Key Findings From HSC's 2010 Site Visits: Health Care Markets Weather Economic Downturn, Brace for Health Reform

Presents findings about hospital payment rate increases, hospital-physician alignment, and insurance premiums, funding for safety-net providers, and their implications from HSC's site visits to twelve nationally representative metropolitan communities

String order and hidden topological symmetry in the SO(2n+1) symmetric matrix product states

We have introduced a class of exactly soluble Hamiltonian with either SO(2n+1) or SU(2) symmetry, whose ground states are the SO(2n+1) symmetric matrix product states. The hidden topological order in these states can be fully identified and characterized by a set of nonlocal string order parameters. The Hamiltonian possesses a hidden $(Z_{2}\times Z_{2})^{n}$ topological symmetry. The breaking of this hidden symmetry leads to $4^{n}$ degenerate ground states with disentangled edge states in an open chain system. Such matrix product states can be regarded as cluster states, applicable to measurement-based quantum computation.Comment: 5 pages, 1 figur

Analysis of rolling bearing power loss models for twin screw oil injected compressor

The mechanical losses inside a screw compressor limit the performance of the compressor in terms of efficiency. These losses arise due to relative motion between elements inside the screw compressor. The estimation of mechanical losses predicted in the literature is around 10-15% of the total shaft power. One of the elements which contribute significantly to these losses is rolling element bearings. There are numerous mathematical models available which predict power losses in the rolling bearings. The objective of this paper is to study different models to predict power loss for rolling bearings and to predict the power losses for the bearings used for oil injected, twin screw compressor. A comparison between different power loss models for different operating conditions of compressor is also presented in this paper and results of analysis are compared with available experimental observations. The analysis helps to determine suitable power loss model for different operating conditions and more realistic predictions of the power losses. This allows designers for more accurate estimation of the performance of screw compressors

2D and 3D cubic monocrystalline and polycrystalline materials: their stability and mechanical properties

We consider 2- and 3-dimensional cubic monocrystalline and polycrystalline materials. Expressions for Young's and shear moduli and Poisson's ratio are expressed in terms of eigenvalues of the stiffness tensor. Such a form is well suited for studying properties of these mechanical characteristics on sides of the stability triangles. For crystalline high-symmetry directions lines of vanishing Poisson's ratio are found. These lines demarcate regions of the stability triangle into areas of various auxeticity properties. The simplest model of polycrystalline 2D and 3D cubic materials is considered. In polycrystalline phases the region of complete auxetics is larger than for monocrystalline materials.Comment: 9 pages, 3 figures, in proceedings of the Tenth International School on Theoretical Physics, Symmetry and Structural Properties of Condensed Matter, Myczkowce 200

Healthcare Price Transparency: Policy Approaches and Estimated Impacts on Spending

Healthcare price transparency discussions typically focus on increasing patients' access to information about their out-of-pocket costs, but that focus is too narrow and should include other audiences -- physicians, employers, health plans and policymakers -- each with distinct needs and uses for healthcare price information. Greater price transparency can reduce U.S. healthcare spending.For example, an estimated $100 billion could be saved over the next 10 years if three select interventions were undertaken. However, most of the projected savings come from making price information available to employers and physicians, according to an analysis by researchers at the former Center for Studying Health System Change (HSC). Based on the current availability and modest impact of plan-based transparency tools, requiring all private plans to provide personalized out-of-pocket price data to enrollees would reduce total health spending by an estimated$18 billion over the next decade. While $18 billion is a substantial dollar amount, it is less than a tenth of a percent of the$40 trillionin total projected health spending over the same period. In contrast, using state all-payer claims databases to gather and report hospital-specific prices might reduce spending by an estimated $61 billion over 10 years.The effects of price transparency depend critically on the intended audience, the decision-making context and how prices are presented. And the impact of price transparency can be greatly amplified if target audiences are able and motivated to act on the information. Simply providing prices is insufficient to control spending without other shifts in healthcare financing, including changes in benefit design to make patients more sensitive to price differences among providers and alternative treatments. Other reforms that can amplify the impact of price transparency include shifting from fee-for-service payments that reward providers for volume to payment methods that put providers at risk for spending for episodes of care or defined patient populations. While price transparency alone seems unlikely to transform the healthcare system, it can play a needed role in enabling effective reforms in value-based benefit design and provider payment

Bounds of Efficiency at Maximum Power for Normal-, Sub- and Super-Dissipative Carnot-Like Heat Engines

The Carnot-like heat engines are classified into three types (normal-, sub- and super-dissipative) according to relations between the minimum irreversible entropy production in the "isothermal" processes and the time for completing those processes. The efficiencies at maximum power of normal-, sub- and super-dissipative Carnot-like heat engines are proved to be bounded between $\eta_C/2$ and $\eta_C/(2-\eta_C)$, $\eta_C /2$ and $\eta_C$, 0 and $\eta_C/(2-\eta_C)$, respectively. These bounds are also shared by linear, sub- and super-linear irreversible Carnot-like engines [Tu and Wang, Europhys. Lett. 98, 40001 (2012)] although the dissipative engines and the irreversible ones are inequivalent to each other.Comment: 1 figur

Thermoelectric efficiency at maximum power in a quantum dot

We identify the operational conditions for maximum power of a nanothermoelectric engine consisting of a single quantum level embedded between two leads at different temperatures and chemical potentials. The corresponding thermodynamic efficiency agrees with the Curzon-Ahlborn expression up to quadratic terms in the gradients, supporting the thesis of universality beyond linear response.Comment: 4 pages, 3 figure

Ultra narrow AuPd and Al wires

In this letter we discuss a novel and versatile template technique aimed to the fabrication of sub-10 nm wide wires. Using this technique, we have successfully measured AuPd wires, 12 nm wide and as long as 20 $\mu$m. Even materials that form a strong superficial oxide, and thus not suited to be used in combination with other techniques, can be successfully employed. In particular we have measured Al wires, with lateral width smaller or comparable to 10 nm, and length exceeding 10 $\mu$m.Comment: 4 pages, 4 figures. Pubblished in APL 86, 172501 (2005). Added erratum and revised Fig.

Multiple-Resampling Receiver Design for OFDM Over Doppler-Distorted Underwater Acoustic Channels

Cataloged from PDF version of article.In this paper, we focus on orthogonal frequency-divisionmultiplexing (OFDM) receiver designs for underwater acoustic (UWA) channels with user- and/or path-specific Doppler scaling distortions. The scenario is motivated by the cooperative communications framework, where distributed transmitter/receiver pairs may experience significantly different Doppler distortions, as well as by the single-user scenarios, where distinct Doppler scaling factors may exist among different propagation paths. The conventional approach of front–end resampling that corrects for common Doppler scalingmay not be appropriatein such scenarios, rendering a post-fast-Fourier-transform (FFT) signal that is contaminated by user- and/or path-specific intercarrier interference. To counteract this problem, we propose a family of front–end receiver structures thatutilizemultiple-resampling (MR)branches,eachmatched to the Doppler scaling factor of a particular user and/or path. Following resampling, FFT modules transform the Doppler-compensated signals into the frequency domain for further processing through linear or nonlinear detection schemes. As part of the overall receiver structure, a gradient–descent approachis also proposed to refine the channel estimates obtained by standard sparse channel estimators. The effectiveness and robustness of the proposed receivers are demonstrated via simulations, as well as emulations based on real data collected during the 2010 Mobile Acoustic Communications Experiment (MACE10, Martha’s Vineyard, MA) and the 2008 Kauai Acomms MURI (KAM08, Kauai, HI) experiment