52 research outputs found
Structural Volatility in Argentina: A Policy Report
The author identifies sources of volatility in Argentina that include weak international financial links, a recurrent credit crunch and financial underdevelopment problem, a fragile fiscal situation, and a pervasive profit and collateral squeeze mechanism brought about by a rigid labor market and exchange rate system. The paper`s policy recommendations include improving external financial links, continuing and accelerating the path of domestic financial deepening, giving very high priority to the reduction of the public debt burden problem, and addressing the fundamental incompatibility between labor market rigidities and a highly inflexible exchange rate system
The Diabetes Care Project: an Australian multicentre, cluster randomised controlled trial [study protocol]
BACKGROUND: Diabetes mellitus is an increasingly prevalent metabolic disorder that is associated with substantial disease burden. Australia has an opportunity to improve ways of caring for the growing number of people with diabetes, but this may require changes to the way care is funded, organised and delivered. To inform how best to care for people with diabetes, and to identify the extent of change that is required to achieve this, the Diabetes Care Project (DCP) will evaluate the impact of two different, evidence-based models of care (compared to usual care) on clinical quality, patient and provider experience, and cost. METHODS/DESIGN: The DCP uses a pragmatic, cluster randomised controlled trial design. Accredited general practices that are situated within any of the seven Australian Medicare Locals/Divisions of General Practice that have agreed to take part in the study were invited to participate. Consenting practices will be randomly assigned to one of three treatment groups for approximately 18 to 22 months: (a) control group (usual care); (b) Intervention 1 (which tests improvements that could be made within the current funding model, facilitated through the use of an online chronic disease management network); or (c) Intervention 2 (which includes the same components as Intervention 1, as well as altered funding to support voluntary patient registration with their practice, incentive payments and a care facilitator). Adult patients who attend the enrolled practices and have established (≥12 month’s duration) type 1 diabetes mellitus or newly diagnosed or established type 2 diabetes mellitus are invited to participate. Multiple outcomes will be studied, including changes in glycosylated haemoglobin (primary outcome), changes in other biochemical and clinical metrics, incidence of diabetes-related complications, quality of life, clinical depression, success of tailored care, patient and practitioner satisfaction, and budget sustainability. DISCUSSION: This project responds to a need for robust evidence of the clinical and economic effectiveness of coordinated care for the management of diabetes in the Australian primary care setting. The outcomes of the study will have implications not only for diabetes management, but also for the management of other chronic diseases, both in Australia and overseas. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ACTRN12612000363886); World Health Organisation (U1111-1128-0481)
Long-term Monitoring on Mrk 501 for Its VHE gamma Emission and a Flare in October 2011
As one of the brightest active blazars in both X-ray and very high energy
-ray bands, Mrk 501 is very useful for physics associated with jets
from AGNs. The ARGO-YBJ experiment is monitoring it for -rays above 0.3
TeV since November 2007. Starting from October 2011 the largest flare since
2005 is observed, which lasts to about April 2012. In this paper, a detailed
analysis is reported. During the brightest -rays flaring episodes from
October 17 to November 22, 2011, an excess of the event rate over 6 is
detected by ARGO-YBJ in the direction of Mrk 501, corresponding to an increase
of the -ray flux above 1 TeV by a factor of 6.62.2 from its steady
emission. In particular, the -ray flux above 8 TeV is detected with a
significance better than 4 . Based on time-dependent synchrotron
self-Compton (SSC) processes, the broad-band energy spectrum is interpreted as
the emission from an electron energy distribution parameterized with a single
power-law function with an exponential cutoff at its high energy end. The
average spectral energy distribution for the steady emission is well described
by this simple one-zone SSC model. However, the detection of -rays
above 8 TeV during the flare challenges this model due to the hardness of the
spectra. Correlations between X-rays and -rays are also investigated.Comment: have been accepted for publication at Ap
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