Excess length of hospital stay due to healthcare acquired infections. Methodologies evaluation

BACKGROUND: Healthcare acquired infections (HAI) cause an increase of burden and in particular excess length of hospital stay (LOS) accounts for approximately up to 90% of total costs. Therefore accurate estimation of extra hospital stay due to healthcare acquired infections is very important. METHODS: The authors carried out a review comparing the principal methods internationally used for estimating the excess LOS attributable to healthcare acquired infections. RESULTS: The methods described and analysed are: 1) Implicit physician assessment; 2) appropriateness evaluation protocol; 3) unmatched case-control; 4) matched case-control; 5) regression analysis; 6) multistate model. The various methodologies are described underlining advantages and limits which researchers need to know before starting any economic analysis. CONCLUSIONS: Overall, studies taking into account the time-dependent nature of HAI show to give more precise and reliable results

A bulk superconducting MgB2 cylinder for holding transversely polarized targets

An innovative solution is being pursued for the challenging magnetic problem of producing an internal transverse field around a polarized target, while shielding out an external longitudinal field from a detector. A hollow bulk superconductor can trap a transverse field that is present when cooled through its transition temperature, and also shield its interior from any subsequent field changes. A feasibility study with a prototype bulk MgB2 superconducting cylinder is described. Promising measurements taken of the interior field retention and exterior field exclusion, together with the corresponding long-term stability performance, are reported. In the context of an electron scattering experiment, such a solution minimizes beam deflection and the energy loss of reaction products, while also eliminating the heat load to the target cryostat from current leads that would be used with conventional electromagnets

Quasi-free Compton Scattering from the Deuteron and Nucleon Polarizabilities

Cross sections for quasi-free Compton scattering from the deuteron were measured for incident energies of 236--260 MeV at the laboratory angle -135 degrees. The recoil nucleons were detected in a liquid-scintillator array situated at 20 degrees. The measured differential cross sections were used, with the calculations of Levchuk et al., to determine the polarizabilities of the bound nucleons. For the bound proton, the extracted values were consistent with the accepted value for the free proton. Combining our results for the bound neutron with those from Rose et al., we obtain one-sigma constraints of alpha_n = 7.6-14.0 and beta_n = 1.2-7.6.Comment: 4 pages, 3 figures, accepted in PR

Gerasimov-Drell-Hearn sum rule and nucleon structure

A modification of the Gerasimov--Drell--Hearn sum rule suggested by the current experimental data is presented. Within the conventional theoretical framework, we find it necessary to consider the possibility of the presence of a localized region inside a nucleon, in which the electromagnetic (EM) gauge symmetry is spontaneous broken down, if the constraints of the gauge invariance, Lorentz invariance and the assumption of the commutativity of the EM charge density operator at equal-time are considered. We also discuss the propagation of a virtual photon inside a nucleon under such a scenario. A comment on some of the recent model independent works on the same subject is provided.Comment: 11 pages, 1 figures, RevTeX file, published in 1996, Comments on recent progresses added in the appendi

Updated resonance photo-decay amplitudes to 2 GeV

We present the results of an energy-dependent and set of single-energy partial-wave analyses of single-pion photoproduction data. These analyses extend from threshold to 2 GeV in the laboratory photon energy, and update our previous analyses to 1.8 GeV. Photo-decay amplitudes are extracted for the baryon resonances within this energy range. We consider two photoproduction sum rules and the contributions of two additional resonance candidates found in our most recent analysis of $\pi N$ elastic scattering data. Comparisons are made with previous analyses.Comment: Revtex, 26 pages, 3 figures. Postscript figures available from ftp://clsaid.phys.vt.edu/pub/pr or indirectly from http://clsaid.phys.vt.edu/~CAPS

Polarization Phenomena in Small-Angle Photoproduction of e+e- Pairs and the Gerasimov-Drell-Hearn Sum Rule

Photoproduction of $e^+e^-$ pairs at small angles is investigated as a tool to determine the functions $f_1$ and $f_2$ entering the real-photon forward Compton scattering amplitude. The method is based on an interference of the Bethe-Heitler and the virtual Compton scattering mechanisms, generating an azimuthal asymmetry in the $e^+$ versus $e^-$ yield. The general case of a circularly polarized beam and a longitudinally polarized target allows one to determine both the real and imaginary parts of $f_1$ as well as $f_2$. The imaginary part of $f_2$ requires target polarization only. We calculate cross sections and asymmetries of the reaction $p(\gamma,e^+e^-)p$, estimate corrections and backgrounds, and propose suitable kinematical regions to perform the experiment. Our investigation shows that photoproduction of $e^+e^-$-pairs off the proton and light nuclei may serve as a rather sensitive test of the validity of the Gerasimov-Drell-Hearn sum rule.Comment: 22 pages; revtex; 5 postscript figures included in submission; submitted to Phys. Rev.

Meson-exchange Model for πN\pi N scattering and γN−>πN\gamma N -> \pi N reaction

An effective Hamiltonian consisting of bare $\Delta \leftrightarrow\pi N$, $\gamma N$ vertex interactions and energy-independent meson-exchange $\pi N \leftrightarrow \pi N, \gamma N$ transition operators is derived by applying a unitary transformation to a model Lagrangian with $N,\Delta,\pi$, $\rho$, $\omega$, and $\gamma$ fields. With appropraite phenomenological form factors and coupling constants for $\rho$ and $\Delta$, the model can give a good description of $\pi N$ scattering phase shifts up to the $\Delta$ excitation energy region. It is shown that the best reproduction of the recent LEGS data of the photon-asymmetry ratios in $\gamma p \rightarrow \pi ^0 p$ reactions provides rather restricted constraints on the coupling strengths $G_E$ of the electric $E2$ and $G_M$ of the magnetic $M1$ transitions of the bare $\Delta \leftrightarrow \gamma N$ vertex and the less well-determined coupling constant $g_{\omega NN}$ of $\omega$ meson. Within the ranges that $G_M = 1.9 \pm 0.05$, $G_E = 0.0 \pm 0.025$, and $7 \leq g_{\omega NN}\leq 10.5$, the predicted differential cross sections and photon-asymmetry ratios are in an overall good agreement with the data of $\gamma p \rightarrow \pi ^0 p$, $\gamma p \rightarrow \pi ^+ n$, and $\gamma n\rightarrow \pi ^- p$ reactions from 180 MeV to the $\Delta$ excitation region. The predicted $M_{1^+}$ and $E_{1^+}$ multipole amplitudes are also in good agreement with the empirical values determined by the amplitude analyses. The constructed effective Hamiltonian is free of the nucleon renormlization problem and hence is suitable for nuclear many-body calculations. We have also shown that the assumptions made in the $K$-matrix method, commonly used in extracting empirically the $\gamma N \rightarrow \Delta$ transition amplitudes from the data, are consistent withComment: 49 pages + 23 Figures, Revte

Low-Energy Compton Scattering of Polarized Photons on Polarized Nucleons

The general structure of the cross section of $\gamma N$ scattering with polarized photon and/or nucleon in initial and/or final state is systematically described and exposed through invariant amplitudes. A low-energy expansion of the cross section up to and including terms of order $\omega^4$ is given which involves ten structure parameters of the nucleon (dipole, quadrupole, dispersion, and spin polarizabilities). Their physical meaning is discussed in detail. Using fixed-t dispersion relations, predictions for these parameters are obtained and compared with results of chiral perturbation theory. It is emphasized that Compton scattering experiments at large angles can fix the most uncertain of these structure parameters. Predictions for the cross section and double-polarization asymmetries are given and the convergence of the expansion is investigated. The feasibility of the experimental determination of some of the struture parameters is discussed.Comment: 41 pages of text, 9 figures; minor revisions prior to publication in Phys. Rev.

Fixed-t subtracted dispersion relations for Compton scattering off the nucleon

We present fixed-$t$ subtracted dispersion relations for Compton scattering off the nucleon at energies $E_\gamma \leq$ 500 MeV, as a formalism to extract the nucleon polarizabilities with a minimum of model dependence. The subtracted dispersion integrals are mainly saturated by $\pi N$ intermediate states in the $s$-channel $\gamma N \to \pi N \to \gamma N$ and $\pi \pi$ intermediate states in the $t$-channel $\gamma \gamma \to \pi \pi \to N \bar N$. For the subprocess $\gamma \gamma \to \pi \pi$, we construct a unitarized amplitude and find a good description of the available data. We show results for Compton scattering using the subtracted dispersion relations and display the sensitivity on the scalar polarizability difference $\alpha - \beta$ and the backward spin polarizability $\gamma_\pi$, which enter directly as fit parameters in the present formalism

Real and Virtual Compton Scattering off the Nucleon

A review is given of the very recent developments in the fields of real and virtual Compton scattering off the nucleon. Both real and virtual Compton scattering reactions are discussed at low outgoing photon energy where one accesses polarizabilities of the nucleon. The real Compton scattering at large momentum transfer is discussed which is asymptotically a tool to obtain information on the valence quark wave function of the nucleon. The rapid developments in deeply virtual Compton scattering and associated meson electroproduction reactions at high energy, high photon virtuality and small momentum transfer to the nucleon are discussed. A unified theoretical description of those processes has emerged over the last few years, which gives access to new, generalized parton distributions. The experimental status and perspectives in these fields are also discussed.Comment: 25 pages, 17 figure