1,071 research outputs found
The Revolving Door: A Report on U.S. Hospital Readmissions
The U.S. health care system suffers from a chronic malady -- the revolving door syndrome at its hospitals. It is so bad that the federal government says one in five elderly patients is back in the hospital within 30 days of leaving.Some return trips are predictable elements of a treatment plan. Others are unplanned but difficult to prevent: patients go home, new and unexpected problems arise, and they require an immediate trip back to the hospital.But many of these readmissions can and should be prevented. They are the result of a fragmented system of care that too often leaves discharged patients to their own devices, unable to follow instructions they didn't understand, and not taking medications or getting the necessary follow-up care.The federal government has pegged the cost of readmissions for Medicare patients alone at 17 billion of it pays for return trips that need not happen if patients get the right care. This is one reason the Centers for Medicare & Medicaid Services has identified avoidable readmissions as one of the leading problems facing the U.S. health care system and now penalizes hospitals with high rates of readmissions for their heart failure, heart attack, and pneumonia patients. This report is being released in conjunction with the Robert Wood John Foundation's Care About Your Care initiative, which is devoted to improving care transitions when people leave the hospital. It looks at the issue of readmissions in two ways: by the numbers and through the eyes of the people who live them
Implications of the X-ray Variability for the Mass of MCG-6-30-15
The bright Seyfert 1 galaxy \mcg shows large variability on a variety of time
scales. We study the \aproxlt 3 day time scale variability using a set of
simultaneous archival observations that were obtained from \rxte and the {\it
Advanced Satellite for Cosmology and Astrophysics} (\asca). The \rxte\
observations span nearly sec and indicate that the X-ray Fourier Power
Spectral Density has an rms variability of 16%, is flat from approximately
10^{-6} - 10^{-5} Hz, and then steepens into a power law
with \alpha\aproxgt 1. A further steepening to occurs
between 10^{-4}-10^{-3} Hz. The shape and rms amplitude are comparable to what
has been observed in \ngc and \cyg, albeit with break frequencies that differ
by a factor of 10^{-2} and 10^{4}, respectively. If the break frequencies are
indicative of the central black hole mass, then this mass may be as low as
. An upper limit of ks for the relative lag
between the 0.5-2 keV \asca band compared to the 8-15 keV \rxte band was also
found. Again by analogy with \ngc and \cyg, this limit is consistent with a
relatively low central black hole mass.Comment: 5 pages, 3 figures, LaTeX, uses emulateapj.sty and apjfonts.sty,
revised version, accepted for publication in ApJ Letter
Pricing A Pig In A Poke: Endogenous Valuations And Storage Unit Auctions
Storage unit auctions have recently received widespread attention from reality shows and “get rich easy” business models. This study examines the pitfalls associated with winning storage unit auctions, commonly observed bidding strategies, participant behavior and auction methods. Storage unit auctions present a classic example of endogenous valuation using incomplete information and imperfect secondary markets. The examination of the contents of a storage unit auction yields a novel use for the facility and sheds light on the process that leads to a lien and sale
Evidence of widespread selection on standing variation in Europe at height-associated SNPs.
Strong signatures of positive selection at newly arising genetic variants are well documented in humans(1-8), but this form of selection may not be widespread in recent human evolution(9). Because many human traits are highly polygenic and partly determined by common, ancient genetic variation, an alternative model for rapid genetic adaptation has been proposed: weak selection acting on many pre-existing (standing) genetic variants, or polygenic adaptation(10-12). By studying height, a classic polygenic trait, we demonstrate the first human signature of widespread selection on standing variation. We show that frequencies of alleles associated with increased height, both at known loci and genome wide, are systematically elevated in Northern Europeans compared with Southern Europeans (P < 4.3 × 10(-4)). This pattern mirrors intra-European height differences and is not confounded by ancestry or other ascertainment biases. The systematic frequency differences are consistent with the presence of widespread weak selection (selection coefficients ∼10(-3)-10(-5) per allele) rather than genetic drift alone (P < 10(-15))
The C-Band All-Sky Survey (C-BASS): Constraining diffuse Galactic radio emission in the North Celestial Pole region
The C-Band All-Sky Survey C-BASS is a high-sensitivity all-sky radio survey
at an angular resolution of 45 arcmin and a frequency of 4.7 GHz. We present a
total intensity 4.7 GHz map of the North Celestial Pole (NCP) region of sky,
above declination +80 deg, which is limited by source confusion at a level of
~0.6 mK rms. We apply the template-fitting (cross-correlation) technique to
WMAP and Planck data, using the C-BASS map as the synchrotron template, to
investigate the contribution of diffuse foreground emission at frequencies
~20-40 GHz. We quantify the anomalous microwave emission (AME) that is
correlated with far-infrared dust emission. The AME amplitude does not change
significantly (<10%) when using the higher frequency C-BASS 4.7 GHz template
instead of the traditional Haslam 408 MHz map as a tracer of synchrotron
radiation. We measure template coefficients of and
K per unit when using the Haslam and C-BASS synchrotron templates,
respectively. The AME contributes K rms at 22.8 GHz and accounts
for ~60% of the total foreground emission. Our results suggest that a harder
(flatter spectrum) component of synchrotron emission is not dominant at
frequencies >5 GHz; the best-fitting synchrotron temperature spectral index is
from 4.7 to 22.8 GHz and from 22.8 to
44.1 GHz. Free-free emission is weak, contributing ~K rms (~7%) at 22.8
GHz. The best explanation for the AME is still electric dipole emission from
small spinning dust grains.Comment: 18 pages, 6 figures, version matches version accepted by MNRA
Recommended from our members
Evidence of Widespread Selection on Standing Variation in Europe at Height-Associated SNPs
Strong signatures of positive selection at newly arising genetic variants are well-documented in humans, but this form of selection may not be widespread in recent human evolution. Because many human traits are highly polygenic and partly determined by common, ancient genetic variation, an alternative model for rapid genetic adaptation has been proposed: weak selection acting on many pre-existing (standing) genetic variants, or polygenic adaptation. By studying height, a classic polygenic trait, we demonstrate the first human signature of widespread selection on standing variation. We show that frequencies of alleles associated with increased height, both at known loci and genome-wide, are systematically elevated in Northern Europeans compared with Southern Europeans . This pattern mirrors intra-European height differences and is not confounded by ancestry or other ascertainment biases. The systematic frequency differences are consistent with the presence of widespread weak selection (selection coefficients per allele) rather than genetic drift alone
Searching for non-Gaussianity in the VSA data
We have tested Very Small Array (VSA) observations of three regions of sky
for the presence of non-Gaussianity, using high-order cumulants, Minkowski
functionals, a wavelet-based test and a Bayesian joint power
spectrum/non-Gaussianity analysis. We find the data from two regions to be
consistent with Gaussianity. In the third region, we obtain a 96.7% detection
of non-Gaussianity using the wavelet test. We perform simulations to
characterise the tests, and conclude that this is consistent with expected
residual point source contamination. There is therefore no evidence that this
detection is of cosmological origin. Our simulations show that the tests would
be sensitive to any residual point sources above the data's source subtraction
level of 20 mJy. The tests are also sensitive to cosmic string networks at an
rms fluctuation level of (i.e. equivalent to the best-fit observed
value). They are not sensitive to string-induced fluctuations if an equal rms
of Gaussian CDM fluctuations is added, thereby reducing the fluctuations due to
the strings network to rms . We especially highlight the usefulness
of non-Gaussianity testing in eliminating systematic effects from our data.Comment: Minor corrections; accepted for publication to MNRA
Recommended from our members
Exome sequencing of Finnish isolates enhances rare-variant association power.
Exome-sequencing studies have generally been underpowered to identify deleterious alleles with a large effect on complex traits as such alleles are mostly rare. Because the population of northern and eastern Finland has expanded considerably and in isolation following a series of bottlenecks, individuals of these populations have numerous deleterious alleles at a relatively high frequency. Here, using exome sequencing of nearly 20,000 individuals from these regions, we investigate the role of rare coding variants in clinically relevant quantitative cardiometabolic traits. Exome-wide association studies for 64 quantitative traits identified 26 newly associated deleterious alleles. Of these 26 alleles, 19 are either unique to or more than 20 times more frequent in Finnish individuals than in other Europeans and show geographical clustering comparable to Mendelian disease mutations that are characteristic of the Finnish population. We estimate that sequencing studies of populations without this unique history would require hundreds of thousands to millions of participants to achieve comparable association power
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