17,489 research outputs found
quintel (pron. kant le)
quintal n112lb. of fishUsed I and SupNot usedNot used'cantal', 'kental', 'quintel', 'kantle', 'kintal(l)', 'kentalls','kentals', 'Quintal drum', '`fish drum', 'quintal faggot', '`drum', 'quintal of seals', 'quintals of bread
q-Differential equations for q-classical polynomials and q-Jacobi-Stirling numbers
We introduce, characterise and provide a combinatorial interpretation for the so-called q-Jacobi–Stirling numbers.
This study is motivated by their key role in the (reciprocal) expansion of any power of a second order
q-differential operator having the q-classical polynomials as eigenfunctions in terms of other even order operators,
which we explicitly construct in this work. The results here obtained can be viewed as the q-version of
those given by Everitt et al. and by the first author, whilst the combinatorics of this new set of numbers is a
q-version of the Jacobi–Stirling numbers given by Gelineau and the second author
Intersectoral cooperation between university hospitals and physicians in private practice in Germany– where the potential for optimization lies
Abstract Background Intersectoral cooperation between physicians in private practice and hospitals is highly relevant for ensuring the quality of medical care. However, the experiences and potential for optimization at this interface from the perspective of physicians in private practice have not yet been systematically investigated. The aim of this questionnaire survey was to record participants’ experiences with regard to cooperation with university hospitals and to identify the potential for optimizing intersectoral cooperation. Methods We performed a prospective cross-sectional study using an online survey among practising physicians of all disciplines offering ambulatory care in Germany. The link to a 41-item questionnaire was sent via mail using a commercial mail distributor in which 1095 practising physicians participated. Baseline statistics were performed with SurveyMonkey and Excel. Results A total of 70.6%/722 of the responding physicians in private practice rated cooperation with university hospitals as satisfactory. Satisfaction with the quality of treatment was confirmed by 87.2%/956 of the physicians. The subjectively perceived complication rate in patient care was assessed as rare (80.9%/886). However, the median waiting time for patients in the inpatient discharge letter was 4 weeks. The accessibility of medical contact persons was rated as rather difficult by 52.6%/577 of the physicians. A total of 48.6%/629 of the participants considered better communication as an equal partner to be an important potential for optimization. Likewise, 65.2%/714 participants wished for closer cooperation in pre- and/or post inpatient care. Conclusion The following optimization potentials were identified: timely discharge letters, clear online presentations of clinical contacts, improved accessibility by telephone, introduction or further development of a referral portal, regular intersectoral training and/or “get-togethers”, regular surveys of general practitioners and implementation of resulting measures, further development of cross-sectoral communication channels and strengthening of hospital IT
Recommended from our members
Network Q
A press release from Network Q announcing that they will begin featuring Brian McNaught, a gay columnist and author, for a monthly segment
Network Q
A press release from Network Q announcing that they will begin featuring Brian McNaught, a gay columnist and author, for a monthly segment
Tobin's Q and Financial Policy
Recent research in macroeconomics has emphasized the importance of linking the financial and real sectors and the need for working with optimizing models. Tobin’s Q model of investment would appear to provide a framework that can satisfy these two criteria. In contrast to the original presentation of the Q model, the formal development has not recognized that the firm actively participates in a number of financial markets; in this broader context, we show that Q is likely to be an uninformative and possibly misleading signal for investment expenditures . We then endeavor to turn this negative theoretical result to positive advantage in resolving a number of empirical problems with Q models, but the modifications dictated by the theory receive little support from the data.
A Q-learning based multi-strategy integrated artificial bee colony algorithm with application in unmanned vehicle path planning
Artificial bee colony (ABC) is a prominent algorithm that offers great exploration capabilities among various meta-heuristic algorithms. However, its monotonous and one-dimensional search strategy limits its searching performance in the solving process. Thus, to address this issue, a Q-learning based multi-strategy integrated ABC algorithm (QMABC) is proposed. In the QMABC, multiple search strategies are proposed to utilize different individual experiences and search approaches for solution updates. Then, Q-learning is employed for strategy selection. In comparison to previous studies, this paper introduces more effective state and action configurations within the framework of Q-learning. To evaluate the performance of the QMABC, CEC 2017 benchmark functions are adopted to compare it to different meta-heuristic algorithms including ABC based and non-ABC based algorithms. Moreover, applications in path planning are implemented to further verify the effectiveness of the QMABC. Overall, it should be highlighted that the proposed QMABC demonstrates superiority in both numerical and practical experiments.Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Discrete Mathematics and Optimizatio
Ventilation-perfusion ratio in perflubron during partial liquid ventilation
BACKGROUND: Functional magnetic resonance imaging (fMRI) of fluorine-19 allows for the mapping of oxygen partial pressure within perfluorocarbons in the alveolar space (Pao(2)). Theoretically, fMRI-detected Pao(2) can be combined with the Fick principle approach, i.e., a mass balance of oxygen uptake by ventilation and delivery by perfusion, to quantify the ventilation-perfusion ratio (Va/Q) of a lung region: The mixed venous blood and the inspiratory oxygen fraction, which are equal for all lung regions, are measured. In addition, the local expiratory oxygen fraction and the end capillary oxygen content, both of which may differ between the lung regions, are calculated using the fMRI-detected Pao(2). We investigated this approach by numerical simulations and applied it to quantify local Va/Q in the perfluorocarbons during partial liquid ventilation. METHODS: Numerical simulations were performed to analyze the sensitivity of the Va/Q calculation and to compare this approach with another one proposed by Rizi et al. in 2004 (Magn Reson Med 2004;52:65-72). Experimentally, the method was used during partial liquid ventilation in 7 anesthetized pigs. The Pao(2) distribution in intraalveolar perflubron was measured by fluorine-19 MRI. Respiratory gas fractions together with arterial and mixed venous blood samples were taken to quantify oxygen partial pressure and content. Using the Fick principle, the local Va/Q was estimated. The impact of gravity (nondependent versus dependent) of perflubron dose (10 vs 20 mL/kg body weight) and of inspired oxygen fraction (Fio(2)) (0.4-1.0) on Va/Q was examined. RESULTS: In numerical simulations, the Fick principle proved to be appropriate over the Va/Q range from 0.02 to 2.5. Va/Q values were in acceptable agreement with the method published by Rizi et al. In the experimental setting, low mean Va/Q values were found in perflubron (confidence interval [CI] 0.08-0.29 with 20 mL/kg perflubron). At this dose, Va/Q in the nondependent lung was higher (CI 0.18-0.39) than in the dependent lung regions (CI 0.06-0.16; P = 0.006; Student t test). Differences depending on Fio(2) or perflubron dose were, however, small. CONCLUSION: The results show that derivation of Va/Q from local Po(2) measurements using fMRI in perflubron is feasible. The low detected Va/Q suggests that oxygen transport into the perflubron-filled alveolar space is significantly restrained
Event-Based Communication in Distributed Q-Learning
We present an approach to reduce the communication of information needed on a Distributed Q-Learning system inspired by Event Triggered Control (ETC) techniques. We consider a baseline scenario of a Distributed Q-Learning problem on a Markov Decision Process (MDP). Following an event-based approach, N agents sharing a value function explore the MDP and compute a trajectory-dependent triggering signal which they use distributedly to decide when to communicate information to a central learner in charge of computing updates on the action-value function. These decision functions form an Event Based distributed Q learning system (EBd-Q), and we derive convergence guarantees resulting from the reduction of communication. We then apply the proposed algorithm to a cooperative path planning problem, and show how the agents are able to learn optimal trajectories communicating a fraction of the information. Additionally, we discuss what effects (desired and undesired) these event-based approaches have on the learning processes studied, and how they can be applied to more complex multi-agent systems.Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Team Manuel Mazo J
- …
