A Systematic Literature Review: Workplace Violence Against Emergency Medical Services Personnel

Context: In spite of the high prevalence and consequences of much workplace violence against emergency medical services personnel, this phenomenon has been given insufficient attention. A systematic review can aid the development of guidelines to reduce violence. Objectives: The research question addressed by this paper is, “What are the characteristics and findings of studies on workplace violence against emergency medical services personnel”? Data Sources: A systematic literature review was conducted using online databases (PubMed, Scopus, Google Scholar, and Magiran) with the help of experienced librarians. Study Selection: Inclusion criteria comprised studies in the English or Persian language and researcher’s access to the full text. There was no limit to the entry of the study design. Exclusion criteria included lack of access to the full text of the article, studies published in unreliable journals or conferences, and studies in which the results were shared with other medical or relief groups and there was no possibility of breaking down the results. Data Extraction: A “Data extraction form” was designed by the researchers based on the goals of the study that included the title and author(s), study method (type, place of study, sample size, sampling method, and data collection/analysis tool), printing location, information related to the frequency of types of violence, characteristics of victims /perpetrators, and related factors. Results: The papers reviewed utilized a variety of locations and environments, methods, and instrument samplings. The majority of the studies were performed using the quantitative method. No intervention study was found. Most studies focused on the prevalence of violence, and their results indicated that exposure to violence was high. The results are presented in six major themes. Conclusions: Workplace violence and injuries incurred from it are extensive throughout the world. The important causes of violence include the shortage of training programs dealing with violence, lack of violence management protocols, and delays in response times. Therefore, afterthought and resolve are more crucial than ever. Workplace violence reduction strategies and suggestions for future studies are also discussed

Generating GHZ state in 2m-qubit spin network

We consider a pure 2m-qubit initial state to evolve under a particular quantum me- chanical spin Hamiltonian, which can be written in terms of the adjacency matrix of the Johnson network J(2m;m). Then, by using some techniques such as spectral dis- tribution and stratification associated with the graphs, employed in [1, 2], a maximally entangled GHZ state is generated between the antipodes of the network. In fact, an explicit formula is given for the suitable coupling strengths of the hamiltonian, so that a maximally entangled state can be generated between antipodes of the network. By using some known multipartite entanglement measures, the amount of the entanglement of the final evolved state is calculated, and finally two examples of four qubit and six qubit states are considered in details.Comment: 22 page

A general algorithm for manipulating non-linear and linear entanglement witnesses by using exact convex optimization

A generic algorithm is developed to reduce the problem of obtaining linear and nonlinear entanglement witnesses of a given quantum system, to convex optimization problem. This approach is completely general and can be applied for the entanglement detection of any N-partite quantum system. For this purpose, a map from convex space of separable density matrices to a convex region called feasible region is defined, where by using exact convex optimization method, the linear entanglement witnesses can be obtained from polygonal shape feasible regions, while for curved shape feasible regions, envelope of the family of linear entanglement witnesses can be considered as nonlinear entanglement witnesses. This method proposes a new methodological framework within which most of previous EWs can be studied. To conclude and in order to demonstrate the capability of the proposed approach, besides providing some nonlinear witnesses for entanglement detection of density matrices in unextendible product bases, W-states, and GHZ with W-states, some further examples of three qubits systems and their classification and entanglement detection are included. Also it is explained how one can manipulate most of the non-decomposable linear and nonlinear three qubits entanglement witnesses appearing in some of the papers published by us and other authors, by the method proposed in this paper. Keywords: non-linear and linear entanglement witnesses, convex optimization. PACS number(s): 03.67.Mn, 03.65.UdComment: 37 page

Feasibility of implementing public-private partnership (PPP) in the development of hospital services and optimizing resource allocation in Iran

Background: In recent decades, many countries have utilized public-private partnership (PPP) as a development initiative to reform their healthcare sectors. The present study examines the feasibility of implementing public-private partnerships for development of hospital services in Shiraz, Iran. Methods: This was a descriptive study of questionnaires carried out on one of Iran's major southern cities (Shiraz) in 2016. Research population comprised of the hospitals affiliated to the Shiraz University of Medical Sciences (SUMS), private hospitals, charities, and healthcare investors. A total of 56 participants were chosen by convenience sampling. Data were collected using a researcher-made questionnaire. The questions' range were defined from 1 to 5. Data analysis was performed in SPSS21 using the Mann-Whitney test, T test, and Chi square test at 0.05 significance level. Results: The participants from the public sector had a significantly higher level of acquaintance with the concept of PPP and significantly more inclination to participate in such projects (P < 0.05). The mean values of the determinants of successful implementation of PPPs for hospital services were presented from the public and private participants' viewpoints as follows: public sector rated the capacity-creating (2.60 ± 0.39) and the social-cultural (2.58 ± 0.40) component as having a better condition than other determinants however, the private sector rated the financial-capital (2.64 ± 0.46) as the best. Analysis of the mean scores of determinants of implementation of PPP from the viewpoint of public and private sectors showed a significant difference in their views in terms of financial-capital and social-cultural dimensions (P < 0.05). Conclusions: According to the participants, the requirements for implementation of public-private partnerships for hospital services are not properly met. For any progress to be made in this regard, Iranian authorities and policymakers should devise a new platform for attracting private participation and improving hospitals' readiness to engage in PPP projects. © 2020 The Author(s)

Association between IGF-1 levels ranges and all-cause mortality: A meta-analysis

The association between IGF-1 levels and mortality in humans is complex with low levels being associated with both low and high mortality. The present meta-analysis investigates this complex relationship between IGF-1 and all-cause mortality in prospective cohort studies. A systematic literature search was conducted in PubMed/MEDLINE, Scopus, and Cochrane Library up to September 2019. Published studies were eligible for the meta-analysis if they had a prospective cohort design, a hazard ratio (HR) and 95% confidence interval (CI) for two or more categories of IGF-1 and were conducted among adults. A random-effects model with a restricted maximum likelihood heterogeneity variance estimator was used to find combined HRs for all-cause mortality. Nineteen studies involving 30,876 participants were included. Meta-analysis of the 19 eligible studies showed that with respect to the low IGF-1 category, higher IGF-1 was not associated with increased risk of all-cause mortality (HR&nbsp;=&nbsp;0.84, 95% CI&nbsp;=&nbsp;0.68–1.05). Dose–response analysis revealed a U-shaped relation between IGF-1 and mortality HR. Pooled results comparing low vs. middle IGF-1&nbsp;showed a significant increase of all-cause mortality (HR&nbsp;=&nbsp;1.33, 95% CI&nbsp;=&nbsp;1.14–1.57), as well as comparing high vs. middle IGF-1 categories (HR&nbsp;=&nbsp;1.23, 95% CI&nbsp;=&nbsp;1.06–1.44). Finally, we provide data on the association between IGF-1&nbsp;levels and the intake of proteins, carbohydrates, certain vitamins/minerals, and specific foods. Both high and low levels of IGF-1 increase mortality risk, with a specific 120–160&nbsp;ng/ml range being associated with the lowest mortality. These findings can explain the apparent controversy related to the association between IGF-1&nbsp;levels and mortality

Electron quantum metamaterials in van der Waals heterostructures

In recent decades, scientists have developed the means to engineer synthetic periodic arrays with feature sizes below the wavelength of light. When such features are appropriately structured, electromagnetic radiation can be manipulated in unusual ways, resulting in optical metamaterials whose function is directly controlled through nanoscale structure. Nature, too, has adopted such techniques -- for example in the unique coloring of butterfly wings -- to manipulate photons as they propagate through nanoscale periodic assemblies. In this Perspective, we highlight the intriguing potential of designer sub-electron wavelength (as well as wavelength-scale) structuring of electronic matter, which affords a new range of synthetic quantum metamaterials with unconventional responses. Driven by experimental developments in stacking atomically layered heterostructures -- e.g., mechanical pick-up/transfer assembly -- atomic scale registrations and structures can be readily tuned over distances smaller than characteristic electronic length-scales (such as electron wavelength, screening length, and electron mean free path). Yet electronic metamaterials promise far richer categories of behavior than those found in conventional optical metamaterial technologies. This is because unlike photons that scarcely interact with each other, electrons in subwavelength structured metamaterials are charged, and strongly interact. As a result, an enormous variety of emergent phenomena can be expected, and radically new classes of interacting quantum metamaterials designed

Perfect transference of a d-level quantum state over pseudo-distance-regular networks

Following the prescription of Ref. \cite{PST} in which perfect state transference (PST) of a qubit over distance regular spin networks was discussed, in this paper PST of an arbitrary $d$-level quantum state (qudit) over antipodes of more general networks called pseudo distance-regular networks, is investigated. In fact, the spectral analysis techniques used in the previous work \cite{PST}, and algebraic structures of pseudo distance-regular graphs are employed to give an explicit formula for suitable coupling constants in the Hamiltonians so that the state of a particular qudit initially encoded on one site will evolve freely to the opposite site without any dynamical control, i.e., we show that how to derive the parameters of the system so that PST can be achieved. Keywords:Perfect state transfer, $d$-level quantum state, Stratification, Pseudo-distance-regular network PACs Index: 01.55.+b, 02.10.YnComment: 28 pages, 5 figure

Genome-Wide Association Scan for Diabetic Nephropathy Susceptibility Genes in Type 1 Diabetes

OBJECTIVE—Despite extensive evidence for genetic susceptibility to diabetic nephropathy, the identification of susceptibility genes and their variants has had limited success. To search for genes that contribute to diabetic nephropathy, a genome-wide association scan was implemented on the Genetics of Kidneys in Diabetes collection. RESEARCH DESIGN AND METHODS—We genotyped 360,000 single nucleotide polymorphisms (SNPs) in 820 case subjects (284 with proteinuria and 536 with end-stage renal disease) and 885 control subjects with type 1 diabetes. Confirmation of implicated SNPs was sought in 1,304 participants of the Diabetes Control and Complications Trial (DCCT)/Epidemiology of Diabetes Interventions and Complications (EDIC) study, a long-term, prospective investigation of the development of diabetes- associated complications. RESULTS—A total of 13 SNPs located in four genomic loci were associated with diabetic nephropathy with P1105. The strongest association was at the FRMD3 (4.1 protein ezrin, radixin, moesin [FERM] domain containing 3) locus (odds ratio [OR]1.45, P5.0107). A strong association was also identified at the CARS (cysteinyl-tRNA synthetase) locus (OR 1.36, P3.1106). Associations between both loci and time to onset of diabetic nephropathy were supported in the DCCT/EDIC study (hazard ratio [HR]1.33, P0.02, and HR1.32, P 0.01, respectively). We demonstrated expression of both FRMD3 and CARS in human kidney. CONCLUSIONS—We identified genetic associations for susceptibility to diabetic nephropathy at two novel candidate loci near the FRMD3 and CARS genes. Their identification implicates previously unsuspected pathways in the pathogenesis of this important late complication of type 1 diabetes

Genome-Wide Association Scan for Diabetic Nephropathy Susceptibility Genes in Type 1 Diabetes

10.2337/db08-1514Diabetes5861403-1410DIAE