286 research outputs found
Economic evaluation of Medically Assisted Reproduction: An educational overview of methods and applications for healthcare professionals
Economic evaluations of the value-for-money of Medically Assisted Reproduction (MAR) interventions are increasingly important due to growing pressure on healthcare budgets. Although such evaluations are commonplace in the published literature, the number/methodological complexity of different evaluations available, and the challenges specific to MAR interventions, can complicate the interpretation of such analyses for fertility treatments. This article aims to serve as an educational resource and provide context on the design/interpretation of economic analyses for MAR interventions. Several areas are relevant for first-line providers and decision makers: scope of analysis, comparator used, perspective/time horizon considered, outcomes used to measure success, and how results from cost-effectiveness studies can be summarised and used in clinical practice. We aim to help clinicians better understand the strengths/weaknesses of economic analyses, to enable the best use of the evidence in practice, so resources available for MAR interventions can provide maximum value to patients and society
Fingerprints of Kitaev physics in the magnetic excitations of honeycomb iridates
In the quest for realizations of quantum spin liquids, the exploration of
Kitaev materials - spin-orbit entangled Mott insulators with strong
bond-directional exchanges - has taken center stage. However, in these
materials the local spin-orbital j=1/2 moments typically show long-range
magnetic order at low temperature, thus defying the formation of a spin-liquid
ground state. Using resonant inelastic x-ray scattering (RIXS), we here report
on a proximate spin liquid regime with clear fingerprints of Kitaev physics in
the magnetic excitations of the honeycomb iridates alpha-Li2IrO3 and Na2IrO3.
We observe a broad continuum of magnetic excitations that persists up to at
least 300K, more than an order of magnitude larger than the magnetic ordering
temperatures. We prove the magnetic character of this continuum by an analysis
of the resonance behavior. RIXS measurements of the dynamical structure factor
for energies within the continuum show that dynamical spin-spin correlations
are restricted to nearest neighbors. Notably, these spectroscopic observations
are also present in the magnetically ordered state for excitation energies
above the conventional magnon excitations. Phenomenologically, our data agree
with inelastic neutron scattering results on the related honeycomb compound
RuCl3, establishing a common ground for a proximate Kitaev spin-liquid regime
in these materials.Comment: 13 pages, 14 figure
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Resonant inelastic x-ray incarnation of Young’s double-slit experiment
Young’s archetypal double-slit experiment forms the basis for modern diffraction techniques: The elastic scattering of waves yields an interference pattern that captures the real-space structure. Here, we report on an inelastic incarnation of Young’s experiment and demonstrate that resonant inelastic x-ray scattering (RIXS) measures interference patterns, which reveal the symmetry and character of electronic excited states in the same way as elastic scattering does for the ground state. A prototypical example is provided by the quasi-molecular electronic structure of insulating Ba 3 CeIr 2 O 9 with structural Ir dimers and strong spin-orbit coupling. The double “slits” in this resonant experiment are the highly localized core levels of the two Ir atoms within a dimer. The clear double-slit-type sinusoidal interference patterns that we observe allow us to characterize the electronic excitations, demonstrating the power of RIXS interferometry to unravel the electronic structure of solids containing, e.g., dimers, trimers, ladders, or other superstructures
Quasimolecular electronic structure of the spin-liquid candidate Ba3InIr2O9
The mixed-valent iridate Ba3InIr2O9 has been discussed as a promising candidate for quantum spin-liquid behavior. The compound exhibits Ir4.5+ ions in face-sharing IrO6 octahedra forming Ir2O9 dimers with three t2g holes per dimer. Our results establish Ba3InIr2O9 as a cluster Mott insulator. Strong intradimer hopping delocalizes the three t2g holes in quasimolecular dimer states while interdimer charge fluctuations are suppressed by Coulomb repulsion. The magnetism of Ba3InIr2O9 emerges from spin-orbit entangled quasimolecular moments with yet unexplored interactions, opening up a new route to unconventional magnetic properties of 5d compounds. Using single-crystal x-ray diffraction we find the monoclinic space group C2/c already at room temperature. Dielectric spectroscopy shows insulating behavior. Resonant inelastic x-ray scattering reveals a rich excitation spectrum below 1.5 eV with a sinusoidal dynamical structure factor that unambiguously demonstrates the quasimolecular character of the electronic states. Below 0.3 eV, we observe a series of excitations. According to exact diagonalization calculations, such low-energy excitations reflect the proximity of Ba3InIr2O9 to a hopping-induced phase transition based on the condensation of a quasimolecular spin-orbit exciton. The dimer ground state roughly hosts two holes in a bonding j=12 orbital and the third hole in a bonding j=32 orbital
Kinetics of active surface-mediated diffusion in spherically symmetric domains
We present an exact calculation of the mean first-passage time to a target on
the surface of a 2D or 3D spherical domain, for a molecule alternating phases
of surface diffusion on the domain boundary and phases of bulk diffusion. We
generalize the results of [J. Stat. Phys. {\bf 142}, 657 (2011)] and consider a
biased diffusion in a general annulus with an arbitrary number of regularly
spaced targets on a partially reflecting surface. The presented approach is
based on an integral equation which can be solved analytically. Numerically
validated approximation schemes, which provide more tractable expressions of
the mean first-passage time are also proposed. In the framework of this minimal
model of surface-mediated reactions, we show analytically that the mean
reaction time can be minimized as a function of the desorption rate from the
surface.Comment: Published online in J. Stat. Phy
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