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.     

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.     

Pointwise characterization of Sobolev classes

We prove that a function f is in the Sobolev class W _loc ^m,p (ℝ ⁿ ) or W ^m,p (Q) for some cube Q ⊂ ℝ ⁿ if and only if the formal (m − 1)-Taylor remainder R ^m−1 f(x,y) of f satisfies the pointwise inequality |R ^m−1 f(x,y)| ≤ |x − y| ^m [a(x) + a(y)] for some a ε L ^p (Q) outside a set N ⊂ Q of null Lebesgue measure. This is analogous to H. Whitney’s Taylor remainder condition characterizing the traces of smooth functions on closed subsets of ℝ ⁿ . Dedicated to S.M. Nikol’skiĭ on the occasion of his 100th birthday The main results and ideas of this paper were presented in the plenary lecture of the author at the International Conference and Workshop Function Spaces, Approximation Theory and Nonlinear Analysis dedicated to the centennial of Sergei Mikhailovich Nikol’skii, Moscow, May 24–28, 2005.     

Reintroduced solids increase inhibitor levels in a pretreated corn stover hydrolysate

Following detoxification of the liquid hydrolysate produced in a corn stover pretreatment process, inhibitor levels are seen to increase with the re-addition of solids for the ensuing hydrolysis and fermentation processes. The solids that were separated from the slurry before detoxification of the liquor contain approx 60% (w/w) moisture, and contamination occurs owing to the diffusion of inhibitors from the moisture entrained in the porous structure of the corn stover solids into the bulk fluid. This evidence suggests the need for additional separation and detoxification steps to purge residual inhibitors entrained in the moisture in the solids. An overliming process to remove furans from the hydrolysate failed to reduce total organic acids concentration, so acids were removed by treatment with an activated carbon powder. Smaller carbon doses proved more efficient in removing organic acids in terms of grams of acid removed per gram of carbon powder. Sugar adsorption by the activated carbon powder was minimal.     

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 the electric field on “incommensurate-commensurate” magnetic phase transitions in BiFeO3-type multiferroics

The specific features of the “incommensurate-commensurate” phase transitions induced by a magnetic field in multiferroics (materials with coexisting magnetic and electric ordering) are considered. These materials are ferroelectromagnets, for example, bismuth ferrite BiFeO₃ and BiFeO₃-based compounds, which have spatially modulated spin structures. It is shown that the interaction between the electric and magnetic subsystems of the multiferroic material can lead to an electric-field-induced shift of the critical magnetic field corresponding to the transition from a spatially modulated state to a homogeneous antiferromagnetic state. According to the theoretical estimates obtained for material parameters characteristic of the bismuth ferrite, this shift is of the order of 0.5 T in an electric field of 50 kV/cm. The phase diagrams are constructed in the “electric field-magnetic field” coordinates. The results of calculations performed in the harmonic incommensurate structure approximation are compared with the exact soliton solution.     

Thermal decomposition of a generation 4.5 PAMAM dendrimer platinum drug conjugate

A nanoscale multivalent platinum drug based on a poly(amidoamine) [PAMAM] dendrimer (generation 4.5, carboxylate surface) has been synthesized and fully characterized using a variety of spectroscopic, chromatographic and thermal methods. Treatment of the dendrimer with an aqueous solution containing an excess diaquo(cis-1,2-diaminocyclohexane)platinum(II) produces a conjugate containing approximately forty (diaminocyclohexane)platinum(II) moieties at the surface of the dendrimer. This material undergoes smooth two-stage thermal decomposition to provide residual platinum oxide reflecting the platinum loading in the drug.     

Sorption capacity of acetylacetonated humin-like compounds with respect to cations of heavy metals

A method of synthesis of acetylacetonated humin-like compounds was developed. The effect of modification on the sorption capacity of humin-like compounds with respect to heavy metals was studied.     

Coagulation in lipid- and protein-containing systems

The behavior of real disperse systems with organic impurities was examined under conditions of destabilization by inorganic coagulants. A number of physicochemical methods of analysis and a simulation method were used to identify the character and type of the complexes formed and to calculate their stability constants.     

Sets of permutations that generate the symmetric group pairwise

The paper contains proofs of the following results. For all sufficiently large odd integers n, there exists a set of ²n−1 permutations that pairwise generate the symmetric group Sn. There is no set of ²n−1+1 permutations having this property. For all sufficiently large integers n with n≡2mod4, there exists a set of ²n−2 even permutations that pairwise generate the alternating group An. There is no set of ²n−2+1 permutations having this property.