Having a family doctor is associated with some better patient-reported outcomes of primary care consultations

<b>Background</b> Hong Kong (HK) has pluralistic primary care that is provided by a variety of doctors. The aim of our study was to assess patient-reported outcomes of primary care consultations in HK and whether having a family doctor (FD) made any difference.<p></p> <b>Methods</b> We interviewed by telephone 3148 subjects from 5174 contacted households (response rate 60.8%) randomly selected from the general population of HK about the experience of their last primary care consultations in September 2007 and April 2008. We compared the patient-reported outcomes (PRO) and patient-centered process of care in those with a FD, those with other types of regular primary care doctors (ORD) and those without any regular primary care doctor (NRD). PRO included patient enablement, global improvement in health, overall satisfaction, and likelihood of recommending their doctors to family and friends. Patient-centered process of care indicators was explanations about the illness, and address of patient’s concerns.<p></p> <b>Results</b> One thousand one hundred fifty, 746, and 1157 reported to have FD, ORD, and NRD, respectively. Over 80% of those with FD consulted their usual primary care doctors in the last consultation compared with 27% of those with NRD. Compared with subjects having ORD or NRD, subjects with FD reported being more enabled after the consultation and were more likely to recommend their doctors to family and friends. Subjects with FD and ORD were more likely than those having NRD to report a global improvement in health and satisfaction. FD group was more likely than the other two groups to report receiving an explanation on the diagnosis, nature, and expected course of the illness, and having their concerns addressed. Patient enablement was associated with explanation of diagnosis, nature, and expected course of illness, and address of patient’s concerns.<p></p> <b>Conclusion</b> People with a regular FD were more likely to feel being enabled and to experience patient-centered care in consultations

Potential prevention of small for gestational age in Australia: a population-based linkage study

BACKGROUND: Small for gestational age (SGA) infants are at increased risk of morbidity and mortality. We sought to identify risk factors associated with SGA and examined the potential for reducing the proportion of infants with SGA at a population level. METHODS: Birth and hospital records were linked for births occurring in 2007–2010 in New South Wales, Australia. The analysis was stratified into three groups: preterm births, term births to non-diabetic mothers and term births to diabetic mothers. Logistic regression was used to examine the association between SGA and a range of socio-demographic and behavioural factors and health conditions, with generalised estimating equations to account for correlation among births to the same mother. Model-based population attributable fractions (PAFs) were calculated for risk factors that were considered causative and potentially modifiable. RESULTS: Of 28,126 SGA infants, the largest group was term infants of non-diabetic mothers (88.5%), followed by term infants of diabetic mothers (6.3%) and preterm infants (5.3%). The highest PAFs were for smoking: 12.4% for preterm SGA and 10.3% for term SGA infants of non-diabetic mothers. Other risk factors for SGA that were considered modifiable included: illicit drug dependency or abuse in pregnancy in all three groups, and pregnancy hypertension and late commencement of antenatal care in term infants of non-diabetic mothers, but PAFs were less than 3%. CONCLUSIONS: There are opportunities for modest reduction of the prevalence of SGA through reduction in smoking in pregnancy, and possibly earlier commencement of antenatal care and improved management of high-risk pregnancies

Optimally shaped terahertz pulses for phase retrieval in a Rydberg atom data register

We employ Optimal Control Theory to discover an efficient information retrieval algorithm that can be performed on a Rydberg atom data register using a shaped terahertz pulse. The register is a Rydberg wave packet with one consituent orbital phase-reversed from the others (the ``marked bit''). The terahertz pulse that performs the decoding algorithm does so by by driving electron probability density into the marked orbital. Its shape is calculated by modifying the target of an optimal control problem so that it represents the direct product of all correct solutions to the algorithm.Comment: 6 pages, 3 figure

A Survey of Containner Breeding Mosquito Species in Kuching Area

A visual larval inspection was done from October 2010 to January 2011 to identify the common species of container-breeding mosquitoes in Kuching, Sarawak. A total of 14 areas in Kuching were surveyed. All the 1216 larvae collected were identified. The dominant species was Ae. albopictus (79.03%), followed by Culex sp. (20.97%). The most common breeding sources were plastic containers. The container index was the highest for Taman Budaya, Kuching (83.33%). Larval breeding habitats were found within the temperature range of 25.1⁰C to 33.0⁰C and pH of 3.0 to 9.9. There is no significant difference of water temperature between Ae. albopictus (30.2⁰C ± 1.0) and Culex sp. (30.2⁰C ± 0.6). However, the pH of water for Culex sp. (7.6 ± 0.1) was found significantly lower than that of Ae. albopictus (7.8 ± 0.9). Mean pH of natural containers (6.7 ±1.3) was significantly lower than mean pH for artificial containers (7.8 ± 1.1). Mix breeding of Ae. albopictus and Culex sp. was found in coconut and plant saucers collected from Kampung Kudei and Waterfront, respectively. Based on its dominance and versatility, we suggest that Ae. albopictus may present as a sole vector for dengue virus in Kuching

Analogue Models for T and CPT Violation in Neutral-Meson Oscillations

Analogue models for CP violation in neutral-meson systems are studied in a general framework. No-go results are obtained for models in classical mechanics that are nondissipative or that involve one-dimensional oscillators. A complete emulation is shown to be possible for a two-dimensional oscillator with rheonomic constraints, and an explicit example with spontaneous T and CPT violation is presented. The results have implications for analogue models with electrical circuits.Comment: 9 page

Fibre Bragg grating based rectangular pulse switching technology for timing jitter tolerant OTDM data demultiplexing

The use of fiber Bragg grating based rectangular pulse switching technology for timing-jitter tolerant data demultiplexing in a high speed OTDM system is reviewed. Error-free demultiplexing operation with significant timing jitter-tolerance is easily achieved by simply adding a grating to the system. A substantial power-penalty improvement can also be achieved compared to demultiplexing without the grating

Quantum Ferromagnetism and Phase Transitions in Double-Layer Quantum Hall Systems

Double layer quantum Hall systems have interesting properties associated with interlayer correlations. At $\nu =1/m$ where $m$ is an odd integer they exhibit spontaneous symmetry breaking equivalent to that of spin $1/2$ easy-plane ferromagnets, with the layer degree of freedom playing the role of spin. We explore the rich variety of quantum and finite temperature phase transitions in these systems. In particular, we show that a magnetic field oriented parallel to the layers induces a highly collective commensurate-incommensurate phase transition in the magnetic order.Comment: 4 pages, REVTEX 3.0, IUCM93-013, 1 FIGURE, hardcopy available from: [email protected]

SRAO CO Observation of 11 Supernova Remnants in l = 70 to 190 deg

We present the results of 12CO J = 1-0 line observations of eleven Galactic supernova remnants (SNRs) obtained using the Seoul Radio Astronomy Observatory (SRAO) 6-m radio telescope. The observation was made as a part of the SRAO CO survey of SNRs between l = 70 and 190 deg, which is intended to identify SNRs interacting with molecular clouds. The mapping areas for the individual SNRs are determined to cover their full extent in the radio continuum. We used halfbeam grid spacing (60") for 9 SNRs and full-beam grid spacing (120") for the rest. We detected CO emission towards most of the remnants. In six SNRs, molecular clouds showed a good spatial relation with their radio morphology, although no direct evidence for the interaction was detected. Two SNRs are particularly interesting: G85.4+0.7, where there is a filamentary molecular cloud along the radio shell, and 3C434.1, where a large molecular cloud appears to block the western half of the remnant. We briefly summarize the results obtained for individual SNRs.Comment: Accepted for publication in Astrophysics & Space Science. 12 pages, 12 figures, and 3 table