The intellectual information system of medical aid control in the scope of Russian medical insurance

The article presents the developed intellectual information system, oriented for healthcare providers. The system solves a problem of medical aid quality control in the Russian medical insurance sphere. The main components are ISO13606, fuzzy logic and a case-based reasoning concept. The system provides medical insurance payments forecasting by the analysis of medical records and generates two evaluations based on medical standards and a set of precedents. The result of the system implementation allowed up to a 10% increase in insurance payments for the healthcare provider

Supersonic Line Broadening within Young and Massive Super Star Clusters

The origin of supersonic infrared and radio recombination nebular lines often detected in young and massive superstar clusters are discussed. We suggest that these arise from a collection of repressurizing shocks (RSs), acting effectively to re-establish pressure balance within the cluster volume and from the cluster wind which leads to an even broader although much weaker component. The supersonic lines are here shown to occur in clusters that undergo a bimodal hydrodynamic solution (Tenorio-Tagle et al. 2007), that is within clusters that are above the threshold line in the mechanical luminosity or cluster mass vs the size of the cluster (Silich et al. 2004). The plethora of repressurizing shocks is due to frequent and recurrent thermal instabilities that take place within the matter reinserted by stellar winds and supernovae. We show that the maximum speed of the RSs and of the cluster wind, are both functions of the temperature reached at the stagnation radius. This temperature depends only on the cluster heating efficiency ($\eta$). Based on our two dimensional simulations (Wunsch et al. 2008) we calculate the line profiles that result from several models and confirm our analytical predictions. From a comparison between the predicted and observed values of the half-width zero intensity of the two line components we conclude that the thermalization efficiency in SSC's above the threshold line must be lower than 20%.Comment: 17 pages, 3 figures, accepted by Ap

Winds driven by super-star clusters: The self-consistent radiative solution

Here we present a self-consistent stationary solution for spherically symmetric winds driven by massive star clusters under the impact of radiative cooling. We demonstrate that cooling may modify drastically the distribution of temperature if the rate of injected energy approaches a critical value. We also prove that the stationary wind solution does not exist whenever the energy radiated away at the star cluster center exceeds ~ 30% of the energy deposition rate. Finally we thoroughly discuss the expected appearance of super-star cluster winds in the X-ray and visible line regimes. The three solutions here found: the quasi-adiabatic, the strongly radiative wind and the inhibited stationary solution, are then compared to the winds from Arches cluster, NGC 4303 central cluster and to the supernebula in NGC 5253.Comment: 9 pages, 5 figures, accepted for publication by The Astrophysical Journa

On the Hydrodynamic Interplay Between a Young Nuclear Starburst and a Central Super Massive Black Hole

We present 1D numerical simulations, which consider the effects of radiative cooling and gravity on the hydrodynamics of the matter reinserted by stellar winds and supernovae within young nuclear starbursts with a central supermassive black hole (SMBH). The simulations confirm our previous semi-analytic results for low energetic starbursts, evolving in a quasi-adiabatic regime, and extend them to more powerful starbursts evolving in the catastrophic cooling regime. The simulations show a bimodal hydrodynamic solution in all cases. They present a quasi-stationary accretion flow onto the black hole, defined by the matter reinserted by massive stars within the stagnation volume and a stationary starburst wind, driven by the high thermal pressure acquired in the region between the stagnation and the starburst radii. In the catastrophic cooling regime, the stagnation radius rapidly approaches the surface of the starburst region, as one considers more massive starbursts. This leads to larger accretion rates onto the SMBH and concurrently to powerful winds able to inhibit interstellar matter from approaching the nuclear starburst. Our self-consistent model thus establishes a direct physical link between the SMBH accretion rate and the nuclear star formation activity of the host galaxy and provides a good upper limit to the accretion rate onto the central black hole.Comment: 20 pages, 6 figures, accepted for publication in The Astrophysical Journal