Health Status, Insurance, and Expenditures in the Transition from Work to Retirement

This paper analyzes the dynamics of health insurance coverage, health expenditures, and health status in the decade expanding from 1992 to 2002, for a cohort of older Americans. We follow 13,594 individuals interviewed in Waves 1 to 6 of the Health and Retirement Study, most of whom were born between 1930 and 1940, as they transition from work into retirement. Although this “depression cohort” is by and large fairly well prepared for retirement in terms of pension coverage and savings, we identify significant gaps in their health insurance coverage, especially among the most disadvantaged members of this cohort. We find that government health insurance programs—particularly Medicare and Medicaid—significantly reduce the number of individuals who are uninsured and the risks of large out of pocket health care costs. However, prior to retirement large numbers of these respondents were uninsured, nearly 18% at the first survey in 1992. Moreover, a much larger share, about 55% of this cohort, are transitorily uninsured, that is, they experience one or more spells, lasting from several months to several years, without health insurance coverage. We also identify a much smaller group of persistently uninsured individuals, and show that this group has significantly less wealth, and higher rates of poverty, unemployment, and health problems, disability, and higher mortality rates than the rest of the members of the cohort under study. We provide evidence that lack of health insurance coverage is correlated with reduced utilization of health care services; for example, respondents with no health insurance visit the doctor one fourth as often as those with private insurance and are also more likely to report declines in health status. We also analyze the components of out of pocket health care costs, and show that prescription drug costs constituted a rapidly rising share of the overall cost of health care during the period of analysis.

Nitrogen budget of Short Rotation forests amended with digestate in highly permeable soils

Bioenergy crops are a promising option for integrating fossil fuels and achieving European environmental targets. Among these, Short Rotation Forestry (SRF) crops and biogas plants have been considered an opportunity for sustainable agricultural development due to their environmental benefits. In this case study, an N balance was performed by comparing an SRF Platanus hispanica plantation with a permanent meadow, both located in an area with highly permeable soils, using two different amounts of organic fertilization (digestate) for each system (0, 170 and 340 kg-N ha−1 y−1). The results obtained indicate that, in the presence of highly permeable soils, the SRF is not effective in retaining N during the initial stage of growth, despite the use of a suitable application rate of digestate. Higher N leaching rates occurred in SRF crops compared to permanent meadows. Moreover, the N potential removal rate did not vary proportionally with the applied dose of digestate. To avoid N leaching excess, the annual applied N should be not only within 170 kg-N ha−1 y−1 (Nitrate Directive legal limits for nitrate vulnerable zone) but should also follow precise and accurate distribution practices, like: controlled grassing between the tree rows and soil’s minimum tillage immediately after the digestate spreading

Erratum

Genetic characterization of grape (Vitis vinifera L.) germplasm from Southeast Anatolia by SSR markersVitis 50 (3), 99-106 (2011

Understanding the role of nitrogen-doping and surface topology in the binding of Fe(III)/Fe(II) to biobased carbon electrodes

Low-cost and high performance electrodes are critical to advance electrochemical energy storage devices that decouple energy supply from demand. At their core, carbon is ubiquitously employed given its availability, chemical and electrochemical stability, electrical conductivity, and affordable cost. However, due to their relative inertness, carbonaceous electrodes suffer from limited wettability and kinetic activity with aqueous electrolytes. A common approach is to introduce heteroatoms, either through post-processing (thermal/acid activation) or by employing different precursors. Specifically, biobased carbons like hydrochar and biochar are rich in heteroatoms that are naturally incorporated through the production process into the electrode structure. However, achieving a fundamental understanding of the interactions between metal ions and carbon surfaces has proven elusive, leading researchers to rely on empirical approaches for heteroatom doping of carbons. To achieve a better understanding of the fundamental mechanisms, we performed density functional theory calculations of a commonly employed iron redox couple, Fe(III) and Fe(II). We investigated binding mechanisms in graphitic carbon model systems with different surface features, and explored the effect of nitrogen doping and surface topology on the binding energy, as well as the effect of ions’ spin multiplicity in the carbon-metal coordination mechanisms. Our results suggest that the interactions of Fe(III) and Fe(II) ions with the nitrogen-doped carbon electrodes not only depend on the surface curvature or the nitrogen content and functionality, but also on the spin multiplicity of the metal ion. Iron ions always evolve into an open-shell electronic structure with a high number of unpaired electrons to increase their coordination sphere with the graphitic surface. We hope that our findings can assist the development of fit-for-purpose heteroatom-doped carbon electrodes with a tailored nanostructure for electrochemical devices utilizing the Fe(III)/Fe(II) redox couple.</p

Overcoming Vemurafenib Resistance in Metastatic Melanoma: Targeting Integrins to Improve Treatment Efficacy

YesMetastatic melanoma, a deadly form of skin cancer, often develops resistance to the BRAF inhibitor drug vemurafenib, highlighting the need for understanding the underlying mechanisms of resistance and exploring potential therapeutic strategies targeting integrins and TGF-β signalling. In this study, the role of integrins and TGF-β signalling in vemurafenib resistance in melanoma was investigated, and the potential of combining vemurafenib with cilengitide as a therapeutic strategy was investigated. In this study, it was found that the transcription of PAI1 and p21 was induced by acquired vemurafenib resistance, and ITGA5 levels were increased as a result of this resistance. The transcription of ITGA5 was mediated by the TGF-β pathway in the development of vemurafenib resistance. A synergistic effect on the proliferation of vemurafenib-resistant melanoma cells was observed with the combination therapy of vemurafenib and cilengitide. Additionally, this combination therapy significantly decreased invasion and colony formation in these resistant cells. In conclusion, it is suggested that targeting integrins and TGF-β signalling, specifically ITGA5, ITGB3, PAI1, and p21, may offer promising approaches to overcoming vemurafenib resistance, thereby improving outcomes for metastatic melanoma patients

Spillover of interpersonal conflicts from work into nonwork: A daily diary study

This study among a heterogeneous sample of employees expands the Job-Demands (JD-R) theory by examining how interpersonal conflicts at work -task and relationship conflictspillover into the non-work domain on a daily basis. We hypothesized that daily personal resources can buffer the daily negative spillover of interpersonal conflicts from work into the non-work domain. A total of 113 employees (N = 565 occasions) filled in a daily diary questionnaire in the evening before bedtime over five consecutive working days. Results of multi-level analysis showed that the presence of daily personal resources is essential in order to buffer the spillover of interpersonal conflict at work to the non-work domain. Specifically, on days that employees were not very optimistic or resilient, interpersonal conflicts resulted in higher strain-based work-life conflict experiences. These findings contribute to the JD-R theory and show how the unfavorable effects of daily interpersonal conflicts in the work domain may be avoided in the non-work domain through enhancing personal resources. We discuss the implications for theory and practice

Residential radon - Comparative analysis of exposure models in Switzerland.

Residential radon exposure is a major public health issue in Switzerland due to the known association between inhaled radon progeny and lung cancer. To confirm recent findings of an association with skin cancer mortality, an updated national radon model is needed. The aim of this study was to derive the best possible residential radon prediction model for subsequent epidemiological analyses. Two different radon prediction models were developed (linear regression model vs. random forest) using ca. 80,000 measurements in the Swiss Radon Database (1994-2017). A range of geographic predictors and building specific predictors were considered in the 3-D models (x,y, floor of dwelling). A five-fold modelling strategy was used to evaluate the robustness of each approach, with models developed (80% measurement locations) and validated (20%) using standard diagnostics. Random forest consistently outperformed the linear regression model, with higher Spearman's rank correlation (51% vs. 36%), validation coefficient of determination (R &lt;sup&gt;2&lt;/sup&gt; 31% vs. 15%), lower root mean square error (RMSE) and lower fractional bias. Applied to the population of 5.4 million adults in 2000, the random forest resulted in an arithmetic mean (standard deviation) of 75.5 (31.7) Bq/m &lt;sup&gt;3&lt;/sup&gt; , and indicated a respective 16.1% and 0.1% adults with predicted radon concentrations exceeding the World Health Organization (100 Bq/m &lt;sup&gt;3&lt;/sup&gt; ) and Swiss (300 Bq/m &lt;sup&gt;3&lt;/sup&gt; ) reference values

Genetic characterization of grape (Vitis vinifera L.) germplasm from Southeast Anatolia by SSR markers

Southeast Anatolia is located in close proximity to the center of origin of grapes and is an important grape producing area of Turkey. The important location of this region for grape genetic diversity together with its diverse ecological conditions may have led to the development of grape germplasm that is unique to this region. However, so far little has been done to genetically analyze this grape germplasm. In this study, we genetically analyzed 55 grape cultivars originating from six different provinces of this region using 14 simple sequence repeat (SSR) loci and a number of ampeolographic characteristics. Based on these analyses, one case of synonymous and four cases of homonymous grape cultivars were identified. The contribution of our results to better characterization of the grape germplasm of the region as well as future germplasm management and breeding efforts is discussed.

Simple sequence repeat-based assessment of genetic diversity in 'Dimrit' and 'Gemre' grapevine accessions from Turkey

It is widely believed that Turkey has played an important role in the evolution of modern day grapes due to its unique geographical location with close proximity to the regions of grape diversity. Despite this, the rich grape germplasm found in Turkey has not been sufficiently analyzed genetically. In this study, 31 grapevine accessions from 'Dimrit' (or 'Dilmit') and 'Gemre' grape groups were genetically analyzed at eight SSR (microsatellite) loci (VVS2, VVMD5, VVMD7, VVMD24, VVMD27, VVMD28, VrZAG62 and VrZAG79) and for a number of ampeolographic characteristics. These analyses identified sufficient genetic diversity between these two grape groups that, in general, clustered separately in the dendrogram constructed based on the SSR data. However, the ecogeographical distribution and genetic relationship of the genotypes did not show any significant correlation. Two 'Gemre' accessions were determined as genetically identical. In addition, one case of synonym and several cases of homonym genotypes were identified. The results reported here are important first steps towards better characterization of these grape genotypes and would aid future germplasm management and breeding efforts.