Revisiting Crowd-Out

Reviews updated research on the extent to which expanding public health insurance programs reduces the role of private insurance, the impact of anti-crowd-out measures, and contributing factors such as incomes, enrollment patterns, and economic condition

Discrimination in Medical Settings and Attitudes toward Complementary and Alternative Medicine: The Role of Distrust in Conventional Providers

This study examines the relationship between racial/ethnic discrimination in medical settings, distrust in conventional medicine, and attitudes toward complementary and alternative medicine (CAM) among a racially/ethnically diverse sample. We also investigate how this relationship differs by nativity. Data are from a 2008 statewide stratified sample of publicly insured adults in Minnesota (N=2,194). Discrimination was measured as self-reported unfair treatment in medical settings due to race, ethnicity, and/or nationality. Outcomes are trust in conventional providers/medicine and attitudes toward CAM modalities. Discrimination in medical settings was positively associated with 1) distrust in conventional providers and 2) favorable attitudes toward CAM. Foreign-born status was associated with more distrust in conventional providers/medicine and more positive attitudes toward CAM. Our findings show that for publicly insured, and especially minority and foreign-born individuals, CAM may represent a response to disenfranchisement in conventional medical settings and resulting distrust

Tower Foundations Bearing Above Weak Soils

A 13-level reinforced concrete structure was constructed on Marco Island in southwest Florida. The tower is located 200 feet from the Gulf of Mexico and has plan area dimensions of 115 by 170 feet. The field testing revealed the site was mantled with a 17-foot thick layer of firm sand. The sand stratum was underlain by a compressible 9-foot thick layer of silty sand which had an average SPT N-value of less than 2. Various methods of engineering analyses estimated total tower settlements to range from 1 to 8 inches. Actual measured settlement following the application of dead load was about 1 3/4 inches. An engineering inspection following construction revealed diagonal shear wall cracks

The density factor in the synthesis of carbon nanotube forest by injection chemical vapor deposition

Beneath the seeming straight-forwardness of growing carbon nanotube(CNT) forests by the injection chemical vapor deposition(CVD) method, control of the forest morphology on various substrates is yet to be achieved. Using ferrocene dissolved in xylene as the precursor, we demonstrate that the concentration of ferrocene and the injection rate of the precursor dictate the CNT density of these forests. However, CNT density will also be affected by the substrates and the growth temperature which determine the diffusion of the catalyst adatoms. The CNT growth rate is controlled by the temperature and chemical composition of the gases in the CVD reactor. We show that the final height of the forest is diffusion limited, at least in the conditions of our experiments. Because of the proximity and entanglement of the CNTs in a forest, the growing CNTs can lift-up the inactive CNTs resulting in reduced density toward the base of the forest unless the nucleation rate of the new catalyst particles is sufficiently high to replenish the inactive catalyst particles. Significant loss of CNT attachment by the lift-up effect reduces the adhesion of the forest to the substrate. Optimizing the ferrocene concentration in the precursor, precursor injection rate, gas mixture, substrate, and temperature is necessary to achieve desired forest morphology for specific applications

Electrode material release during high voltage breakdown Final technical report

Electrode material release during high voltage breakdow

Continuous cryopump for steady-state Mirror Fusion Reactors

The characteristics of Mirror Fusion Reactors, i.e., steady state operation, a low neutral gas density and a large gas throughput require unique vacuum pumping capabilities. One approach that appears to meet these requirements is a liquid helium cooled cryopump system in which a fixed portion can be isolated and degassed while the remainder continues to pump. The time to degas a rotating, fixed portion of the pumping area and the ratio of that area to the total area fixes the gas inventory in the chamber. It follows that the active pump area maintains the required neutral gas density and the time averaged degassing rate equals the gas throughput. We have built such a cryopump whereby the gas condensed (deuterium) on the liquid helium cooled panel can be transferred to a collector pump and subsequently to an exterior mechanical pump and exhausted. At panel loadings as high as .55 torr-litres/cm/sup 2/ the gas leakage during degassing is less than 8% and the degassing time is less than 10 minutes. Scaling to reactor size appears to be feasible

G-TRACE: rapid Gal4-based cell lineage analysis in Drosophila.

We combined Gal4-UAS and the FLP recombinase-FRT and fluorescent reporters to generate cell clones that provide spatial, temporal and genetic information about the origins of individual cells in Drosophila melanogaster. We named this combination the Gal4 technique for real-time and clonal expression (G-TRACE). The approach should allow for screening and the identification of real-time and lineage-traced expression patterns on a genomic scale

“We Are Doing the Absolute Most That We Can, and No One Is Listening”: Barriers and Facilitators to Health Literacy Within Transgender and Nonbinary Communities

Transgender and nonbinary (TNB) individuals face disparities in nearly every aspect of health. One factor associated with poor health outcomes in other marginalized populations is health literacy, yet no identified studies examine health literacy in TNB samples. Moreover, most health literacy frameworks focus primarily on the capacities of individual patients to understand and use healthcare information, with little attention given to provider literacy and environmental factors. In partnership with a statewide LGBTQ advocacy organization, we recruited 46 transgender and nonbinary individuals to participate in seven focus groups conducted in urban, suburban, and rural locations throughout Colorado. TNB participants consistently engaged in efforts to increase their own health literacy and that of their medical providers yet faced multiple barriers to improve care. Difficulty identifying and physically reaching care, insurance and out-of-pocket expenses, negative experiences with healthcare providers and staff, provider incompetence, discriminatory and oppressive practices, and exclusionary forms and processes emerged as barriers to enacted health literacy among participants. Conversely, facilitators of enacted healthcare literacy included positive experiences with healthcare providers and staff, and inclusive forms and processe