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Fighting HIV/AIDS: Reconfiguring the State?
The author wishes to thank the anonymous reviewers of the article and the ESRC for funding part of this research
Extraction of the electron mass from factor measurements on light hydrogenlike ions
The determination of the electron mass from Penning-trap measurements with
C ions and from theoretical results for the bound-electron
factor is described in detail. Some recently calculated contributions slightly
shift the extracted mass value. Prospects of a further improvement of the
electron mass are discussed both from the experimental and from the theoretical
point of view. Measurements with He ions will enable a consistency
check of the electron mass value, and in future an improvement of the He
nuclear mass and a determination of the fine-structure constant
The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
Two counties in Florida were selected as pilots in 2006 for the Medicaid Demonstration Program. In reform counties, Medicaid enrollees were required to pick a managed care plan; either a Health Maintenance Organization or a Provider Service Network (PSN). PSNs are a form of managed care that provides health care services directly through a provider or network of organizations to a defined population without an intermediary. There are two types of PSNs: Physician-based PSNs and Healthcare system-based PSNs. The objective of this study is to find the differences in enrollees’ satisfaction between two different types of PSNs. To assess the differences in enrollees’ satisfaction between physician-based PSNs and health system-based PSNs over time, this study used difference-in-difference study design with CAHPS data from 2006 to 2008. The study findings showed that, compared to enrollees in physician-based PSNs, health system-based PSN enrollees had higher satisfaction during the post-reform period. However, the trends in satisfaction for enrollees in health system-based PSNs declined at a greater rate relative to the trends for enrollees in physician-based PSNs. Findings from this study may give other states, facing similar decisions to reform their Medicaid managed care system, information to decide whether to adopt a similar plan or to consider other interventions to improve Medicaid beneficiaries’ satisfaction. PSNs are structured similarly to the new accountable care organizations (ACO) models emerging as a result of the Affordable Care Act. Therefore, study findings may be helpful to in improving patient satisfaction with care in ACOs
Rational approximation and arithmetic progressions
A reasonably complete theory of the approximation of an irrational by
rational fractions whose numerators and denominators lie in prescribed
arithmetic progressions is developed in this paper. Results are both, on the
one hand, from a metrical and a non-metrical point of view and, on the other
hand, from an asymptotic and also a uniform point of view. The principal
novelty is a Khintchine type theorem for uniform approximation in this context.
Some applications of this theory are also discussed
Do Physician-based or Hospital-based Provider Service Networks Better Control Medicaid Expenditures?
In a recent demonstration project, Florida Medicaid enrollees were required to pick a managed care plan that was either a Health Maintenance Organization (HMO) or a Provider Service Network (PSN). PSNs are a form of managed care very similar to Accountable Care Organizations (ACOs) that provides health care services directly through a provider or network of organizations to a defined population without a “middle man” such as a third party insurance company and health plan. There are two types of PSNs: Physician-based PSNs and Healthcare system-based PSNs. Physician-based PSNs are created and controlled by physicians groups. Healthcare system-based PSNs are based on safety net hospitals and their outpatient clinics. Health system-based PSNs are integrated delivery systems, which are organizations that combine healthcare providers into one organization and may provide more efficient care with lower cost of care due to economies of scale. The objective of this study was to examine the differences in healthcare expenditures by enrollees in physician-based and health system-based PSNs. Using a difference in difference approach our study found that compared to enrollees in physician-based PSNs, enrollees in health system-based PSNs lowered expenditures to a greater extent over time compared to physician-based PSNs. Findings from this study provide important information to states considering implementing alternative delivery models to control Medicaid costs
Improved Thermoelectric Cooling Based on the Thomson Effect
Traditional thermoelectric Peltier coolers exhibit a cooling limit which is
primarily determined by the figure of merit, zT. Rather than a fundamental
thermodynamic limit, this bound can be traced to the difficulty of maintaining
thermoelectric compatibility. Self-compatibility locally maximizes the cooler's
coefficient of performance for a given zT and can be achieved by adjusting the
relative ratio of the thermoelectric transport properties that make up zT. In
this study, we investigate the theoretical performance of thermoelectric
coolers that maintain self-compatibility across the device. We find such a
device behaves very differently from a Peltier cooler, and term self-compatible
coolers "Thomson coolers" when the Fourier heat divergence is dominated by the
Thomson, as opposed to the Joule, term. A Thomson cooler requires an
exponentially rising Seebeck coefficient with increasing temperature, while
traditional Peltier coolers, such as those used commercially, have
comparatively minimal change in Seebeck coefficient with temperature. When
reasonable material property bounds are placed on the thermoelectric leg, the
Thomson cooler is predicted to achieve approximately twice the maximum
temperature drop of a traditional Peltier cooler with equivalent figure of
merit (zT). We anticipate the development of Thomson coolers will ultimately
lead to solid state cooling to cryogenic temperatures.Comment: The Manuscript has been revised for publication in PR
Control dependence for extended finite state machines
Though there has been nearly three decades of work on program slicing, there has been comparatively little work on slicing for state machines. One of the primary challenges that currently presents a barrier to wider application of state machine slicing is the problem of determining control dependence. We survey existing related definitions, introducing a new definition that subsumes one and extends another. We illustrate that by using this new definition our slices respect Weiser slicing’s termination behaviour. We prove results that clarify the relationships between our definition and older ones, following this up with examples to motivate the need for these differences
Khinchin theorem for integral points on quadratic varieties
We prove an analogue the Khinchin theorem for the Diophantine approximation
by integer vectors lying on a quadratic variety. The proof is based on the
study of a dynamical system on a homogeneous space of the orthogonal group. We
show that in this system, generic trajectories visit a family of shrinking
subsets infinitely often.Comment: 19 page
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