2,978,674 research outputs found

    Private vs Public Voucher Schools in Chile: New Evidence on Efficiency and Peer Effects

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    We estimate the treatment effect associated with attending a private instead of a public voucher school in the Chilean voucher system. We find a large and significant positive treatment effect. We analyze the influence of peer effects on our result by estimating new treatment parameters that control for peer group characteristics. When we do so, we still find a positive treatment parameter that is large in magnitude and statistically significant. Hence we conclude that the positive treatment effects are not due to peer effects and sorting, but rather stem from the greater efficiency of private voucher schools.

    Group membership and staff turnover affect outcomes in group CBT for persistent pain

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    The effects of two contextual factors, group membership and staff turnover, on the outcome of group cognitive behavioral therapy (CBT) for persistent pain were investigated. The data came from end of treatment and one month follow-up assessments of 3050 individuals who attended an intensive group programme over sixteen years. Intraclass correlations (ICC) showed significant intragroup effects on self-efficacy (ICC = 0.16 at end of treatment; 0.12 at one month), catastrophizing (ICC = 0.06; 0.13) and distance walked (ICC = 0.20; 0.19). This underlines the importance of modelling group membership when analyzing data from group interventions. Linear regression showed that high periods of staff turnover were significantly related to poorer outcomes on self-efficacy and distance walked at end of treatment, with the effect on self-efficacy persisting to one month follow-up. Having demonstrated significant contextual effects in an existing data set, further research is needed to explore the mechanisms by which these effects operate

    Results of international standardised beekeeper surveys of colony losses for winter 2012-2013 : analysis of winter loss rates and mixed effects modelling of risk factors for winter loss.

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    This article presents results of an analysis of winter losses of honey bee colonies from 19 mainly European countries, most of which implemented the standardised 2013 COLOSS questionnaire. Generalised linear mixed effects models (GLMMs) were used to investigate the effects of several factors on the risk of colony loss, including different treatments for Varroa destructor, allowing for random effects of beekeeper and region. Both winter and summer treatments were considered, and the most common combinations of treatment and timing were used to define treatment factor levels. Overall and within country colony loss rates are presented. Significant factors in the model were found to be: percentage of young queens in the colonies before winter, extent of queen problems in summer, treatment of the varroa mite, and access by foraging honey bees to oilseed rape and maize. Spatial variation at the beekeeper level is shown across geographical regions using random effects from the fitted models, both before and after allowing for the effect of the significant terms in the model. This spatial variation is considerable

    Long term effects of mesoglycan on brachial arterial stiffness and MMP-9/TIMP-1 system in patients with metabolic syndrome

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    Objectives: The aim of this study was to evaluate the chronic effects of mesoglycan on the vascular remodeling in patients with metabolic syndrome (Mets). Background: MetS is defined by a clustering of vascular risk factors that require both pharmacologic and non-pharmacologic interventions, including body weight reductions and physical activity. The correction of vascular remodeling associated with MetS has lately received increasing interest. Methods: Thirty consecutive ambulatory patients affected by MetS were 2:1 randomized in a doubleblind fashion to receive mesoglycan or placebo, respectively. At the beginning and after 90 days of oral treatment we appraised the effects of mesoglycan (50 mg per os bid) or placebo on vascular remodeling, as assessed by the measurement of arterial wall elastic properties. Moreover, the matrix metalloproteinase’s (MMPs) type 9 and tissue inhibitor of metalloproteinase (TIMP) type 1 were analyzed by enzyme-linked immune sorbent assay (ELISA) and gelatin substrate zymography at the beginning of the study and after 90 days of treatment. Results: After 90 days of treatment, a marked improvement of arterial distensibility and compliance was detected in Mesoglycan group, with associated significant reduction of arterial stiffness, and a significant reduction of serum levels of MMP-9 and TIMP-1 and significant reduction of enzyme activity of MMPs. Conclusions: This small, preliminary study shows that mesoglycan exerts relevant effects on vascular remodeling after three-month treatment, in patients affected by metabolic syndrome

    How do drug prices respond to a change from external to internal reference pricing? Evidence from a Danish regulatory reform

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    Studies the effects of a switch from external reference pricing to internal reference pricing that was implemented in Denmark in April 2005. Abstract We study the effects of a change in the way patient reimbursements are calculated on the prices of pharmaceuticals using quasi-experimental data for Denmark which switched from external (where reimbursements are based on prices of similar products in foreign countries) to internal reference pricing (where they are based on the cheapest domestic substitute). We analyze three therapeutic classes with different treatment durations and show that the reform led to substantial price decreases for our lifelong treatment and to less substantial price reductions for our medium duration treatment while we do not find significant effects on our acute treatment. Moreover, the reform did only affect generics and did not impact original products or parallel imports

    Bounds on Average and Quantile Treatment Effects of Job Corps Training on Wages

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    We assess the effectiveness of Job Corps (JC), the largest job training program targeting disadvantaged youth in the United States, by constructing nonparametric bounds for the average and quantile treatment effects of the program on wages. Our preferred estimates point toward convincing evidence of positive effects of JC on wages both at the mean and throughout the wage distribution. For the different demographic groups analyzed, the statistically significant estimated average effects are bounded between 4.6 and 12 percent, while the quantile treatment effects are bounded between 2.7 and 11.7 percent. Furthermore, we find that the program's effect on wages varies across quantiles and groups. Blacks likely experience larger impacts in the lower part of their wage distribution, while Whites likely experience larger impacts in the upper part of their distribution. Non-Hispanic Females show statistically significant impacts in the upper part of their distribution but not in the lower part.training programs, wages, bounds, quantile treatment effects
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