Physician Acceptance of New Medicare Patients Stabilizes in 2004-05

Measures access to physicians by Medicare beneficiaries in recent years, in relation to the decline in the number of U.S. physicians accepting patients during the late 1990s. Explores factors that determine why a physician accepts new patients

Exploring the experiences and outcomes of advantaged and disadvantaged families

This report provides further evidence of the interrelationship between age, young motherhood, family type and a range of measures of socio-economic advantage and disadvantage. Maternal age and family type were found to be closely interrelated and both strongly associated with socio-economic disadvantage, with concentrated disadvantage evident in mothers under 25 and lone parents who do not live with other adults. These measures were also closely associated with health-related behaviours including likelihood of breastfeeding, attending ante-natal classes and smoking amongst mothers. Even amongst more disadvantaged groups, positive health-related behaviours were connected to relative social and economic advantage with level of maternal education featuring prominently

A Temporal Information-Theoretic Model of Suboptimal Choice

Humans and animals often make decisions not in their long-term best interest. In one example, called suboptimal choice, pigeons sacrifice food for food-predictive stimuli. The study of suboptimal choice can reveal insights into the role of reward-predictive stimuli in maladaptive decision-making that characterizes numerous behavioral disorders. However, there is currently little evidence that rats engage in suboptimal choice, thereby raising questions about the species-generality of suboptimal choice. According to the temporal information-theoretic model, developed in Chapter 2, suboptimal choice emerges when pigeons pay more attention to the bits of temporal information conveyed by food-predictive stimuli than the rate of food delivery while making decisions. When there is a long delay to food, more attention is paid to food-predictive stimuli and suboptimal choice emerges in pigeons. Chapter 3 found that rats also engaged in suboptimal choice provided a sufficiently long delay to food. Further, when there is also a long delay to food-predictive stimuli, more attention is paid to the rate of food delivery and optimal choice emerges in pigeons. Chapter 4 found that suboptimal choice in rats was unaffected by delays to food-predictive stimuli. Thus, the processes that govern suboptimal choice are well-described by the temporal information- theoretic model of suboptimal choice for both rats and pigeons, though there might be species-differences in the variables that govern attention to food-predictive stimuli and food itself

TECHNICAL PROGRESS IN THE SETE TRAWL FISHERY, 1985-1999

Fisheries throughout the world have long been subject to overfishing and excess capacity, which has generated substantial and increasing concern about biological and economic performance ramifications. These problems in part stem from substantial investment in technical improvements to boats and equipment in fishing fleets. Such technical change exacerbates the extent of excess fishing capacity, as well as low returns to fishing effort and investment due to catch limitations from both regulatory constraints and overfished stocks. However, economists have not yet attempted to quantify the extent or effects of technical change in fisheries. In this paper we use detailed data on innovation patterns for 19 vessels in the Sete trawl fleet of Southern France to evaluate the contributions of embodied and disembodied technical change to catch rates. We find that embodied technical change enhanced productivity by approximately 1 percent per year between 1985-99, but that external (disembodied) events counteracted this by causing a net output decline of about 3 percent per year. Neither efficiency nor output composition changes appear to have had a substantive effect on observed performance levels.Research and Development/Tech Change/Emerging Technologies, Resource /Energy Economics and Policy,

The Gates Of Gladness : On The Road To Sunshine Land

https://digitalcommons.library.umaine.edu/mmb-vp/1492/thumbnail.jp

America Never Took Water : And America Never Will

https://digitalcommons.library.umaine.edu/mmb-vp/5251/thumbnail.jp

Continuous direct compression as manufacturing platform for sustained release tablets

This study presents a framework for process and product development on a continuous direct compression manufacturing platform. A challenging sustained release formulation with high content of a poorly flowing low density drug was selected. Two HPMC grades were evaluated as matrix former: standard Methocel CR and directly compressible Methocel DC2. The feeding behavior of each formulation component was investigated by deriving feed factor profiles. The maximum feed factor was used to estimate the drive command and depended strongly upon the density of the material. Furthermore, the shape of the feed factor profile allowed definition of a customized refill regime for each material. Inline NIRs was used to estimate the residence time distribution (RTD) in the mixer and monitor blend uniformity. Tablet content and weight variability were determined as additional measures of mixing performance. For Methocel CR, the best axial mixing (i.e. feeder fluctuation dampening) was achieved when an impeller with high number of radial mixing blades operated at low speed. However, the variability in tablet weight and content uniformity deteriorated under this condition. One can therefore conclude that balancing axial mixing with tablet quality is critical for Methocel CR. However, reformulating with the direct compressible Methocel DC2 as matrix former improved tablet quality vastly. Furthermore, both process and product were significantly more robust to changes in process and design variables. This observation underpins the importance of flowability during continuous blending and die-filling. At the compaction stage, blends with Methocel CR showed better tabletability driven by a higher compressibility as the smaller CR particles have a higher bonding area. However, tablets of similar strength were achieved using Methocel DC2 by targeting equal porosity. Compaction pressure impacted tablet properties and dissolution. Hence controlling thickness during continuous manufacturing of sustained release tablets was crucial to ensure reproducible dissolution. (C) 2017 Elsevier B.V. All rights reserved

When the Robert E. Lee Arrives in Old Tennessee (All the Way from Gay Paree) / music by Paul Cunningham; words by J. Keirn Brennan

Cover: drawing of the steam boat, Robert E. Lee, arriving at a dock, there is much celebration by the all black crew and crowd; Publisher: M. Witmark and Sons (New York)https://egrove.olemiss.edu/sharris_d/1097/thumbnail.jp