Adjusting Medicare capitation payments using prior hospitalization data

The diagnostic cost group approach to a reimbursement model for health maintenance organizations is presented. Diagnostic information about previous hospitalizations is used to create empirically determined risk groups, using only diagnoses involving little or no discretion in the decision to hospitalize. Diagnostic cost group and other models (including Medicare\u27s current formula and other prior-use models) are tested for their ability to predict future costs, using R2 values and new measures of predictive performance. The diagnostic cost group models perform relatively well with respect to a range of criteria, including administrative feasibility, resistance to provider manipulation, and statistical accuracy

New High Field State of Flux Line Lattice in Unconventional Superconductor CeCoIn_5

Ultrasound velocity measurements of the unconventional superconductor CeCoIn_5 with extremely large Pauli paramagnetic susceptibility reveal an unusual structural transformation of the flux line lattice (FLL) in the vicinity of the upper critical field. The transition field coincides with that at which heat capacity measurements reveal a second order phase transition. The lowering of the sound velocity at the transition is consistent with the collapse of the FLL tilt modulus and a crossover to quasi two-dimensional FLL pinning. These results provide a strong evidence that the high field state is the Fulde-Ferrel-Larkin-Ovchinikov phase, in which the order parameter is spatially modulated and has planar nodes aligned perpendicular to the vortices.Comment: 5 pages, 4 figure

Temperature dependence of the upper critical field of an anisotropic singlet superconductivity in a square lattice tight-binding model in parallel magnetic fields

Upper critical field parallel to the conducting layer is studied in anisotropic type-II superconductors on square lattices. We assume enough separation of the adjacent layers, for which the orbital pair-breaking effect is suppressed for exactly aligned parallel magnetic field. In particular, we examine the temperature dependence of the critical field H_c(T) of the superconductivity including the Fulde-Ferrell-Larkin-Ovchinnikov (FFLO or LOFF) state, in which the Cooper pairs have non-zero center-of-mass momentum q. In the system with the cylindrically symmetric Fermi-surface, it is known that H_c(T) of the d-wave FFLO state exhibits a kink at a low temperature due to a change of the direction of q in contrast to observations in organic superconductors. It is shown that the kink disappears when the Fermi-surface is anisotropic to some extent, since the direction of q is locked in an optimum direction independent of the temperature.Comment: 5 pages, 5 figures, revtex.sty, submitted to J.Phys.Soc.Jp

SNX12 Role in Endosome Membrane Transport

In this paper, we investigated the role of sorting nexin 12 (SNX12) in the endocytic pathway. SNX12 is a member of the PX domain-containing sorting nexin family and shares high homology with SNX3, which plays a central role in the formation of intralumenal vesicles within multivesicular endosomes. We found that SNX12 is expressed at very low levels compared to SNX3. SNX12 is primarily associated with early endosomes and this endosomal localization depends on the binding to 3-phosphoinositides. We find that overexpression of SNX12 prevents the detachment (or maturation) of multivesicular endosomes from early endosomes. This in turn inhibits the degradative pathway from early to late endosomes/lysosomes, much like SNX3 overexpression, without affecting endocytosis, recycling and retrograde transport. In addition, while previous studies showed that Hrs knockdown prevents EGF receptor sorting into multivesicular endosomes, we find that overexpression of SNX12 restores the sorting process in an Hrs knockdown background. Altogether, our data show that despite lower expression level, SNX12 shares redundant functions with SNX3 in the biogenesis of multivesicular endosomes

The transmembrane protein p23 contributes to the organization of the Golgi apparatus

In previous studies we have shown that p23, a member of the p24-family of small transmembrane proteins, is highly abundant in membranes of the cis-Golgi network (CGN), and is involved in sorting/trafficking in the early secretory pathway, In the present study, we have further investigated the role of p23 after ectopic expression, We found that ectopically expressed p23 folded and oligomerized properly, even after overexpression, However, in contrast to endogenous p23, exogenous p23 molecules did not localize to the CGN, but induced a significant expansion of characteristic smooth ER membranes, where they accumulated in high amounts, This ER-derived, p23-rich subdomain displayed a highly regular morphology, consisting of tubules and/or cisternae of constant diameter, which were reminiscent of the CGN membranes containing p23 in control cells. The expression of exogenous p23 also led to the specific relocalization of endogenous p23, but not of other proteins, to these specialized ER-derived membranes. Relocalization of p23 modified the ultrastructure of the CGN and Golgi membranes, but did not affect anterograde and retrograde transport reactions to any significant extent. We conclude (i) that p23 has a morphogenic activity that contributes to the morphology of CGN-membranes; and (ii) that the presence of p23 in the CGN is necessary for the proper organization of the Golgi apparatus

Superconducting fluctuations at low temperature

The effect of fluctuations on the transport and thermodynamic properties of two-dimensional superconductors in a magnetic field is studied at low temperature. The fluctuation conductivity is calculated in the framework of the perturbation theory with the help of usual diagram technique. It is shown that in the dirty case the Aslamazov-Larkin, Maki-Thomson and Density of States contributions are of the same order. At extremely low temperature, the total fluctuation correction to the normal conductivity is negative in the dirty limit and depends on the external magnetic field logarithmically. In the non-local clean limit, the Aslamazov-Larkin contribution to conductivity is evaluated with the aid of the Helfand-Werthamer theory. The longitudinal and Hall conductivities are found. The fluctuating magnetization is calculated in the one-loop and two-loop approximations.Comment: 12 pages, 4 figures, submitted to Phys. Rev.