6,204 research outputs found
Comparison of Different Strategies to Measure Medication Adherence via Claims Data in Patients With Chronic Heart Failure.
Medication adherence correlates with morbidity and mortality in patients with chronic heart failure (CHF), but is difficult to assess. We conducted a retrospective methodological cohort study in 3,808 CHF patients, calculating adherence as proportion of days covered (PDC) utilizing claims data from 2010 to 2015. We aimed to compare different parameters' influence on the PDC of elderly CHF patients exemplifying a complex chronic disease. Investigated parameters were the assumed prescribed daily dose (PDD), stockpiling, and periods of hospital stay. Thereby, we investigated a new approach using the PDD assigned to different percentiles. The different dose assumptions had the biggest influence on the PDC, with variations from 41.9% to 83.7%. Stockpiling and hospital stays increased the values slightly. These results queries that a reliable PDC can be calculated with an assumed PDD. Hence, results based on an assumed PDD have to be interpreted carefully and should be presented with sensitivity analyses to show the PDC's possible range
How to Educate Entrepreneurs?
Entrepreneurship education has two purposes: To improve students’ entrepreneurial skills and to provide impetus to those suited to entrepreneurship while discouraging the rest. While entrepreneurship education helps students to make a vocational decision its effects may conflict for those not suited to entrepreneurship. This study shows that vocational and the skill formation effects of entrepreneurship education can be identified empirically by drawing on the Theory of Planned Behavior. This is embedded in a structural equation model which we estimate and test using a robust 2SLS estimator. We find that the attitudinal factors posited by the Theory of Planned Behavior are positively correlated with students’ entrepreneurial intentions. While conflicting effects of vocational and skill directed course content are observed in some individuals, overall these types of content are complements. This finding contradicts previous results in the literature. We reconcile the conflicting findings and discuss implications for the design of entrepreneurship courses
Finite Number and Finite Size Effects in Relativistic Bose-Einstein Condensation
Bose-Einstein condensation of a relativistic ideal Bose gas in a rectangular
cavity is studied. Finite size corrections to the critical temperature are
obtained by the heat kernel method. Using zeta-function regularization of
one-loop effective potential, lower dimensional critical temperatures are
calculated. In the presence of strong anisotropy, the condensation is shown to
occur in multisteps. The criteria of this behavior is that critical
temperatures corresponding to lower dimensional systems are smaller than the
three dimensional critical temperature.Comment: 18 pages, 9 figures, Fig.3 replaced, to appear in Physical Review
Measurement of Analyzing Power for Proton-Carbon Elastic Scattering in the Coulomb-Nuclear Interference Region with a 22-GeV/c Polarized Proton Beam
The analyzing power for proton-carbon elastic scattering in the
coulomb-nuclear interference region of momentum transfer,
(GeV/, was measured with a 21.7
GeV/ polarized proton beam at the Alternating Gradient Synchrotron of
Brookhaven National Laboratory. The ratio of hadronic spin-flip to non-flip
amplitude, , was obtained from the analyzing power to be and .Comment: 4 pages, 4 figures and 1 table. Accepted by Physical Review Letter
QES-Fire: A dynamically coupled fast-response wildfire model
A microscale wildfire model, QES-Fire, that dynamically couples the fire front to microscale winds was developed using a simplified physics rate of spread (ROS) model, a kinematic plume-rise model and a mass-consistent wind solver. The model is three-dimensional and couples fire heat fluxes to the wind field while being more computationally efficient than other coupled models. The plume-rise model calculates a potential velocity field scaled by the ROS model\u27s fire heat flux. Distinct plumes are merged using a multiscale plume-merging methodology that can efficiently represent complex fire fronts. The plume velocity is then superimposed on the ambient winds and the wind solver enforces conservation of mass on the combined field, which is then fed into the ROS model and iterated on until convergence. QES-Fire\u27s ability to represent plume rise is evaluated by comparing its results with those from an atmospheric large-eddy simulation (LES) model. Additionally, the model is compared with data from the FireFlux II field experiment. QES-Fire agrees well with both the LES and field experiment data, with domain-integrated buoyancy fluxes differing by less than 17% between LES and QES-Fire and less than a 10% difference in the ROS between QES-Fire and FireFlux II data
Climatologically invariant scale invariance seen in distributions of cloud horizontal sizes
Cloud area distributions are a defining feature of Earth's radiative exchanges with outer space. Cloud perimeter distributions n(p) are also interesting because the shared interface between clouds and clear sky determines exchanges of buoyant energy and air. Here, we test using detailed model output and a wide range of satellite datasets a first-principles prediction that perimeter distributions follow a scale-invariant power law n(p)∝p-(1+β), where the exponent β=1 is evaluated for perimeters within moist isentropic atmospheric layers. In model analyses, the value of β is closely reproduced. In satellite data, β is remarkably robust to latitude, season, and land–ocean contrasts, which suggests that, at least statistically speaking, cloud perimeter distributions are determined more by atmospheric stability than Coriolis forces, surface temperature, or contrasts in aerosol loading between continental and marine environments. However, the satellite-measured value of β is found to be 1.26±0.06 rather than β=1. The reason for the discrepancy is unclear, but comparison with a model reproduction of the satellite perspective suggests that it may owe to cloud overlap. Satellite observations also show that scale invariance governs cloud areas for a range at least as large as ∼3 to ∼3×105 km2, and notably with a corresponding power law exponent close to unity. Many prior studies observed a much smaller range for power law behavior, and we argue this difference is due to inappropriate treatments of the statistics of clouds that are truncated by the edge of the measurement domain.</p
Growth in densely populated Asia: implications for primary product exporters
Economic growth and integration in Asia is rapidly increasing the global economic importance of the region. To the extent that this growth continues and is strongest in natural resource-poor Asian economies, it will add to global demand for imports of primary products, to the benefit of (especially nearby) resource-abundant countries. How will global production, consumption and trade patterns change by 2030 in the course of such economic developments and structural changes? We address this question using the GTAP model and Version 8.1 of the 2007 GTAP database, together with supplementary data from a range of sources, to support projections of the global economy from 2007 to 2030 under various scenarios. Factor endowments and real gross domestic product are assumed to grow at exogenous rates, and trade-related policies are kept unchanged to generate a core baseline, which is compared with an alternative slower growth scenario. We also consider the impact of several policy changes aimed at increasing China's agricultural self-sufficiency relative to the 2030 baseline. Policy implications for countries of the Asia-Pacific region are drawn out in the final section
Resonance Lifetimes from Complex Densities
The ab-initio calculation of resonance lifetimes of metastable anions
challenges modern quantum-chemical methods. The exact lifetime of the
lowest-energy resonance is encoded into a complex "density" that can be
obtained via complex-coordinate scaling. We illustrate this with one-electron
examples and show how the lifetime can be extracted from the complex density in
much the same way as the ground-state energy of bound systems is extracted from
its ground-state density
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