112 research outputs found
Coherent analysis of quantum optical sideband modes
We demonstrate a device that allows for the coherent analysis of a pair of
optical frequency sidebands in an arbitrary basis. We show that our device is
quantum noise limited and hence applications for this scheme may be found in
discrete and continuous variable optical quantum information experiments.Comment: 3 pages, 3 figures, submitted to Optics Letter
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Asthma Self-assessment in a Medicaid Population
Background: Self-assessment of symptoms by patients with chronic conditions is an important element of disease management. A recent study in a commercially-insured population found that patients who received automated telephone calls for asthma self-assessment felt they benefitted from the calls. Few studies have evaluated the effectiveness of disease self-assessment in Medicaid populations. The goals of this study were to: (1) assess the feasibility of asthma self-assessment in a population predominantly insured by Medicaid, (2) study whether adding a gift card incentive increased completion of the self-assessment survey, and (3) evaluate how the self-assessment affected processes and outcomes of care. Methods: We studied adults and children aged 4 years and older who were insured by a Medicaid-focused managed care organization (MCO) in a pre- and post-intervention study. During the pre-incentive period, patients with computerized utilization data that met specific criteria for problematic asthma control were mailed the Asthma Control Test (ACT), a self-assessment survey, and asked to return it to the MCO. During the intervention period, patients were offered a $20 gift card for returning the completed ACT to the MCO. To evaluate clinical outcomes, we used computerized claims data to assess the number of hospitalization visits and emergency department visits experienced in the 3 months after receiving the ACT. To evaluate whether the self-management intervention improved processes of care, we conducted telephone interviews with patients who returned or did not return the ACT by mail. Results: During the pre-incentive period, 1183 patients were identified as having problems with asthma control; 25 (2.0%) of these returned the ACT to the MCO. In contrast, during the incentive period, 1612 patients were identified as having problems with asthma control and 87 (5.4%) of these returned the ACT to the MCO (p < 0.0001). Of all 95 ACTs that were returned, 87% had a score of 19 or less, which suggested poor asthma control. During the 3 months after they received the ACT, patients who completed it had similar numbers of outpatient visits, emergency department visits, and hospitalizations for asthma as patients who did not complete the ACT. We completed interviews with 95 patients, including 28 who had completed the ACT and 67 who had not. Based on an ACT administered at the time of the interview, patients who had previously returned the ACT to the MCO had asthma control similar to those who had not (mean scores of 14.2 vs. 14.6, p = 0.70). Patients had similar rates of contacting their providers within the past 2 months whether they had completed the mailed ACT or not (71% vs. 76%, p = 0.57). Conclusion: Mailing asthma self-assessment surveys to patients with poorly controlled asthma was not associated with better asthma-associated outcomes or processes of care in the Medicaid population studied. Adding a gift card incentive did not meaningfully increase response rates. Asthma disease management programs for Medicaid populations will most likely need to involve alternative strategies for engaging patients and their providers in managing their conditions
The theory of heating of the quantum ground state of trapped ions
Using a displacement operator formalism, I analyse the depopulation of the
vibrational ground state of trapped ions. Two heating times, one characterizing
short time behaviour, the other long time behaviour are found. The short time
behaviour is analyzed both for single and multiple ions, and a formula for the
relative heating rates of different modes is derived. The possibility of
correction of heating via the quantum Zeno effect, and the exploitation of the
suppression of heating of higher modes to reduce errors in quantum computation
is considered.Comment: 9 pages, 2 figure
High energy parton-parton amplitudes from lattice QCD and the stochastic vacuum model
Making use of the gluon gauge-invariant two-point correlation function,
recently determined by numerical simulation on the lattice in the quenched
approximation and the stochastic vacuum model, we calculate the elementary
(parton-parton) amplitudes in both impact-parameter and momentum transfer
spaces. The results are compared with those obtained from the Kr\"{a}mer and
Dosch ansatz for the correlators. Our main conclusion is that the divergences
in the correlations functions suggested by the lattice calculations do not
affect substantially the elementary amplitudes. Phenomenological and
semiempirical information presently available on elementary amplitudes is also
referred to and is critically discussed in connection with some theoretical
issues.Comment: Text with 11 pages in LaTeX (twocolumn form), 10 figures in
PostScript (psfig.tex used). Replaced with changes, Fig.1 modified, two
references added, some points clarified, various typos corrected. Version to
appear in Phys. Rev.
An Unsupervised Autoencoder Developed from Dynamic Contrast-Enhanced (DCE)-MRI Datasets for Classification of Acute Tumor Response in an Animal Model
Purpose/Objective(s): Recent studies have shown that vascular parameters of brain tumors derived from DCE-MRI may act as potential biomarkers for radiation-induced acute effects. However, accurate characterization of the spatial regions affected by radiation therapy (RT) remains challenging. Here, we introduce an unsupervised adaptive model for classification and ranking of the RT-affected regions in an animal model of cerebral U-251n tumors.
Materials/Methods: Twenty-three immune-compromised-RNU rats were implanted with human U251n cancer cells to form an orthotopic glioma (IACUC #1509). For each rat, 28 days after implantation, two DCE-MRI studies (Dual Gradient Echo, DGE, FOV: 32 × 32 mm2, TR/(TE1-TE2) = 24 ms/(2 ms-4 ms), flip angle = 18°, 400 acquisitions, 1.55 sec interval with Magnevist contrast agent, CA injection at ∼ 24 sec) were performed 24h apart using a 7T MRI scanner. A single 20 Gy stereotactic radiation exposure was performed before the second MRI, which was acquired 1-6.5 hrs after RT. DCE-MRI analysis was done using a model selection technique to distinguish three different brain regions as follows: Normal vasculature (Model 1: No leakage, only plasma volume, vp, is estimated), leaky tumor tissues with no back-flux to the vasculature (Model 2: vp and forward volumetric transfer constant, Ktrans, are estimated), and leaky tumor tissues with back-flux (Model 3: vp, Ktrans, and interstitial volume fraction, ve, are estimated). Normalized time traces of DCE-MRI information (24 pre, and 24 post-RT for each rat, total of 64108 training datasets) of tumors and their soft surrounding normal tissues were extracted from the 3 different model regions. To eliminate high-dimensional data similarity, an unsupervised autoencoder (AE) was trained to map out the model-derived data into a feature space (latent variables, N=10). For each model, the pre and post RT latent variables were compared (by appropriate tests of significance: ANOVA/Welch, CI=95%) to reveal RT-discriminant features. Pearson correlation coefficients were used to compare the decoded data to rank the effect of RT on different models.
Results: The time trace of DCE-MRI information of rat brain in normal (Model 1, non-leaky) and highly permeable (Model 3) regions are less impacted by RT (Higher correlation between pre and post RT: r= 0.8518, p\u3c0.0001 and r= 0.9040, p\u3c0.0001 for Model 1 and Model 3, respectively) compared to the peritumoral regions pertaining to Model 2 (r= 0.8077, p\u3c0.0001).
Conclusion: This pilot study suggests that among different brain regions, peritumoral zones (infiltrative tumor borders with enhanced rim) are highly affected by RT. Spatial assessment of RT-affected brain regions can play a key role in optimization of treatment planning in cancer patients, but presents a challenging task in conventional DCE-MRI. This study represents an important step toward classification and ranking the RT-affected brain spatial regions according to their vascular response following hypofractionated RT
Dynamics and Topological Aspects of a Reconstructed Two-Dimensional Foam Time Series Using Potts Model on a Pinned Lattice
We discuss a method to reconstruct an approximate two-dimensional foam
structure from an incomplete image using the extended Potts mode with a pinned
lattice we introduced in a previous paper. The initial information consists of
the positions of the vertices only. We locate the centers of the bubbles using
the Euclidean distance-map construction and assign at each vertex position a
continuous pinning field with a potential falling off as . We nucleate a
bubble at each center using the extended Potts model and let the structure
evolve under the constraint of scaled target areas until the bubbles contact
each other. The target area constraint and pinning centers prevent further
coarsening. We then turn the area constraint off and let the edges relax to a
minimum energy configuration. The result is a reconstructed structure very
close to the simulation. We repeated this procedure for various stages of the
coarsening of the same simulated foam and investigated the simulation and
reconstruction dynamics, topology and area distribution, finding that they
agree to good accuracy.Comment: 31 pages, 20 Postscript figures Accepted in the Journal of
Computational Physic
High Energy Hadron-Nucleus Cross Sections and Their Extrapolation to Cosmic Ray Energies
Old models of the scattering of composite systems based on the Glauber model
of multiple diffraction are applied to hadron-nucleus scattering. We obtain an
excellent fit with only two free parameters to the highest energy
hadron-nucleus data available. Because of the quality of the fit and the
simplicity of the model it is argued that it should continue to be reliable up
to the highest cosmic ray energies. Logarithmic extrapolations of proton-proton
and proton-antiproton data are used to calculate the proton-air cross sections
at very high energy. Finally, it is observed that if the exponential behavior
of the proton-antiproton diffraction peak continues into the few TeV energy
range it will violate partial wave unitarity. We propose a simple modification
that will guarantee unitarity throughout the cosmic ray energy region.Comment: 8 pages, 9 postscript figures. This manuscript replaces a partial
manuscript incorrectly submitte
Dynamic contrast enhanced (DCE) MRI estimation of vascular parameters using knowledge-based adaptive models
We introduce and validate four adaptive models (AMs) to perform a physiologically based Nested-Model-Selection (NMS) estimation of such microvascular parameters as forward volumetric transfer constant, K(trans), plasma volume fraction, v(p), and extravascular, extracellular space, v(e), directly from Dynamic Contrast-Enhanced (DCE) MRI raw information without the need for an Arterial-Input Function (AIF). In sixty-six immune-compromised-RNU rats implanted with human U-251 cancer cells, DCE-MRI studies estimated pharmacokinetic (PK) parameters using a group-averaged radiological AIF and an extended Patlak-based NMS paradigm. One-hundred-ninety features extracted from raw DCE-MRI information were used to construct and validate (nested-cross-validation, NCV) four AMs for estimation of model-based regions and their three PK parameters. An NMS-based a priori knowledge was used to fine-tune the AMs to improve their performance. Compared to the conventional analysis, AMs produced stable maps of vascular parameters and nested-model regions less impacted by AIF-dispersion. The performance (Correlation coefficient and Adjusted R-squared for NCV test cohorts) of the AMs were: 0.914/0.834, 0.825/0.720, 0.938/0.880, and 0.890/0.792 for predictions of nested model regions, v(p), K(trans), and v(e), respectively. This study demonstrates an application of AMs that quickens and improves DCE-MRI based quantification of microvasculature properties of tumors and normal tissues relative to conventional approaches
Desafios e oportunidades no setor de cartões de crédito: proposição de estratégias para o mercado popular
The low-income market in Brazil presents great opportunities for companies including the credit card sector. Bottom-of-the-pyramid customers look for quality which is, however, compatible with their budgets and needs. For this purpose an analysis was made of the critical aspects and opportunities in question. Literature disclosed eight factors that were analyzed in a qualitative survey and with in depth interviews. Variables relevant to business profitability in general were also presented. Results disclosed the possibility of competitive pricing advantages by offering simpler services and lower cost products. Brands offered to higher income brackets should be adapted with technologies for simplification and more attractive pricing. Partnerships should then be made with retail store networks to increase the use of credit cards.O mercado de baixa renda no Brasil apresenta grandes oportunidades para empresas do setor de cartões de crédito com foco em serviços de qualidade, mas por valores compatÃveis à renda e necessidades especÃficas desse segmento. O objetivo central do trabalho é analisar os aspectos crÃticos e oportunidades para os cartões de crédito no mercado de baixa renda, com a proposição de uma abordagem para aumentar a penetração do produto neste segmento. Para tanto, foram identificadas oito variáveis a partir da literatura e realizadas pesquisa qualitativa com análise documental e entrevistas em profundidade com especialistas do setor de cartões. Os resultados da pesquisa mostram que as empresas devem adotar estratégias para ganhar vantagem competitiva com preços mais baixos, reduzindo custos ao reduzir serviços não relevantes para o segmento. É recomendável que a empresa utilize a mesma marca oferecida à s classes A e B e aposte em tecnologia e distribuição aliadas à s redes de varejo, para uma maior penetração dos cartões
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