How the presentation of patient information and decision-support advisories influences opioid prescribing behavior: A simulation study

ObjectiveThe United States faces an opioid crisis. Integrating prescription drug monitoring programs into electronic health records offers promise to improve opioid prescribing practices. This study aimed to evaluate 2 different user interface designs for prescription drug monitoring program and electronic health record integration.Materials and MethodsTwenty-four resident physicians participated in a randomized controlled experiment using 4 simulated patient cases. In the conventional condition, prescription opioid histories were presented in tabular format, and computerized clinical decision support (CDS) was provided via interruptive modal dialogs (ie, pop-ups). The alternative condition featured a graphical opioid history, a cue to visit that history, and noninterruptive CDS. Two attending pain specialists judged prescription appropriateness.ResultsParticipants in the alternative condition wrote more appropriate prescriptions. When asked after the experiment, most participants stated that they preferred the alternative design to the conventional design.ConclusionsHow patient information and CDS are presented appears to have a significant influence on opioid prescribing behavior

Multichannel coupling with supersymmetric quantum mechanics and exactly-solvable model for Feshbach resonance

A new type of supersymmetric transformations of the coupled-channel radial Schroedinger equation is introduced, which do not conserve the vanishing behavior of solutions at the origin. Contrary to usual transformations, these ``non-conservative'' transformations allow, in the presence of thresholds, the construction of potentials with coupled scattering matrices from uncoupled potentials. As an example, an exactly-solvable potential matrix is obtained which provides a very simple model of Feshbach-resonance phenomenon.Comment: 10 pages, 2 figure

Method for Generating Additive Shape Invariant Potentials from an Euler Equation

In the supersymmetric quantum mechanics formalism, the shape invariance condition provides a sufficient constraint to make a quantum mechanical problem solvable; i.e., we can determine its eigenvalues and eigenfunctions algebraically. Since shape invariance relates superpotentials and their derivatives at two different values of the parameter $a$, it is a non-local condition in the coordinate-parameter $(x, a)$ space. We transform the shape invariance condition for additive shape invariant superpotentials into two local partial differential equations. One of these equations is equivalent to the one-dimensional Euler equation expressing momentum conservation for inviscid fluid flow. The second equation provides the constraint that helps us determine unique solutions. We solve these equations to generate the set of all known $\hbar$-independent shape invariant superpotentials and show that there are no others. We then develop an algorithm for generating additive shape invariant superpotentials including those that depend on $\hbar$ explicitly, and derive a new $\hbar$-dependent superpotential by expanding a Scarf superpotential.Comment: 1 figure, 4 tables, 18 page

Second Order Darboux Displacements

The potentials for a one dimensional Schroedinger equation that are displaced along the x axis under second order Darboux transformations, called 2-SUSY invariant, are characterized in terms of a differential-difference equation. The solutions of the Schroedinger equation with such potentials are given analytically for any value of the energy. The method is illustrated by a two-soliton potential. It is proven that a particular case of the periodic Lame-Ince potential is 2-SUSY invariant. Both Bloch solutions of the corresponding Schroedinger equation equation are found for any value of the energy. A simple analytic expression for a family of two-gap potentials is derived

Connection between the Green functions of the supersymmetric pair of Dirac Hamiltonians

The Sukumar theorem about the connection between the Green functions of the supersymmetric pair of the Schr\"odinger Hamiltonians is generalized to the case of the supersymmetric pair of the Dirac Hamiltonians.Comment: 12 pages,Latex, no figure

PT-symmetric square well and the associated SUSY hierarchies

The PT-symmetric square well problem is considered in a SUSY framework. When the coupling strength $Z$ lies below the critical value $Z_0^{\rm (crit)}$ where PT symmetry becomes spontaneously broken, we find a hierarchy of SUSY partner potentials, depicting an unbroken SUSY situation and reducing to the family of $\sec^2$-like potentials in the $Z \to 0$ limit. For $Z$ above $Z_0^{\rm (crit)}$, there is a rich diversity of SUSY hierarchies, including some with PT-symmetry breaking and some with partial PT-symmetry restoration.Comment: LaTeX, 18 pages, no figure; broken PT-symmetry case added (Sec. 6

Supersymmetry in quantum mechanics: An extended view

The concept of supersymmetry in a quantum mechanical system is extended, permitting the recognition of many more supersymmetric systems, including very familiar ones such as the free particle. Its spectrum is shown to be supersymmetric, with space-time symmetries used for the explicit construction. No fermionic or Grassmann variables need to be invoked. Our construction extends supersymmetry to continuous spectra. Most notably, while the free particle in one dimension has generally been regarded as having a doubly degenerate continuum throughout, the construction clarifies taht there is a single zero energy state at the base of the spectrum.Comment: 4 pages, 4 figure

Quantum Mechanics of Multi-Prong Potentials

We describe the bound state and scattering properties of a quantum mechanical particle in a scalar $N$-prong potential. Such a study is of special interest since these situations are intermediate between one and two dimensions. The energy levels for the special case of $N$ identical prongs exhibit an alternating pattern of non-degeneracy and $(N-1)$ fold degeneracy. It is shown that the techniques of supersymmetric quantum mechanics can be used to generate new solutions. Solutions for prongs of arbitrary lengths are developed. Discussions of tunneling in $N$-well potentials and of scattering for piecewise constant potentials are given. Since our treatment is for general values of $N$, the results can be studied in the large $N$ limit. A somewhat surprising result is that a free particle incident on an $N$-prong vertex undergoes continuously increased backscattering as the number of prongs is increased.Comment: 17 pages. LATEX. On request, TOP_DRAW files or hard copies available for 7 figure

Darboux transformations for quasi-exactly solvable Hamiltonians

We construct new quasi-exactly solvable one-dimensional potentials through Darboux transformations. Three directions are investigated: Reducible and two types of irreducible second-order transformations. The irreducible transformations of the first type give singular intermediate potentials and the ones of the second type give complex-valued intermediate potentials while final potentials are meaningful in all cases. These developments are illustrated on the so-called radial sextic oscillator.Comment: 11 pages, Late