Is Less Better? Greater Efficiency With Fewer Resources Expended

Summarizes an analysis of Medicare spending to assess the relative efficiency of healthcare providers in managing patients with severe chronic illnesses in California. Highlights the need to redesign the payment system to improve healthcare efficiency

Design and Construction of the 3.2 Mev High Voltage Column for Darht II

A 3.2 MeV injector has been designed and built for the Darht II Project at Los Alamos Lab. The installation of the complete injector system is nearing completion at this time. The requirements for the injector are to produce a 3.2 MeV, 2000 ampere electron pulse with a flattop width of at least 2-microseconds and emittance of less than 0.15 p cm-rad normalized. A large high voltage column has been built and installed. The column is vertically oriented, is 4.4 meters long, 1.2 meters in diameter, and weights 5700 kilograms. A novel method of construction has been employed which utilizes bonded mycalex insulating rings. This paper will describe the design, construction, and testing completed during construction. Mechanical aspects of the design will be emphasized.Comment: 3 pages, 4 figures, Linac 200

A Radon Progeny Deposition Model

The next generation low-background detectors operating underground aim for unprecedented low levels of radioactive backgrounds. Although the radioactive decays of airborne radon (particularly Rn-222) and its subsequent progeny present in an experiment are potential backgrounds, also problematic is the deposition of radon progeny on detector materials. Exposure to radon at any stage of assembly of an experiment can result in surface contamination by progeny supported by the long half life (22 y) of Pb-210 on sensitive locations of a detector. An understanding of the potential surface contamination from deposition will enable requirements of radon-reduced air and clean room environments for the assembly of low background experiments. It is known that there are a number of environmental factors that govern the deposition of progeny onto surfaces. However, existing models have not explored the impact of some environmental factors important for low background experiments. A test stand has been constructed to deposit radon progeny on various surfaces under a controlled environment in order to develop a deposition model. Results from this test stand and the resulting deposition model are presented.Comment: Proceedings of the Topical Workshop in Low Radioactivity Techniques, (Sudbury, Canada) August 28-29, 201

Factors influencing the relationship between the dose of amlodipine required for blood pressure control and change in blood pressure in hypertensive cats

BACKGROUND: Hypertension is a common problem in elderly cats. In most cats, systolic blood pressure (SBP) of <160 mmHg is achieved in response to amlodipine besylate at either 0.625 or 1.25 mg q24h. The individual cat factors determining dose requirement dose have not been explored. AIMS: To determine whether individual cat factors influence the dose of amlodipine required to achieve adequate blood pressure control and to determine whether factors other than the prescribed dose of drug alter the achieved plasma amlodipine concentrations. METHODS: Fifty‐nine hypertensive cats that required 0.625 mg (A) and 41 cats that required 1.25 mg (B) amlodipine to reach a target SBP of <160 mmHg were identified, and plasma amlodipine concentrations were determined. Comparisons were made between groups, and multivariable linear regression models were performed to investigate predictors of antihypertensive response. RESULTS: Cats that required a greater dose of amlodipine had significantly higher SBP at diagnosis of hypertension (A: (median [25th, 75th percentile]) 182 [175,192] mmHg; B: 207 [194,217] mmHg, P < .001), but comparable blood pressure was achieved after treatment. Plasma amlodipine concentrations were directly related to the dose of amlodipine administered. At diagnosis, cats in group B had significantly lower plasma potassium concentration (A: 4.1 [3.8,4.5]; B: 3.8 [3.6,4.2] mEq/L, P < .01). Weight did not differ between groups. The decrease in SBP was directly and independently associated with the SBP at diagnosis and the plasma amlodipine concentration. CONCLUSIONS AND CLINICAL IMPORTANCE: Cats with higher blood pressure at diagnosis might require a greater dose of amlodipine to control their blood pressure adequately. Differences in amlodipine pharmacokinetics between cats do not seem to play a role in the antihypertensive response

Using gamma regression for photometric redshifts of survey galaxies

Machine learning techniques offer a plethora of opportunities in tackling big data within the astronomical community. We present the set of Generalized Linear Models as a fast alternative for determining photometric redshifts of galaxies, a set of tools not commonly applied within astronomy, despite being widely used in other professions. With this technique, we achieve catastrophic outlier rates of the order of ~1%, that can be achieved in a matter of seconds on large datasets of size ~1,000,000. To make these techniques easily accessible to the astronomical community, we developed a set of libraries and tools that are publicly available.Comment: Refereed Proceeding of "The Universe of Digital Sky Surveys" conference held at the INAF - Observatory of Capodimonte, Naples, on 25th-28th November 2014, to be published in the Astrophysics and Space Science Proceedings, edited by Longo, Napolitano, Marconi, Paolillo, Iodice, 6 pages, and 1 figur

Investigation of environmental indices from the Earth Resources Technology Satellite

The author has identified the following significant results. Land use change, water quality, and air quality indices have been calculated from analysis of ERTS-1 multispectral scanning imagery and computer compatible tapes. Specifications have been developed and discussed for an ERTS-1 environmental monitoring system which help to serve the information needs of environmental managers at the Federal, state, regional, and local level. General conclusions of the investigation are that ERTS-1 data is very useful in land use mapping and updating to 10-15 categories, and can provide an overall measure of air and water turbidity; however, more and better ground truth and possibly additional spacecraft sensors will be required if specific air and water pollutants are to be quantified from satellite data