8,037 research outputs found
Exploiting soliton decay and phase fluctuations in atom chip interferometry of Bose-Einstein condensates
We show that the decay of a soliton into vortices provides a mechanism for
measuring the initial phase difference between two merging Bose-Einstein
condensates. At very low temperatures, the mechanism is resonant, operating
only when the clouds start in anti-phase. But at higher temperatures, phase
fluctuations trigger vortex production over a wide range of initial relative
phase, as observed in recent experiments at MIT. Choosing the merge time to
maximize the number of vortices created makes the interferometer highly
sensitive to spatially varying phase patterns and hence atomic movement.Comment: 5 pages, 5 figure
Patient and Health System Experience With Implementation of an Enterprise-Wide Telehealth Scheduled Video Visit Program: Mixed-Methods Study.
BACKGROUND: Real-time video visits are increasingly used to provide care in a number of settings because they increase access and convenience of care, yet there are few reports of health system experiences.
OBJECTIVE: The objective of this study is to report health system and patient experiences with implementation of a telehealth scheduled video visit program across a health system.
METHODS: This is a mixed methods study including (1) a retrospective descriptive report of implementation of a telehealth scheduled visit program at one large urban academic-affiliated health system and (2) a survey of patients who participated in scheduled telehealth visits. Health system and patient-reported survey measures were aligned with the National Quality Forum telehealth measure reporting domains of access, experience, and effectiveness of care.
RESULTS: This study describes implementation of a scheduled synchronous video visit program over an 18-month period. A total of 3018 scheduled video visits were completed across multiple clinical departments. Patient experiences were captured in surveys of 764 patients who participated in telehealth visits. Among survey respondents, 91.6% (728/795) reported satisfaction with the scheduled visits and 82.7% (628/759) reported perceived quality similar to an in-person visit. A total of 86.0% (652/758) responded that use of the scheduled video visit made it easier to get care. Nearly half (46.7%, 346/740) of patients estimated saving 1 to 3 hours and 40.8% (302/740) reported saving more than 3 hours of time. The net promoter score, a measure of patient satisfaction, was very high at 52.
CONCLUSIONS: A large urban multihospital health system implemented an enterprise-wide scheduled telehealth video visit program across a range of clinical specialties with a positive patient experience. Patients found use of scheduled video visits made it easier to get care and the majority perceived time saved, suggesting that use of telehealth for scheduled visits can improve potential access to care across a range of clinical scenarios with favorable patient experiences
Implications of non-feasible transformations among icosahedral orbitals
The symmetric group that permutes the six five-fold axes of an
icosahedron is introduced to go beyond the simple rotations that constitute the
icosahedral group . Owing to the correspondence , the
calculation of the Coulomb energies for the icosahedral configurations
based on the sequence can be brought
to bear on Racah's classic theory for the atomic d shell based on . Among the elements of is the kaleidoscope
operator that rotates the weight space of SO(5) by . Its use
explains some puzzling degeneracies in d^3 involving the spectroscopic terms
^2P, ^2F, ^2G and ^2H.Comment: Tentatively scheduled to appear in Physical Preview Letters Apr 5,
99. Revtex, 1 ps figur
Calibration of the EDGES High-Band Receiver to Observe the Global 21-cm Signature from the Epoch of Reionization
The EDGES High-Band experiment aims to detect the sky-average brightness
temperature of the -cm signal from the Epoch of Reionization (EoR) in the
redshift range . To probe this redshifted signal,
EDGES High-Band conducts single-antenna measurements in the frequency range
MHz from the Murchison Radio-astronomy Observatory in Western
Australia. In this paper, we describe the current strategy for calibration of
the EDGES High-Band receiver and report calibration results for the instrument
used in the observational campaign. We propagate uncertainties in
the receiver calibration measurements to the antenna temperature using a Monte
Carlo approach. We define a performance objective of ~mK residual RMS after
modeling foreground subtraction from a fiducial temperature spectrum using a
five-term polynomial. Most of the calibration uncertainties yield residuals of
~mK or less at confidence. However, current uncertainties in the
antenna and receiver reflection coefficients can lead to residuals of up to
mK even in low-foreground sky regions. These dominant residuals could be
reduced by 1) improving the accuracy in reflection measurements, especially
their phase 2) improving the impedance match at the antenna-receiver interface,
and 3) decreasing the changes with frequency of the antenna reflection phase.Comment: Updated to match version accepted by Ap
Scattering and absorption of ultracold atoms by nanotubes
We investigate theoretically how cold atoms, including Bose-Einstein
condensates, are scattered from, or absorbed by nanotubes with a view to
analysing recent experiments. In particular we consider the role of potential
strength, quantum reflection, atomic interactions and tube vibrations on atom
loss rates. Lifshitz theory calculations deliver a significantly stronger
scattering potential than that found in experiment and we discuss possible
reasons for this. We find that the scattering potential for dielectric tubes
can be calculated to a good approximation using a modified pairwise summation
approach, which is efficient and easily extendable to arbitrary geometries.
Quantum reflection of atoms from a nanotube may become a significant factor at
low temperatures, especially for non-metallic tubes. Interatomic interactions
are shown to increase the rate at which atoms are lost to the nanotube and lead
to non-trivial dynamics. Thermal nanotube vibrations do not significantly
increase loss rates or reduce condensate fractions, but lower frequency
oscillations can dramatically heat the cloud.Comment: 7 pages, 4 figure
Quality Assurance in Telehealth: Adherence to Evidence-Based Indicators.
Background: Value enhancing telehealth (TH) lacks a robust body of formal clinically focused quality assessment studies. Innovations such as telehealth must always demonstrate that it preserves or hopefully advances quality. Introduction: We sought to determine whether adherence to the evidence-based Choosing Wisely (CW) recommendations (antibiotic stewardship) for acute sinusitis differs for encounters through direct-to-consumer (DTC) telemedicine verses in-person care in an emergency department (ED) or an urgent care (UC) center.
Materials and Methods: Study design was a retrospective review. Patients with a symptom complex consistent with acute sinusitis treated through DTC were matched with ED and UC patients, based upon time of visit. Charts were reviewed to determine patient characteristics, chief complaint, final diagnosis, presence or absence of criteria within the CW guidelines, and whether or not antibiotics were prescribed. The main outcome was adherence to the CW campaign recommendations.
Results: A total of 570 visits were studied: 190 DTC, 190 ED, and 190 UC visits. The predominant chief complaints were upper respiratory infection (36%), sore throat (25%), and sinusitis (18%). Overall, there was a 67% (95% CI 62.3-71.7) adherence rate with the CW guidelines for sinusitis: DTC visits (71%), ED visits (68%), and UC visits (61%). There was a nonsignificant difference (p = 0.29) in adherence to CW guidelines based upon type of visit (DTC, UC, and ED).
Discussion: The challenge is to demonstrate whether or not DTC TH compromises quality.
Conclusion: In this study, DTC visits were associated with at least as good an adherence to the CW campaign recommendations as emergency medicine (EM) and UC in-person visits.
© Daniel Halpren-Ruder et al
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