Predicting costs of mental health care: a critical literature review

Cost evaluation research in the mental health field is being increasingly recognized as a way to achieve a more effective deployment of scarce resources. However, there is a paucity of studies that seek to identify predictors of psychiatric service utilization and costs. This paper aims to critically review the published research in the field of psychiatric service utilization and costs, and discusses current methodological developments in this field

Nucleation and cluster formation in low-density nucleonic matter: A mechanism for ternary fission

Ternary fission yields in the reaction 241Pu(nth,f) are calculated using a new model which assumes a nucleation-time moderated chemical equilibrium in the low density matter which constitutes the neck region of the scissioning system. The temperature, density, proton fraction and fission time required to fit the experimental data are derived and discussed. A reasonably good fit to the experimental data is obtained. This model provides a natural explanation for the observed yields of heavier isotopes relative to those of the lighter isotopes, the observation of low proton yields relative to 2H and 3H yields and the non-observation of 3He, all features which are shared by similar thermal neutron induced and spontaneous fissioning systems.Comment: 6 pages, 3 figure

Isobaric Yield Ratios and The Symmetry Energy In Fermi Energy Heavy Ion Reactions

The relative isobaric yields of fragments produced in a series of heavy ion induced multifragmentation reactions have been analyzed in the framework of a Modified Fisher Model, primarily to determine the ratio of the symmetry energy coefficient to the temperature, $a_a/T$, as a function of fragment mass A. The extracted values increase from 5 to ~16 as A increases from 9 to 37. These values have been compared to the results of calculations using the Antisymmetrized Molecular Dynamics (AMD) model together with the statistical decay code Gemini. The calculated ratios are in good agreement with those extracted from the experiment. In contrast, the ratios determined from fitting the primary fragment distributions from the AMD model calculation are ~ 4 and show little variation with A. This observation indicates that the value of the symmetry energy coefficient derived from final fragment observables may be significantly different than the actual value at the time of fragment formation. The experimentally observed pairing effect is also studied within the same simulations. The Coulomb coefficient is also discussed.Comment: 10 pages, 12 figure

Cocirculation of Hajj and non-Hajj strains among serogroup W meningococci in Italy, 2000 to 2016

In Italy, B and C are the predominant serogroups among meningococci causing invasive diseases. Nevertheless, in the period from 2013 to 2016, an increase in serogroup W Neisseria meningitidis (MenW) was observed. This study intends to define the main characteristics of 63 MenW isolates responsible of invasive meningococcal disease (IMD) in Italy from 2000 to 2016. We performed whole genome sequencing on bacterial isolates or single gene sequencing on culturenegative samples to evaluate molecular heterogeneity. Our main finding was the cocirculation of the Hajj and the South American sublineages belonging to MenW/ clonal complex (cc)11, which gradually surpassed the MenW/cc22 in Italy. All MenW/cc11 isolates were fully susceptible to cefotaxime, ceftriaxone, ciprofloxacin, penicillin G and rifampicin. We identified the fulllength NadA protein variant 2/3, present in all the MenW/cc11. We also identified the fHbp variant 1, which we found exclusively in the MenW/cc11/Hajj sublineage. Concern about the epidemic potential of MenW/cc11 has increased worldwide since the year 2000. Continued surveillance, supported by genomic characterisation, allows high-resolution tracking of pathogen dissemination and the detection of epidemicassociated strains

Experimental study of fusion neutron and proton yields produced by petawatt-laser-irradiated D2-3He or CD4-3He clustering gases

We report on experiments in which the Texas Petawatt laser irradiated a mixture of deuterium or deuterated methane clusters and helium-3 gas, generating three types of nuclear fusion reactions: D(d, 3He)n, D(d, t)p and 3He(d, p)4He. We measured the yields of fusion neutrons and protons from these reactions and found them to agree with yields based on a simple cylindrical plasma model using known cross sections and measured plasma parameters. Within our measurement errors, the fusion products were isotropically distributed. Plasma temperatures, important for the cross sections, were determined by two independent methods: (1) deuterium ion time-of-flight, and (2) utilizing the ratio of neutron yield to proton yield from D(d, 3He)n and 3He(d, p)4He reactions, respectively. This experiment produced the highest ion temperature ever achieved with laser-irradiated deuterium clusters.Comment: 16 pages, 6 figure

Critical behavior of the isotope yield distributions in the Multifragmentation Regime of Heavy Ion Reactions

Isotope yields have been analyzed within the framework of a Modified Fisher Model to study the power law yield distribution of isotopes in the multifragmentation regime. Using the ratio of the mass dependent symmetry energy coefficient relative to the temperature, $a_{sym}/T$, extracted in previous work and that of the pairing term, $a_{p}/T$, extracted from this work, and assuming that both reflect secondary decay processes, the experimentally observed isotope yields have been corrected for these effects. For a given I = N - Z value, the corrected yields of isotopes relative to the yield of $^{12}C$ show a power law distribution, $Y(N,Z)/Y(^{12}C) \sim A^{-\tau}$, in the mass range of $1 \le A \le 30$ and the distributions are almost identical for the different reactions studied. The observed power law distributions change systematically when I of the isotopes changes and the extracted $\tau$ value decreases from 3.9 to 1.0 as I increases from -1 to 3. These observations are well reproduced by a simple de-excitation model, which the power law distribution of the primary isotopes is determined to $\tau^{prim} = 2.4 \pm 0.2$, suggesting that the disassembling system at the time of the fragment formation is indeed at or very near the critical point.Comment: 5 pages, 5 figure

Temperature measurements of fusion plasmas produced by petawatt laser-irradiated D2-3He or CD4-3He clustering gases

Two different methods have been employed to determine the plasma temperature in a laser-cluster fusion experiment on the Texas Petawatt laser. In the first, the temperature was derived from time-of-flight data of deuterium ions ejected from exploding D2 or CD4 clusters. In the second, the temperature was measured from the ratio of the rates of two different nuclear fusion reactions occurring in the plasma at the same time: D(d, 3He)n and 3He(d, p)4He. The temperatures determined by these two methods agree well, which indicates that: i) The ion energy distribution is not significantly distorted when ions travel in the disassembling plasma; ii) The kinetic energy of deuterium ions, especially the hottest part responsible for nuclear fusion, is well described by a near-Maxwellian distribution.Comment: 13 pages, 4 figure