Back to the Future: The Managed Care Revolution

The evolution to a managed care system did not achieve the complete, fundamental change in the health care delivery system that was envisioned by some of its early proponents. As the managed care movement evolved beyond the prepaid group practice model, it focused primarily on methods used to spread the cost of health care services

A double peaked pulse profile observed in GX 1+4

The hard X-ray pulsar GX 1+4 was observed several times in the last few years with a pair of balloon-borne Xenon filled Multi-cell Proportional Counters (XMPC). In a balloon flight made on 22 March 1995, the source was detected in a bright state, the average observed source count rate being $8.0\pm0.2/s$ per detector. X-ray pulsations with a period of $121.9\pm0.1$ s were detected in the source with a broad double peak pulse feature. When observed in December 1993 with the same instrument, the pulse profile of GX 1+4 showed a single peak. This change in the pulse profile to a double pulse structure in about 15 months indicates either activation of the opposite pole of the neutron star if the magnetic field is asymmetric or possibly a change in the beam pattern, from a pencil beam to a fan beam. Assuming a fan beam configuration, the pulse profile is used to find the inclinations of the magnetic axis and the viewing axis with the spin axis. The derived angles support the GINGA observations of a dip in the pulse profile which was resolved to have a local maximum in one of the observations and was explained with resonance scattering of cyclotron line energy photons by the accretion column (Makishima et al., \markcite{maki1988}, Dotani et al., \markcite{dotani1989}.). Compared to our previous observation of the same source with the same telescope (Rao et al., \markcite{rao1994}) a period change rate of $0.72 \pm 0.40 s/yr$ is obtained which is the lowest rate of change of period for this source since its discovery. Average pulse fraction in the hard X-ray range is low (30%), consistent with its anti correlation with luminosity as reported by us earlier (Rao et al., \markcite{rao1994}) and the observed spectrum is very hard (power law photon index $1.67\pm0.12$).Comment: 10 pages, to appear in A&

X-ray properties of the microquasar GRS 1915+105 during a variability class transition

We present a detailed X-ray study of the microquasar GRS 1915+105 during a variability class transition observed in 2000 June with the PPCs of the Indian X-ray Astronomy Experiment. We supplement this observation with data from the RXTE archives. The source made a transition from a steady low-hard state to a regular oscillatory behaviour in the light curve known as bursts or class `rho' (Belloni et al. 2000) between 2000 May 11 and 17 and reverted back to the low-hard state on 2000 June 27. A gradual change in the burst recurrence time from about 75 s to about 40 s was observed which then increased to about 120 s during the ~ 40 days of class `rho'. The regular bursts disappeared from the X-ray light curves and the class transition was observed to occur within 1.5 hours on 2000 June 27 with the PPCs. A correlation is found between the observed QPO frequency at 5-8 Hz in the quiescent phase and the average X-ray intensity of the source during the class `rho'. We notice a strong similarity between the properties of the source during the class `rho' and those during the oscillatory phase of the observations of class `alpha'. From the timing and spectral analysis, it is found that the observed properties of the source over tens of days during the class `rho' are identical to those over a time scale of a few hundreds of seconds in the class `alpha'. Examining the light curves from the beginning of the RXTE/PCA and RXTE/ASM observations, it is found that the change of state from radio-quiet low-hard state to high state occurs through the X-ray classes `rho' and `alpha' which appear together during the state transition. It is further inferred that the source switches from low-hard state to the class `rho' through the intermediate class `alpha'.Comment: 10 pages with 9 figures, LaTex. To be appeared in MNRA

Different types of X-ray bursts from GRS 1915+105 and their origin

We report the X-ray observations of the Galactic X-ray transient source GRS 1915+105 with the PPCs of the Indian X-ray Astronomy Experiment(IXAE) onboard the Indian satellite IRS-P3 during 1997 June - August, which have revealed the presence of four types of intense X-ray bursts. All the observed bursts have a slow exponential rise, a sharp linear decay, and they can broadly be put in two classes: irregular and quasi-regular bursts in one class, and regular bursts in another class. The regular bursts are found to have two distinct time scales and they persist over extended durations. There is a strong correlation between the preceding quiescent time and the burst duration for the quasi-regular and irregular bursts. No such correlation is found for the regular bursts. The ratio of average flux during the burst time to the average flux during the quiescent phase is high and variable for the quasi- regular and irregular bursts while it is low and constant for the regular bursts. We suggest that the peculiar bursts that we have seen are charact- eristic of the change of state of the source. The source can switch back and forth between the low-hard state and the high-soft state near critical accretion rates in a very short time scale. A test of the model is presented using the publicly available 13-60 keV RXTE/PCA data for irregular and regular bursts concurrent with our observations.Comment: 13 pages, 12 figures, Accepted in APJ, emulateapj style use

Applications of concurrent access patterns in web usage mining

This paper builds on the original data mining and modelling research which has proposed the discovery of novel structural relation patterns, applying the approach in web usage mining. The focus of attention here is on concurrent access patterns (CAP), where an overarching framework illuminates the methodology for web access patterns post-processing. Data pre-processing, pattern discovery and patterns analysis all proceed in association with access patterns mining, CAP mining and CAP modelling. Pruning and selection of access pat-terns takes place as necessary, allowing further CAP mining and modelling to be pursued in the search for the most interesting concurrent access patterns. It is shown that higher level CAPs can be modelled in a way which brings greater structure to bear on the process of knowledge discovery. Experiments with real-world datasets highlight the applicability of the approach in web navigation

Purification of Mixed State with Closed Timelike Curve is not Possible

In ordinary quantum theory any mixed state can be purified in an enlarged Hilbert space by bringing an ancillary system. The purified state does not depend on the state of any extraneous system with which the mixed state is going to interact and on the physical interaction. Here, we prove that it is not possible to purify a mixed state that traverses a closed time like curve (CTC) and allowed to interact in a consistent way with a causality-respecting (CR) quantum system in the same manner. Thus, in general for arbitrary interactions between CR and CTC systems there is no universal 'Church of the larger Hilbert space' for mixed states with CTC. This shows that in quantum theory with CTCs there can exist 'proper' and 'improper' mixtures.Comment: Latex2e, No Figs, 4 + pages, An error corrected, Results unchange

Approximating Multilinear Monomial Coefficients and Maximum Multilinear Monomials in Multivariate Polynomials

This paper is our third step towards developing a theory of testing monomials in multivariate polynomials and concentrates on two problems: (1) How to compute the coefficients of multilinear monomials; and (2) how to find a maximum multilinear monomial when the input is a $\Pi\Sigma\Pi$ polynomial. We first prove that the first problem is \#P-hard and then devise a $O^*(3^ns(n))$ upper bound for this problem for any polynomial represented by an arithmetic circuit of size $s(n)$. Later, this upper bound is improved to $O^*(2^n)$ for $\Pi\Sigma\Pi$ polynomials. We then design fully polynomial-time randomized approximation schemes for this problem for $\Pi\Sigma$ polynomials. On the negative side, we prove that, even for $\Pi\Sigma\Pi$ polynomials with terms of degree $\le 2$, the first problem cannot be approximated at all for any approximation factor $\ge 1$, nor {\em "weakly approximated"} in a much relaxed setting, unless P=NP. For the second problem, we first give a polynomial time $\lambda$-approximation algorithm for $\Pi\Sigma\Pi$ polynomials with terms of degrees no more a constant $\lambda \ge 2$. On the inapproximability side, we give a $n^{(1-\epsilon)/2}$ lower bound, for any $\epsilon >0,$ on the approximation factor for $\Pi\Sigma\Pi$ polynomials. When terms in these polynomials are constrained to degrees $\le 2$, we prove a $1.0476$ lower bound, assuming $P\not=NP$; and a higher $1.0604$ lower bound, assuming the Unique Games Conjecture

Observation of asymmetric spectrum broadening induced by silver nanoparticles in a heavy-metal oxide glass

We demonstrate experimentally and support by a theoretical analysis an effect of asymmetric spectrum broadening, which results from doping of silver nanoparticles into a heavy-glass matrix, 90(0.5WO3-0.3SbPO4-0.2PbO)-10AgCl. The strong dispersion of the effective nonlinear coefficient of the composite significantly influences the spectral broadening via the self-phase modulation, and leads to a blue upshift of the spectrum. Further extension of the spectrum towards shorter wavelengths is suppressed by a growing loss caused by the plasmon resonance in the silver particles. The red-edge spectral broadening is dominated by the stimulated Raman Scattering.Comment: Accepted for publishing epl13477; EPL Journal 201