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We found a significant increase in the use of CMPs among practices that were acquired by hospitals and no difference in health IT use. These findings suggest that a trend for hospitals to own physician practices may have a positive effect on chronic disease management and quality of care.
The exciting development of solids with extremely high Li-ion conductivity, higher than that in traditional liquid electrolytes, in the last decade has forced us to rethink the processes that make cations move in solids. Super-ionic Li conductors typically have very high Li concentration so that their conductivity behavior cannot be explained with simple point defect mechanisms. Instead, ideas of concerted motion or highly correlated motion have been proposed. I will discuss our current understanding of the mechanisms that provide high Li-ion conductivity. We find that due to the high screening power of S 2- Li mobility in sulfides is mostly determined by local anion coordination and its variation along the migration pathway, making anion topology the main determinant of Li-ion conductivity. As a result, we find that there is little coordinated or concerted motion in sulfides. In contrast, due to the lower screening power of oxides and their lower Li-Li distances, Li-ion conductivity is much more determined by the electrostatic interaction with the other cations, setting the stage for possible concerted motion of multiple ions. I will show how this leads to very specific, but precise rules for selecting structures that may accommodate very fast Li-ion motion. While fast motion of divalent cations is much less likely, I will show computational results that indicate that even super-ionic motion of ions such as Mg 2+ and Ca 2+ may be possible in the right framework.
Emerging markets and developing economies are currently facing major challenges from global shocks, including a slowdown in global growth; food and energy price increases; decline in risk appetite of international investors; unsustainable debts in low-income countries; and ongoing climate risks. National policies have not sufficed to meet these challenges. Efforts at the national level must be complemented by changes in the global economic and financial architecture designed to make the world a safer place. In this article, we focus on the financial aspects of such reforms. The financial agenda as we see it has seven key elements: (i) reform of central bank swap lines, (ii) reform of IMF-contingent credit lines, (iii) SDR reallocation, (iv) reform of credit rating agencies, (v) creation of currency hedging instruments, (vi) inclusion of climate-resilient debt clauses in new debt instruments and (vii) steps to streamline the debt restructuring process. We detail this agenda and urge the G20 members to implement the recommended measures. JEL Codes: E44, E58, E61, F34, F36, F38
Passivity breakdown on Type 316L stainless steel in the presence of C1¯ and NO¯3 species has been studied and the data are interpreted in terms of the Point Defect Model. Linear relationships between the breakdown potential (Vc) and log ([C1¯]) and log ([C1¯]/[NO¯3]), as predicted by the PDM are found experimentally. The interfacial reaction, in which a cation is ejected from the barrier layer to form the surface vacancy pair, is found to be a charge transfer process with the transition state being located close to the final state on the reaction coordinate. The dependence of Vc on potential scan rate yields the critical, areal concentration of condensed cation vacancies (ξ) at the metal/barrier layer interface that is in good agreement with that calculated theoretically based on the structure of Cr2O3, of which the barrier layer is postulated to comprise.