A Model to Assist Planning the Provision of Hospital Services

One of the most important health service issues concerns the level of provision of acute hospital beds. To assist resolution of this issue, a model is proposed which simulates how hospital beds are used in terms of admission rates and lengths of stay for different categories of disease. The model can be used to predict the likely effects of changes in the provision of beds. Thus if it is proposed to increase the supply of beds the model will estimate, by disease type, how much of an increase this will cause in admission rates and lengths of stay. The ability of the model to accurately simulate this type of behavior is illustrated by an application in Quebec Province, Canada

Elastic Scattering of Pions From the Three-nucleon System

We examine the scattering of charged pions from the trinucleon system at a pion energy of 180 MeV. The motivation for this study is the structure seen in the experimental angular distribution of back-angle scattering for pi+ 3He and pi- 3H but for neither pi- 3He nor pi+ 3H. We consider the addition of a double spin flip term to an optical model treatment and find that, though the contribution of this term is non-negligible at large angles for pi+ 3He and pi- 3H, it does not reproduce the structure seen in the experiment.Comment: 15 pages + 5 figure

The mucosal cellular response to infection with Ancylostoma ceylanicum

Although hookworms are known to stimulate inflammatory responses in the intestinal mucosa of their hosts, there is little quantitative data on this aspect of infection. Here we report the results of experiments conducted in hamsters infected with Ancylostoma ceylanicum. Infection resulted in a marked increase in goblet cells in the intestinal mucosa, which was dependent on the number of adult worms present and was sustained as long as worms persisted (over 63 days) but returned to baseline levels within 7 days of the removal of worms by treatment with ivermectin. Increased mast cell responses were also recorded. Levels were again dependent on the intensity of worm burdens and lasted as long as 63 days after infection. When worms were eliminated, mast cell numbers took over 2 weeks to return to normal. Paneth cell numbers fell soon after infection, the degree of reduction being dependent on the worm burden. After clearance of worms, Paneth cell numbers returned to normal within a week, but then rebounded and numbers rose to higher levels than those in control naıve animals. The time course of the response was similar whether animals experienced a chronic low-intensity infection without loss of worms or a higher intensity infection during the course of which worm burdens were gradually reduced. Clearly, A. ceylanicum was able to induce a marked inflammatory response in its host’s intestine which was sustained for over 9 weeks after infection, and which hamsters appeared able to tolerate well. Our data draw attention to the resilience of hookworms which, unlike many other nematodes, are able to survive for many weeks in a highly inflamed intestinal tract

Non-equilibrium thermodynamic description of junctions in semiconductor devices

The methods of non-equilibrium thermodynamics of systems with an interface have been applied to the study of transport processes in semiconductor junctions. A complete phenomenological model for drift-diffusion processes in a junction has been derived, which includes, from first principles, both surface equations and boundary conditions, together with the usual drift-diffusion equations for the bulks. In this way a self-consistent characterisation of the whole system, bulks and interface, has been obtained in a common framework. The completeness of the model has been shown and a simple application to metal-semiconductor junctions developed.Comment: 12 pages, RevTex. Submitted to Phys. Rev. B minor LaTex errors correcte

Determination of pi-N scattering lengths from pionic hydrogen and pionic deuterium data

The pi-N s-wave scattering lengths have been inferred from a joint analysis of the pionic hydrogen and the pionic deuterium x-ray data using a non-relativistic approach in which the pi-N interaction is simulated by a short-ranged potential. The pi-d scattering length has been calculated exactly by solving the Faddeev equations and also by using a static approximation. It has been shown that the same very accurate static formula for pi-d scattering length can be derived (i) from a set of boundary conditions; (ii) by a reduction of Faddeev equations; and (iii) through a summation of Feynman diagrams. By imposing the requirement that the pi-d scattering length, resulting from Faddeev-type calculation, be in agreement with pionic deuterium data, we obtain bounds on the pi-N scattering lengths. The dominant source of uncertainty on the deduced values of the pi-N scattering lengths are the experimental errors in the pionic hydrogen data.Comment: RevTeX, 20 pages,4 PostScript figure

Prediction of huge X-ray Faraday rotation at the Gd N_4,5 threshold

X-ray absorption spectra in a wide energy range around the 4d-4f excitation threshold of Gd were recorded by total electron yield from in-plane magnetized Gd metal films. Matching the experimental spectra to tabulated absorption data reveals unprecedented short light absorption lengths down to 3 nm. The associated real parts of the refractive index for circularly polarized light propagating parallel or antiparallel to the Gd magnetization, determined through the Kramers-Kronig transformation, correspond to a magneto-optical Faraday rotation of 0.7 degrees per atomic layer. This finding shall allow the study of magnetic structure and magnetization dynamics of lanthanide elements in nanosize systems and dilute alloys.Comment: 4 pages, 2 figures, final version resubmitted to Phys. Rev. B, Brief Reports. Minor change

What are communities of practice? A comparative review of four seminal works

This paper is a comparative review of four seminal works on communities of practice. It is argued that the ambiguities of the terms community and practice are a source of the concept's reusability allowing it to be reappropriated for different purposes, academic and practical. However, it is potentially confusing that the works differ so markedly in their conceptualizations of community, learning, power and change, diversity and informality. The three earlier works are underpinned by a common epistemological view, but Lave and Wenger's 1991 short monograph is often read as primarily about the socialization of newcomers into knowledge by a form of apprenticeship, while the focus in Brown and Duguid's article of the same year is, in contrast, on improvising new knowledge in an interstitial group that forms in resistance to management. Wenger's 1998 book treats communities of practice as the informal relations and understandings that develop in mutual engagement on an appropriated joint enterprise, but his focus is the impact on individual identity. The applicability of the concept to the heavily individualized and tightly managed work of the twenty-first century is questionable. The most recent work by Wenger – this time with McDermott and Snyder as coauthors – marks a distinct shift towards a managerialist stance. The proposition that managers should foster informal horizontal groups across organizational boundaries is in fact a fundamental redefinition of the concept. However it does identify a plausible, if limited, knowledge management (KM) tool. This paper discusses different interpretations of the idea of 'co-ordinating' communities of practice as a management ideology of empowerment

Isospin Asymmetry in Nuclei and Neutron Stars

The roles of isospin asymmetry in nuclei and neutron stars are investigated using a range of potential and field-theoretical models of nucleonic matter. The parameters of these models are fixed by fitting the properties of homogeneous bulk matter and closed-shell nuclei. We discuss and unravel the causes of correlations among the neutron skin thickness in heavy nuclei, the pressure of beta-equilibrated matter at a density of 0.1 fm$^{-3}$, the derivative of the nuclear symmetry energy at the same density and the radii of moderate mass neutron stars. Constraints on the symmetry properties of nuclear matter from the binding energies of nuclei are examined. The extent to which forthcoming neutron skin measurements will further delimit the symmetry properties is investigated. The impact of symmetry energy constraints for the mass and moment of inertia contained within neutron star crusts and the threshold density for the nucleon direct Urca process, all of which are potentially measurable, is explored. We also comment on the minimum neutron star radius, assuming that only nucleonic matter exists within the star.Comment: 49 pages, 17 figures, Phys. Rep. (in press); made improvements to "RAPR" and corrected transition densitie

Gibbs' Paradox according to Gibbs and slightly beyond

The so-called Gibbs paradox is a paradigmatic narrative illustrating the necessity to account for the N! ways of permuting N identical particles when summing over microstates. Yet, there exist some mixing scenarios for which the expected thermodynamic outcome depends on the viewpoint one chooses to justify this combinatorial term. After a brief summary on Gibbs' paradox and what is the standard rationale used to justify its resolution, we will allow ourself to question from a historical standpoint whether the Gibbs paradox has actually anything to do with Gibbs' work. In so doing, we also aim at shedding a new light with regards to some of the theoretical claims surrounding its resolution. We will then turn to the statistical thermodynamics of discrete and continuous mixtures and introduce the notion of composition entropy to characterise these systems. This will enable us to address, in a certain sense, a "curiosity" pointed out by Gibbs in a paper published in 1876. Finally, we will �nish by proposing a connexion between the results we propose and a recent extension of the Landauer bound regarding the minimum amount of heat to be dissipated to reset one bit of memory