University of New Mexico

About: University of New Mexico is a education organization based out in Albuquerque, New Mexico, United States. It is known for research contribution in the topics: Population & Poison control. The organization has 28870 authors who have published 64767 publications receiving 2578371 citations. The organization is also known as: UNM & Universitatis Novus Mexico.

The expert consensus guideline series: adherence problems in patients with serious and persistent mental illness.

Abstract: Objectives Poor adherence to medication treatment can have devastating consequences for patients with mental illness. The goal of this project was to develop recommendations for addressing adherence problems to improve patient outcomes. Methods The editors identified important topics and questions concerning medication adherence problems in serious mental illness that are not fully addressed in the literature. A survey was developed containing 39 questions (521 options) asking about defining nonadherence, extent of adherence problems in schizophrenia and bipolar disorder, risk factors for nonadherence, assessment methods, and interventions for specific types of adherence problems. The survey was completed by 41 (85%) of the 48 experts to whom it was sent. Results of the literature review and survey were used to develop recommendations for assessing and improving adherence in patients with serious mental illness. Results ASSESSING ADHERENCE: The experts endorsed percentage of medication not taken as the preferred method of defining adherence, with 80% or more of medication taken endorsed as an appropriate cut-off for adherence in bipolar disorder and schizophrenia. Although self- and physician report are the most common methods used to assess adherence in clinical settings, they are often inaccurate and may underestimate nonadherence. The experts recommend that, if possible, clinicians also use more objective measures (e.g., pill counts, pharmacy records, and, when appropriate, serum levels such as are used for lithium). Use of a validated self-report scale may help improve accuracy. Scope of the problem The majority of the experts believed the average patient with schizophrenia or bipolar disorder in their practices takes only 51%-70% of prescribed medication. FACTORS ASSOCIATED WITH NONADHERENCE: The experts endorsed poor insight and lack of illness awareness, distress associated with specific side effects or a general fear of side effects, inadequate efficacy with persistent symptoms, and believing medications are no longer needed as the most important factors leading to adherence problems in schizophrenia and bipolar disorder. The experts considered weight gain a side effect that is very likely to lead to adherence problems in patients with schizophrenia and bipolar disorder; sedation was considered a more important contributor to adherence problems in bipolar disorder than schizophrenia. The experts rated persistent positive or negative symptoms in schizophrenia and persistent grandiosity and manic symptoms in bipolar disorder as the most important symptomatic contributors to adherence problems in these illnesses. Interventions It is important to identify the specific factors that may be contributing to a patient's adherence problems in order to customize interventions to target those problems. Multiple problems may be involved, requiring a combination of interventions. Conclusions Adherence problems are complex and multidetermined. The experts recommended customized interventions focused on the underlying causes.

The Pierre Auger Cosmic Ray Observatory

Abstract: The Pierre Auger Observatory, located on a vast, high plain in western Argentina, is the world's largest cosmic ray observatory. The objectives of the Observatory are to probe the origin and characteristics of cosmic rays above $10^{17}$ eV and to study the interactions of these, the most energetic particles observed in nature. The Auger design features an array of 1660 water-Cherenkov particle detector stations spread over 3000 km$^2$ overlooked by 24 air fluorescence telescopes. In addition, three high elevation fluorescence telescopes overlook a 23.5 km$^2$, 61 detector infill array. The Observatory has been in successful operation since completion in 2008 and has recorded data from an exposure exceeding 40,000 km$^2$ sr yr. This paper describes the design and performance of the detectors, related subsystems and infrastructure that make up the Auger Observatory.

Q-clouds: managing performance interference effects for QoS-aware clouds

Abstract: Cloud computing offers users the ability to access large pools of computational and storage resources on demand. Multiple commercial clouds already allow businesses to replace, or supplement, privately owned IT assets, alleviating them from the burden of managing and maintaining these facilities. However, there are issues that must be addressed before this vision of utility computing can be fully realized. In existing systems, customers are charged based upon the amount of resources used or reserved, but no guarantees are made regarding the application level performance or quality-of-service (QoS) that the given resources will provide. As cloud providers continue to utilize virtualization technologies in their systems, this can become problematic. In particular, the consolidation of multiple customer applications onto multicore servers introduces performance interference between collocated workloads, significantly impacting application QoS. To address this challenge, we advocate that the cloud should transparently provision additional resources as necessary to achieve the performance that customers would have realized if they were running in isolation. Accordingly, we have developed Q-Clouds, a QoS-aware control framework that tunes resource allocations to mitigate performance interference effects. Q-Clouds uses online feedback to build a multi-input multi-output (MIMO) model that captures performance interference interactions, and uses it to perform closed loop resource management. In addition, we utilize this functionality to allow applications to specify multiple levels of QoS as application Q-states. For such applications, Q-Clouds dynamically provisions underutilized resources to enable elevated QoS levels, thereby improving system efficiency. Experimental evaluations of our solution using benchmark applications illustrate the benefits: performance interference is mitigated completely when feasible, and system utilization is improved by up to 35% using Q-states.

Ultrahard nanotwinned cubic boron nitride.

Abstract: The hardness, toughness and chemical stability of the well-known superhard material cubic boron nitride have been improved by using a synthesis technique based on specially prepared ‘onion-like’ precursor materials. Superhard polycrystalline cubic boron nitride, second only to diamond in hardness, is superior to diamond in terms of thermal and chemical stability and is used widely as an abrasive. The hardness of many materials can be improved by decreasing the grain size, and here Yongjun Tian and colleagues use this principle in a new synthesis technique — based on specially prepared 'onion-like' precursor materials — capable of increasing the hardness of cubic boron nitride. The structure of the resulting polycrystalline material is dominated by nanometre-scale twin domains, yielding a solid combining ultrahigh hardness (exceeding that of a synthetic diamond single crystal) with a high oxidization temperature and extreme fracture toughness. If nanotwins at similar scales can be reproduced in polycrystalline diamond, it may be possible to raise diamond itself to new levels of hardness and stability. Cubic boron nitride (cBN) is a well known superhard material that has a wide range of industrial applications. Nanostructuring of cBN is an effective way to improve its hardness by virtue of the Hall–Petch effect—the tendency for hardness to increase with decreasing grain size1,2. Polycrystalline cBN materials are often synthesized by using the martensitic transformation of a graphite-like BN precursor, in which high pressures and temperatures lead to puckering of the BN layers3. Such approaches have led to synthetic polycrystalline cBN having grain sizes as small as ∼14 nm (refs 1, 2, 4, 5). Here we report the formation of cBN with a nanostructure dominated by fine twin domains of average thickness ∼3.8 nm. This nanotwinned cBN was synthesized from specially prepared BN precursor nanoparticles possessing onion-like nested structures with intrinsically puckered BN layers and numerous stacking faults. The resulting nanotwinned cBN bulk samples are optically transparent with a striking combination of physical properties: an extremely high Vickers hardness (exceeding 100 GPa, the optimal hardness of synthetic diamond), a high oxidization temperature (∼1,294 °C) and a large fracture toughness (>12 MPa m1/2, well beyond the toughness of commercial cemented tungsten carbide, ∼10 MPa m1/2). We show that hardening of cBN is continuous with decreasing twin thickness down to the smallest sizes investigated, contrasting with the expected reverse Hall–Petch effect below a critical grain size or the twin thickness of ∼10–15 nm found in metals and alloys.