Robust excitation of C-band quantum dots for quantum communication

Building a quantum internet requires efficient and reliable quantum hardware, from photonic sources to quantum repeaters and detectors, ideally operating at telecommunication wavelengths. Thanks to their high brightness and single-photon purity, quantum dot (QD) sources hold the promise to achieve high communication rates for quantum-secured network applications. Furthermore, it was recently shown that excitation schemes, such as longitudinal acoustic phonon-assisted (LA) pumping, provide security benefits by scrambling the coherence between the emitted photon-number states. In this work, we investigate further advantages of LA-pumped quantum dots with emission in the telecom C-band as a core hardware component of the quantum internet. We experimentally demonstrate how varying the pump energy and spectral detuning with respect to the excitonic transition can improve quantum-secured communication rates and provide stable emission statistics regardless of network-environment fluctuations. These findings have significant implications for general implementations of QD single-photon sources in practical quantum communication networks

Standards for Scalable Clinical Decision Support: Need, Current and Emerging Standards, Gaps, and Proposal for Progress

Despite their potential to significantly improve health care, advanced clinical decision support (CDS) capabilities are not widely available in the clinical setting. An important reason for this limited availability of CDS capabilities is the application-specific and institution-specific nature of most current CDS implementations. Thus, a critical need for enabling CDS capabilities on a much larger scale is the development and adoption of standards that enable current and emerging CDS resources to be more effectively leveraged across multiple applications and care settings. Standards required for such effective scaling of CDS include (i) standard terminologies and information models to represent and communicate about health care data; (ii) standard approaches to representing clinical knowledge in both human-readable and machine-executable formats; and (iii) standard approaches for leveraging these knowledge resources to provide CDS capabilities across various applications and care settings. A number of standards do exist or are under development to meet these needs. However, many gaps and challenges remain, including the excessive complexity of many standards; the limited availability of easily accessible knowledge resources implemented using standard approaches; and the lack of tooling and other practical resources to enable the efficient adoption of existing standards. Thus, the future development and widespread adoption of current CDS standards will depend critically on the availability of tooling, knowledge bases, and other resources that make the adoption of CDS standards not only the right approach to take, but the cost-effective path to follow given the alternative of using a traditional, ad hoc approach to implementing CDS

General practitioners' attitudes and preparedness towards Clinical Decision Support in e-Prescribing (CDS-eP) adoption in the West of Ireland: a cross sectional study

Background: Electronic clinical decision support (CDS) is increasingly establishing its role in evidence-based clinical practice. Considerable evidence supports its enhancement of efficiency in e-Prescribing, but some controversy remains. This study evaluated the practicality and identified the perceived benefits of, and barriers to, its future adoption in the West of Ireland. Methods: This cross sectional study was carried out by means of a 27-part questionnaire sent to 262 registered general practitioners in Counties Galway, Mayo and Roscommon. The survey domains encompassed general information of individual's practice, current use of CDS and the practitioner's attitudes towards adoption of CDS-eP. Descriptive and inferential analyses were performed to analyse the data collected. Results: The overall response rate was 37%. Nearly 92% of respondents employed electronic medical records in their practice. The majority acknowledged the value of electronic CDS in improving prescribing quality (71%) and reducing prescribing errors (84%). Despite a high degree of unfamiliarity (73%), the practitioners were open to the use of CDS-eP (94%) and willing to invest greater resources for its implementation (62%). Lack of a strategic implementation plan (78%) is the main perceived barrier to the incorporation of CDS-eP into clinical practice, followed by i) lack of financial incentives (70%), ii) lack of standardized product software (61%), iii) high sensitivity of drug-drug interaction or medication allergy markers (46%), iv) concern about overriding physicians' prescribing decisions(44%) and v) lack of convincing evidence on the systems' effectiveness (22%). Conclusions: Despite favourable attitudes towards the adoption of CDS-eP, multiple perceived barriers impede its incorporation into clinical practice. These merit further exploration, taking into consideration the structure of the Irish primary health care system, before CDS-eP can be recommended for routine clinical use in the West of Ireland.Healthcare Informatics Society of Ireland (HISI) research bursary 2007-2009Deposited by bulk impor

A Cluster Randomized Clinical Trial to Improve Prescribing Patterns in Ambulatory Pediatrics

Having shown previously that an electronic prescription writer and decision support system improved pediatric prescribing behavior for otitis media in an academic clinic setting, we assessed whether point-of-care delivery of evidence could demonstrate similar effects for a wide range of other common pediatric conditions.Cluster randomized controlled trial.A teaching clinic/clinical practice site and a primary care pediatric clinic serving a rural and semi-urban patient mix.A total of 36 providers at the teaching clinic/practice site and eight providers at the private primary pediatric clinic.An evidence-based message system that presented real-time evidence to providers based on prescribing practices for acute otitis media, allergic rhinitis, sinusitis, constipation, pharyngitis, croup, urticaria, and bronchiolitis.The proportion of prescriptions dispensed in accordance with evidence.The proportion of prescriptions dispensed in accordance with evidence improved four percentage points, from 38% at baseline to 42% following the intervention. The control group improved by one percentage point, from 39% at baseline to 40% at trial's conclusion. The adjusted difference between the intervention and control groups was 8% (95% confidence interval 1%, 15%). Intervention effectiveness did not decrease with time.For common pediatric outpatient conditions, a point-of-care evidence-based prescription writer and decision support system was associated with significant improvements in prescribing practices

Review of Colorado\u27s Government: Structure, Politics, Administration and Policy” by Robert Stuart Lorch

For some decades a number of sponsoring agencies have sought to provide a standardized work on each state\u27s government and politics; thus far this goal has proven to be unattainable. In the meantime, studies such as this one have appeared in nearly all the states; this serves to inform interested readers about a particular state\u27s politics, and Lorch\u27s contribution has been a handsome one over these past years. Lorch recounts the quite old-how Colorado was settled, got its name, and achieved statehood-and the very new-adoption of the state\u27s first presidential preference primary for the 1992 election cycle, and the approval of two initiated constitutional amendments, one limiting the terms of state (and purportedly federal) legislators, the other imposing restraints on the legislature\u27s bill consideration process (e.g., public hearing for every bill). In between these historical extremes, the reader is treated to a fast-moving, often breezy, occasionally irreverent, but always informative commentary on the major political institutions and processes in Colorado state (and local) government. The author is obviously a close and careful follower of the political scene in Colorado. We learn, for instance that some 60-65% of the state\u27s expenditures go to education; that a Joint Budget Committee in the legislature is the decisive actor in the process; and that there is a system of courts that deal exclusively with water rights disputes

Enhancing Diagnosis Through Technology: Decision Support, Artificial Intelligence, and Beyond.

Patient care in intensive care environments is complex, time-sensitive, and data-rich, factors that make these settings particularly well-suited to clinical decision support (CDS). A wide range of CDS interventions have been used in intensive care unit environments. The field needs well-designed studies to identify the most effective CDS approaches. Evolving artificial intelligence and machine learning models may reduce information-overload and enable teams to take better advantage of the large volume of patient data available to them. It is vital to effectively integrate new CDS into clinical workflows and to align closely with the cognitive processes of frontline clinicians

MediClass: A System for Detecting and Classifying Encounter-based Clinical Events in Any Electronic Medical Record

MediClass is a knowledge-based system that processes both free-text and coded data to automatically detect clinical events in electronic medical records (EMRs). This technology aims to optimize both clinical practice and process control by automatically coding EMR contents regardless of data input method (e.g., dictation, structured templates, typed narrative). We report on the design goals, implemented functionality, generalizability, and current status of the system. MediClass could aid both clinical operations and health services research through enhancing care quality assessment, disease surveillance, and adverse event detection