56 research outputs found
Frenkel and charge transfer excitons in C60
We have studied the low energy electronic excitations of C60 using momentum
dependent electron energy-loss spectroscopy in transmission. The momentum
dependent intensity of the gap excitation allows the first direct experimental
determination of the energy of the 1Hg excitation and thus also of the total
width of the multiplet resulting from the gap transition. In addition, we could
elucidate the nature of the following excitations - as either Frenkel or charge
transfer excitons.Comment: RevTEX, 3 Figures, to appear in Phys. Rev.
Long-range corrected DFT calculations of charge-transfer integrals in model metal-free phthalocyanine complexes
An assessment of several widely used exchange--correlation potentials in computing charge-transfer integrals is performed. In particular, we employ the recently proposed Coulomb-attenuated model which was proven by other authors to improve upon conventional functionals in the case of charge-transfer excitations. For further validation, two distinct approaches to compute the property in question are compared for a phthalocyanine dimer
Reduced costs with bisoprolol treatment for heart failure - An economic analysis of the second Cardiac Insufficiency Bisoprolol Study (CIBIS-II)
Background
Beta-blockers, used as an adjunctive to diuretics, digoxin and angiotensin converting enzyme inhibitors, improve survival in chronic heart failure. We report a prospectively planned economic analysis of the cost of adjunctive beta-blocker therapy in the second Cardiac Insufficiency BIsoprolol Study (CIBIS II).
Methods
Resource utilization data (drug therapy, number of hospital admissions, length of hospital stay, ward type) were collected prospectively in all patients in CIBIS . These data were used to determine the additional direct costs incurred, and savings made, with bisoprolol therapy. As well as the cost of the drug, additional costs related to bisoprolol therapy were added to cover the supervision of treatment initiation and titration (four outpatient clinic/office visits). Per them (hospital bed day) costings were carried out for France, Germany and the U.K. Diagnosis related group costings were performed for France and the U.K. Our analyses took the perspective of a third party payer in France and Germany and the National Health Service in the U.K.
Results
Overall, fewer patients were hospitalized in the bisoprolol group, there were fewer hospital admissions perpatient hospitalized, fewer hospital admissions overall, fewer days spent in hospital and fewer days spent in the most expensive type of ward. As a consequence the cost of care in the bisoprolol group was 5-10% less in all three countries, in the per them analysis, even taking into account the cost of bisoprolol and the extra initiation/up-titration visits. The cost per patient treated in the placebo and bisoprolol groups was FF35 009 vs FF31 762 in France, DM11 563 vs DM10 784 in Germany and pound 4987 vs pound 4722 in the U.K. The diagnosis related group analysis gave similar results.
Interpretation
Not only did bisoprolol increase survival and reduce hospital admissions in CIBIS II, it also cut the cost of care in so doing. This `win-win' situation of positive health benefits associated with cost savings is Favourable from the point of view of both the patient and health care systems. These findings add further support for the use of beta-blockers in chronic heart failure
Thermoluminescence dosimetry of liquid 32P sources of variable size and composition
Dosimetry of liquid sources was studied in terms of their size and composition, to check how self-absorption of balloon-based intravascular brachytherapy sources may influence doses at a target point.The sources contained aqueous solutions of -phosphate, saline, and iodinated contrast media (0–). Doses were measured in Plexiglas phantoms at radial distance, using miniature flat thermoluminescence detectors.The absolute dose rates measured for 2.0– diameter range increased from 0.25 to 0.43 and were slightly lower than theoretical values. A diameter balloon delivered 0.33, and a ID Plexiglas tube 0.40 . A titanium stent present on the balloon enhanced the dose rate at distance, whereas an one reduced it. The influence of iodine concentration was not very well pronounced.The observed increase of absolute dose rates in the clinically essential range of source diameters is an important parameter for radiotherapy planning
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