Continuous-time Markov model for geriatric patients behavior. Optimization of the bed occupancy and computer simulation

Previous research has shown that the flow of patients around departments of geriatric medicine and ex-patients in the community may be modelled by the application of a mixed-exponential distribution. In this paper we considered a five-compartment model using a continuous-time Markov process to describe the flow of patients. Using a M/Ph/c queuing model, we present a way of optimizing the number of beds in order to maintain an acceptable delay probability at a sufficiently low level. Finally, we constructed a Java computer simulation, using data from St George’s Hospital, London.     

Study of the reactione + e −→K + K − in the energy range1350 \leqq \sqrt s \leqq 2400 MeV

Thee ⁺ e ^?→K ⁺ K ^? cross section has been measured from about 750 events in the energy interval \(1350 \leqq \sqrt s \leqq 2400 MeV\) with the DM2 detector at DCI. TheK ^± form factor |F _F ^±| cannot be explained by the ρ, ω, ? and ρ′(1600). An additional resonant amplitude at 1650 MeV has to be added as suggested by a previous experiment.     

Darstellung,Isolierung und Charakterisierung Gemischter Cyanothiocyanatoäthylendiamin-Chrom(III)-Komplexe

Preparation, Isolation and Characterisation of Mixed Cyanothiocyanato-ethylenediamine-Chromium(III) Complexes The complex salts K[Cr(CN)(NCS)₃(en)] and [Cr(CN)(NCS)(en)₂]SCN are prepared for the first time. After the preparative isolation by column chromatography on alumima, they are characterized by the chromium content and the spectra.     

Examination of phase eouilibrium of the Ca(NO3)2-H2O system with quasi-isothermal-quasi-isobaric thermogravimetry and DTA

By means of the quasi-isothermal-quasi-isobaric thermogravimetry (Q-TG) technique ideal experimental conditions can be realized. This provides a possibility to compare the measured data with data from other phase equilibrium (solubility, tension) examinations.On the example of the Ca(NO₃)₂-H₂O system it is demonstrated that the phase diagrams can be used to interpret thermoanalytical (especially Q-TG) curves, or conversely, the results of thermoanalytical (Q-TG, DTA) examinations can serve for the control of equilibrium data of phase diagrams or to supply missing data.

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Zusammenfassung Mit Hilfe des quasi-isothermischen-quasi-isobaren thermogravimetrischen (Q-TG) Verfahrens können ideale Versuchsbedingungen realisiert werden. Das ermöglicht es, die gemessenen Daten mit von anderen Phasengleichgewicht-Untersuchungen (Lösbarkeit, Tension) stammenden Daten zu vergleichen.Durch das Beispiel des Ca(NO₃)₂-H₂O-Systems wurde es gezeigt, dass die Phasendiagramme zur Erklärung von thermoanalytischen (insbesondere Q-TG) Kurven können angewandt werden, oder umgekehrt, die Ergebnisse der thermoanalytischen (Q-TG, DTA) Untersuchungen als Kontrolle der Gleichgewichtsdaten der Phasendiagramme dienen können, oder die fehlenden Daten liefern können.

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- (Q-) . ( , ). Ca(NO₃)₂-H₂O , ( Q-) , .

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The authors are indebted to Prof. E. Pungor for valuable discussions, and thank Mrs. M. Kiss and Miss I. Fábián for their technical assistance.     

Investigations under quasi-isothermal and quasi-isobaric conditions by means of the Derivatograph

It is proved that under the conditions of dynamic thermoanalytical examinations the course of a decomposition reaction is determined primarily by the gas- and heattransfer partial processes, i.e. indirectly by the experimental conditions. This raises the question of whether it is justified to make kinetic calculations based on the shapes of similar curves. A new measuring technique is reported which uses a slightly modified Derivatograph. With this new method decomposition reactions can be examined under “quasi-isothermal” and “quasi-isobaric” conditions. The pernicious effects of the gas- and heat-transfer processes are thus eliminated, and the shapes of the curves obtained provide the possibility of studying the decomposition reactions in a new and more thorough way.     

Die Anwendung des Derivatographen zur Gleichzeitigen Dilatometrischen und Differential-Thermischen Analyse von Gläsern

Simultaneous DTA and dilatometric measurements were made and the derivatives of the dilatometric curves were taken for three glasses by means of a derivatograph. Glass blocks were used as test pieces with a boring for the thermoelement. A maximum was observed in the rate of length change, which can be explained by overheating phenomena. A comparison with DTA curves of glass powders published by Yamamoto showed that the break points in the DTA curves of glass blocks do not coincide with the Tg points, but under identical conditions they can serve for the rapid characterization of the transformation range.     

Derivative Dilatometrie

Zusammenfassung Die derivatographische Methode wurde weiterentwickelt. Mit Hilfe einer neuen Einrichtung kann man die Temperatur, die Gewichtsänderung und die Dilatation der Probe sowie auch die Geschwindigkeit der Enthalpie- und Gewichtsänderungen und die Geschwindigkeit der Dilatation messen. Die Vorteile der Einrichtung wurden an einigen praktischen Beispielen erläutert.

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Summary The derivatographic method was further developed. With the aid of a new apparatus it is possible to measure the temperature, the change in weight and the dilatation of the sample, as well as the velocity of the changes; in enthalpy and weight and the velocity of the dilatation. The advantages of the apparatus were demonstrated by means of several practical examples.

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Résumé On a élargi le domaine des méthodes dérivatographiques. A l'aide d'un nouveau dispositif, on peut mesurer la température, la variation de poids et la dilatation de l'échantillon, ainsi que la vitesse des changements d'enthalpie et de poids, et aussi la vitesse de la dilatation. On a montré les avantages de ce dispositif sur un certain nombre d'exemples pratiques.

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Bei der Ausführung der Versuche waren uns FrauM. Csonka und FrauE. Borsay behilflich, wofür wir ihnen auch an dieser Stelle danken.     

Tandem asymmetric conjugate addition-enolacetates formation of enantiomerically enriched zinc and aluminium enolates

The metal enolates, resulting from the copper-catalyzed enantioselective conjugate addition of organometallic reagents (Et₂Zn or R₃Al) to cyclic and acyclic enones are quantitatively trapped as enolacetates with acetic anhydride.     

Determination of the pyrites content of bauxites by thermal methods

A derivatographic method has been developed for the identification and determination of the pyrites content of bauxites and clay minerals. If the sample contains at least 0.2% of pyrite, then at 400–450° a weight increase is indicated on the DTG curve, while a heat liberation is shown on the DTA curve. The amplitude of or the area under, these maxima is proportional to the pyrites content of the sample, although the correlation is not linear. In addition, the effect of experimental conditions on the thermal decomposition of pyrites has been studied.     

Resistant starches and health

It was initially hypothesized that resistant starches, i.e., starch that enters the colon, would have protective effects on chronic colonic diseases, including reduction of colon cancer risk and in the treatment of ulcerative colitis. Recent studies have confirmed the ability of resistant starch to increase fecal bulk, increase the molar ratio of butyrate in relation to other short-chain fatty acids, and dilute fecal bile acids. However the ability of resistant starch to reduce luminal concentrations of compounds that are damaging to the colonic mucosa, including fecal ammonia, phenols, and N-nitroso compounds, still requires clear demonstration. As such, the effectiveness of resistant starch in preventing or treating colonic diseases remains to be assessed. Nevertheless, there is a fraction of what has been termed resistant (RS1) starch, which enters the colon and acts as slowly digested or lente carbohydrate in the small intestine. Foods in this class are low glycemic index and have been shown to reduce the risk of chronic disease. They have been associated with systemic physiological effects such as reduced postprandial insulin levels and higher HDL cholesterol levels. Consumption of low glycemic index foods has been shown to be related to reductions in risk of coronary heart disease and Type 2 diabetes. Type 2 diabetes has in turn been related to a higher risk of colon cancer. If carbohydrates have a protective role in colon cancer prevention this may lie partly in the systemic effects of low glycemic index foods. The colonic advantages of different carbohydrates, varying in their glycemic index and resistant starch content, therefore, remain to be determined. However, as recent positive research findings continue to mount, there is reason for optimism over the possible health advantages of those resistant starches, which are slowly digested in the small intestine.