Use of programme budgeting and marginal analysis to set priorities for local NHS dental services: learning from the north east of England

Background - Priority setting is necessary where competing demands exceed the finite resources available. The aim of the study was to develop and test a prioritization framework based upon programme budgeting and marginal analysis (PBMA) as a tool to assist National Health Service (NHS) commissioners in their management of resources for local NHS dental services. Methods - Twenty-seven stakeholders (5 dentists, 8 commissioners and 14 patients) participated in a case-study based in a former NHS commissioning organization in the north of England. Stakeholders modified local decision-making criteria and applied them to a number of different scenarios. Results - The majority of financial resources for NHS dental services in the commissioning organization studied were allocated to primary care dental practitioners’ contracts in perpetuity, potentially constraining commissioners’ abilities to shift resources. Compiling the programme budget was successful, but organizational flux and difficulties engaging local NHS commissioners significantly impacted upon the marginal analysis phase. Conclusions - NHS dental practitioners’ contracts resemble budget-silos which do not facilitate local resource reallocation. ‘Context-specific’ factors significantly challenged the successful implementation and impact of PBMA. A local PBMA champion embedded within commissioning organizations should be considered. Participants found visual depiction of the cost-value ratio helpful during their initial priority setting deliberations

Neutron scattering and molecular correlations in a supercooled liquid

We show that the intermediate scattering function $S_n(q,t)$ for neutron scattering (ns) can be expanded naturely with respect to a set of molecular correlation functions that give a complete description of the translational and orientational two-point correlations in the liquid. The general properties of this expansion are discussed with special focus on the $q$-dependence and hints for a (partial) determination of the molecular correlation functions from neutron scattering results are given. The resulting representation of the static structure factor $S_n(q)$ is studied in detail for a model system using data from a molecular dynamics simulation of a supercooled liquid of rigid diatomic molecules. The comparison between the exact result for $S_n(q)$ and different approximations that result from a truncation of the series representation demonstrates its good convergence for the given model system. On the other hand it shows explicitly that the coupling between translational (TDOF) and orientational degrees of freedom (ODOF) of each molecule and rotational motion of different molecules can not be neglected in the supercooled regime.Further we report the existence of a prepeak in the ns-static structure factor of the examined fragile glassformer, demonstrating that prepeaks can occur even in the most simple molecular liquids. Besides examining the dependence of the prepeak on the scattering length and the temperature we use the expansion of $S_n(q)$ into molecular correlation functions to point out intermediate range orientational order as its principle origin.Comment: 13 pages, 7 figure

Strong coupling constant from τ\tau decay within renormalization scheme invariant treatment

We extract a numerical value for the strong coupling constant \alpha_s from the \tau-lepton decay rate into nonstrange particles. A new feature of our procedure is the explicit use of renormalization scheme invariance in analytical form in order to perform the actual analysis in a particular renormalization scheme. For the reference coupling constant in the \MSsch-scheme we obtain \alpha_s(M_\tau)= 0.3184 \pm 0.0060_{exp} which corresponds to \al_s(M_Z)= 0.1184 \pm 0.0007_{exp} \pm 0.0006_{hq mass}. This new numerical value is smaller than the standard value from $\tau$-data quoted in the literature and is closer to \al_s(M_Z)-values obtained from high energy experiments.Comment: 8 page

Boson gas in a periodic array of tubes

We report the thermodynamic properties of an ideal boson gas confined in an infinite periodic array of channels modeled by two, mutually perpendicular, Kronig-Penney delta-potentials. The particle's motion is hindered in the x-y directions, allowing tunneling of particles through the walls, while no confinement along the z direction is considered. It is shown that there exists a finite Bose- Einstein condensation (BEC) critical temperature Tc that decreases monotonically from the 3D ideal boson gas (IBG) value $T_{0}$ as the strength of confinement $P_{0}$ is increased while keeping the channel's cross section, $a_{x}a_{y}$ constant. In contrast, Tc is a non-monotonic function of the cross-section area for fixed $P_{0}$. In addition to the BEC cusp, the specific heat exhibits a set of maxima and minima. The minimum located at the highest temperature is a clear signal of the confinement effect which occurs when the boson wavelength is twice the cross-section side size. This confinement is amplified when the wall strength is increased until a dimensional crossover from 3D to 1D is produced. Some of these features in the specific heat obtained from this simple model can be related, qualitatively, to at least two different experimental situations: $^4$He adsorbed within the interstitial channels of a bundle of carbon nanotubes and superconductor-multistrand-wires Nb$_{3}$Sn.Comment: 9 pages, 10 figures, submitte

Decay constants, light quark masses and quark mass bounds from light quark pseudoscalar sum rules

The flavor $ud$ and $us$ pseudoscalar correlators are investigated using families of finite energy sum rules (FESR's) known to be very accurately satisfied in the isovector vector channel. It is shown that the combination of constraints provided by the full set of these sum rules is sufficiently strong to allow determination of both the light quark mass combinations $m_u+m_d$, $m_s+m_u$ and the decay constants of the first excited pseudoscalar mesons in these channels. The resulting masses and decay constants are also shown to produce well-satisfied Borel transformed sum rules, thus providing non-trivial constraints on the treatment of direct instanton effects in the FESR analysis. The values of $m_u+m_d$ and $m_s+m_u$ obtained are in good agreement with the values implied by recent hadronic $\tau$ decay analyses and the ratios obtained from ChPT. New light quark mass bounds based on FESR's involving weight functions which strongly suppress spectral contributions from the excited resonance region are also presented.Comment: 28 pages, 10 figure

Resummation of the hadronic tau decay width with the modified Borel transform method

A modified Borel transform of the Adler function is used to resum the hadronic tau decay width ratio. In contrast to the ordinary Borel transform, the integrand of the Borel integral is renormalization--scale invariant. We use an ansatz which explicitly accounts for the structure of the leading infrared renormalon. Further, we use judiciously chosen conformal transformations for the Borel variable, in order to map sufficiently away from the origin the other ultraviolet and infrared renormalon singularities. In addition, we apply Pade approximants for the corresponding truncated perturbation series of the modified Borel transform, in order to further accelerate the convergence. Comparing the results with the presently available experimental data on the tau hadronic decay width ratio, we obtain $\alpha_s(M^z) = 0.1192 +- 0.0007_{exp.} +- 0.0010_{EW+CKM} +- 0.0009_{th.} +- 0.0003_{evol.}$. These predictions virtually agree with those of our previous resummations where we used ordinary Borel transforms instead.Comment: 32 pages, 2 eps-figures, revtex; minor changes in the formulations; a typo in Eq.(47) corrected; version as appearing in Phys. Rev.

Search for W' bosons decaying to an electron and a neutrino with the D0 detector

This Letter describes the search for a new heavy charged gauge boson W' decaying into an electron and a neutrino. The data were collected with the D0 detector at the Fermilab Tevatron proton-antiproton Collider at a center-of-mass energy of 1.96 TeV, and correspond to an integrated luminosity of about 1 inverse femtobarn. Lacking any significant excess in the data in comparison with known processes, an upper limit is set on the production cross section times branching fraction, and a W' boson with mass below 1.00 TeV can be excluded at the 95% C.L., assuming standard-model-like couplings to fermions. This result significantly improves upon previous limits, and is the most stringent to date.Comment: submitted to Phys. Rev. Let

Search for a scalar or vector particle decaying into Zgamma in ppbar collisions at sqrt(s) = 1.96 TeV

We present a search for a narrow scalar or vector resonance decaying into Zgamma with a subsequent Z decay into a pair of electrons or muons. The data for this search were collected with the D0 detector at the Fermilab Tevatron ppbar collider at a center of mass energy sqrt(s) = 1.96 TeV. Using 1.1 (1.0) fb-1 of data, we observe 49 (50) candidate events in the electron (muon) channel, in good agreement with the standard model prediction. From the combination of both channels, we derive 95% C.L. upper limits on the cross section times branching fraction (sigma x B) into Zgamma. These limits range from 0.19 (0.20) pb for a scalar (vector) resonance mass of 600 GeV/c^2 to 2.5 (3.1) pb for a mass of 140 GeV/c^2.Comment: Published by Phys. Lett.

Measurement of the Isolated Photon Cross Section in p-pbar Collisions at sqrt{s}=1.96 TeV

The cross section for the inclusive production of isolated photons has been measured in p anti-p collisions at sqrt{s}=1.96 TeV with the D0 detector at the Fermilab Tevatron Collider. The photons span transverse momenta 23 to 300 GeV and have pseudorapidity |eta|<0.9. The cross section is compared with the results from two next-to-leading order perturbative QCD calculations. The theoretical predictions agree with the measurement within uncertainties.Comment: 7 pages, 5 figures, submitted to Phys.Lett.