91 research outputs found
Religious discrimination and the ‘hierarchy of rights’: non-existent, appropriate or problematic?
In theory, there is no hierarchy of rights in the Equality Act 2010: equal weight is given to each protected characteristic. At least two, very different, critiques though have been made of this argument as it relates to religion or belief. One argument is that religious discrimination has unfairly been given a lower priority than other characteristics, particularly sexual orientation. The second is that religion is inherently different, partly because religions tend to set extensive, and possibly discriminatory, rules for behaviour. In order to keep religion or belief claims within a reasonable limit, religious discrimination claims must therefore be confined. The perceived danger of confining these claims though is that, because of the insistence that there is no hierarchy of rights, this will lead to reduced protection across all the protected characteristics since concepts which apply across the Equality Act will be reinterpreted in order to avoid unwanted results. As will be demonstrated though, both of these arguments are misconceive
European Young Pediatricians Association: Laying the Foundations for Collaboration, Integration, and Networking among Pediatricians of the Future
Reduced costs with bisoprolol treatment for heart failure - An economic analysis of the second Cardiac Insufficiency Bisoprolol Study (CIBIS-II)
Background
Beta-blockers, used as an adjunctive to diuretics, digoxin and angiotensin converting enzyme inhibitors, improve survival in chronic heart failure. We report a prospectively planned economic analysis of the cost of adjunctive beta-blocker therapy in the second Cardiac Insufficiency BIsoprolol Study (CIBIS II).
Methods
Resource utilization data (drug therapy, number of hospital admissions, length of hospital stay, ward type) were collected prospectively in all patients in CIBIS . These data were used to determine the additional direct costs incurred, and savings made, with bisoprolol therapy. As well as the cost of the drug, additional costs related to bisoprolol therapy were added to cover the supervision of treatment initiation and titration (four outpatient clinic/office visits). Per them (hospital bed day) costings were carried out for France, Germany and the U.K. Diagnosis related group costings were performed for France and the U.K. Our analyses took the perspective of a third party payer in France and Germany and the National Health Service in the U.K.
Results
Overall, fewer patients were hospitalized in the bisoprolol group, there were fewer hospital admissions perpatient hospitalized, fewer hospital admissions overall, fewer days spent in hospital and fewer days spent in the most expensive type of ward. As a consequence the cost of care in the bisoprolol group was 5-10% less in all three countries, in the per them analysis, even taking into account the cost of bisoprolol and the extra initiation/up-titration visits. The cost per patient treated in the placebo and bisoprolol groups was FF35 009 vs FF31 762 in France, DM11 563 vs DM10 784 in Germany and pound 4987 vs pound 4722 in the U.K. The diagnosis related group analysis gave similar results.
Interpretation
Not only did bisoprolol increase survival and reduce hospital admissions in CIBIS II, it also cut the cost of care in so doing. This `win-win' situation of positive health benefits associated with cost savings is Favourable from the point of view of both the patient and health care systems. These findings add further support for the use of beta-blockers in chronic heart failure
Modelo matematico de transferencia de calor en fermentacion de sustrato solido con hongos filamentosos
ÉTUDE PAR R. P. E. D'UN NOUVEAU DÉFAUT PONCTUEL DANS LE FLUORURE DE LITHIUM
Après chauffage et trempe, des monocristaux de LiF, contenant des impuretés divalentes, irradiés aux rayons X, donnent des spectres de R. P. E. caractéristiques de l'interaction d'un électron célibataire, placé dans un site vacant de lithium, avec les six ions fluor plus proches voisins.After heating and quenching, X-irradiated samples of LiF containing divalent impurities exhibit E. S. R. spectra with a hyperfine structure characteristic of interaction of an unpaired electron with the six nearest neighbour fluorines
E. S. R. OF Gd3+ IN La2O3 AND ITS SOLID SOLUTIONS WITH CeO2
Les spectres de RPE des ions Gd3+ présents à l'état de traces dans La2O3 et (La2O3)1-x-(CeO2)x sont caractéristiques d'une symétrie axiale suivant l'axe et correspondent à un clivage en champ nul très important (~ 1,61 cm-1). L'addition d'oxyde de cérium crée des distorsions aléatoires de la symétrie axiale. Par rapport aux spectres enregistrés avec La2O3,cela se traduit par un fort élargissement de certaines raies de résonance.In La2O3 and in its solid solutions with CeO2, the ESR spectra of Gd3+ ions present as traces in sites of axial symmetry are characterized by a strong zero-field splitting (~ 1.61 cm-1). With respect to the La2O3 patterns, the random distorsions of the axial symmetry due to the introduction of Ceria, cause an important broadening of some lines
Étude par résonance paramagnétique électronique des centres colorés dans les halogénures alcalins
A review of E. S. R. studies on color centers in alkali halides crystals is given. F centers are considered in the first section. Progress on interpretation and complexity of the spectra are emphasized. The second part deals with V type centers. It is shown how interpretation of spectra has led to models. Finally, studies on other centers (M, R, Z ... centers) are presented.On passe en revue les études effectuées par R. P. E. sur les centres colorés créés dans les halogénures alcalins. Une première partie est consacrée aux centres F. On y insiste, d'abord sur la progression dans l'interprétation des spectres, puis sur leur complexité, notamment pour le LiF. Une deuxième partie traite des centres du type V. On y montre comment l'interprétation des spectres a conduit aux modèles. Enfin on résume les études faites sur les autres types de centres (centres M, R, Z ...)
CO3-3 DEFECTS ASSOCIATED WITH LITHIUM IN SYNTHETIC CALCITE
Après irradiation à l'ambiante de monocristaux de calcite synthétique, on observe deux défauts paramagnétiques qui sont des ions CO3-3 associés à des impuretés de lithium et qui ont une symétrie axiale suivant l'axe c de la calcite. On a déterminé les constantes des hamiltoniens de spin décrivant les spectres des deux défauts. Pour celui qui n'est associé qu'à un ion Li+, on trouve une densité de spin au niveau de Li+ égale à 2,96 %. Pour le centre à deux lithiums, la densité de spin sur le Li+ le plus proche est de 11,89 % alors qu'elle n'est que de 0,l % sur le deuxième. On émet quelques hypothèses concernant la position des divers ions Li+ par rapport à l'ion carbonate.In irradiated synthetic single crystal calcite two defects which are CO3-3 ions associated with lithium impurities are observed. Both defects are axially symmetric along the calcite c axis. One defect is associated with one Li+ ion, the other with two Li+ ions. The values of the various constants of the spin hamiltonians describing the spectra of both defects are given. The spin densities in the 2s lithium orbitals are 2.96 % for the one lithium centre and 11.89 % and 0.1 %, in the case of the two lithiums centre. Some hypothesis concerning the location of the various Li+ ions are presented
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