811 research outputs found
If you say so:A mixed-method study of hospital mergers and quality of care
Background: Despite a lack of supporting evidence, hospitals continue to merge in pursuit of quality improvements. Purpose: We seek to develop a more thorough understanding of the quality effects of hospital mergers by integrating various theoretical perspectives using a mixed-methods design. Methodology: Quantitatively, we tested the quality effect of all consummated hospital mergers in the Netherlands between 2008 and 2014 on 15 quality indicators (with 82 measurements at hospital, department, and disease levels) using a difference-in-difference approach with Bonferroni correction. Qualitatively, we conducted three comparative case studies to examine how hospital executives, managers, and medical professionals perceive the quality impact of hospital mergers. Results: Our quantitative results reveal few significant effects of hospital mergers on quality of care at all levels. After applying Bonferroni correction, two quality indicators are negatively associated with hospital mergers. However, the qualitative results indicate that hospital staff have positive perceptions of the mergers’ quality implications, resulting from scale and shock effects. Conclusion: The perceptions of hospital staff regarding mergers diametrically oppose their measurable effects. However, the operationalization of quality by hospital staff members differs considerably from the way it is quantitatively measured. The positive perceptions of hospital staff toward mergers could further contribute to the institutionalization of mergers as a quality improvement strategy. Practice Implications: Hospital managers seeking measurable quality improvements should be wary of merging, despite potential positive perceptions toward it within the organization. In case they do decide to merge, mitigating difficulties in the postmerger integration processes seem most pertinent to achieve measurable effects
Hawking radiation in different coordinate settings: Complex paths approach
We apply the technique of complex paths to obtain Hawking radiation in
different coordinate representations of the Schwarzschild space-time. The
coordinate representations we consider do not possess a singularity at the
horizon unlike the standard Schwarzschild coordinate. However, the event
horizon manifests itself as a singularity in the expression for the
semiclassical action. This singularity is regularized by using the method of
complex paths and we find that Hawking radiation is recovered in these
coordinates indicating the covariance of Hawking radiation as far as these
coordinates are concerned.Comment: 18 pages, 2 figures, Uses IOP style file; final version; accepted in
Class. Quant. Gra
Disruption of a binding site for hepatocyte nuclear factor 4 results in hemophilia B Leyden.
Orbital and spin physics in LiNiO2 and NaNiO2
We derive a spin-orbital Hamiltonian for a triangular lattice of e_g orbital
degenerate (Ni^{3+}) transition metal ions interacting via 90 degree
superexchange involving (O^{2-}) anions, taking into account the on-site
Coulomb interactions on both the anions and the transition metal ions. The
derived interactions in the spin-orbital model are strongly frustrated, with
the strongest orbital interactions selecting different orbitals for pairs of Ni
ions along the three different lattice directions. In the orbital ordered
phase, favoured in mean field theory, the spin-orbital interaction can play an
important role by breaking the U(1) symmetry generated by the much stronger
orbital interaction and restoring the threefold symmetry of the lattice. As a
result the effective magnetic exchange is non-uniform and includes both
ferromagnetic and antiferromagnetic spin interactions. Since ferromagnetic
interactions still dominate, this offers yet insufficient explanation for the
absence of magnetic order and the low-temperature behaviour of the magnetic
susceptibility of stoichiometric LiNiO_2. The scenario proposed to explain the
observed difference in the physical properties of LiNiO_2 and NaNiO_2 includes
small covalency of Ni-O-Li-O-Ni bonds inducing weaker interplane superexchange
in LiNiO_2, insufficient to stabilize orbital long-range order in the presence
of stronger intraplane competition between superexchange and Jahn-Teller
coupling.Comment: 33 pages, 12 postscript figures, uses iopams.sty . This article
features in New Journal of Physics as part of a Focus Issue on Orbital
Physics - all contributions may be freely accessed at
(http://stacks.iop.org/1367-2630/6/i=1/a=E05). The published version of this
article may be found at http://stacks.iop.org/1367-2630/7/12
A C1173T Dimorphism in the VKORC1 Gene Determines Coumarin Sensitivity and Bleeding Risk
BACKGROUND: A C1173T polymorphism in intron 1 of the VKORC1 gene has been claimed to determine the interindividual variability in the response to vitamin K antagonist therapy (VKA), but it is unknown whether it also influences bleeding risk. We aimed to confirm the relationship between C1173T status and phenprocoumon or acenocoumarol use, and to examine the risk of severe bleeding for the various genotypes. METHODS AND FINDINGS: We studied this in a case-control study of 110 patients who bled during VKA therapy and 220 control patients free of bleeding under the same therapy. To achieve the same target INR, CT genotype and TT genotype control patients required less phenprocoumon (CC genotype 2.9 mg/d [95% confidence interval (CI): 2.6–3.2], CT genotype 2.6 mg/d [95% CI: 2.1–3.1], TT genotype 1.4 mg/d [95 % CI: 1.1–1.7]) or acenocoumarol (CC genotype 3.2 mg/d [95% CI: 2.9–3.5], CT genotype 2.3 mg/d [95% CI: 2.1–2.5], TT genotype 1.7 mg/d [95% CI: 1.3–2.1]) than CC genotype control patients. Compared with CC genotype individuals, carriers of at least one T allele had an increased risk of bleeding in the phenprocoumon users (crude odds ratio = 2.6, 95% CI: 1.2–5.7), but not in acenocoumarol users (crude odds ratio = 1.2, 95% CI: 0.6–2.3). CONCLUSION: These findings encourage taking further steps towards the evaluation of the use of VKORC1 genetic testing for bleeding prevention in individuals who receive VKA therapy
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Orthographic facilitation in oral vocabulary acquisition
An experiment investigated whether exposure to orthography facilitates oral vocabulary learning. A total of 58 typically developing children aged 8-9 years were taught 12 nonwords. Children were trained to associate novel phonological forms with pictures of novel objects. Pictures were used as referents to represent novel word meanings. For half of the nonwords children were additionally exposed to orthography, although they were not alerted to its presence, nor were they instructed to use it. After this training phase a nonword-picture matching posttest was used to assess learning of nonword meaning, and a spelling posttest was used to assess learning of nonword orthography. Children showed robust learning for novel spelling patterns after incidental exposure to orthography. Further, we observed stronger learning for nonword-referent pairings trained with orthography. The degree of orthographic facilitation observed in posttests was related to children's reading levels, with more advanced readers showing more benefit from the presence of orthography
Developing serious games for cultural heritage: a state-of-the-art review
Although the widespread use of gaming for leisure purposes has been well documented, the use of games to support cultural heritage purposes, such as historical teaching and learning, or for enhancing museum visits, has been less well considered. The state-of-the-art in serious game technology is identical to that of the state-of-the-art in entertainment games technology. As a result, the field of serious heritage games concerns itself with recent advances in computer games, real-time computer graphics, virtual and augmented reality and artificial intelligence. On the other hand, the main strengths of serious gaming applications may be generalised as being in the areas of communication, visual expression of information, collaboration mechanisms, interactivity and entertainment. In this report, we will focus on the state-of-the-art with respect to the theories, methods and technologies used in serious heritage games. We provide an overview of existing literature of relevance to the domain, discuss the strengths and weaknesses of the described methods and point out unsolved problems and challenges. In addition, several case studies illustrating the application of methods and technologies used in cultural heritage are presented
Evaluation of Xpert® MTB/RIF and ustar easyNAT™ TB IAD for diagnosis of tuberculous lymphadenitis of children in Tanzania : a prospective descriptive study
Fine needle aspiration biopsy has become a standard approach for diagnosis of peripheral tuberculous lymphadenitis. The aim of this study was to compare the performance of Xpert MTB/RIF and Ustar EasyNAT TB IAD nucleic acid amplification assays, against acid-fast bacilli microscopy, cytology and mycobacterial culture for the diagnosis of TB lymphadenitis in children from a TB-endemic setting in Tanzania.; Children of 8 weeks to 16 years of age, suspected of having TB lymphadenitis, were recruited at a district hospital in Tanzania. Fine needle aspirates of lymph nodes were analysed using acid-fast bacilli microscopy, liquid TB culture, cytology, Xpert MTB/RIF and EasyNAT. Latent class analysis and comparison against a composite reference standard comprising "culture and/or cytology" was done, to assess the performance of Xpert MTB/RIF and EasyNAT for the diagnosis of TB lymphadenitis.; Seventy-nine children were recruited; 4 were excluded from analysis. Against a composite reference standard of culture and/or cytology, Xpert MTB/RIF and EasyNAT had a sensitivity and specificity of 58 % and 93 %; and 19 % and 100 % respectively. Relative to latent class definitions, cytology had a sensitivity of 100 % and specificity of 94.7 %.; Combining clinical assessment, cytology and Xpert MTB/RIF may allow for a rapid and accurate diagnosis of childhood TB lymphadenitis. Larger diagnostic evaluation studies are recommended to validate these findings and on Xpert MTB/RIF to assess its use as a solitary initial test for TB lymphadenitis in children
Mean-field Study of Charge, Spin, and Orbital Orderings in Triangular-lattice Compounds ANiO2 (A=Na, Li, Ag)
We present our theoretical results on the ground states in layered
triangular-lattice compounds ANiO2 (A=Na, Li, Ag). To describe the interplay
between charge, spin, orbital, and lattice degrees of freedom in these
materials, we study a doubly-degenerate Hubbard model with electron-phonon
couplings by the Hartree-Fock approximation combined with the adiabatic
approximation. In a weakly-correlated region, we find a metallic state
accompanied by \sqroot3x\sqroot3 charge ordering. On the other hand, we obtain
an insulating phase with spin-ferro and orbital-ferro ordering in a wide range
from intermediate to strong correlation. These phases share many
characteristics with the low-temperature states of AgNiO2 and NaNiO2,
respectively. The charge-ordered metallic phase is stabilized by a compromise
between Coulomb repulsions and effective attractive interactions originating
from the breathing-type electronphonon coupling as well as the Hund's-rule
coupling. The spin-orbital-ordered insulating phase is stabilized by the
cooperative effect of electron correlations and the Jahn-Teller coupling, while
the Hund's-rule coupling also plays a role in the competition with other
orbital-ordered phases. The results suggest a unified way of understanding a
variety of low-temperature phases in ANiO2. We also discuss a keen competition
among different spin-orbital-ordered phases in relation to a puzzling behavior
observed in LiNiO2
A MIQE-Compliant Real-Time PCR Assay for Aspergillus Detection
PMCID: PMC3393739This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
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