1,052 research outputs found
The Association Between State-Level Health Information Exchange Laws and Hospital Participation in Community Health Information Organizations
Evidence suggests that health information exchange (HIE) is an effective strategy to improve efficiency and quality of care, as well as reduce costs. A complex patchwork of federal and state legislation has developed over time to encourage HIE activity. Hospitals and health systems have adopted various HIE models to meet the requirements of these statutes and regulations. Given the complexity of HIE laws, it is important to understand how these legal levers influence HIE engagement. We combined data from two unique data sources to examine the association between state-level HIE laws and hospital engagement in community HIEs. Our results identified three legal provisions of state laws (HIE authorization, financial & non-financial incentives, opt-out consent) that increased the likelihood of community HIE engagement. Other provisions decreased the likelihood of engagement. This analysis provides foundational evidence about the utility of HIE laws. More research is needed to determine causal relationships
How should we incentivize private landowners to "produce" more biodiversity?
Globally, much biodiversity is found on private land. Acting to conserve such biodiversity thus requires the design of policies which influence the decision-making of farmers and foresters. In this paper, we outline the economic characteristics of this problem, before reviewing a number of policy options such as conservation auctions and conservation easements. We then discuss a number of policy design problems, such as need for spatial coordination and the choice between paying for outcomes rather than actions, before summarizing what the evidence and theory developed to date tells us about those aspects of biodiversity policy design which need careful attention from policy makers and environmental regulators
scattering S wave from the data on the reaction
The results of the recent experiments on the reaction
performed at KEK, BNL, IHEP, and CERN are analyzed in detail. For the I=0
S wave phase shift and inelasticity a new set
of data is obtained. Difficulties emerging when using the physical solutions
for the S and D wave amplitudes extracted with the partial wave
analyses are discussed. Attention is drawn to the fact that, for the
invariant mass, m, above 1 GeV, the other solutions, in principle,
are found to be more preferred. For clarifying the situation and further
studying the resonance thorough experimental investigations of the
reaction in the m region near the threshold
are required.Comment: 17 pages, 5 figure
A microRNA Expression Profile as Non-Invasive Biomarker in a Large Arrhythmogenic Cardiomyopathy Cohort
Arrhythmogenic Cardiomyopathy (AC) is a clinically and genetically heterogeneous myocardial disease. Half of AC patients harbour private desmosomal gene variants. Although microRNAs (miRNAs) have emerged as key regulator molecules in cardiovascular diseases and their involvement, correlated to phenotypic variability or to non-invasive biomarkers, has been advanced also in AC, no data are available in larger disease cohorts. Here, we propose the largest AC cohort unbiased by technical and biological factors. MiRNA profiling on nine right ventricular tissue, nine blood samples of AC patients, and four controls highlighted 10 differentially expressed miRNAs in common. Six of these were validated in a 90-AC patient cohort independent from genetic status: miR-122-5p, miR-133a-3p, miR-133b, miR-142-3p, miR-182-5p, and miR-183-5p. This six-miRNA set showed high discriminatory diagnostic power in AC patients when compared to controls (AUC-0.995), non-affected family members of AC probands carrying a desmosomal pathogenic variant (AUC-0.825), and other cardiomyopathy groups (Hypertrophic Cardiomyopathy: AUC-0.804, Dilated Cardiomyopathy: AUC-0.917, Brugada Syndrome: AUC-0.981, myocarditis: AUC-0.978). AC-related signalling pathways were targeted by this set of miRNAs. A unique set of six-miRNAs was found both in heart-tissue and blood samples of AC probands, supporting its involvement in disease pathogenesis and its possible role as a non-invasive AC diagnostic biomarker
Multifrequency Photo-polarimetric WEBT Observation Campaign on the Blazar S5 0716+714: Source Microvariability and Search for Characteristic Timescales
Here we report on the results of the WEBT photo-polarimetric campaign
targeting the blazar S5~0716+71, organized in March 2014 to monitor the source
simultaneously in BVRI and near IR filters. The campaign resulted in an
unprecedented dataset spanning \,h of nearly continuous, multi-band
observations, including two sets of densely sampled polarimetric data mainly in
R filter. During the campaign, the source displayed pronounced variability with
peak-to-peak variations of about and "bluer-when-brighter" spectral
evolution, consisting of a day-timescale modulation with superimposed hourlong
microflares characterized by \,mag flux changes. We performed an
in-depth search for quasi-periodicities in the source light curve; hints for
the presence of oscillations on timescales of \,h and \,h do
not represent highly significant departures from a pure red-noise power
spectrum. We observed that, at a certain configuration of the optical
polarization angle relative to the positional angle of the innermost radio jet
in the source, changes in the polarization degree led the total flux
variability by about 2\,h; meanwhile, when the relative configuration of the
polarization and jet angles altered, no such lag could be noted. The
microflaring events, when analyzed as separate pulse emission components, were
found to be characterized by a very high polarization degree () and
polarization angles which differed substantially from the polarization angle of
the underlying background component, or from the radio jet positional angle. We
discuss the results in the general context of blazar emission and energy
dissipation models.Comment: 16 pages, 17 Figures; ApJ accepte
S-wave Meson-Meson Scattering from Unitarized U(3) Chiral Lagrangians
An investigation of the s-wave channels in meson-meson scattering is
performed within a U(3) chiral unitary approach. Our calculations are based on
a chiral effective Lagrangian which includes the eta' as an explicit degree of
freedom and incorporates important features of the underlying QCD Lagrangian
such as the axial U(1) anomaly. We employ a coupled channel Bethe-Salpeter
equation to generate poles from composed states of two pseudoscalar mesons. Our
results are compared with experimental phase shifts up to 1.5 GeV and effects
of the eta' within this scheme are discussed.Comment: 18 pages, 6 figure
The Wilderness Expedition: An effective life course intervention to improve young peoples well-being and connectedness to nature
It is well understood that wilderness expeditions improve well-being; however, there is little supporting quantitative data. The aim of this study was to measure the impact of wilderness expeditions on self-esteem (SE) and connectedness to nature (CN) and assess whether benefits varied according to participant and expedition characteristics. SE and CN were assessed pre– and post–wilderness expeditions in 130 adolescents using Rosenberg’s SE scale and the state CN scale. Two-way ANOVA revealed significant increases in SE and CN (p < .001) as a result of single expeditions. There was also an interaction effect of expedition and gender on SE (p < .05). Males had a higher SE at the start but female SE increased most. Linear regression revealed that living environment, gender, and the length and location of the expedition did not contribute to changes in SE and CN. Regular contact with natural environments will improve adolescent well-being, with the largest improvements in females
Efficiency in a forced contribution threshold public good game
We contrast and compare three ways of predicting efficiency in a forced contribution threshold public good game. The three alternatives are based on ordinal potential, quantal response and impulse balance theory. We report an experiment designed to test the respective predictions and find that impulse balance gives the best predictions. A simple expression detailing when enforced contributions result in high or low efficiency is provided
Another look at scattering in the scalar channel
We set up a general framework to describe scattering below 1 GeV
based on chiral low-energy expansion with possible spin-0 and 1 resonances.
Partial wave amplitudes are obtained with the method, which satisfy
unitarity, analyticity and approximate crossing symmetry. Comparison with the
phase shift data in the J=0 channel favors a scalar resonance near the
mass.Comment: 17 pages, 5 figures, REVTe
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