The effect of core polarization on longitudinal form factors in 10^{10}B

Electron scattering Coulomb form factors for the single-particle quadrupole transitions in $p$-shell $^{10}$B nucleus have been studied. Core polarization effects are included through a microscopic theory that includes excitations from the core orbits up to higher orbits with 2$\hbar$$\omega$ excitations. The modified surface delta interaction (MSDI) is employed as a residual interaction. The effect of core polarization is found essential in both the transition strengths and momentum transfer dependence of form factors, and gives a remarkably good agreement with the measured data with no adjustable parameters.Comment: 4 pages, 5 figure

Full fpfp-shell study of even-even 48−56^{48-56}Ti isotopes

The level schemes and transition rates {\em B}({\em E}2;$\uparrow$) of eve-even $^{48-56}$Ti isotopes were studied by performing large-scale shell model calculations with FPD6 and GXPF1 effective interactions. Excellent agreement were obtained by comparing the first 2$^{+}$ level for all isotopes with the recently available experimental data, but studying the transition strengths {\em B}({\em E}2; 0$^+_{g.s.} \to2^+_1$) for all Ti isotopes using constant proton-neutron effective charges prove the limitations of the present large-scale calculations to reproduce the experiment in detail.Comment: 4 pages, 4 figure

Use of risk adjustment in setting budgets and measuring performance in primary care I: how it works

Summary points: Primary care groups and general practices will be funded largely through capitation based formulas, and their performance will be monitored more closely. Current methods of funding primary care trusts and general practices, and of monitoring their performance, do not take into account differences in case mix. Risk adjustment methods have been developed in the United States to allow measurement ofcase mix and morbidity of primary care populations. Risk adjustment methods are now being used to set capitation rates for health services in the United States

Longitudinal and Transverse Form Factors from 12^{12}C

Electron scattering form factors from $^{12}$C have been studied in the framework of the particle-hole shell model. Higher configurations are taken into account by allowing particle-hole excitations from the 1$s$ and 1$p$ shells core orbits up to the 1$f-2p$ shell. The inclusion of the higher configurations modifies the form factors markedly and describes the experimental data very well in all momentum transfer regions.Comment: 5 pages, 5 figures, 3 tables, late

Restricting paracetamol in the United Kingdom to reduce poisoning: a systematic review

Background Paracetamol poisoning is implicated in about 150-200 poisoning deaths per year in England and Wales. We review previous studies assessing the effectiveness of regulations introduced in 1998 to restrict sales of paracetamol and reduce paracetamol poisoning. Methods We searched the following electronic databases: MEDLINE, EMBASE, CINHAL, HIMIC, COCH, APC, CENTRAL and DARE. English language publications between 1998 and 2003 were included. Studies were included if they took place in the United Kingdom and assessed changes in any aspect of paracetamol poisoning following the introduction of the 1998 regulations. Results Twelve studies were identified, which examined several different outcomes. Three studies examined admissions to liver transplant units; all reported reductions. Eight studies evaluated severity of paracetamol poisoning; three reported reductions but five did not. Five out of six studies reported reductions in hospital admissions. One study reported reduced mortality in England and Wales after 1 year while another found no difference in Scotland 2 years after the regulations were introduced. Two studies observed a significant reduction in over-the-counter sales. Studies suffered from several limitations including short follow-up periods, no case definition for paracetamol poisoning and lack of comparison groups. Conclusions The limitations of these studies makes it difficult to draw firm conclusions. They do, however, suggest that the 1998 regulations may have been associated with reduced admissions to liver units and liver transplants, reduced hospital attendance due to paracetamol poisoning and reduced sales of paracetamol. Further research is needed to fully evaluate the impact of the 1998 regulations. In the future, formal evaluation of the impact of similar interventions should be an integral part of policy formation

Multiplication theory for dynamically biased avalanche photodiodes: new limits for gain bandwidth product

Novel theory is developed for the avalanche multiplication process in avalanche photodiodes (APDs) under time-varying reverse-biasing conditions. Integral equations are derived characterizing the statistics of the multiplication factor and the impulse-response function of APDs, as well as their breakdown probability, all under the assumption that the electric field driving the avalanche process is time varying and spatially nonuniform. Numerical calculations generated by the model predict that by using a bit-synchronous sinusoidal biasing scheme to operate the APD in an optical receiver, the pulse-integrated gain-bandwidth product can be improved by a factor of 5 compared to the same APD operating under the conventional static biasing. The bit-synchronized periodic modulation of the electric field in the multiplication region serves to (1) produce large avalanche multiplication factors with suppressed avalanche durations for photons arriving in the early phase of each optical pulse; and (2) generate low avalanche gains and very short avalanche durations for photons arriving in the latter part of each optical pulse. These two factors can work together to reduce intersymbol interference in optical receivers without sacrificing sensitivity

Point-of-care C reactive protein for the diagnosis of lower respiratory tract infection in NHS primary care: a qualitative study of barriers and facilitators to adoption

OBJECTIVES: Point-of-care (POC) C reactive protein (CRP) is incorporated in National Institute of Health and Care Excellence (NICE) guidelines for the diagnosis of pneumonia, reduces antibiotic prescribing and is cost effective. AIM: To determine the barriers and facilitators to adoption of POC CRP testing in National Health Service (NHS) primary care for the diagnosis of lower respiratory tract infection. DESIGN: The study followed a qualitative methodology based on grounded theory. The study was undertaken in 2 stages. Stage 1 consisted of semistructured interviews with 8 clinicians from Europe and the UK who use the test in routine practice, and focused on their subjective experience in the challenges of implementing POC CRP testing. Stage 2 was a multidisciplinary-facilitated workshop with NHS stakeholders to discuss barriers to adoption, impact of adoption and potential adoption scenarios. Emergent theme analysis was undertaken. PARTICIPANTS: Participants included general practitioners (including those with commissioning experience), biochemists, pharmacists, clinical laboratory scientists and industry representatives from the UK and abroad. RESULTS: Barriers to the implementation of POC CRP exist, but successful adoption has been demonstrated abroad. Analysis highlighted 7 themes: reimbursement and incentivisation, quality control and training, laboratory services, practitioner attitudes and experiences, effects on clinic flow and workload, use in pharmacy and gaps in evidence. CONCLUSIONS: Successful adoption models from the UK and abroad demonstrate a distinctive pattern and involve collaboration with central laboratory services. Incorporating antimicrobial stewardship into quality improvement frameworks may incentivise adoption. Further research is needed to develop scaling-up strategies to address the resourcing, clinical governance and economic impact of widespread NHS implementation