A cost benefit analysis of employee assistance programs and health promotion programs

Due to the character of the original source materials and the nature of batch digitization, quality control issues may be present in this document. Please report any quality issues you encounter to [email protected], referencing the URI of the item.Includes bibliographical references: leaves 10-11.For many years business has been searching for ways to make companies more profitable. Some programs that many businesses have implemented in order to increase profits are Employee Assistance Programs (EAPs) and Health Promotion Programs (HPPs). Employee Assistance Programs offer a wide range of services including marriage counseling, parent education classes, and legal advice. Health Promotion Programs offer wellness services and focus on preventative measures to bring health costs down. A meta-analysis will be conducted to determine if a cost offset effect occurs due to the utilization of these programs. After collecting 20 articles for review the present study has found that a general reading of the studies seem to suggest a common, positive cost benefit for EAPs/HPPs

Magnetohydrodynamics of the Weakly Ionized Solar Photosphere

We investigate the importance of ambipolar diffusion and Hall currents for high-resolution comprehensive ('realistic') photospheric simulations. To do so we extended the radiative magnetohydrodynamics code \emph{MURaM} to use the generalized Ohm's law under the assumption of local thermodynamic equilibrium. We present test cases comparing analytical solutions with numerical simulations for validation of the code. Furthermore, we carried out a number of numerical experiments to investigate the impact of these neutral-ion effects in the photosphere. We find that, at the spatial resolutions currently used (5-20 km per grid point), the Hall currents and ambipolar diffusion begin to become significant -- with flows of 100 m/s in sunspot light bridges, and changes of a few percent in the thermodynamic structure of quiet-Sun magnetic features. The magnitude of the effects is expected to increase rapidly as smaller-scale variations are resolved by the simulations.Comment: accepted Ap

The green corona data: 1947-1976, revisited

Re-examining a continuous monthly data set for the green-line corona brightness, covering February 1947 to September 1976, we have found that practically no delay exists between the trends of the green-line coronal intensity in the equatorial and middle-latitude belts at the beginning of solar activity cycle No. 20, while a previous cycle (No. 19) shows a sudden increase in the corona intensity brightness at middle latitudes followed by a delayed one at the equatorial belts, supporting recent findings on even-odd solar cycle differences observed in the half-yearly green corona database (1943-1993). The north-south asymmetry in the hemispheric solar activity is not involved in this phenomenon

On red shifs in the transition region and corona

We present evidence that transition region red-shifts are naturally produced in episodically heated models where the average volumetric heating scale height lies between that of the chromospheric pressure scale height of 200 km and the coronal scale height of 50 Mm. In order to do so we present results from 3d MHD models spanning the upper convection zone up to the corona, 15 Mm above the photosphere. Transition region and coronal heating in these models is due both the stressing of the magnetic field by photospheric and convection `zone dynamics, but also in some models by the injection of emerging magnetic flux.Comment: 8 pages, 9 figures, NSO Workshop #25 Chromospheric Structure and Dynamic

Linear response within the projection-based renormalization method: Many-body corrections beyond the random phase approximation

The explicit evaluation of linear response coefficients for interacting many-particle systems still poses a considerable challenge to theoreticians. In this work we use a novel many-particle renormalization technique, the so-called projector-based renormalization method, to show how such coefficients can systematically be evaluated. To demonstrate the prospects and power of our approach we consider the dynamical wave-vector dependent spin susceptibility of the two-dimensional Hubbard model and also determine the subsequent magnetic phase diagram close to half-filling. We show that the superior treatment of (Coulomb) correlation and fluctuation effects within the projector-based renormalization method significantly improves the standard random phase approximation results.Comment: 17 pages, 7 figures, revised versio

The stellar atmosphere simulation code Bifrost

Context: Numerical simulations of stellar convection and photospheres have been developed to the point where detailed shapes of observed spectral lines can be explained. Stellar atmospheres are very complex, and very different physical regimes are present in the convection zone, photosphere, chromosphere, transition region and corona. To understand the details of the atmosphere it is necessary to simulate the whole atmosphere since the different layers interact strongly. These physical regimes are very diverse and it takes a highly efficient massively parallel numerical code to solve the associated equations. Aims: The design, implementation and validation of the massively parallel numerical code Bifrost for simulating stellar atmospheres from the convection zone to the corona. Methods: The code is subjected to a number of validation tests, among them the Sod shock tube test, the Orzag-Tang colliding shock test, boundary condition tests and tests of how the code treats magnetic field advection, chromospheric radiation, radiative transfer in an isothermal scattering atmosphere, hydrogen ionization and thermal conduction. Results: Bifrost completes the tests with good results and shows near linear efficiency scaling to thousands of computing cores

A beam search approach to solve the convex irregular bin packing problem with guillotine cuts

This paper presents a two dimensional convex irregular bin packing problem with guillotine cuts. The problem combines the challenges of tackling the complexity of packing irregular pieces, guaranteeing guillotine cuts that are not always orthogonal to the edges of the bin, and allocating pieces to bins that are not necessarily of the same size. This problem is known as a two-dimensional multi bin size bin packing problem with convex irregular pieces and guillotine cuts. Since pieces are separated by means of guillotine cuts, our study is restricted to convex pieces.A beam search algorithm is described, which is successfully applied to both the multi and single bin size instances. The algorithm is competitive with the results reported in the literature for the single bin size problem and provides the first results for the multi bin size problem

Safety of intravenous thrombolysis for acute ischemic stroke in patients receiving antiplatelet therapy at stroke onset

<p><b>Background and Purpose:</b> Antiplatelets (APs) may increase the risk of symptomatic intracerebral hemorrhage (ICH) following intravenous thrombolysis after ischemic stroke.</p> <p><b>Methods:</b> We assessed the safety of thrombolysis under APs in 11 865 patients compliant with the European license criteria and recorded between 2002 and 2007 in the Safe Implementation of Treatments in Stroke (SITS) International Stroke Thrombolysis Register (SITS-ISTR). Outcome measures of univariable and multivariable analyses included symptomatic ICH (SICH) per SITS Monitoring Study (SITS-MOST [deterioration in National Institutes of Health Stroke Scale >= 4 plus ICH type 2 within 24 hours]), per European Cooperative Acute Stroke Study II (ECASS II [deterioration in National Institutes of Health Stroke Scale >= 4 plus any ICH]), functional outcome at 3 months and mortality.</p> <p><b>Results:</b> A total of 3782 (31.9%) patients had received 1 or 2 AP drugs at baseline: 3016 (25.4%) acetylsalicylic acid (ASA), 243 (2.0%) clopidogrel, 175 (1.5%) ASA and dipyridamole, 151 (1.3%) ASA and clopidogrel, and 197 (1.7%) others. Patients receiving APs were 5 years older and had more risk factors than AP nave patients. Incidences of SICH per SITS-MOST (ECASS II respectively) were as follows: 1.1% (4.1%) AP naive, 2.5% (6.2%) any AP, 2.5% (5.9%) ASA, 1.7% (4.2%) clopidogrel, 2.3% (5.9%) ASA and dipyridamole, and 4.1% (13.4%) ASA and clopidogrel. In multivariable analyses, the combination of ASA and clopidogrel was associated with increased risk for SICH per ECASS II (odds ratio, 2.11; 95% CI, 1.29 to 3.45; P = 0.003). However, we found no significant increase in the risk for mortality or poor functional outcome, irrespective of the AP subgroup or SICH definition.</p> <p><b>Conclusion:</b> The absolute excess of SICH of 1.4% (2.1%) in the pooled AP group is small compared with the benefit of thrombolysis seen in randomized trials. Although caution is warranted in patients receiving the combination of ASA and clopidogrel, AP treatment should not be considered a contraindication to thrombolysis.</p&gt