We apply cross-sectional and panel data methods to a database of 5 million patients in 8000 English general practices to examine whether better primary care management of 10 chronic diseases is associated with reduced hospital costs. We find that only primary care performance in stroke care is associated with lower hospital costs. Our results suggest that the 10% improvement in the general prac...

BACKGROUND AND OBJECTIVES This study investigated factors related to declining interest in family medicine by US medical school graduates. METHODS A questionnaire was sent to all physicians who graduated from 24 medical schools in 1997-1999, and who entered a family medicine residency, and a randomly selected equal number of graduates from the same years who entered other primary care special...

The aim of this study was to determine whether there is a relationship between the structure of care for diabetes in general practice and the corresponding admission rates for diabetic patients to hospital. A questionnaire was sent to 350 group or single handed practices in the Oxford region and a retrospective analysis was made of admission rates using hospital activity analysis. Admission rat...

In this paper, we have examined strings with monopole and electric field and domain walls with matter and electric field in the spherically symmetric spacetime admitting a one-parameter group of conformal motions. For this purpose, we have solved Einstein’s field equations for a spherically symmetric space-time via conformal motions. Also, we have discussed the features of the obtained solutions.

This paper examines the challenges involved in commanding a field hospital. There are frequent, dynamic tensions between the military culture that is based on a task-focussed, hierarchical structure and the clinical culture that is based on flat, process-focussed, multidisciplinary teams. The paper outlines the cultural environment of the field hospital and then examines the deployment sequence...

We introduce and study a class of analytic difference operators admitting reflectionless eigenfunctions. Our construction of the class is patterned after the Inverse Scattering Transform for the reflectionless self-adjoint Schrödinger and Jacobi operators corresponding to KdV and Toda lattice solitons.

There has been a growing awareness in recent years of the need for health administrators to consider the objectives and welfare of both patients and staff when formulating working policy, and, in particular, the widespread introduction of appointment schemes in a wide range of clinics and general practice surgeries has been an important instrument in balancing the time wasted by doctors (in wai...

1 Department of Dermatology, Charité – University Medical Centre Berlin, Charité Platz 1, Berlin, D-10117, Germany 2 Department of Dermatology, Monklands Hospital, Airdrie, Lanarkshire, ML6 0JS, UK 3 Department of Dermatology, University of L’Aquila, Via Vetoio Coppito 2, 67100 L’Aquila, Italy 4 Service de Dermatologie Allergologie, Hôpital Cochin, 89 rue d’Assas, 75006 Paris, France and Univer...

We present a mechanism to construct four-dimensional charged massless Ramond states using the discrete states of a fivebrane Liouville internal conformal field theory. This conformal field theory has background charge, and admits an inner product which allows positive norm states. A connection among supergravity soliton solutions, Liouville conformal field theory, non-critical string theory and...