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.     

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.     

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.     

Beiträge zum reaktionsverhalten von derivaten der imidodithiokohlensäure—I : Cyclisierungsreaktionen mit kalium-alkyl-cyanimidodithiocarbonaten

The reaction of potassium-alkyl-cyanoimidodithiocarbonate 1 with α-CH-acid halo compounds to 4-aminothiazoles 3, with monochloramine to 3-amino-1,2,4-thiadiazoles 5, and with α-halocarboxylic acid anilides to 4-thiazolidinones derivatives 12 is described. Characteristics of mass- and IR-spectra of the synthesized compounds are discussed.     

Synthesis of N-tetrasubstituted cyclam derivatives appended with sulfonyl or sulfinyl groups via aza-Michael addition

Azamacrocycles bearing four arylsulfonyl or arylsulfinyl pendant arms have been synthesised with good yields through nucleophilic addition of 1,4,8,11-tetraazacyclotetradecane (cyclam) to phenylvinylsulfone, phenylvinylsulfoxide or (R)-tolylvinylsulfoxide in isopropanol/water media. The crystal structure of the tetraethylsulfonylphenyl substituted macrocycle has been determined by X-ray crystallography. Preliminary studies of the coordination properties of these functionalised macrocyles towards Cu(II) and Eu(III) indicate that pendant sulfoxide groups act as oxygen donor coordinating groups.