Choice of modelling technique for evaluating health care interventions

Economic evaluation, such as cost effectiveness analysis, provides a method for comparing healthcare interventions. These evaluations often use modelling techniques such as decision trees, Markov processes and discrete event simulations (DES). With the aid of examples from coronary heart disease, the use of these techniques in different health care situations is discussed. Guidelines for the choice of modelling technique are developed according to the characteristics of the health care intervention.The choice of modelling technique is shown to depend on the acceptance of the modelling technique, model ‘error’, model appropriateness, dimensionality and ease and speed of model development. Generally decision trees are suitable for acute interventions but they cannot model recursion and Markov models are suitable for simple chronic interventions. It is further recommended that population based models be used in order to provide health care outcomes for the likely cost, health benefits and cost effectiveness of the intervention. The population approach will complicate the construction of the model. DES will allow the modeller to construct more complex, dynamic and accurate systems but these may involve a corresponding increase in development time and expense. The modeller will need to make a judgement on the necessary complexity of the model in terms of interaction of individuals and model size and whether queuing for resources, resource constraints or the interactions between individuals are significant issues in the health care system.     

A polynomial algorithm for one problem of guillotine cutting

We consider the problem of guillotine cutting a rectangular sheet into two rectangular pieces without rotations. The question is whether there exists a cutting pattern with given numbers of occurrences of both rectangular pieces. A polynomial time algorithm is described to construct the convex hull of solutions to this problem.     

Mixed Elastico-Plasticity Problems with Partially Unknown Boundaries

In this paper,we study mixed elastico-plasticity problems in which part of the boundary is known,while the other part of the boundary is unknown and is a free boundary.Under certain conditions,this problemcan be transformed into a Riemann-Hilbert boundary value problem for analytic functions and a mixed boundaryvalue problem for complex equations.Using the theory of generalized analytic functions,the solvability of theproblem is discussed.     

Ekeland’s principle for vector equilibrium problems

In this paper, the authors deal with bifunctions defined on complete metric spaces and with values in locally convex spaces ordered by closed convex cones. The aim is to provide a vector version of Ekeland’s theorem related to equilibrium problems. To prove this principle, a weak notion of continuity of a vector-valued function is considered, and some of its properties are presented. Via the vector Ekeland’s principle, existence results for vector equilibria are proved in both compact and noncompact domains.     

State of the art of color interferometry at ONERA

At ONERA-Lille center a lot of studies have been conducted to characterize complex flows using an optical method based on differential interferometry with Wollaston prism and white polarized light source. Several applications are presented in two-dimensional and axisymmetric flows and in a gaseous mixture where the two gases interface is submitted to acceleration. Then, real-time color holographic interferometry (RCHI) has been developed to obtain the refractive index itself in two dimensional wake flow. The last improvements concern the extension of this method for analyzing three dimensional flows. The authors present a specific setup defined in a single sight direction, the aim being to reproduce the same optical setup along several sight directions, each shifted by a given angle. This optical technique uses reflection holograms where the diffraction efficiency of plates is strongly influenced by the variations in the gelatin thickness produced during the holograms treatment. Problems are discussed and solutions are proposed to control the gelatin shrinkage for two different types of used holograms. The results obtained in a one sight direction make it possible to build in the future an optical setup allowing several simultaneous line-of-sight optical measurements.     

Bimodal fission in binary and ternary spontaneous fission of 252Cf

The hot bimodal fission of ²⁵²Cf is reexamined with new high-statistics data. We constructed a γ-γ-γ coincidence cube for binary fission and LCP-gated γ-γ matrix for ternary fission. By identifying the secondary fission fragments from their γ-ray transitions, we measured the yields for various fission splits. The normal neutron yield distribution is found to be Gaussian for Xe-Ru. However, the binary fission split of Ba-Mo is found to exhibit a bimodal neutron distribution with the “hot mode” corresponding to ≈3.1% of the total yield. In α ternary fission, the first measurements of yields for specific fission splits are presented. The Te-α-Ru and Xe-α-Mo neutron yields fit well with a single mode, but the Ba-α-Zr split shows evidence for an enhanced hot mode with an intensity of ≈13.8% of the normal mode. The text was submitted by the authors in English.     

Effect of electrochemically synthesized polymethylolamide coatings on the corrosion resistance of steel in seawater

The effect of coatings based on a copolymer of acrylamide, N,N′-methylenebisaxcrylamide and formaldehyde deposited by electrochemical polymerization on the corrosion resistance of 08Kh18N10T stainless steel (field studies at sea) and low-carbon steel (laboratory experiments) was examined.     

Analysis of cardiac tissue by gold cluster ion bombardment

Specific molecules in cardiac tissue of spontaneously hypertensive rats are studied by using time-of-flight secondary ion mass spectrometry (TOF-SIMS). The investigation determines phospholipids, cholesterol, fatty acids and their fragments in the cardiac tissue, with special focus on cardiolipin. Cardiolipin is a unique phospholipid typical for cardiomyocyte mitochondrial membrane and its decrease is involved in pathologic conditions. In the positive polarity, the fragments of phosphatydilcholine are observed in the mass region of 700-850 u. Peaks over mass 1400 u correspond to intact and cationized molecules of cardiolipin. In animal tissue, cardiolipin contains of almost exclusively 18 carbon fatty acids, mostly linoleic acid. Linoleic acid at 279 u, other fatty acids, and phosphatidylglycerol fragments, as precursors of cardiolipin synthesis, are identified in the negative polarity. These data demonstrate that SIMS technique along with Au₃⁺ cluster primary ion beam is a good tool for detection of higher mass biomolecules providing approximately 10 times higher yield in comparison with Au⁺.