1,317 research outputs found

    An alternative search for the electron capture of Te-123

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    A search for the electron capture of Te-123 has been performed using CdZnTe detectors. After a measuring time of 195 h no signal could be found resulting in a lower half-life limt of T1/2>3.21016T_{1/2} > 3.2 \cdot 10^{16} yrs (95 % CL) for this process. This clearly discriminates between existing experimental results which differ by six orders of magnitude and our data are in strong favour of the result with longer half-lifes.Comment: 2 pages, 2 eps-figures, reanalysis of data set

    General practitioners' views and experiences in caring for patients after sepsis:a qualitative interview study

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    Contains fulltext : 232438.pdf (Publisher’s version ) (Open Access)BACKGROUND: Patients surviving critical illnesses, such as sepsis, often suffer from long-term complications. After discharge from hospital, most patients are treated in primary care. Little is known how general practitioners (GPs) perform critical illness aftercare and how it can be improved. Within a randomised controlled trial, an outreach training programme has been developed and applied. OBJECTIVES: The aim of this study is to describe GPs' views and experiences of caring for postsepsis patients and of participating a specific outreach training. DESIGN: Semistructured qualitative interviews. SETTING: 14 primary care practices in the metropolitan area of Berlin, Germany. PARTICIPANTS: 14 GPs who had participated in a structured sepsis aftercare programme in primary care. RESULTS: Themes identified in sepsis aftercare were: continuity of care and good relationship with patients, GP's experiences during their patient's critical illness and impact of persisting symptoms. An outreach education as part of the intervention was considered by the GPs to be acceptable, helpful to improve knowledge of the management of postintensive care complications and useful for sepsis aftercare in daily practice. CONCLUSIONS: GPs provide continuity of care to patients surviving sepsis. Better communication at the intensive care unit-GP interface and training in management of long-term complications of sepsis may be helpful to improve sepsis aftercare. TRIAL REGISTRATION NUMBER: ISRCTN61744782

    Small optic suspensions for Advanced LIGO input optics and other precision optical experiments

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    We report on the design and performance of small optic suspensions developed to suppress seismic motion of out-of-cavity optics in the Input Optics subsystem of the Advanced LIGO interferometric gravitational wave detector. These compact single stage suspensions provide isolation in all six degrees of freedom of the optic, local sensing and actuation in three of them, and passive damping for the other three

    Superfluid fraction in an interacting spatially modulated Bose-Einstein condensate

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    At zero temperature, a Galilean-invariant Bose fluid is expected to be fully superfluid. Here we investigate theoretically and experimentally the quenching of the superfluid density of a dilute Bose-Einstein condensate due to the breaking of translational (and thus Galilean) invariance by an external 1D periodic potential. Both Leggett's bound fixed by the knowledge of the total density and the anisotropy of the sound velocity provide a consistent determination of the superfluid fraction. The use of a large-period lattice emphasizes the important role of two-body interactions on superfluidity

    Polar foliations and isoparametric maps

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    A singular Riemannian foliation FF on a complete Riemannian manifold MM is called a polar foliation if, for each regular point pp, there is an immersed submanifold Σ\Sigma, called section, that passes through pp and that meets all the leaves and always perpendicularly. A typical example of a polar foliation is the partition of MM into the orbits of a polar action, i.e., an isometric action with sections. In this work we prove that the leaves of FF coincide with the level sets of a smooth map H:MΣH: M\to \Sigma if MM is simply connected. In particular, we have that the orbits of a polar action on a simply connected space are level sets of an isoparametric map. This result extends previous results due to the author and Gorodski, Heintze, Liu and Olmos, Carter and West, and Terng.Comment: 9 pages; The final publication is available at springerlink.com http://www.springerlink.com/content/c72g4q5350g513n1

    Flow Analysis, Linearity, and PTIME

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    Abstract. Flow analysis is a ubiquitous and much-studied component of compiler technology—and its variations abound. Amongst the most well known is Shivers ’ 0CFA; however, the best known algorithm for 0CFA requires time cubic in the size of the analyzed program and is unlikely to be improved. Consequently, several analyses have been de-signed to approximate 0CFA by trading precision for faster computation. Henglein’s simple closure analysis, for example, forfeits the notion of di-rectionality in flows and enjoys an “almost linear ” time algorithm. But in making trade-offs between precision and complexity, what has been given up and what has been gained? Where do these analyses differ and where do they coincide? We identify a core language—the linear λ-calculus—where 0CFA, simple closure analysis, and many other known approximations or restrictions to 0CFA are rendered identical. Moreover, for this core language, analysis corresponds with (instrumented) evaluation. Because analysis faithfully captures evaluation, and because the linear λ-calculus is complete for ptime, we derive ptime-completeness results for all of these analyses.

    Healthcare Utilization and Costs in Sepsis Survivors in Germany-Secondary Analysis of a Prospective Cohort Study

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    Background: Survivors of sepsis often face long-term sequelae after intensive care treatment. Compared to the period of hospitalization, little is known about the ambulatory healthcare utilization in sepsis patients. The study evaluated healthcare utilization and associated costs of sepsis care including allied health professions after initial hospitalization. Methods: Secondary analysis was performed on data in 210 sepsis patients prospectively enrolled from nine intensive care study centers across Germany. Data was collected via structured surveys among their Primary care (Family-) physicians (PCPs) within the first month after discharge from ICU (baseline) and again at 6, 12 and 24 months after discharge, each relating to the period following the last survey. Costs were assessed by standardized cost unit rates from a health care system’s perspective. Changes in healthcare utilization and costs over time were calculated using the Wilcoxon rank-sum test. Results: Of the 210 patients enrolled, 146 (69.5%) patients completed the 24 months follow-up. In total, 109 patients were hospitalized within the first 6 months post-intensive care. Mean total direct costs per patient at 0–6 months were €17,531 (median: €6047), at 7–12 months €9029 (median: €3312), and at 13–24 months €18,703 (median: €12,828). The largest contributor to the total direct costs within the first 6 months was re-hospitalizations (€13,787 (median: €2965). After this first half year, we observed a significant decline in inpatient care costs for re-hospitalizations (p ≤ 0.001). PCPs were visited by more than 95% of patients over 24 months. Conclusions: Sepsis survivors have high health care utilization. Hospital readmissions are frequent and costly. Highest costs and hospitalizations were observed in more than half of patients within the first six months post-intensive care. Among all outpatient care providers, PCPs were consulted most frequently. Clinical impact: Sepsis survivors have a high healthcare utilization and related costs which persist after discharge from hospital. Within outpatient care, possible needs of sepsis survivors as physiotherapy or psychotherapy seem not to be met appropriately. Development of sepsis aftercare programs for early detection and treatment of complications should be prioritized
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