlight) or wearing it on the head (like a miner’s light). Identifying objects on a table was easier with a hand-held device, but locating the objects was easier with a head-mounted device. Brightness converted into loudness was less effective than the reverse contrast (dark being loud), suggesting that performance under these conditions (natural indoor lighting, novice users) is related more to the properties of the auditory signal (ie the amount of noise in it) than the cross-modal association between loudness and brightness. Individual differences in musical memory (detecting pitch changes in two sequences of notes) was related to the time taken to identify or recognise objects, but individual differences in self-reported vividness of visual imagery did not reliably predict performance across the experiments. In general, the results suggest that the auditory characteristics of the device may be more important for initial learning than visual associations

    Interaction of Supernova Ejecta with Nearby Protoplanetary Disks

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    The early Solar System contained short-lived radionuclides such as 60Fe (t1/2 = 1.5 Myr) whose most likely source was a nearby supernova. Previous models of Solar System formation considered a supernova shock that triggered the collapse of the Sun's nascent molecular cloud. We advocate an alternative hypothesis, that the Solar System's protoplanetary disk had already formed when a very close (< 1 pc) supernova injected radioactive material directly into the disk. We conduct the first numerical simulations designed to answer two questions related to this hypothesis: will the disk be destroyed by such a close supernova; and will any of the ejecta be mixed into the disk? Our simulations demonstrate that the disk does not absorb enough momentum from the shock to escape the protostar to which it is bound. Only low amounts (< 1%) of mass loss occur, due to stripping by Kelvin-Helmholtz instabilities across the top of the disk, which also mix into the disk about 1% of the intercepted ejecta. These low efficiencies of destruction and injectation are due to the fact that the high disk pressures prevent the ejecta from penetrating far into the disk before stalling. Injection of gas-phase ejecta is too inefficient to be consistent with the abundances of radionuclides inferred from meteorites. On the other hand, the radionuclides found in meteorites would have condensed into dust grains in the supernova ejecta, and we argue that such grains will be injected directly into the disk with nearly 100% efficiency. The meteoritic abundances of the short-lived radionuclides such as 60Fe therefore are consistent with injection of grains condensed from the ejecta of a nearby (< 1 pc) supernova, into an already-formed protoplanetary disk.Comment: 57 pages, 16 figure

    Practitioner perspectives on strategies to promote longer-term benefits of acupuncture or counselling for depression: a qualitative study

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    Background: Non-pharmacological interventions for depression may help patients manage their condition. Evidence from a recent large-scale trial (ACUDep) suggests that acupuncture and counselling can provide longer-term benefits for many patients with depression. This paper describes the strategies practitioners reported using to promote longer-term benefits for their patients. Methods: A qualitative sub-study of practitioners (acupuncturists and counsellors) embedded in a randomised controlled trial. Using topic guides, data was collected from telephone interviews and a focus group, altogether involving 19 counsellors and 17 acupuncturists. Data were audio recorded, transcribed verbatim and analysed using thematic content analysis. Results: For longer-term impact, both acupuncturists and counsellors encouraged insight into root causes of depression on an individual basis and saw small incremental changes as precursors to sustained benefit. Acupuncturists stressed the importance of addressing concurrent physical symptoms, for example helping patients relax or sleep better in order to be more receptive to change, and highlighted the importance of Chinese medicine theory-based lifestyle change for lasting benefit. Counsellors more often highlighted the importance of the therapeutic relationship, emphasising the need for careful “pacing” such that the process and tools employed were tailored and timed for each individual, depending on the “readiness” to change. Our data is limited to acupuncture practitioners using the principles of traditional Chinese medicine, and counsellors using a humanistic, non-directive and person-centred approach. Conclusions: Long-term change appears to be an important focus within the practices of both acupuncturists and counsellors. To achieve this, practitioners stressed the need for an individualised approach with a focus on root causes

    Plans for High Beta Optics in the LHC

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    ISBN 978-3-95450-115-1 - http://accelconf.web.cern.ch/AccelConf/IPAC2012/papers/moppc007.pdfInternational audienceBased on what has been learned with the first high β* = 90 m operation in 2011, we describe the potential and practical scenarios for reaching very high β* in the LHC in 2012 and beyond. Very high β* optics require dedicated running time and conditions in the LHC. We describe a plan which is optimized to maximize the physics potential in a minimum of dedicated running time

    Gauged Fermionic Q-balls

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    We present a new model for a non-topological soliton (NTS) that contains interacting fermions, scalar particles and a gauge field. Using a variational approach, we estimate the energy of the localized configuration, showing that it can be the lowest energy state of the system for a wide range of parameters.Comment: 5 pages, 2 figures; revised version to appear in Phys. Rev.
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