Decoherence induced CPT violation and entangled neutral mesons

We discuss two classes of semi-microscopic theoretical models of stochastic space-time foam in quantum gravity and the associated effects on entangled states of neutral mesons, signalling an intrinsic breakdown of CPT invariance. One class of models deals with a specific model of foam, initially constructed in the context of non-critical (Liouville) string theory, but viewed here in the more general context of effective quantum-gravity models. The relevant Hamiltonian perturbation, describing the interaction of the meson with the foam medium, consists of off-diagonal stochastic metric fluctuations, connecting distinct mass eigenstates (or the appropriate generalisation thereof in the case of K-mesons), and it is proportional to the relevant momentum transfer (along the direction of motion of the meson pair). There are two kinds of CPT-violating effects in this case, which can be experimentally disentangled: one (termed ``omega-effect'') is associated with the failure of the indistinguishability between the neutral meson and its antiparticle, and affects certain symmetry properties of the initial state of the two-meson system; the second effect is generated by the time evolution of the system in the medium of the space-time foam, and can result in time-dependent contributions of the $omega-effect type in the time profile of the two meson state. Estimates of both effects are given, which show that, at least in certain models, such effects are not far from the sensitivity of experimental facilities available currently or in the near future. The other class of quantum gravity models involves a medium of gravitational fluctuations which behaves like a ``thermal bath''. In this model both of the above-mentioned intrinsic CPT violation effects are not valid.Comment: 16 pages revtex, no figure

A systematic review of risk stratification tools internationally used in primary care settings

Background and AimsIn our current healthcare situation, burden on healthcare services is increasing, with higher costs and increased utilization. Structured population health management has been developed as an approach to balance quality with increasing costs. This approach identifies sub-populations with comparable health risks, to tailor interventions for those that will benefit the most. Worldwide, the use of routine healthcare data extracted from electronic health registries for risk stratification approaches is increasing. Different risk stratification tools are used on different levels of the healthcare continuum. In this systematic literature review, we aimed to explore which tools are used in primary healthcare settings and assess their performance.MethodsWe performed a systematic literature review of studies applying risk stratification tools with health outcomes in primary care populations. Studies in Organisation for Economic Co-operation and Development countries published in English-language journals were included. Search engines were utilized with keywords, for example, “primary care,” “risk stratification,” and “model.” Risk stratification tools were compared based on different measures: area under the curve (AUC) and C-statistics for dichotomous outcomes and R2 for continuous outcomes.ResultsThe search provided 4718 articles. Specific election criteria such as primary care populations, generic health utilization outcomes, and routinely collected data sources identified 61 articles, reporting on 31 different models. The three most frequently applied models were the Adjusted Clinical Groups (ACG, n = 23), the Charlson Comorbidity Index (CCI, n = 19), and the Hierarchical Condition Categories (HCC, n = 7). Most AUC and C-statistic values were above 0.7, with ACG showing slightly improved scores compared with the CCI and HCC (typically between 0.6 and 0.7).ConclusionBased on statistical performance, the validity of the ACG was the highest, followed by the CCI and the HCC. The ACG also appeared to be the most flexible, with the use of different international coding systems and measuring a wider variety of health outcomes.Public Health and primary carePrevention, Population and Disease management (PrePoD

« Half dicht, half prose gheordineert » : vers et prose de moyen français en moyen néerlandais

In both French-speaking and Dutch-speaking literary cultures of the late Middle Ages, competition between poets produced a collective poetic expertise. To what extent, then, can such competition be identified across the two cultures, in translations of verse or prosimetrum compositions from Middle French into Middle Dutch? An examination of the Dutch translations reveals that verse is both a means to knowledge and an object of knowledge, in the target culture as well as the source culture. The diversity of translations shows that verse is not only a system that translators attempt to master, but also a formal supplement in ways that are unavailable to prose