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Despite providing convenience and reducing the travel burden of patients, Video-Conferencing (VC) clinical visits have not enjoyed wide uptake by patients and care providers. It is desired that the medical problems addressed by VC visits can match a face-to-face encounter in scope and quality. Subsequently, VC visits with nurse assistance are emerging; however, the scalable and financially sustainable of such services are unclear. Therefore, we explore the implementability of VC visits with nursing services using a game-theoretic model, and investigate the impact of different pricing schemes (discriminative pricing based on patient characteristics vs. non-discriminative) on patients’ care choices between VC and in-person visits. Our results shed light on the “artificial congestion” created by a profit-driven medical institution that hurts patient welfare, and subsequently identify the conditions where the interest of the social planner and the medical institution are aligned. Our results highlight that, compared to a uniform price of VC visits which seems fair, discriminative pricing can be more beneficial for patients and the medical institution alike. This heightens the importance of insurance coverage of telehealth-related services to promote the adoption of telehealth by patients and care providers, and ultimately, improving care access and patient outcomes. 

Meteorites preserve evidence of processes on their parent bodies, including alteration, metamorphism, and shock events. Here we show that the Kakowa (L6) ordinary chondrite (OC) preserves both shock-melt veins and pockets of detrital grains from a brecciated and altered object, including corundum, albite, silica, fayalite, forsterite, and margarite in a Pb- and Fe-rich matrix. Preservation of the observed mineralogy and texture requires a sequence of at least two impacts: first, a high-velocity collision formed the shock melt veins containing the high-pressure minerals ringwoodite, wadsleyite, majorite, and albitic jadeite; later, a low-velocity impact formed fractures and filled them with the detrital material. Oxygen and Pb isotope ratios suggest an OC origin for these detrital minerals. Although fluid alteration is common in carbonaceous chondrites, the discovery of margarite with an OC oxygen isotopic signature is novel. Kakowa extends both the impact and alteration history of L6 ordinary chondrites in general.

 

This paper considers the load–deflection behavior of a pyramid-like, shallow lattice structure. It consists of four beams that join at a central apex and when subject to a lateral load, it exhibits a propensity to snap-through: a classical buckling phenomenon. Whether this structural inversion occurs, and the routes by which it happens, depends sensitively on geometry. Given the often sudden nature of the instability, the behavior is also examined within a dynamics context. The outcome of numerical simulations are favorably compared with experimental data extracted from the testing of three-dimensional (3D)-printed specimens. The key contributions of this paper are that despite the continuous nature of the physical system, its behavior (transient and equilibria) can be adequately described using a discrete model, and the paper also illustrates the utility of 3D-printing in an accessible research context. 

In this article the recent developments of the open-source OpenMolcas chemistry software environment, since spring 2020, are described, with the main focus on novel functionalities that are accessible in the stable branch of the package and/or via interfaces with other packages. These community developments span a wide range of topics in computational chemistry, and are presented in thematic sections associated with electronic structure theory, electronic spectroscopy simulations, analytic gradients and molecular structure optimizations, ab initio molecular dynamics, and other new features. This report represents a useful summary of these developments, and it offers a solid overview of the chemical phenomena and processes that OpenMolcas can address, while showing that OpenMolcas is an attractive platform for state-of-the-art atomistic computer simulations. 

We propose a general framework of using a multi-level log-Gaussian Cox process to model repeatedly observed point processes with complex structures; such type of data have become increasingly available in various areas including medical research, social sciences, economics, and finance due to technological advances. A novel nonparametric approach is developed to efficiently and consistently estimate the covariance functions of the latent Gaussian processes at all levels. To predict the functional principal component scores, we propose a consistent estimation procedure by maximizing the conditional likelihood of super-positions of point processes. We further extend our procedure to the bivariate point process case in which potential correlations between the processes can be assessed. Asymptotic properties of the proposed estimators are investigated, and the effectiveness of our procedures is illustrated through a simulation study and an application to a stock trading dataset. 

A bstract Charged-lepton-flavor-violation is predicted in several new physics scenarios. We update the analysis of τ lepton decays into a light charged lepton ( ℓ = e ± or μ ± ) and a vector meson ( V 0 = ρ 0 , ϕ , ω , K *0 , or $$ \overline{K} $$ K ¯ *0 ) using 980 fb − 1 of data collected with the Belle detector at the KEKB collider. No significant excess of such signal events is observed, and thus 90% credibility level upper limits are set on the τ → ℓV 0 branching fractions in the range of (1.7–4 . 3) × 10 − 8 . These limits are improved by 30% on average from the previous results.