This paper proposes a general framework for constructing gatekeeping procedures for clinical trials with hierarchical objectives. Such problems frequently exhibit complex structures including multiple families of hypotheses and logical restrictions. The proposed framework is based on combining multiple procedures across families. It enables the construction of powerful and flexible gatekeeping procedures that account for general logical restrictions among the hypotheses of interest. A clinical trial in patients with schizophrenia is used to illustrate the approach for parallel gatekeeping, whereas another clinical trial in patients with hypertension is used to illustrate the approach for gatekeeping with general logical restrictions.
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http://dx.doi.org/10.1002/sim.4008 | DOI Listing |
J Educ Health Promot
December 2024
Medical Library and Information Science Department, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Due to the increasing occurrence of natural disasters, it is essential to prioritize the improvement of health literacy during emergencies, particularly for individuals with chronic illnesses like diabetes who are especially vulnerable in the medical sector. The primary objective of this study was to identify the key themes within an emerging framework for disaster health literacy specifically tailored for diabetics. A scoping review design was selected based on the Arksey and O'Malley framework.
View Article and Find Full Text PDFJ Pharm Policy Pract
January 2025
Global Health Centre, Graduate Institute of International and Development Studies, Geneva, Switzerland.
Background: The current mainstream pharmaceutical innovation system (PIS) is driven by the market-based logic of charging the highest prices societies will bear. Outcomes include unaffordable medicines, restricted access and pressure on health budgets. How can the innovation system change to deliver fairly-priced medicines?
Methods: We inductively developed a novel conceptual framework of the PIS as a complex adaptive system (CAS) analogous to a forest.
BMJ Open
December 2024
Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Brazil.
J Phys Condens Matter
January 2025
Institute of Engineering & Management, Department of Basic Science and Humanities, Institute of Engineering & Management, Salt Lake Electronics Complex, Sector V, Salt Lake, Kolkata 700091, India, University of Engineering & Management, University Area, Plot No. III, B/5, New Town Road, Action Area III, Newtown, Kolkata 700160, India, Calcutta, West Bengal, 700091, INDIA.
A magnetic vortex (MV) is one of the fundamental and topologically nontrivial spin textures in condensed matter physics. Magnetic vortices are usually the ground states in geometrically restricted ferromagnets with zero magnetocrystalline anisotropy. Magnetic vortices have recently been proposed for use in a variety of spintronics applications due to their resistance to thermal perturbations, flexibility in changing core polarity, simple patterning procedure, and potential uses in magnetic data storage with substantial density, sensors for the magnetic field, devices for logic operations, and other related fields.
View Article and Find Full Text PDFAngew Chem Int Ed Engl
January 2025
School of Physical Science and Technology, Lanzhou University, Lanzhou, 730000, P. R. China.
Ion/electron-coupling logic operation is recognized as the most promising approach to achieving in-depth brain-inspired computing, but the lack of high-performance ion/electron-coupling devices with high operating frequencies much restricts the fast development of this field. Accordingly, we herein report an orthorhombic niobium pentoxide (T-NbO) based lithium-ion capacitor diode (CAPode) that possesses thoroughly improved performances to achieve multifrequency ion/electron-coupling logic operations. Specifically, benefiting from the unique crystal structure and fast ion-transport topology of T-NbO, the constructed CAPode exhibits a high response frequency of up to 122 Hz, over three orders of magnitude higher than those of the state-of-the-art CAPodes.
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