1,982 research outputs found
Confining potential in a color dielectric medium with parallel domain walls
We study quark confinement in a system of two parallel domain walls
interpolating different color dielectric media. We use the phenomenological
approach in which the confinement of quarks appears considering the QCD vacuum
as a color dielectric medium. We explore this phenomenon in QCD_2, where the
confinement of the color flux between the domain walls manifests, in a scenario
where two 0-branes (representing external quark and antiquark) are connected by
a QCD string. We obtain solutions of the equations of motion via first-order
differential equations. We find a new color confining potential that increases
monotonically with the distance between the domain walls.Comment: RevTex4, 5 pages, 1 figure; version to appear in Int. J. Mod. Phys.
Spontaneous Scalarization and Boson Stars
We study spontaneous scalarization in Scalar-Tensor boson stars. We find that
scalarization does not occur in stars whose bosons have no self-interaction. We
introduce a quartic self-interaction term into the boson Lagrangian and show
that when this term is large, scalarization does occur. Strong self-interaction
leads to a large value of the compactness (or sensitivity) of the boson star, a
necessary condition for scalarization to occur, and we derive an analytical
expression for computing the sensitivity of a boson star in Brans-Dicke theory
from its mass and particle number. Next we comment on how one can use the
sensitivity of a star in any Scalar-Tensor theory to determine how its mass
changes when it undergoes gravitational evolution. Finally, in the Appendix, we
derive the most general form of the boson wavefunction that minimises the
energy of the star when the bosons carry a U(1) charge.Comment: 23 pages, 5 postscript figures. Typing errors corrected. Includes
some new text that relates the paper to several previous results. Accepted
for publication in PR
Association between Participation in a Multiplayer Medical Home Intervention and Changes in Quality, Utilization, and Costs of Care
Importance
Interventions to transform primary care practices into medical homes are increasingly common, but their effectiveness in improving quality and containing costs is unclear.
Objective
To measure associations between participation in the Southeastern Pennsylvania Chronic Care Initiative, one of the earliest and largest multipayer medical home pilots conducted in the United States, and changes in the quality, utilization, and costs of care.
Design, Setting, and Participants
Thirty-two volunteering primary care practices participated in the pilot (conducted from June 1, 2008, to May 31, 2011). We surveyed pilot practices to compare their structural capabilities at the pilot’s beginning and end. Using claims data from 4 participating health plans, we compared changes (in each year, relative to before the intervention) in the quality, utilization, and costs of care delivered to 64 243 patients who were attributed to pilot practices and 55 959 patients attributed to 29 comparison practices (selected for size, specialty, and location similar to pilot practices) using a difference-in-differences design.
Exposures
Pilot practices received disease registries and technical assistance and could earn bonus payments for achieving patient-centered medical home recognition by the National Committee for Quality Assurance (NCQA).
Main Outcomes and Measures
Practice structural capabilities; performance on 11 quality measures for diabetes, asthma, and preventive care; utilization of hospital, emergency department, and ambulatory care; standardized costs of care.
Results
Pilot practices successfully achieved NCQA recognition and adopted new structural capabilities such as registries to identify patients overdue for chronic disease services. Pilot participation was associated with statistically significantly greater performance improvement, relative to comparison practices, on 1 of 11 investigated quality measures: nephropathy screening in diabetes (adjusted performance of 82.7% vs 71.7% by year 3, P \u3c .001). Pilot participation was not associated with statistically significant changes in utilization or costs of care. Pilot practices accumulated average bonuses of $92 000 per primary care physician during the 3-year intervention.
Conclusions and Relevance
A multipayer medical home pilot, in which participating practices adopted new structural capabilities and received NCQA certification, was associated with limited improvements in quality and was not associated with reductions in utilization of hospital, emergency department, or ambulatory care services or total costs over 3 years. These findings suggest that medical home interventions may need further refinement
Consistency Conditions for Fundamentally Discrete Theories
The dynamics of physical theories is usually described by differential
equations. Difference equations then appear mainly as an approximation which
can be used for a numerical analysis. As such, they have to fulfill certain
conditions to ensure that the numerical solutions can reliably be used as
approximations to solutions of the differential equation. There are, however,
also systems where a difference equation is deemed to be fundamental, mainly in
the context of quantum gravity. Since difference equations in general are
harder to solve analytically than differential equations, it can be helpful to
introduce an approximating differential equation as a continuum approximation.
In this paper implications of this change in view point are analyzed to derive
the conditions that the difference equation should satisfy. The difference
equation in such a situation cannot be chosen freely but must be derived from a
fundamental theory. Thus, the conditions for a discrete formulation can be
translated into conditions for acceptable quantizations. In the main example,
loop quantum cosmology, we show that the conditions are restrictive and serve
as a selection criterion among possible quantization choices.Comment: 33 page
Ground state of a polydisperse electrorheological solid: Beyond the dipole approximation
The ground state of an electrorheological (ER) fluid has been studied based
on our recently proposed dipole-induced dipole (DID) model. We obtained an
analytic expression of the interaction between chains of particles which are of
the same or different dielectric constants. The effects of dielectric constants
on the structure formation in monodisperse and polydisperse electrorheological
fluids are studied in a wide range of dielectric contrasts between the
particles and the base fluid. Our results showed that the established
body-centered tetragonal ground state in monodisperse ER fluids may become
unstable due to a polydispersity in the particle dielectric constants. While
our results agree with that of the fully multipole theory, the DID model is
much simpler, which offers a basis for computer simulations in polydisperse ER
fluids.Comment: Accepted for publications by Phys. Rev.
Superradiance from an ultrathin film of three-level V-type atoms: Interplay between splitting, quantum coherence and local-field effects
We carry out a theoretical study of the collective spontaneous emission
(superradiance) from an ultrathin film comprised of three-level atoms with
-configuration of the operating transitions. As the thickness of the system
is small compared to the emission wavelength inside the film, the local-field
correction to the averaged Maxwell field is relevant. We show that the
interplay between the low-frequency quantum coherence within the subspace of
the upper doublet states and the local-field correction may drastically affect
the branching ratio of the operating transitions. This effect may be used for
controlling the emission process by varying the doublet splitting and the
amount of low-frequency coherence.Comment: 15 pages, 5 figure
In-medium Yang-Mills equations: a derivation and canonical quantization
The equations for Yang-Mills field in a medium are derived in a linear
approximation with respect to the gauge coupling parameter and the external
field. The obtained equations closely resemble the macroscopic Maxwell
equations. A canonical quantization is performed for a family of Fermi-like
gauges in the case of constant and diagonal (in the group indices) tensors of
electric permittivity and magnetic permeability. The physical subspace is
defined and the gauge field propagator is evaluated for a particular choice of
the gauge. The propagator is applied for evaluation of the cross-section of
ellastic quark scattering in the Born approximation. Possible applications to
Cherenkov-type gluon radiation are commented briefly.Comment: 27 pages, references added, version extended with emphasis on
non-Abelian gauge group impact on medium characteristics. To appear in J.
Phys.
The Kramers equation simulation algorithm II. An application to the Gross-Neveu model
We continue the investigation on the applications of the Kramers equation to
the numerical simulation of field theoretic models. In a previous paper we have
described the theory and proposed various algorithms. Here, we compare the
simplest of them with the Hybrid Monte Carlo algorithm studying the
two-dimensional lattice Gross-Neveu model. We used a Symanzik improved action
with dynamical Wilson fermions. Both the algorithms allow for the determination
of the critical mass. Their performances in the definite phase simulations are
comparable with the Hybrid Monte Carlo. For the two methods, the numerical
values of the measured quantities agree within the errors and are compatible
with the theoretical predictions; moreover, the Kramers algorithm is safer from
the point of view of the numerical precision.Comment: 20 pages + 1 PostScript figure not included, REVTeX 3.0, IFUP-TH-2
Flux tube dynamics in the dual superconductor
We study plasma oscillations in a flux tube of the dual superconductor model
of 't Hooft and Mandelstam. A magnetic condensate is coupled to an
electromagnetic field by its dual vector potential, and fixed electric charges
set up a flux tube. An electrically charged fluid (a quark plasma) flows in the
tube and screens the fixed charges via plasma oscillations. We investigate both
Type I and Type II superconductors, with plasma frequencies both above and
below the threshold for radiation into the Higgs vacuum. We find strong
radiation of electric flux into the superconductor in all regimes, and argue
that this invalidates the use of the simplest dual superconductor model for
dynamical problems.Comment: 25 pages Revtex with 11 EPS figure
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