10,000 publications from this institution
All political parties have endorsed NHS plans for greater integration of care in the next parliament. <b>Stephen Shortell and colleagues </b>use US experience to suggest what is needed to make it happen
Abstract Two new transition metal complexes containing the –OB[OSi(O t Bu) 3 ] 2 ligand, Et 2 NM{OB[OSi(O t Bu) 3 ] 2 } 3 (M = Zr, Hf), are reported. These species are the 4 th and 5 th examples of complexes containing this recently reported borosiloxide ligand. Their use as potential molecular precursors to multi‐component oxide materials via the thermolytic molecular precursor (TMP) method is discussed.
The formation of ether bonds by reaction of benzylic bromides with phenyl silyl ethers has been investigated as an alternative to the classical Williamson ether synthesis. The reaction has been applied to the synthesis of high-molecular-weight polyethers that are not readily obtained by other methods. An AB-type monomer, such as 3-bromomethyl-trimethylsilyloxybenzene, reacts in the presence of a stoichiometric amount of carbonate to afford the corresponding polyether with molecular weight as high as 300 000 depending on the reaction conditions. While the polyetherification reaction of 3-bromomethyi phenol under classical conditions leads to polymers rich in C-alkylated and branched units, conditions may be found to reduce or prevent C-alkylation and branching with 3-bromomethyl-trimethylsilyloxybenzene. The reaction is believed to proceed via activation of the OSi bond through carbonate addition to afford a species containing a pentacoordinate silicon. The role of carbonate and the stoichiometry and mechanism of the reaction have been investigated with the help of a model etherification reaction.
The equivalence of two approaches to the variational theory of cell-membrane equilibria which have been proposed in the literature is demonstrated. Both assume a constraint on surface area, global in one formulation and local in the alternative, in accordance with measurements which reveal negligible surface dilation in the presence of membrane deformation. We thus address a potential controversy in the mathematical modeling of an important problem in biophysics.
Higher and mixed-order <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">n</tex> -port circuit elements were introduced recently to provide a logically complete formulation for nonlinear circuit theory. In this paper, higher order mutators are defined and used to synthesize these elements. The class of all higher order mutators is shown to form a group under cascade interconnections. Each mutator is realized using only linear capacitors, linear inductors and linear controlled sources. An upper bound on each type of element needed to realize a mutator is also given. Each higher or mixed-order <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">n</tex> -port element is realized by cascading appropriate mutators across each port of a nonlinear <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">n</tex> -port resistor. Our main theorem shows that any higher or mixed-order nonlinear <tex xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">n</tex> -port element with a constitutive relation defined on a compact set can be realized using linear capacitors, inductors, and controlled sources, and 2 -terminal nonlinear resistors.