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  • 1
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objectives To determine the safety, cost effectiveness and effect on quality of life of laparoscopicassisted vaginal hysterectomy (LAVH) compared with total abdominal hysterectomy (TAH) in the management of benign gynaecological disease.Design Randomised controlled trial and economic evaluation.Setting Three hospitals in the West of Scotland.Participants Two hundred women scheduled for an abdominal hysterectomy for benign gynaecological disease.Main outcome measures Conversion rate of LAVH to TAH, complication rates, NHS resource use and costs, quality of life using EuroQol 5 D visual analogue scale, and achievement of milestones.Results The overall incidence of operative complications was 14% in the TAH group and 8% in the LAVH group, with an 8% conversion rate. Length of operation was significantly greater in the women having LAVH at 81 ±30 min vs 47 ±16 min (P 〈 0.001). There was no difference in analgesic requirements between the groups although there was a significantly shorter hospital stay for those having LAVH. The rate of post-surgery recovery, satisfaction with operation and quality of life at four weeks post-operative were similar in the two groups of women. LAVH was significantly more expensive than TAH and remained more expensive for all but the most extreme scenario.Conclusions This study demonstrates that despite the decreased length of hospital stay, LAVH is more expensive than TAH. In addition, recovery following operation and patient satisfaction were not affected by the route chosen. It is unlikely that LAVH represents an efficient use of NHS resources.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Bradford : Emerald
    The @journal of services marketing 17 (2003), S. 202-219 
    ISSN: 0887-6045
    Source: Emerald Fulltext Archive Database 1994-2005
    Topics: Economics
    Notes: This paper suggests that he/she whom the customer holds most responsible for a service experience may influence which service quality dimensions take precedence in customer satisfaction, word-of-mouth intentions, and repurchase intentions. Results indicate that, when consumers find the contact employee more responsible for the experience, what is delivered is most important to evaluations of service quality, satisfaction, and behavioral intentions. When management is thought to be more responsible, how the service is delivered is essential to consumers' evaluations. When responsibility is perceived as shared between the contact employee and management, the physical environment may play a larger role in influencing consumers' satisfaction with the service experience.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1089-7674
    Source: AIP Digital Archive
    Topics: Physics
    Notes: A computationally efficient method for transporting radiation in multidimensional plasmas has been developed and evaluated. The basis of this method is a uniform plasma approximation that allows one to utilize existing escape probability techniques that are successfully used in one-dimensional (1D) calculations to approximately solve the multidimensional radiation transport problem. This method is superior to diffusion methods because (1) the probability of escape technique insures that the plasma goes to the correct optically thin and thick limits, (2) the effects of line absorption due to photoexcitations are modeled, and (3) this method uses source functions that are based on a self-consistent nonlocal thermodynamic equilibrium calculation, not an ad hoc assumption that the source functions are Planckian. This method is highly efficient because equation of state information from 1D calculations is tabulated as a function of plasma internal energy, ion density, and the line probability of escape from a uniform plasma, and then used in multidimensional calculations. Given the internal energy and ion density, and by calculating the line probability of escape from a zone of the multidimensional plasma, the equation of state, including emissivities and absorption coefficients, of the zone is determined from the table. Total radiative power, K-shell radiative power, total radiative yield, K-shell radiative yield, and plasma density and temperature profiles obtained from 1D Z-pinch calculations employing this method are in good agreement with the same powers, yields, and profiles calculated using a full radiation transport model. This method has been implemented in the 2D plasma radiating imploding source model code [F. L. Cochran et al., Phys. Plasmas 2, 2765 (1995)] to determine the influence of radiation transport in argon Z-pinch experiments performed on the Z machine [R. B. Spielman et al., Phys. Plasmas 5, 2105 (1998)] at Sandia National Laboratories. © 2001 American Institute of Physics.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    [S.l.] : American Institute of Physics (AIP)
    Physics of Plasmas 7 (2000), S. 3265-3277 
    ISSN: 1089-7674
    Source: AIP Digital Archive
    Topics: Physics
    Notes: In numerous experiments, magnetic energy coupled to strongly radiating Z-pinch plasmas exceeds the thermalized kinetic energy, sometimes by a factor of 2–3. An analytical model describing this additional energy deposition based on the concept of macroscopic magnetohydrodynamic (MHD) turbulent pinch heating proposed by Rudakov and Sudan [Phys. Reports 283, 253 (1997)] is presented. The pinch plasma is modeled as a foam-like medium saturated with toroidal "magnetic bubbles" produced by the development of surface m=0 Rayleigh-Taylor and MHD instabilities. As the bubbles converge to the pinch axis, their magnetic energy is converted to thermal energy of the plasma through pdV work. Explicit formulas for the average dissipation rate of this process and the corresponding contribution to the resistance of the load, which compare favorably to the experimental data and simulation results, are presented. The possibility of using this enhanced (relative to Ohmic heating) dissipation mechanism to power novel plasma radiation sources and produce high K-shell yields using long current rise time machines is discussed. © 2000 American Institute of Physics.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    [S.l.] : American Institute of Physics (AIP)
    Physics of Plasmas 7 (2000), S. 3399-3404 
    ISSN: 1089-7674
    Source: AIP Digital Archive
    Topics: Physics
    Notes: The spatial profiles of key physical variables such as electron temperature and density are crucial in determining the overall radiating efficiency of a Z pinch as well as the emitted photon energy distribution. The present work uses spatially resolved x-ray lines emitted from shots taken on the 4 MA Double EAGLE generator [C. Deeney et al., Phys. Rev. A 44, 6762 (1991)] at Maxwell Physics International to infer such profiles. The loads were arrays of 15 wires consisting of 95% Al, 5% Si, producing nearly 50 kJ of K-shell radiation with relatively long pulsewidths of 41–43 ns. It is found that the spatial profile of the He-like intercombination to resonance line ratio is critically affected by self-absorption and re-emission (scattering) of resonance line photons emitted from the hot, dense interior of the pinch. This ratio cannot be correctly interpreted without taking the scattering into account. Also, at densities somewhat lower than those achieved by these pinches, this line ratio becomes more temperature than density dependent. The inferred temperature gradient is much less steep than that which had been diagnosed previously for a pinch emitting a much shorter x-ray pulsewidth of 13 ns. © 2000 American Institute of Physics.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Ground water monitoring & remediation 23 (2003), S. 0 
    ISSN: 1745-6592
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Geosciences
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Ground water monitoring & remediation 22 (2002), S. 0 
    ISSN: 1745-6592
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Energy, Environment Protection, Nuclear Power Engineering , Geosciences
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] The electronic structure of simple crystalline solids can be completely described in terms either of local quantum states in real space (r-space), or of wave-like states defined in momentum-space (k-space). However, in the copper oxide superconductors, neither of these ...
    Type of Medium: Electronic Resource
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  • 9
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] The phase diagram of hole-doped copper oxides shows four different electronic phases existing at zero temperature. Familiar among these are the Mott insulator, high-transition-temperature superconductor and metallic phases. A fourth phase, of unknown identity, occurs at light doping along the ...
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1476-4687
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Chemistry and Pharmacology , Medicine , Natural Sciences in General , Physics
    Notes: [Auszug] Although the crystal structures of the copper oxide high-temperature superconductors are complex and diverse, they all contain some crystal planes consisting of only copper and oxygen atoms in a square lattice: superconductivity is believed to originate from strongly interacting electrons ...
    Type of Medium: Electronic Resource
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