15 research outputs found

    Coupled surface polaritons and the Casimir force

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    The Casimir force between metallic plates made of realistic materials is evaluated for distances in the nanometer range. A spectrum over real frequencies is introduced and shows narrow peaks due to surface resonances (plasmon polaritons or phonon polaritons) that are coupled across the vacuum gap. We demonstrate that the Casimir force originates from the attraction (repulsion) due to the corresponding symmetric (antisymmetric) eigenmodes, respectively. This picture is used to derive a simple analytical estimate of the Casimir force at short distances. We recover the result known for Drude metals without absorption and compute the correction for weakly absorbing materials.Comment: revised version submitted to Phys. Rev. A, 06 November 200

    The effects of integrated care: a systematic review of UK and international evidence

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    BACKGROUND: Healthcare systems around the world have been responding to the demand for better integrated models of service delivery. However, there is a need for further clarity regarding the effects of these new models of integration, and exploration regarding whether models introduced in other care systems may achieve similar outcomes in a UK national health service context. METHODS: The study aimed to carry out a systematic review of the effects of integration or co-ordination between healthcare services, or between health and social care on service delivery outcomes including effectiveness, efficiency and quality of care. Electronic databases including MEDLINE; Embase; PsycINFO; CINAHL; Science and Social Science Citation Indices; and the Cochrane Library were searched for relevant literature published between 2006 to March 2017. Online sources were searched for UK grey literature, and citation searching, and manual reference list screening were also carried out. Quantitative primary studies and systematic reviews, reporting actual or perceived effects on service delivery following the introduction of models of integration or co-ordination, in healthcare or health and social care settings in developed countries were eligible for inclusion. Strength of evidence for each outcome reported was analysed and synthesised using a four point comparative rating system of stronger, weaker, inconsistent or limited evidence. RESULTS: One hundred sixty seven studies were eligible for inclusion. Analysis indicated evidence of perceived improved quality of care, evidence of increased patient satisfaction, and evidence of improved access to care. Evidence was rated as either inconsistent or limited regarding all other outcomes reported, including system-wide impacts on primary care, secondary care, and health care costs. There were limited differences between outcomes reported by UK and international studies, and overall the literature had a limited consideration of effects on service users. CONCLUSIONS: Models of integrated care may enhance patient satisfaction, increase perceived quality of care, and enable access to services, although the evidence for other outcomes including service costs remains unclear. Indications of improved access may have important implications for services struggling to cope with increasing demand. TRIAL REGISTRATION: Prospero registration number: 42016037725

    Medieval Prosopographical Research at the University of Paris I

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    Zum Gegenstand und zur Methode von Prosopographie

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    Bulst N. Zum Gegenstand und zur Methode von Prosopographie. In: Bulst N, Genet J-P, eds. Medieval lives and the historian: studies in medieval prosopography ; proceedings of the First International Interdisciplinary Conference on Medieval Prosopography. Medieval Institute publications. Medieval Institute publications. Kalamazoo, Mich.: Western Michigan Univ.; 1986: 1-16

    The structural and dynamics neutron study of proton conductors: Difficulties and improvement procedures in protonated perovskite

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    With the expected development of Hydrogen as energy vector, there is a great impetus on the study of thermally stable proton conductors, the core of fuel cells, electrolysers and potential CO2 converters. Prior to a successful industrial application one should first well determine their extremely complex physical and chemical behaviour related to the unique character of the proton. The difficulties in comprehension of the nature of mobile protonic species, their location (especially the differentiation between bulk and surface species) as well as local and long range dynamics are different as a function of the hydration level: i) in hydrates the number of protons not really involved in the conduction is much larger than that of protonic conducting species, ii) in non-hydrated materials, the total amount of conducting protons can be very small, as dopants in semiconductors, and similar to that arising from surface water and physisorbed protonic moieties. The attempts and difficulties to locate and identify the protonic species and their dynamics using the neutron techniques are discussed in the light of representative examples, with emphasis on proton conducting perovskites

    Downscaling scenarios of future land use and land cover changes using a participatory approach: an application to mountain risk assessment in the Pyrenees (France)

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    International audienceBetter understanding the pathways through which future socioeconomic changes might influence land use and land cover changes (LULCCs) is a crucial step in accurately assessing the resilience of societies to mountain hazards. Participatory foresight involving local stakeholders may help building fine-scale LULCC scenarios that are consistent with the likely evolution of mountain communities. This paper develops a methodology that combines participatory approaches in downscaling socioeconomic scenarios with LULCC modelling to assess future changes in mountain hazards, applied to a case study located in the French Pyrenees. Four spatially explicit local scenarios are built each including a narrative, two future land cover maps up to 2040 and 2100, and a set of quantified LULCC. Scenarios are then used to identify areas likely to encounter land cover changes (deforestation, reforestation, and encroachment) prone to affect gravitational hazards. In order to demonstrate their interest for decision-making, future land cover maps are used as input to a landslide hazard assessment model. Results highlight that reforestation will continue to be a major trend in all scenarios and confirm that the approach improves the accuracy of landslide hazard computations. This validates the interest of developing fine-scale LULCC models that account for the local knowledge of stakeholders
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