Chronic kidney disease: The distribution of health care dollars

Chronic kidney disease: The distribution of health care dollars.BackgroundThe cost of care for end-stage renal disease (ESRD) is known to be high. The factors responsible for higher ESRD cost develop during chronic kidney disease (CKD), where the data on distribution of cost are limited.MethodsThis retrospective cohort study of 1995 through 1998 incident dialysis patients was performed to study the distribution of costs during the 24 months prior to initiation of dialysis. Patient data were obtained from the Centers for Medicare and Medicaid Services (CMS). Patients who were Medicare eligible for at least 2 years prior to initiation of dialysis were included in the study. Financial data were obtained from Medicare Part A and Part B claims and inflationary adjustments were made. The study period was divided into four segments based on overall distribution of cost.ResultsThe mean age was 75 years, 51% were males, 73% were white, and 22% were black. Overall, patient comorbidity increased significantly during the study years. Cost showed a sharp increase in the last 6 months prior to initiation of dialysis. Hospitalization was the major component of cost throughout study period. Patients who initiated hemodialysis incurred a higher cost compared to patients who initiated other modes of kidney replacement therapy. Patients with diabetes or cardiovascular disease incurred higher cost compared to those who had no diabetes or cardiovascular disease, respectively.ConclusionThese data showed that hospitalization was the major component of the sharp increase in cost around the initiation of dialysis. Increased comorbidity was associated with higher cost. A focus on timely management of CKD may prevent future morbidity and costs

Adult attachment style across individuals and role-relationships: Avoidance is relationship-specific, but anxiety shows greater generalizability

A generalisability study examined the hypotheses that avoidant attachment, reflecting the representation of others, should be more relationship-specific (vary across relationships more than across individuals), while attachment anxiety, reflecting self-representation, should be more generalisable across a person’s relationships. College students responded to 6-item questionnaire measures of these variables for 5 relationships (mother, father, best same-gender friend, romantic partner or best opposite-gender friend, other close person), on 3 (N = 120) or 2 (N = 77) occasions separated by a few weeks. Results supported the hypotheses, with the person variance component being larger than the relationship-specific component for anxiety, and the opposite happening for avoidance. Anxiety therefore seems not to be as relationship-specific as previous research suggested. Possible reasons for discrepancies between the current and previous studies are discussed

Initial-State Interactions in the Unpolarized Drell-Yan Process

We show that initial-state interactions contribute to the $\cos 2 \phi$ distribution in unpolarized Drell-Yan lepton pair production $p p$ and $p \bar p \to \ell^+ \ell^- X$, without suppression. The asymmetry is expressed as a product of chiral-odd distributions $h_1^\perp(x_1,\bm{p}_\perp^2)\times \bar h_1^\perp(x_2,\bm{k}_\perp^2)$, where the quark-transversity function $h_1^\perp(x,\bm{p}_\perp^2)$ is the transverse momentum dependent, light-cone momentum distribution of transversely polarized quarks in an {\it unpolarized} proton. We compute this (naive) $T$-odd and chiral-odd distribution function and the resulting $\cos 2 \phi$ asymmetry explicitly in a quark-scalar diquark model for the proton with initial-state gluon interaction. In this model the function $h_1^\perp(x,\bm{p}_\perp^2)$ equals the $T$-odd (chiral-even) Sivers effect function $f^\perp_{1T}(x,\bm{p}_\perp^2)$. This suggests that the single-spin asymmetries in the SIDIS and the Drell-Yan process are closely related to the $\cos 2 \phi$ asymmetry of the unpolarized Drell-Yan process, since all can arise from the same underlying mechanism. This provides new insight regarding the role of quark and gluon orbital angular momentum as well as that of initial- and final-state gluon exchange interactions in hard QCD processes.Comment: 22 pages, 6 figure

Higher-Order QCD Corrections to Inclusive Particle Production in p anti-p Collisions

Inclusive single-particle production cross sections have been calculated including higher-order QCD corrections. Transverse-momentum and rapidity distributions are presented and the scale dependence is studied. The results are compared with experimental data from the CERN S(p anti-p)S Collider and the Fermilab Tevatron.Comment: 28 pages, [12 uuencoded PS figures, 3 available under request]. Preprint DESY 92-13

Precision Electroweak Observables in the Minimal Moose Little Higgs Model

Little Higgs theories, in which the Higgs particle is realized as the pseudo-Goldstone boson of an approximate global chiral symmetry have generated much interest as possible alternatives to weak scale supersymmetry. In this paper we analyze precision electroweak observables in the Minimal Moose model and find that in order to be consistent with current experimental bounds, the gauge structure of this theory needs to be modified. We then look for viable regions of parameter space in the modified theory by calculating the various contributions to the S and T parameters.Comment: v2: 17 pages, 9 figures. Typeset in JHEP style. Added a references and two figures showing parameter space for each of two reference points. Corrected typo

Thermodynamic behavior of IIA string theory on a pp-wave

We obtain the thermal one loop free energy and the Hagedorn temperature of IIA superstring theory on the pp-wave geometry which comes from the circle compactification of the maximally supersymmetric eleven dimensional one. We use both operator and path integral methods and find the complete agreement between them in the free energy expression. In particular, the free energy in the $\mu \to \infty$ limit is shown to be identical with that of IIB string theory on maximally supersymmetric pp-wave, which indicates the universal thermal behavior of strings in the large class of pp-wave backgrounds. We show that the zero point energy and the modular properties of the free energy are naturally incorporated into the path integral formalism.Comment: 25 pages, Latex, JHEP style, v4: revised for clarity without change in main contents, version to appear in JHE

A perturbative approach to BB decays into two π\pi mesons

The modified perturbative approach in which transverse degrees of freedom as well as Sudakov suppressions are taken into account, is applied to $B$ decays into two $\pi$ mesons. The influence of various model parameters (CKM matrix elements, $B$ decay constant, mesonic wave functions) on the results as well as short distance corrections to the weak Hamiltonian are discussed in some detail. The perturbative contributions to the $B$ decays yield branching ratios of the order of $10^{-7}\;-\;10^{-6}$ which values are well below the upper limit for the $\bar{B}^0\to\pi^+\pi^-$ branching ratio as measured by CLEO.Comment: 26 pages, RevTex, 6 figures appended (compressed and uuencode using 'uufiles'

Azimuthal asymmetries in lepton-pair production at a fixed-target experiment using the LHC beams (AFTER)

A multi-purpose fixed-target experiment using the proton and lead-ion beams of the LHC was recently proposed by Brodsky, Fleuret, Hadjidakis and Lansberg, and here we concentrate our study on some issues related to the spin physics part of this project (referred to as AFTER). We study the nucleon spin structure through $pp$ and $pd$ processes with a fixed-target experiment using the LHC proton beams, for the kinematical region with 7 TeV proton beams at the energy in center-of-mass frame of two nucleons $\sqrt{s}=115$ GeV. We calculate and estimate the $\cos2\phi$ azimuthal asymmetries of unpolarized $pp$ and $pd$ dilepton production processes in the Drell--Yan continuum region and at the $Z$-pole. We also calculate the $\sin(2\phi-\phi_S)$, $\sin(2\phi+\phi_S)$ and $\sin2\phi$ azimuthal asymmetries of $pp$ and $pd$ dilepton production processes with the target proton and deuteron longitudinally or transversally polarized in the Drell--Yan continuum region and around $Z$ resonances region. We conclude that it is feasible to measure these azimuthal asymmetries, consequently the three-dimensional or transverse momentum dependent parton distribution functions (3dPDFs or TMDs), at this new AFTER facility.Comment: 15 pages, 40 figures. Version accepted for publication in EPJ

Angular Distributions of Drell-Yan Lepton Pairs at the Tevatron: Order αs2\alpha_s^2 Corrections and Monte Carlo Studies

We investigate the angular distribution of the lepton pair in the process $p \bar{p} \rightarrow \gamma^{\ast} + X \rightarrow \ell^+\ell^- + X$, where the virtual photon is produced at high transverse momentum. The angular distribution of the leptons is very sensitive to possible nonperturbative effects, such as a nontrivial vacuum structure of QCD, and offers a good chance to test such effects. We present complete ${\cal O}(\alpha_s^2)$ calculations of the decay lepton distributions in the lepton pair rest frame. An order ${\cal O}(\alpha_s)$ Monte Carlo study of the lepton angular distributions, with acceptance cuts and energy resolution smearing applied to the leptons, is also presented.Comment: 26 pages (Revtex) plus 9 (uuencoded) postscript figures available as a compressed tar file at ftp://phenom.physics.wisc.edu/pub/preprints/madph-94-857-figs.tar.

Birkhoff type decompositions and the Baker-Campbell-Hausdorff recursion

We describe a unification of several apparently unrelated factorizations arisen from quantum field theory, vertex operator algebras, combinatorics and numerical methods in differential equations. The unification is given by a Birkhoff type decomposition that was obtained from the Baker-Campbell-Hausdorff formula in our study of the Hopf algebra approach of Connes and Kreimer to renormalization in perturbative quantum field theory. There we showed that the Birkhoff decomposition of Connes and Kreimer can be obtained from a certain Baker-Campbell-Hausdorff recursion formula in the presence of a Rota-Baxter operator. We will explain how the same decomposition generalizes the factorization of formal exponentials and uniformization for Lie algebras that arose in vertex operator algebra and conformal field theory, and the even-odd decomposition of combinatorial Hopf algebra characters as well as to the Lie algebra polar decomposition as used in the context of the approximation of matrix exponentials in ordinary differential equations.Comment: accepted for publication in Comm. in Math. Phy