Pricing Differences Among Private Colleges: The Impact of Discounting Through College-Funded Grants

Substantial differences in discounting exist among private, not-for-profit, four-year colleges. Such differences must be considered to provide an accurate characterization of the actual differences among colleges in pricing. Differences across colleges in discounting appear related to differences in admissions selectivity, nominal price, endowment per student, and regional location. For those who admire how very selective, high price colleges offer substantial aid packages to needy accepted students and ignore need in their admissions decisions, there is a challenging irony. One reason many of these colleges can sustain such policies is that stringent selectivity and high price may lower the percentage of needy students

Innovative Soil Management Practices (SMP) Assessment in Europe and China

The growing world population poses a major challenge to global agricultural food and feed production through the pressure to increase agricultural outputs either by increasing the land area dedicated to agriculture or by productivity increases. Whether in developed or developing regions, agricultural intensification based on conventional approaches has resulted in severe environmental impacts and innovative soil management practices are needed to halter ongoing soil degradation and promote sustainable land management capable to produce more from less. The iSQAPER project – Interactive Soil Quality Assessment in Europe and China for Agricultural Productivity and Environmental Resilience – aims to develop a Soil Quality app (SQAPP) linking soil and agricultural management practices to soil quality indicators. This easy friendly tool will provide a direct and convenient way to advise farmers and other suitable actors in this area, regarding the best management practices to be adopted in very specific and local conditions. In this particular study from iSQAPER, we aimed to identify the most promising innovative soil management practices (SMP) currently used and its geographical distribution along different pedo-climatic regions in Europe (Boreal, Atlantic, Mediterranean Temperate, Mediterranean Semi-Arid, Southern Sub-Continental and Northern Sub-Continental) and China (Middle Temperate, Warm temperate and Central Asia Tropical). We have identified 155 farms where innovative SMP’s are used, distributed along 4 study site regions located in China (Qiyang, Suining, Zhifanggou and Gongzhuling) and 10 study site regions located in Europe (The Netherlands, France, Portugal, Spain, Greece, Slovenia, Hungary, Romania, Poland and Estonia) and covering the major pedo-climatic regions. From this identification we concluded that the most used innovative SMP’s in the study site regions in Europe are Manuring & Composting (14%), Min-till (14%), Crop rotation (12%), Leguminous crops (10%), Change of Land Use Practices (10%), Residue Maintenance (8%), notill (8%) and permanent soil cover (6%). In China, innovative SMP’s are Manuring & Composting (24%), Residue maintenance/Mulching (16%), No-till (11%), Irrigation management (9%), Change of Land Use Practices (7%), Cover crops (7%), Crop rotation (7%) and Green manure (7%). The implementation of such practices reflects the general concern of farmers regarding Erosion and Soil Organic Matter (SOM) decline problems in their soils, while other threats such as Compaction or Water Holding Capacity are still not managed correctly in these regions

Soil Quality Indicator: a new concept

During the last century, soil under agricultural practices has been intensively exploited for food and feed production. This exploitation has compromised soil natural functions and ecosystems services, including its fertility potential for agriculture. Also, soils became more vulnerable to a wide range of threats. To overcome this situation, new and better management practices are needed to prevent soil from degradation. However, to adopt the best management practices in a specific location, it is necessary to evaluate the soil quality status first. Different soil quality indicators have been suggested over the last decades in order to evaluate the soil status and are often based on the performance of soil chemical, physical and biological properties. However, the direct link between these properties and the associated soil functions or soil vulnerability to threats is most of the time difficult. This present work is part of the iSQAPER project– Interactive Soil Quality Assessment in Europe and China for Agricultural Productivity and Environmental Resilience, where new soil quality concepts are explored to provide better information regarding the most promising agricultural management practices effects on soil quality. We have developed a new conceptual soil quality indicator which determines the soil quality status, regarding its vulnerability towards different threats. First, different indicators were specifically developed for each of the eight threats considered - Erosion, SOM decline, Poor Structure, Poor water holding capacity, Compaction, N. Leaching, Soil-borne pests and diseases and Salinization. As an example for the case of Erosion, the RUSLE equation for the estimate of the soil annual loss was used. Secondly, a reference classification was established for each indicator to integrate all possible results into Good, Intermediate and Bad classification. Finally, all indicators were combined together to return a single evaluation of the soil status, using different techniques that are dependent on the soil quality indicator final use. Some of the advantages of this new concept include the evaluation of soil quality based on soil vulnerability to threats, together with the evaluation of soil properties in a context and also the possibility to link directly soil management practices that are able to ameliorate soil vulnerability towards specific threats

From adoption potential to transformative learning around Conservation Agriculture in Burkina Faso

Despite the substantial support of donors and development agencies, Conservation Agriculture (CA) has not moved from an invention to an innovation stage in sub-Saharan Africa. The results of the common strategy to transfer the technology from science through donors to farms in a top down manner have been disappointing (with Burkina Faso being a typical case). To make things worse, assessing the actual levels of adoption has been problematic due to the biases and weaknesses of the applied methods - including the Qualitative expert Assessment Tool for CA adoption in Africa (QAToCA). However, to promote sustainable farming pathways such as CA, we still see a need for methods that help to understand and foster transitions in agricultural practices. The purpose of this work is thus to design an approach that combines current insights in learning theory and practice. The starting point of the process is an assessment of the agro-ecosystem health of the farming system of interest, by exploring the social, economic and ecological characteristics of the system. Second, to create space for social learning, we apply participatory stakeholder mapping to make the roles, values, interests, and capabilities of the different stakeholders explicit. Third, the stakeholders jointly work on a historical timeline of CA promotion to identify key events, drivers and constraints of the innovation process. Then, to support individual experience, dialogue and different ways of learning, the stakeholders together create non-scripted, non-edited videos of their perspectives on challenges in the farming system. These videos are then screened in a multi-stakeholder meeting to stimulate the discussion on the innovation potential of CA. Discussions are structured by the framework of QAToCA. The results of all exercises feed into a proposal for an improved promotion of CA. We tested the approach in a farming community in Koumbia, Burkina Faso. The described learning elements helped to moderate the expert bias and rigidity of QAToCA. As a learning outcome, the results underlined that CA uptake will depend on the adaptation to the local conditions (e.g. competition over crop residue exacerbated by free-grazing) in order become a viable agricultural system

Soil management: The key to soil quality and sustainable agriculture

Today, after the International Year of Soils in 2015 and the proclamation by the International Union of Soil Sciences of the International Decade of Soils 2015-2020, much attention is paid to soil quality. Often used interchangeably, both terms, soil quality and soil health, refer to dynamic soil properties such as soil organic matter or pH, while soil quality also includes inherent soil properties such as texture or mineral composition. However, it is the dynamic or manageable properties that adequate soil management can influence and thus contribute to a well-functioning soil environment capable to deliver the soil-mediated provisioning, regulating and supporting ecosystem services and soil functions. This contribution intends to highlight the key principles of sustainable soil management and provide evidence that they are compliant with a productive, resource efficient and ecologically friendly agriculture. Paradoxically, and despite benefitting from good soil quality, agriculture itself when based on conventional, especially intensive tillage-based soil management practices contributes decisively to soil degradation and to several of the soil threats as identified by the Soil Thematic Strategy, being soil erosion and soil organic matter decline the most notorious ones. To mitigate soil degradation, the European Union’s Common Agricultural Policy has introduced conservation measures, mainly through cross-compliance measures supposed to guarantee minimum soil cover, to limit soil erosion and to maintain the levels of soil organic matter. However, it remains unclear to what extent EU member states apply these ‘Good Agricultural and Environmental Condition’ (GAEC) measures to their utilized agricultural areas. Effective and cost-efficient soil management systems able to conserve or to restore favourable soil conditions, to minimize soil erosion and to invert soil organic matter and soil biodiversity decline and improve soil structure are those capable to mimic as close as possible natural soil conditions while producing food, feed, fibre and fuel. This means to establish and manage crops while disturbing the soil as least as possible, to maintain the soil permanently covered with plants or their residues and to allow for a diversity of plants either in rotation or in association. These principles also known as Conservation Agriculture have shown to be the most promising approach for a sustainable production intensification and proven to work in a wide range of agro-ecological conditions. Although adopted already on more than 150 Mha worldwide, in Europe it still can be considered a novel soil management practice as it is applied on only around 2% of the annual cropland. A paradigm shift and innovative approaches are needed both to recognise the principles of Conservation Agriculture as the only cost-effective, and thus overall sustainable soil management practices capable to deliver the soil-mediated ecosystem services and to make Conservation Agriculture systems work and accepted as the best compromise to attain better soil quality

Implications of subcutaneous or intravenous delivery of trastuzumab: further insight from patient interviews in the PrefHer study

BACKGROUND: The 2 Cohort randomised PrefHer trial examined the preferences of HER2+ve primary breast cancer patients for intravenous (IV) or subcutaneous (SC) delivery of trastuzumab via a Single Injectable Device (SID) or hand-held syringe (HHS). The novel approach and design of the study permitted an in-depth exploration of patients' experiences, the impact that different modes of delivery had on patients' well-being and implications for future management. METHODS: The preferences, experiences and general comments of patients in the PrefHer study were collected via specific semi-structured interview schedules. Exploratory analyses of data were conducted using standard methodology. The final question invited patients to make further comments, which were divided into 9 thematic categories - future delivery, compliments, time/convenience, practical considerations, pain/discomfort, study design, side-effects, psychological impact, and perceived efficacy. RESULTS: 267/467 (57%) patients made 396 additional comments, 7 were neutral, 305 positive and 86 negative. The three top categories generating the largest number of comments were compliments and gratitude about staff and being part of PrefHer (75/396; 19%), the potential future delivery of SC trastuzumab (73/396; 18%), and practical considerations about SC administration (60/396; 15%). CONCLUSIONS: Eliciting patient preferences about routes of administration of drugs via comprehensive interviews within a randomised cross-over trial yielded rich and important information. The few negative comments made demonstrated a need for proper staff training in SC administration Patients were grateful to have been part of the trial, and would have liked to continue with SC delivery. The possibility of home administration in the future also seemed acceptable. EUDRACT NUMBER: 2010-024099-25

Visual Assessment of the Impact of Agricultural Management Practices on Soil Quality

The intensification of agricultural practices to increase food and feed outputs is a pressing challenge causing deterioration of soil quality and soil functions. Such a challenge demands provision of empirical evidence to provide context-sensitive guidance on agricultural management practices (AMPs) that may enhance soil quality. The objectives of this study are to identify the most promising AMPs (and their combinations) applied by farmers with the most positive effects on soil quality and to evaluate the sensitivity of the soil quality indicators to the applied AMPs. The effect of selected AMPs on soil quality was assessed using a visual soil assessment tool in a total of 138 pairs of plots spread across 14 study site areas in Europe and China covering representative pedo-climatic zones. The inventory and scoring of soil quality were conducted together with landowners. Results show that 104 pairs show a positive effect of AMPs on soil quality. Higher effects of the AMPs were observed in lower fertile soils (i.e., Podzols and Calcisols) as opposed to higher fertile soils (i.e., Luvisols and Fluvisols). For the single use applications, the AMPs with positive effects were crop rotation; manuring, composting, and no-tillage; followed by organic agriculture and residue maintenance. Cluster analysis showed that the most promising combinations of AMPs with the most positive effects on soil quality are composed of crop rotation, mulching, and min-till. The agreement between scientific skills and empirical knowledge in the field identified by the farmers confirm our findings and ensures their applicability

Policy and Institutional Support for CA Development (Examples from Europe, Africa, Asia)

Policy and Institutional Support for CA Development (Examples from Europe, Africa, Asia

Adding Patient-Reported Outcomes to Medicare's Oncology Value-Based Payment Model

On November 1,2019, the Centers for Medicare & Medicaid Services (CMS) Innovation Center released details of a proposed alternative payment model for medical oncology care, called Oncology Care First (OCF), for public comment. The OCF model will succeed the Oncology Care Model (OCM), which will expire at the end of 2020. When it started in 2016, the OCM,which was voluntary, was important in oncology due to its emphasis on value-based care transformation