A Retrospective pharmacoeconomic analysis comparing the cost effectiveness of two treatment groups in patients with complicated intra-abdominal infections

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements of the degree of Master of Science in Medicine in Pharmaceutical Affairs.Many will be disappointed to learn that pharmacoeconomic evaluations provide information, not answers. Although pharmacoeconomics broadens the perspective taken in evaluating drug therapies, the final drug therapy decision is still influenced by clinician preferences, patient desires, and the working and politics of the healthcare delivery system”. 1 Globally and in South Africa there is an increasing pressure on healthcare resources. These pressures have exponents both in the supply and demand arms of the economic equation and have set the scene for the development of a new discipline in healthcare. Pharmacoeconomics can be defined as “the description and analysis of the cost of drug therapy of health care systems and society”. 2 Pharmacoeconomics assesses the ratio of the cost to the consequences of specific drug therapies using a technique called Cost Effective analysis which uses tools such as Cost Minimisation analysis, Cost Effective analysis and Cost Benefit analysisIT201

Phase Separation of Rigid-Rod Suspensions in Shear Flow

We analyze the behavior of a suspension of rigid rod-like particles in shear flow using a modified version of the Doi model, and construct diagrams for phase coexistence under conditions of constant imposed stress and constant imposed strain rate, among paranematic, flow-aligning nematic, and log-rolling nematic states. We calculate the effective constitutive relations that would be measured through the regime of phase separation into shear bands. We calculate phase coexistence by examining the stability of interfacial steady states and find a wide range of possible ``phase'' behaviors.Comment: 23 pages 19 figures, revised version to be published in Physical Review

Ionization degree of the electron-hole plasma in semiconductor quantum wells

The degree of ionization of a nondegenerate two-dimensional electron-hole plasma is calculated using the modified law of mass action, which takes into account all bound and unbound states in a screened Coulomb potential. Application of the variable phase method to this potential allows us to treat scattering and bound states on the same footing. Inclusion of the scattering states leads to a strong deviation from the standard law of mass action. A qualitative difference between mid- and wide-gap semiconductors is demonstrated. For wide-gap semiconductors at room temperature, when the bare exciton binding energy is of the order of T, the equilibrium consists of an almost equal mixture of correlated electron-hole pairs and uncorrelated free carriers.Comment: 22 pages, 6 figure

Scattering by impurity-induced order parameter ``holes'' in d-wave superconductors

Nonmagnetic impurities in d-wave superconductors cause strong local suppressions of the order parameter. We investigate the observable effects of the scatterigng off such suppressions in bulk samples by treating the order parameter "hole" as a pointlike off-diagonal scatterer treated within a self-consistent t-matrix approximation. Strong scattering potentials lead to a finite-energy spectral feature in the d-wave "impurity band", the observable effects of which include enhanced low-temperature microwave power absorption and a stronger sensitivity of the London penetration depth to disorder than found previously in simpler ``dirty'' d-wave models.Comment: 5 pp. Revtex including 4 postscript figures, submitted to Phys. Rev.

Structure factor of polymers interacting via a short range repulsive potential: application to hairy wormlike micelles

We use the Random Phase Approximation (RPA) to compute the structure factor, S(q), of a solution of chains interacting through a soft and short range repulsive potential V. Above a threshold polymer concentration, whose magnitude is essentially controlled by the range of the potential, S(q) exhibits a peak whose position depends on the concentration. We take advantage of the close analogy between polymers and wormlike micelles and apply our model, using a Gaussian function for V, to quantitatively analyze experimental small angle neutron scattering profiles of semi-dilute solutions of hairy wormlike micelles. These samples, which consist in surfactant self-assembled flexible cylinders decorated by amphiphilic copolymer, provide indeed an appropriate experimental model system to study the structure of sterically interacting polymer solutions

Hopf algebras and Markov chains: Two examples and a theory

The operation of squaring (coproduct followed by product) in a combinatorial Hopf algebra is shown to induce a Markov chain in natural bases. Chains constructed in this way include widely studied methods of card shuffling, a natural "rock-breaking" process, and Markov chains on simplicial complexes. Many of these chains can be explictly diagonalized using the primitive elements of the algebra and the combinatorics of the free Lie algebra. For card shuffling, this gives an explicit description of the eigenvectors. For rock-breaking, an explicit description of the quasi-stationary distribution and sharp rates to absorption follow.Comment: 51 pages, 17 figures. (Typographical errors corrected. Further fixes will only appear on the version on Amy Pang's website, the arXiv version will not be updated.

Shear-banding in a lyotropic lamellar phase, Part 2: Temporal fluctuations

We analyze the temporal fluctuations of the flow field associated to a shear-induced transition in a lyotropic lamellar phase: the layering transition of the onion texture. In the first part of this work [Salmon et al., submitted to Phys. Rev. E], we have evidenced banded flows at the onset of this shear-induced transition which are well accounted for by the classical picture of shear-banding. In the present paper, we focus on the temporal fluctuations of the flow field recorded in the coexistence domain. These striking dynamics are very slow (100--1000s) and cannot be due to external mechanical noise. Using velocimetry coupled to structural measurements, we show that these fluctuations are due to a motion of the interface separating the two differently sheared bands. Such a motion seems to be governed by the fluctuations of $\sigma^\star$, the local stress at the interface between the two bands. Our results thus provide more evidence for the relevance of the classical mechanical approach of shear-banding even if the mechanism leading to the fluctuations of $\sigma^\star$ remains unclear

Holes in the t-J_z model: a thorough study

The t-J_z model is the strongly anisotropic limit of the t-J model which captures some general properties of the doped antiferromagnets (AF). The absence of spin fluctuations simplifies the analytical treatment of hole motion in an AF background and allows us to calculate the single- and two-hole spectra with high accuracy using regular diagram technique combined with real-space approach. At the same time, numerical studies of this model via exact diagonalization (ED) on small clusters show negligible finite size effects for a number of quantities, thus allowing a direct comparison between analytical and numerical results. Both approaches demonstrate that the holes have tendency to pair in the p- and d-wave channels at realistic values of t/J. The interactions leading to pairing and effects selecting p and d waves are thoroughly investigated. The role of transverse spin fluctuations is considered using perturbation theory. Based on the results of the present study, we discuss the pairing problem in the realistic t-J-like model. Possible implications for preformed pairs formation and phase separation are drawn.Comment: 21 pages, 15 figure

Shear-banding in a lyotropic lamellar phase, Part 1: Time-averaged velocity profiles

Using velocity profile measurements based on dynamic light scattering and coupled to structural and rheological measurements in a Couette cell, we present evidences for a shear-banding scenario in the shear flow of the onion texture of a lyotropic lamellar phase. Time-averaged measurements clearly show the presence of structural shear-banding in the vicinity of a shear-induced transition, associated to the nucleation and growth of a highly sheared band in the flow. Our experiments also reveal the presence of slip at the walls of the Couette cell. Using a simple mechanical approach, we demonstrate that our data confirms the classical assumption of the shear-banding picture, in which the interface between bands lies at a given stress $\sigma^\star$. We also outline the presence of large temporal fluctuations of the flow field, which are the subject of the second part of this paper [Salmon {\it et al.}, submitted to Phys. Rev. E]