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1.
Phys Rev Lett ; 113(26): 264801, 2014 Dec 31.
Article in English | MEDLINE | ID: mdl-25615344

ABSTRACT

We report experimental measurements of narrow-band, single-mode excitation, and drive beam energy modulation, in a dielectric wakefield accelerating structure with planar geometry and Bragg-reflector boundaries. A short, relativistic electron beam (∼1 ps) with moderate charge (∼100 pC) is used to drive the wakefields in the structure. The fundamental mode of the structure is reinforced by constructive interference in the alternating dielectric layers at the boundary, and is characterized by the spectral analysis of the emitted coherent Cherenkov radiation signal. Data analysis shows a narrow-band peak at 210 GHz corresponding to the fundamental mode of the structure. Simulations in both 2D and 3D provide insight into the propagating fields and reproduction of the electron beams dynamics observables and emitted radiation characteristics.

2.
Phys Rev Lett ; 108(3): 034801, 2012 Jan 20.
Article in English | MEDLINE | ID: mdl-22400747

ABSTRACT

We report on the successful experimental generation of electron bunches with ramped current profiles. The technique relies on impressing nonlinear correlations in the longitudinal phase space using a superconducing radio frequency linear accelerator operating at two frequencies and a current-enhancing dispersive section. The produced ~700-MeV bunches have peak currents of the order of a kilo-Ampère. Data taken for various accelerator settings demonstrate the versatility of the method and, in particular, its ability to produce current profiles that have a quasilinear dependency on the longitudinal (temporal) coordinate. The measured bunch parameters are shown, via numerical simulations, to produce gigavolt-per-meter peak accelerating electric fields with transformer ratios larger than 2 in dielectric-lined waveguides.


Subject(s)
Electricity , Electrons , Particle Accelerators , Computer Simulation , Lasers , Nonlinear Dynamics
3.
Qual Manag Health Care ; 5(3): 41-51, 1997.
Article in English | MEDLINE | ID: mdl-10168371

ABSTRACT

Today's primary care provider faces the challenge of caring for individual patients as well as caring for populations of patients. This article offers a model--the panel management process--for understanding and managing these activities and relationships. The model integrates some of the lessons learned during the past decade as we have worked to gain an understanding of the continual improvement of health care after we have understood that care as a process and system.


Subject(s)
Community Health Planning/organization & administration , Managed Care Programs/standards , Models, Organizational , Total Quality Management/methods , Group Practice/standards , Humans , New Hampshire , Organizational Innovation , Primary Health Care/standards , Process Assessment, Health Care , Quality Assurance, Health Care , United States
4.
Qual Lett Healthc Lead ; 6(6): 9-15, 1994.
Article in English | MEDLINE | ID: mdl-10136754

ABSTRACT

Governing board members and other healthcare leaders naturally want to see their organizations improve, but they often have difficulty connecting leadership functions to daily work in the organization in order to produce improvement. This article offers a framework, including a series of self-assessment questions, to help leaders foster continual improvement within their organization. Such improvement becomes possible when people join professional knowledge with a new body of knowledge called improvement knowledge. Continual improvement results when leaders enable everyone in the organization to build new knowledge, to test changes in daily work, and to learn from these tests. Essential to building and applying knowledge in this way are a leadership policy that fosters a shared sense of purpose and promotes learning, tools and methods that accelerate the development of new knowledge and improvement, and systematic strategies for building and applying that new knowledge to the process of daily work, and to the functions of leadership itself.


Subject(s)
Governing Board/standards , Hospital Planning/standards , Leadership , Total Quality Management/organization & administration , Staff Development , Teaching Materials , United States
5.
Jt Comm J Qual Improv ; 19(10): 424-47; discussion 448-52, 1993 Oct.
Article in English | MEDLINE | ID: mdl-8252125

ABSTRACT

We seem to lack a well-defined, comprehensive, and shared understanding of what is required for the continual improvement of health care--at the organizational and the industry levels. This article presents a framework that defines the new body of knowledge which, when joined with the professional knowledge of health care workers, can make continual improvement possible; and gives requirements for building and applying this knowledge to bring about improvement in health care organizations.


Subject(s)
Health Knowledge, Attitudes, Practice , Health Services/standards , Total Quality Management/organization & administration , Clinical Competence , Consumer Behavior , Group Processes , Health Personnel/organization & administration , Health Services Administration , Hospitals, Community/organization & administration , Hospitals, Community/standards , Leadership , Models, Organizational , Research Design , Social Values , United States
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