Análisis de algoritmos para posicionamiento de aeronaves mediante respuestas SSR utilizando recepción omnidireccional

El transporte aéreo constituye un sector estratégico para el crecimiento económico de cualquier país. El sistema de gestión de tráfico aéreo ATM tiene como objetivo el movimiento seguro y eficiente de las aeronaves dentro del espacio aéreo y de los aeropuertos, siendo la seguridad, en la fase táctica, gestionada por el servicio de control de la circulación aérea. Mediante los procesos de control el tráfico aéreo es vigilado a través de sensores, regulado y guiado de forma organizada y segura. Es precisamente sobre la vigilancia donde se enfoca el contenido de la tesis, en el desarrollo de nuevos conceptos que proporcionen información de vigilancia de ‘bajo coste’ basados en las señales existentes proporcionadas por la infraestructura actual de radar secundario y por los sistemas de posicionamiento basados en satélite que utiliza la ADS-B. El conocimiento y acceso en tiempo real a las trayectorias de las aeronaves es un elemento de valor añadido no sólo para la provisión de los servicios de control de tránsito aéreo, sino para todos los actores del transporte aéreo o de la investigación, siendo uno de los elementos clave en el concepto operacional de los dos grandes proyectos tecnológicos, SESAR en Europa y NextGen en EE.UU.. En las últimas décadas el control de la circulación aérea en espacios aéreos de media y alta densidad de tráfico se ha basado en tecnologías complejas que requieren importantes infraestructuras como son el radar primario de vigilancia (PSR) y el radar secundario de vigilancia (SSR). La filosofía de los programas SESAR y NextGen siguiendo las directrices de la OACI es la de alejarse de las tecnologías basadas en tierra para evolucionar hacia nuevas tecnologías más dinámicas basadas en satélite como la ADS-B. Pero hasta que la implementación y operación de la ADS-B sea completa, existirá un período de transición que implica la coexistencia de aeronaves equipadas o no con ADS-B. El objetivo de la presente Tesis es determinar las metodologías y algoritmos más adecuados para poder hibridar las dos tecnologías descritas anteriormente, utilizando para ello un receptor de bajo coste con antena estática omnidireccional, que analice todas las señales presentes en el canal que comparten el SSR y ADS-B. Mediante esta hibridación se podrá obtener la posición de cualquier aeronave que transmita respuestas a interrogaciones SSR, en cualquiera de sus modos de trabajo, o directamente mensajes de posición ADS-B. Para desarrollar los algoritmos propuestos, además del hardware correspondiente, se han utilizado las aplicaciones LabVIEW para funciones de adquisición de datos reales, y el software MATLAB® para el desarrollo de algoritmos y análisis de datos. La validación de resultados se ha realizado mediante los propios mensajes de posición ADS-B y a través de las trazas radar proporcionadas por la entidad pública empresarial ENAIRE. La técnica desarrollada es autónoma, y no ha requerido de ninguna otra entrada que no sea la recepción omnidireccional de las señales. Sin embargo para la validación de resultados se ha utilizado información pública de las ubicaciones de la red de estaciones SSR desplegadas sobre territorio español y portugués y trazas radar. Los resultados obtenidos demuestran, que con técnicas basadas en superficies de situación definidas por los tiempos de llegada de las respuestas, es posible determinar con una precisión aceptable la posición de las estaciones SSR y la posición de cualquier aeronave que responda mediante el Modo A a éstas. ABSTRACT Air transport is a strategic sector for the economic growth of any country. The air traffic management system (ATM) aims at the safe and efficient movement of aircraft while operating within the airspace and airports, where safety, in the tactical phase, is managed by the air traffic control services. Through the air traffic control processes, aircraft are monitored by sensors, regulated and guided in an organized and safe manner. It is precisely on surveillance where this thesis is focused, developing new concepts that provide a 'low cost' surveillance information based on existing signals provided by currently secondary radar infrastructure and satellite-based positioning systems used by ADS-B. Having a deeper knowledge and a real-time access to the trajectories of the aircraft, is an element of added value not only for the provision of air traffic control services, but also for all air transport or research actors. This is one of the key elements in the operational concept proposed by the two large scale existing technological projects, SESAR in Europe and NextGen in the US. In recent decades, air traffic control in medium and high traffic density areas has been based on complex technologies requiring major infrastructures, such as the primary surveillance radar (PSR) and secondary surveillance radar (SSR). The philosophy of SESAR and NextGen programs, both following the guidelines of ICAO, is to move away from land-based technologies and evolving into some new and more dynamic satellite-based technologies such as ADS-B. Nevertheless, until the ADS-B implementation and operation is fully achieved, there will be a transitional period where aircraft with and without ADS-B equipment will have to coexist. The main objective of this thesis is to determine those methodologies and algorithms which are considered more appropriate to hybridize those two technologies, by using a low cost omnidirectional receiver, which analyzes all signals on the SSR and ADS-B shared channel. Through this hybridization, it is possible to obtain the position of any aircraft answering the SSR interrogations, in any of its modes of operation, or through the emission of ADS-B messages. To develop the proposed algorithms, LabVIEW application has been used for real-time data acquisition, as well as MATLAB software for algorithm development and data analysis, together with the corresponding hardware. The validation of results was performed using the ADS-B position messages and radar tracks provided by the Public Corporate Entity ENAIRE The developed technique is autonomous, and it does not require any other input other than the omnidirectional signal reception. However, for the validation of results, not only radar records have been used, but also public information regarding the position of SSR stations spread throughout the Spanish and Portuguese territory. The results show that using techniques based in the definition of positioning surfaces defined by the responses’ times of arrival, it is possible to determine with an acceptable level of accuracy both the position of the SSR stations as well as the position of any aircraft which transmits Mode A responses.

DIVERGÊNCIAS E CONVERGÊNCIAS ENTRE A COMUNICAÇÃO PRIMÁRIA E A COMUNICAÇÃO SECUNDÁRIA NA DIVULGAÇÃO DO CÂNCER DE MAMA

Este estudo investiga as convergências e as divergências na comunicação primária e na comunicação secundária do câncer de mama. Nós usamos um esquema interpretativo fornecido pela Análise de Enquadramento, Agenda Setting, Teoria do Aprendizado Social, Difusão de Inovações, Semiótica e conceito de Novidade na Ciência e no Jornalismo, para argumentar que cientistas e jornalistas comunicam as novidades da Ciência de modos diversos. Também tivemos como uma proposta secundária traçar um panorama histórico da Comunicação da Saúde, e sua evolução, considerando que a Comunicação empreendeu um esforço para legitimar um espaço de encontro com a Saúde, afirmando uma área de aplicação de teorias, princípios e técnicas comunicacionais, com o objetivo preciso de difundir e compartilhar informação, conhecimentos e práticas que contribuam para melhorar os sistemas de saúde e o bem-estar das populações. Através da análise dos dados de periódicos científicos e jornalísticos que divulgam o câncer de mama, nós encontramos apoio significante para nossas predições. As implicações destas diferenças entre a comunicação primária (interpares) e a comunicação secundária (público leigo) para a comunicação da saúde são discutidas, às vezes apresentando-se como convergências, às vezes como divergências. Quando bem esclarecidas e compreendidas, fazem avançar a Comunicação da Saúde, obtendo resultados positivos no bem-estar das populações, considerando que a origem das doen ças está, fundamentalmente, onde se entrelaçam o biológico e o social.(AU)

DIVERGÊNCIAS E CONVERGÊNCIAS ENTRE A COMUNICAÇÃO PRIMÁRIA E A COMUNICAÇÃO SECUNDÁRIA NA DIVULGAÇÃO DO CÂNCER DE MAMA

Este estudo investiga as convergências e as divergências na comunicação primária e na comunicação secundária do câncer de mama. Nós usamos um esquema interpretativo fornecido pela Análise de Enquadramento, Agenda Setting, Teoria do Aprendizado Social, Difusão de Inovações, Semiótica e conceito de Novidade na Ciência e no Jornalismo, para argumentar que cientistas e jornalistas comunicam as novidades da Ciência de modos diversos. Também tivemos como uma proposta secundária traçar um panorama histórico da Comunicação da Saúde, e sua evolução, considerando que a Comunicação empreendeu um esforço para legitimar um espaço de encontro com a Saúde, afirmando uma área de aplicação de teorias, princípios e técnicas comunicacionais, com o objetivo preciso de difundir e compartilhar informação, conhecimentos e práticas que contribuam para melhorar os sistemas de saúde e o bem-estar das populações. Através da análise dos dados de periódicos científicos e jornalísticos que divulgam o câncer de mama, nós encontramos apoio significante para nossas predições. As implicações destas diferenças entre a comunicação primária (interpares) e a comunicação secundária (público leigo) para a comunicação da saúde são discutidas, às vezes apresentando-se como convergências, às vezes como divergências. Quando bem esclarecidas e compreendidas, fazem avançar a Comunicação da Saúde, obtendo resultados positivos no bem-estar das populações, considerando que a origem das doen ças está, fundamentalmente, onde se entrelaçam o biológico e o social.(AU)

Proton uptake by bacterial reaction centers: The protein complex responds in a similar manner to the reduction of either quinone acceptor

In bacterial photosynthetic reaction centers, the protonation events associated with the different reduction states of the two quinone molecules constitute intrinsic probes of both the electrostatic interactions and the different kinetic events occurring within the protein in response to the light-generated introduction of a charge. The kinetics and stoichiometries of proton uptake on formation of the primary semiquinone QA− and the secondary acceptor QB− after the first and second flashes have been measured, at pH 7.5, in reaction centers from genetically modified strains and from the wild type. The modified strains are mutated at the L212Glu and/or at the L213Asp sites near QB; some of them carry additional mutations distant from the quinone sites (M231Arg → Leu, M43Asn → Asp, M5Asn → Asp) that compensate for the loss of L213Asp. Our data show that the mutations perturb the response of the protein system to the formation of a semiquinone, how distant compensatory mutations can restore the normal response, and the activity of a tyrosine residue (M247Ala → Tyr) in increasing and accelerating proton uptake. The data demonstrate a direct correlation between the kinetic events of proton uptake that are observed with the formation of either QA− or QB−, suggesting that the same residues respond to the generation of either semiquinone species. Therefore, the efficiency of transferring the first proton to QB is evident from examination of the pattern of H+/QA− proton uptake. This delocalized response of the protein complex to the introduction of a charge is coordinated by an interactive network that links the Q− species, polarizable residues, and numerous water molecules that are located in this region of the reaction center structure. This could be a general property of transmembrane redox proteins that couple electron transfer to proton uptake/release reactions.

Virus neutralization by germ-line vs. hypermutated antibodies

Mice infected with vesicular stomatitis virus (VSV), a cytopathic virus closely related to rabies virus, mount a virus-neutralizing antibody response protecting against lethal disease. VSVneutralizing monoclonal IgGs isolated from primary immune responses were devoid of somatic mutations, whereas most secondary and all hyperimmune response IgGs tested were hypermutated. A comparative analysis of recombinant single-chain antibody fragments (scFv-Cκ) revealed that even the germ-line precursor of one hypermutated antibody bound and neutralized VSV. Four somatic amino acid substitutions in VH increased by 300-fold the binding strength of monovalent scFv-Cκ. The multivalent binding avidity of germ-line scFv-Cκ was increased by more than 10-fold compared with the monovalent binding strength. In contrast, hypermutated scFv-Cκ did not show such avidity effects. Thus the overall binding difference between the germ-line and the hypermutated VSV-neutralizing antibody was only 10- to 15-fold. This may explain why primary germ-line antibodies and secondary hypermutated antibodies directed against pathogens such as viruses and bacteria expressing repetitive antibody determinants show rather similar binding qualities, whereas monovalently binding hapten-specific antibodies can show “affinity maturation” effects of up to 1000-fold.

¿Existe violencia escolar en Educación Infantil y Primaria? Una propuesta para su evaluación y gestión

La tradición investigadora de la violencia escolar se ha centrado fundamentalmente en los últimos ciclos de Educación Primaria y en la Educación Secundaria Obligatoria, abordándose muy poco la presencia, características, evaluación e intervención de los problemas interpersonales en edades tempranas. El objetivo del presente estudio es la construcción y validación de un cuestionario que identifique el inicio y las formas más frecuentes de violencia escolar en los primeros años de escolarización para diseñar programas de prevención eficaces. Los participantes fueron 195 niños/as del último curso de educación infantil y primer ciclo de educación primaria. La investigación realizada ha mostrado que el instrumento denominado Cuestionario de Evaluación de Violencia Escolar en Infantil y Primaria (CEVEIP) presenta adecuadas propiedades psicométricas. El instrumento consta de 27 ítems en formato de autoinforme que evalúa siete tipologías de violencia que se dan en el contexto escolar en edades tempranas desde tres perspectivas: violencia observada, vivida y realizada. Los resulta-dos ponen de manifiesto que el comportamiento violento está presente desde los primeros años de escolarización, siendo éste de baja o moderada frecuencia e intensidad. Estos niveles de violencia podrían ser aprovechados en el ámbito educativo para una gestión más positiva en el desarrollo personal del alumno/a.

Modelo de negocio para mejorar la competitividad de la cadena productiva del cuy en Lambayeque-Perú

El principal problema que atraviesan los pequeños productores en la región Lambayeque y en su mayoría a nivel nacional es el bajo nivel de competitividad en sus respectivas cadenas productivas, esto se debe a que no cuentan con una adecuada gestión asociativa y empresarial, desconocen técnicas en manejos productivo y presentan deficiente articulación comercial teniendo como efecto directo bajos niveles de calidad de vida. La presente investigación tiene como objetivo principal plantear un modelo de negocio para mejorar la competitividad de la cadena productiva del cuy en una organización cooperativa de productores de cuyes del distrito de Mórrope, identificando los factores que determinan la competitividad, además plasmando los diversos elementos, componentes, estrategias y actividades que se unen para concretar el objetivo principal. Se presentará un diagnóstico inicial de la Cooperativa en estudio, los datos obtenidos son resultado de visitas y talleres con los asociados quienes respondieron a una encuesta y entrevistas, así mismo para el diagnóstico regional de la cadena del cuy se realizó la búsqueda de información primaria y secundaria, reforzado con entrevistas a especialistas del tema a nivel regional. Finalmente se utilizó la herramienta del marco lógico y del lienzo de modelo de negocio “Canvas” para plasmar la propuesta de mejora de la competitividad en beneficio de la cooperativa en estudio y que servirá como base para replicarse en otras organizaciones siendo acompañada de propuestas reales, validadas por especialistas.

Fossil and Nonfossil Sources of Organic and Elemental Carbon Aerosols in the Outflow from Northeast China

Source quantification of carbonaceous aerosols in the Chinese outflow regions still remains uncertain despite their high mass concentrations. Here, we unambiguously quantified fossil and nonfossil contributions to elemental carbon (EC) and organic carbon (OC) of total suspended particles (TSP) from a regional receptor site in the outflow of Northeast China using radiocarbon measurement. OC and EC concentrations were lower in summer, representing mainly marine air, than in other seasons, when air masses mostly traveled over continental regions in Mongolia and northeast China. The annual-mean contribution from fossil-fuel combustion to EC was 76 ± 11% (0.1−1.3 μg m−3). The remaining 24 ± 11% (0.03−0.42 μg m−3) was attributed to biomass burning, with slightly higher contribution in the cold period (∼31%) compared to the warm period (∼21%) because of enhanced emissions from regional biomass combustion sources in China. OC was generally dominated by nonfossil sources, with an annual average of 66 ± 11% (0.5−2.8 μg m−3), approximately half of which was apportioned to primary biomass burning sources (34 ± 6%). In winter, OC almost equally originated from primary OC (POC) emissions and secondary OC (SOC) formation from fossil fuel and biomass-burning sources. In contrast, summertime OC was dominated by primary biogenic emissions as well as secondary production from biogenic and biomass-burning sources, but fossil-derived SOC was the smallest contributor. Distinction of POC and SOC was performed using primary POC-to-EC emission ratios separated for fossil and nonfossil emissions.

Postsynthesis stabilization of free-standing mesoporous silica films

Mixed ammonia-water vapor postsynthesis treatment provides a simple and convenient method for stabilizing mesostructured silica films. X-ray diffraction, transmission electron microscopy, nitrogen adsorption/desorption, and solid-state NMR (C-13, Si-29) were applied to study the effects of mixed ammonia-water vapor at 90 degreesC on the mesostructure of the films. An increased cross-linking of the silica network was observed. Subsequent calcination of the silica films was seen to cause a bimodal pore-size distribution, with an accompanying increase in the volume and surface area ratios of the primary (d = 3 nm) to secondary (d = 5-30 nm) pores. Additionally, mixed ammonia-water treatment was observed to cause a narrowing of the primary pore-size distribution. These findings have implications for thin film based applications and devices, such as sensors, membranes, or surfaces for heterogeneous catalysis.

Reoperative parathyroid surgery: The importance of ectopic location and multigland disease

Background: Despite the availability of expert surgeons and preoperative imaging investigations, some patients require reoperation for persistent or recurrent hyperparathyroidisms. Method: Fifty consecutive patients were reviewed. Results: There were 28 persistent cases (24 primary, 4 secondary) and 22 recurrent cases (15 primary, 7 secondary) and 98% had successful surgical treatment. Multigland disease was present in 24 of 39 (62%) of primary cases, 11 of 24 persistent and 13 of 15 recurrent (P < 0.02). Four patients in the recurrent primary group had multiple endocrine neoplasia type 1, whereas the other 20 primary patients had sporadic multigland disease. Multigland disease was present in all secondary cases and was a very important factor in this entire series of patients (70%). Regrowth of a remnant of a gland biopsied or partially resected at an earlier operation was the cause of recurrence in 12 of 15 primary and 2 of 7 secondary cases (P < 0.05). The site of missed glands in persistent disease was ectopic in 60%. Ectopic glands were found in the following sites: intrathyroidal 10 (8 inferior and 2 superior), intrathymic 9, posterior mediastinum 4, base of skull 2, carotid sheath 1 and supernumerary 5. Investigations to locate missing glands were positive in 28 of 43 sestamibi scans (65%), 14 of 34 ultrasound scans (41%), 10 of 24 computed tomography scans (42%) and 11 of 13 selective venous sampling tests (85%). Conclusion: Some persistent cases are unavoidable because of ectopic locations and some recurrences are inevitable because of multigland disease.

DIVERGÊNCIAS E CONVERGÊNCIAS ENTRE A COMUNICAÇÃO PRIMÁRIA E A COMUNICAÇÃO SECUNDÁRIA NA DIVULGAÇÃO DO CÂNCER DE MAMA

Este estudo investiga as convergências e as divergências na comunicação primária e na comunicação secundária do câncer de mama. Nós usamos um esquema interpretativo fornecido pela Análise de Enquadramento, Agenda Setting, Teoria do Aprendizado Social, Difusão de Inovações, Semiótica e conceito de Novidade na Ciência e no Jornalismo, para argumentar que cientistas e jornalistas comunicam as novidades da Ciência de modos diversos. Também tivemos como uma proposta secundária traçar um panorama histórico da Comunicação da Saúde, e sua evolução, considerando que a Comunicação empreendeu um esforço para legitimar um espaço de encontro com a Saúde, afirmando uma área de aplicação de teorias, princípios e técnicas comunicacionais, com o objetivo preciso de difundir e compartilhar informação, conhecimentos e práticas que contribuam para melhorar os sistemas de saúde e o bem-estar das populações. Através da análise dos dados de periódicos científicos e jornalísticos que divulgam o câncer de mama, nós encontramos apoio significante para nossas predições. As implicações destas diferenças entre a comunicação primária (interpares) e a comunicação secundária (público leigo) para a comunicação da saúde são discutidas, às vezes apresentando-se como convergências, às vezes como divergências. Quando bem esclarecidas e compreendidas, fazem avançar a Comunicação da Saúde, obtendo resultados positivos no bem-estar das populações, considerando que a origem das doen ças está, fundamentalmente, onde se entrelaçam o biológico e o social.(AU)

Ecological studies on high-rate biological filters with special reference to microbial biosynthesis and nitrification

Pilot scale studies of high rate filtration were initiated to assess its potential as either a primary 'roughing' filter to alleviate the seasonal overloading of low rate filters on Hereford sewage treatment works - caused by wastes from cider production - or as a two stage high rate process to provide complete sewage treatment. Four mineral and four plastic primary filter media and two plastic secondary filter media were studied. The hydraulic loading applied to the primary plastic media (11.2 m3 /m3 .d) was twice that applied to the mineral media. The plastic media removed an average around 66 percent and the mineral media around 73 percent of the BOD applied when the 90 percentile BOD concentration was 563 mg/1. At a hydraulic loading of 4 m3 /m3 .d the secondary filters removed most of the POD from partially settled primary filter effluents, with one secondary effluent satisfying a 25 mg/1 BOD and 30 mg/1 SS standard. No significant degree of nitrification was achieved. Fungi dominated the biological film of the primary filters, with invertebrate grazers having little influence on film levels. Ponding did not arise, and modular media supported lower film levels than random-fill types. Secondary filter film levels were low, being dominated by bacteria. The biological loading applied to the filters was related to sludge dewaterability, with the most readily conditionable sludges produced by filters supporting heavy film. Sludges produced by random-fill media could be dewatered as readily as those produced by low rate filters treating the same sewage. Laboratory scale studies showed a relationship between log effluent BOD and nitrification achieved by biological filters. This relationship and the relationship between BOD load applied and removed observed in all filter media could he used to optimise operating conditions required in biological filters to achieve given effluent BOD and ammoniacal nitrogen standards.

Educational and behavioural interventions for anticoagulant therapy in patients with atrial fibrillation

Background Current guidelines recommend oral anticoagulation therapy for patients with atrial fibrillation who are at moderate-to-high risk of stroke, however anticoagulation control (time in therapeutic range (TTR)) is dependent on many factors. Educational and behavioural interventions may impact on patients’ ability to maintain their International Normalised Ratio (INR) control. Objectives To evaluate the effects on TTR of educational and behavioural interventions for oral anticoagulation therapy (OAT) in patients with atrial fibrillation (AF). Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) and the Database of Abstracts of Reviews of Effects (DARE) in The Cochrane Library (2012, Issue 7 of 12), MEDLINE Ovid (1950 to week 4 July 2012), EMBASE Classic + EMBASE Ovid (1947 to Week 31 2012), PsycINFO Ovid (1806 to 2012 week 5 July) on 8 August 2012 and CINAHL Plus with Full Text EBSCO (to August 2012) on 9 August 2012. We applied no language restrictions. Selection criteria The primary outcome analysed was TTR. Secondary outcomes included decision conflict (patient's uncertainty in making health-related decisions), percentage of INRs in the therapeutic range, major bleeding, stroke and thromboembolic events, patient knowledge, patient satisfaction, quality of life (QoL), and anxiety. Data collection and analysis The two review authors independently extracted data. Where insufficient data were present to conduct a meta-analysis, effect sizes and confidence intervals (CIs) of the included studies were reported. Data were pooled for two outcomes, TTR and decision conflict. Main results Eight trials with a total of 1215 AF patients (number of AF participants included in the individual trials ranging from 14 to 434) were included within the review. Studies included education, decision aids, and self-monitoring plus education. For the primary outcome of TTR, data for the AF participants in two self-monitoring plus education trials were pooled and did not favour self-monitoring plus education or usual care in improving TTR, with a mean difference of 6.31 (95% CI -5.63 to 18.25). For the secondary outcome of decision conflict, data from two decision aid trials favoured usual care over the decision aid in terms of reducing decision conflict, with a mean difference of -0.1 (95% CI -0.2 to -0.02). Authors' conclusions This review demonstrated that there is insufficient evidence to draw definitive conclusions regarding the impact of educational or behavioural interventions on TTR in AF patients receiving OAT. Thus, more trials are needed to examine the impact of interventions on anticoagulation control in AF patients and the mechanisms by which they are successful. It is also important to explore the psychological implications for patients suffering from this long-term chronic condition.

Educational and behavioural interventions for anticoagulant therapy in patients with atrial fibrillation

background Current guidelines recommend oral anticoagulation therapy for patients with atrial fibrillation who are at moderate-to-high risk of stroke, however anticoagulation control (time in therapeutic range (TTR)) is dependent on many factors. Educational and behavioural interventions may impact on patients’ ability to maintain their International Normalised Ratio (INR) control. Objectives To evaluate the effects on TTR of educational and behavioural interventions for oral anticoagulation therapy (OAT) in patients with atrial fibrillation (AF). Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) and the Database of Abstracts of Reviews of Effects (DARE) in The Cochrane Library (2012, Issue 7 of 12), MEDLINE Ovid (1950 to week 4 July 2012), EMBASE Classic + EMBASE Ovid (1947 to Week 31 2012), PsycINFO Ovid (1806 to 2012 week 5 July) on 8 August 2012 and CINAHL Plus with Full Text EBSCO (to August 2012) on 9 August 2012. We applied no language restrictions. Selection criteria The primary outcome analysed was TTR. Secondary outcomes included decision conflict (patient's uncertainty in making health-related decisions), percentage of INRs in the therapeutic range, major bleeding, stroke and thromboembolic events, patient knowledge, patient satisfaction, quality of life (QoL), and anxiety. Data collection and analysis The two review authors independently extracted data. Where insufficient data were present to conduct a meta-analysis, effect sizes and confidence intervals (CIs) of the included studies were reported. Data were pooled for two outcomes, TTR and decision conflict. Main results Eight trials with a total of 1215 AF patients (number of AF participants included in the individual trials ranging from 14 to 434) were included within the review. Studies included education, decision aids, and self-monitoring plus education. For the primary outcome of TTR, data for the AF participants in two self-monitoring plus education trials were pooled and did not favour self-monitoring plus education or usual care in improving TTR, with a mean difference of 6.31 (95% CI -5.63 to 18.25). For the secondary outcome of decision conflict, data from two decision aid trials favoured usual care over the decision aid in terms of reducing decision conflict, with a mean difference of -0.1 (95% CI -0.2 to -0.02). Authors' conclusions This review demonstrated that there is insufficient evidence to draw definitive conclusions regarding the impact of educational or behavioural interventions on TTR in AF patients receiving OAT. Thus, more trials are needed to examine the impact of interventions on anticoagulation control in AF patients and the mechanisms by which they are successful. It is also important to explore the psychological implications for patients suffering from this long-term chronic condition.

Sylow P-Subgroups of Abelian Group Rings

2000 Mathematics Subject Classification: Primary 20C07, 20K10, 20K20, 20K21; Secondary 16U60, 16S34.