16,408 research outputs found
Institutional Effects in a Simple Model of Educational Production
This paper presents a model of educational production that tries to make sense of recent evidence on effects of institutional arrangements on student performance. In a simple principal-agent framework, students choose their learning effort to maximize their net benefits, while the government chooses educational spending to maximize its net benefits. In the jointly determined equilibrium, schooling quality is shown to depend on several institutionally determined parameters. The impact on student performance of institutions such as central examinations, centralization versus school autonomy, teachers\u27 influence, parental influence, and competition from private schools is analyzed. Furthermore, the model can rationalize why positive resource effects may be lacking in educational production
Flux lattice melting in the high Tc superconductors
One of the important issues for technological application of the high temperature superconductors is their behavior in a magnetic field. A variety of experiments including electrical transport, mechanical oscillators, and magnetic decoration have suggested that these magnetic properties will make applications more difficult than originally anticipated. These experiments and their results are briefly discussed
Polarized Magnetic Wire Induced by Tunneling Through a Magnetic Impurity
Using the zero mode method we compute the conductance of a wire consisting of
a magnetic impurity coupled to two Luttinger liquid leads characterized by the
Luttinger exponent . We find for resonance conditions, in which
the Fermi energy of the leads is close to a single particle energy of the
impurity, the conductance as a function of temperature is , whereas for off-resonance conditions the conductance is
. By applying a gate voltage and/or
a magnetic field, one of the spin components can be in resonance while the
other is off-resonance causing a strong asymmetry between the spin-up and
spin-down conductances.Comment: 8 pages, submitted to PR
High-Order Coupled Cluster Method Calculations for the Ground- and Excited-State Properties of the Spin-Half XXZ Model
In this article, we present new results of high-order coupled cluster method
(CCM) calculations, based on a N\'eel model state with spins aligned in the
-direction, for both the ground- and excited-state properties of the
spin-half {\it XXZ} model on the linear chain, the square lattice, and the
simple cubic lattice. In particular, the high-order CCM formalism is extended
to treat the excited states of lattice quantum spin systems for the first time.
Completely new results for the excitation energy gap of the spin-half {\it XXZ}
model for these lattices are thus determined. These high-order calculations are
based on a localised approximation scheme called the LSUB scheme in which we
retain all -body correlations defined on all possible locales of
adjacent lattice sites (). The ``raw'' CCM LSUB results are seen to
provide very good results for the ground-state energy, sublattice
magnetisation, and the value of the lowest-lying excitation energy for each of
these systems. However, in order to obtain even better results, two types of
extrapolation scheme of the LSUB results to the limit (i.e.,
the exact solution in the thermodynamic limit) are presented. The extrapolated
results provide extremely accurate results for the ground- and excited-state
properties of these systems across a wide range of values of the anisotropy
parameter.Comment: 31 Pages, 5 Figure
Spectral signatures of the Luttinger liquid to charge-density-wave transition
Electron- and phonon spectral functions of the one-dimensional,
spinless-fermion Holstein model at half filling are calculated in the four
distinct regimes of the phase diagram, corresponding to an attractive or
repulsive Luttinger liquid at weak electron-phonon coupling, and a band- or
polaronic insulator at strong coupling. The results obtained by means of kernel
polynomial and systematic cluster approaches reveal substantially different
physics in these regimes and further indicate that the size of the phonon
frequency significantly affects the nature of the quantum Peierls phase
transition.Comment: 5 pages, 4 figures; final version, accepted for publication in
Physical Review
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Factors influencing utilisation of ‘free-standing’ and ‘alongside’ midwifery units for low-risk births in England: a mixed-methods study
Background
Midwifery-led units (MUs) are recommended for ‘low-risk’ births by the National Institute for Health and Care Excellence but according to the National Audit Office were not available in one-quarter of trusts in England in 2013 and, when available, were used by only a minority of the low-risk women for whom they should be suitable. This study explores why.
Objectives
To map the provision of MUs in England and explore barriers to and facilitators of their development and use; and to ascertain stakeholder views of interventions to address these barriers and facilitators.
Design
Mixed methods – first, MU access and utilisation across England was mapped; second, local media coverage of the closure of free-standing midwifery units (FMUs) were analysed; third, case studies were undertaken in six sites to explore the barriers and facilitators that have an impact on the development of MUs; and, fourth, by convening a stakeholder workshop, interventions to address the barriers and facilitators were discussed.
Setting
English NHS maternity services.
Participants
All trusts with maternity services.
Interventions
Establishing MUs.
Main outcome measures
Numbers and types of MUs and utilisation of MUs.
Results
Births in MUs across England have nearly tripled since 2011, to 15% of all births. However, this increase has occurred almost exclusively in alongside units, numbers of which have doubled. Births in FMUs have stayed the same and these units are more susceptible to closure. One-quarter of trusts in England have no MUs; in those that do, nearly all MUs are underutilised. The study findings indicate that most trust managers, senior midwifery managers and obstetricians do not regard their MU provision as being as important as their obstetric-led unit provision and therefore it does not get embedded as an equal and parallel component in the trust’s overall maternity package of care. The analysis illuminates how provision and utilisation are influenced by a complex range of factors, including the medicalisation of childbirth, financial constraints and institutional norms protecting the status quo.
Limitations
When undertaking the case studies, we were unable to achieve representativeness across social class in the women’s focus groups and struggled to recruit finance directors for individual interviews. This may affect the transferability of our findings.
Conclusions
Although there has been an increase in the numbers and utilisation of MUs since 2011, significant obstacles remain to MUs reaching their full potential, especially FMUs. This includes the capacity and willingness of providers to address women’s information needs. If these remain unaddressed at commissioner and provider level, childbearing women’s access to MUs will continue to be restricted.
Future work
Work is needed on optimum approaches to improve decision-makers’ understanding and use of clinical and economic evidence in service design. Increasing women’s access to information about MUs requires further studies of professionals’ understanding and communication of evidence. The role of FMUs in the context of rural populations needs further evaluation to take into account user and community impact.
Funding
This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 12. See the NIHR Journals Library website for further project information
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Factors influencing the utilisation of free-standing and alongside midwifery units in England: a qualitative research study
OBJECTIVE: To identify factors influencing the provision, utilisation and sustainability of midwifery units (MUs) in England.
DESIGN: Case studies, using individual interviews and focus groups, in six National Health Service (NHS) Trust maternity services in England.
SETTING AND PARTICIPANTS: NHS maternity services in different geographical areas of England Maternity care staff and service users from six NHS Trusts: two Trusts where more than 20% of all women gave birth in MUs, two Trusts where less than 10% of all women gave birth in MUs and two Trusts without MUs. Obstetric, midwifery and neonatal clinical leaders, managers, service user representatives and commissioners were individually interviewed (n=57). Twenty-six focus groups were undertaken with midwives (n=60) and service users (n=52).
MAIN OUTCOME MEASURES: Factors influencing MU use.
FINDINGS: The study findings identify several barriers to the uptake of MUs. Within a context of a history of obstetric-led provision and lack of decision-maker awareness of the clinical and economic evidence, most Trust managers and clinicians do not regard their MU provision as being as important as their obstetric unit (OU) provision. Therefore, it does not get embedded as an equal and parallel component in the Trust's overall maternity package of care. The analysis illuminates how implementation of complex interventions in health services is influenced by a range of factors including the medicalisation of childbirth, perceived financial constraints, adequate leadership and institutional norms protecting the status quo.
CONCLUSIONS: There are significant obstacles to MUs reaching their full potential, especially free-standing midwifery units. These include the lack of commitment by providers to embed MUs as an essential service provision alongside their OUs, an absence of leadership to drive through these changes and the capacity and willingness of providers to address women's information needs. If these remain unaddressed, childbearing women's access to MUs will continue to be restricted
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