The Need for Higher Minimum Staffing Standards in U.S. Nursing Homes.

Many U.S. nursing homes have serious quality problems, in part, because of inadequate levels of nurse staffing. This commentary focuses on two issues. First, there is a need for higher minimum nurse staffing standards for U.S. nursing homes based on multiple research studies showing a positive relationship between nursing home quality and staffing and the benefits of implementing higher minimum staffing standards. Studies have identified the minimum staffing levels necessary to provide care consistent with the federal regulations, but many U.S. facilities have dangerously low staffing. Second, the barriers to staffing reform are discussed. These include economic concerns about costs and a focus on financial incentives. The enforcement of existing staffing standards has been weak, and strong nursing home industry political opposition has limited efforts to establish higher standards. Researchers should study the ways to improve staffing standards and new payment, regulatory, and political strategies to improve nursing home staffing and quality

Enhancement of the upper critical field in codoped iron-arsenic high-temperature superconductors

We present the first study of codoped iron-arsenide superconductors of the 122 family (Sr/Ba)_(1-x)K_xFe_(2-y)Co_yAs_2 with the purpose to increase the upper critical field H_c2 compared to single doped (Sr/Ba)Fe_2As_2 materials. H_c2 was investigated by measuring the magnetoresistance in high pulsed magnetic fields up to 64 T. We find, that H_c2 extrapolated to T = 0 is indeed enhanced significantly to ~ 90 T for polycrystalline samples of Ba_0.55K_0.45Fe_1.95Co_0.05As_2 compared to ~75 T for Ba_0.55K_0.45Fe_2As_2 and BaFe_1.8Co_0.2As_2 single crystals. Codoping thus is a promising way for the systematic optimization of iron-arsenic based superconductors for magnetic-field and high-current applications.Comment: 7 pages, 5 figures, submitted to Journal of Applied Physic

Charge-Doping driven Evolution of Magnetism and non-Fermi-Liquid Behavior in the Filled Skutterudite CePt4Ge12-xSbx

The filled-skutterudite compound CePt4Ge12 is situated close to the border between intermediate-valence of Ce and heavy-fermion behavior. Substitution of Ge by Sb drives the system into a strongly correlated and ultimately upon further increasing the Sb concentration into an antiferromagnetically ordered state. Our experiments evidence a delicate interplay of emerging Kondo physics and the formation of a local 4f moment. An extended non-Fermi-liquid region, which can be understood in the framework of a Kondo-disorder model, is observed. Band-structure calculations support the conclusion that the physical properties are governed by the interplay of electron supply via Sb substitution and the concomitant volume effects.Comment: 5 pages, 3 Figur

Scaling Study and Thermodynamic Properties of the cubic Helimagnet FeGe

The critical behavior of the cubic helimagnet FeGe was obtained from isothermal magnetization data in very close vicinity of the ordering temperature. A thorough and consistent scaling analysis of these data revealed the critical exponents $\beta=0.368$, $\gamma=1.382$, and $\delta=4.787$. The anomaly in the specific heat associated with the magnetic ordering can be well described by the critical exponent $\alpha=-0.133$. The values of these exponents corroborate that the magnetic phase transition in FeGe belongs to the isotropic 3D-Heisenberg universality class. The specific heat data are well described by ab initio phonon calculations and confirm the localized character of the magnetic moments.Comment: 10 pages, 8 figure

Cost-effectiveness of recommended nurse staffing levels for short-stay skilled nursing facility patients

BACKGROUND: Among patients in skilled nursing facilities for post-acute care, increased registered nurse, total licensed staff, and nurse assistant staffing is associated with a decreased rate of hospital transfer for selected diagnoses. However, the cost-effectiveness of increasing staffing to recommended levels is unknown. METHODS: Using a Markov cohort simulation, we estimated the incremental cost-effectiveness of recommended staffing versus median staffing in patients admitted to skilled nursing facilities for post-acute care. The outcomes of interest were life expectancy, quality-adjusted life expectancy, and incremental cost-effectiveness. RESULTS: The incremental cost-effectiveness of recommended staffing versus median staffing was $321,000 per discounted quality-adjusted life year gained. One-way sensitivity analyses demonstrated that the cost-effectiveness ratio was most sensitive to the likelihood of acute hospitalization from the nursing home. The cost-effectiveness ratio was also sensitive to the rapidity with which patients in the recommended staffing scenario recovered health-related quality of life as compared to the median staffing scenario. The cost-effectiveness ratio was not sensitive to other parameters. CONCLUSION: Adopting recommended nurse staffing for short-stay nursing home patients cannot be justified on the basis of decreased hospital transfer rates alone, except in facilities with high baseline hospital transfer rates. Increasing nurse staffing would be justified if health-related quality of life of nursing home patients improved substantially from greater nurse and nurse assistant presence

Field dependence of the Eu2+ spin relaxation in EuFe(2-x)CoxAs2

The layered compound EuFe2As2 is an interesting model system to investigate the effects of well defined local Eu2+ 4f states on the itinerant electronic and magnetic properties of the FeAs layers. To address this subject, we investigated the series EuFe2-xCoxAs2 (0.1 <= x <=0.75) by electron spin resonance (ESR) of Eu2+ to probe the spin dynamics of the itinerant subsystem. We relate the results to dc-susceptibility measurements and band structure calculations. As a consequence of the weak coupling between the local and itinerant subsystems we found that the spin relaxation is well understood in terms of the exchange coupling among the local Eu2+ spins. A pronounced field dependence of the Eu2+ spin relaxation demonstrates the direct influence of magnetic fluctuations at the Fe2-xCoxAs2 layers.Comment: 13 pages, 5 figure

Pressure-induced superconductivity and modification of Fermi surface in type-II Weyl semimetal NbIrTe₄

Weyl semimetals (WSMs) hosting Weyl points (WPs) with different chiralities attract great interest as an object to study chirality-related physical properties, topological phase transitions, and topological superconductivity. Quantum oscillation measurements and theoretical calculations imply that the type-II WPs in NbIrTe4 are robust against the shift of chemical potential making it a good material for pressure studies on topological properties. Here we report the results of electrical transport property measurements and Raman spectroscopy studies under pressures up to 65.5 GPa accompanied by theoretical electronic structure calculations. Hall resistivity data reveal an electronic transition indicated by a change of the charge carrier from multiband character to hole-type at similar to 12 GPa, in agreement with the calculated Fermi surface. An onset of superconducting transition is observed at pressures above 39 GPa, with critical temperature increasing as pressure increases. Moreover, theoretical calculations indicate that WPs persist up to highly reduced unit cell volume (-17%), manifesting that NbIrTe4 is a candidate of topological superconductor

Structural and physical properties of layered oxy-arsenides LnRuAsO (Ln = La, Nd, Sm, Gd)

Polycrystalline samples of LaRuAsO, NdRuAsO, SmRuAsO, and GdRuAsO have been synthesized and studied using powder x-ray diffraction, electrical transport, magnetization, and heat capacity measurements. Variations in structural properties across the series reveal a trend toward more ideal tetrahedral coordination around Ru as the size of the rare earth element is reduced. The lattice parameters of these Ru compounds show a more anisotropic response to variation in Ln than their Fe analogues, and significant anisotropy in thermal expansion is also observed. Transport measurements show metallic behavior, and carrier concentrations near 10^21 - 10^22 electrons per cm^3 are inferred from simple analysis of Hall effect measurements. Anomalies in resistivity, magnetization, and heat capacity indicate antiferromagnetic ordering of rare earth moments at 5 K for GdRuAsO, 4.5 K for SmRuAsO, and <2 K for NdRuAsO. Magnetization measurements on LaRuAsO show no evidence of a magnetic moment on Ru. Observed behaviors are compared to those reported for similar Fe and Ru compounds

Large Anomalous Hall and Nernst Effects in High Curie-Temperature Iron-Based Heusler Compounds

Abstract The interplay between topology and magnetism has recently sparked the frontier studies of magnetic topological materials that exhibit intriguing anomalous Hall and Nernst effects owning to the large intrinsic Berry curvature (BC). To better understand the anomalous quantum transport properties of these materials and their implications for future applications such as electronic and thermoelectric devices, it is crucial to discover more novel material platforms for performing anomalous transverse transport studies. Here, it is experimentally demonstrated that low-cost Fe-based Heusler compounds exhibit large anomalous Hall and Nernst effects. An anomalous Hall conductivity of 250?750 S cm?1 and Nernst thermopower of above 2 µV K?1 are observed near room temperature. The positive effect of anti-site disorder on the anomalous Hall transport is revealed. Considering the very high Curie temperature (nearly 1000 K), larger Nernst thermopowers at high temperatures are expected owing to the existing magnetic order and the intrinsic BC. This work provides a background for developing low-cost Fe-based Heusler compounds as a new material platform for anomalous transport studies and applications, in particular, near and above room temperature