2,886 research outputs found

    Innovation in regulation of rapidly changing health markets

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    The rapid evolution and spread of health markets across low and middle-income countries (LMICs) has contributed to a significant increase in the availability of health-related goods and services around the world. The support institutions needed to regulate these markets have lagged behind, with regulatory systems that are weak and under-resourced. This paper explores the key issues associated with regulation of health markets in LMICs, and the different goals of regulation, namely quality and safety of care, value for money, social agreement over fair access and financing, and accountability. Licensing, price controls, and other traditional approaches to the regulation of markets for health products and services have played an important role, but they have been of questionable effectiveness in ensuring safety and efficacy at the point of the user in LMICs. The paper proposes a health market systems conceptual framework, using the value chain for the production, distribution and retail of health goods and services, to examine regulation of health markets in the LMIC context. We conclude by exploring the changing context going forwards, laying out implications for future heath market regulation. We argue that the case for new approaches to the regulation of markets for health products and services in LMICs is compelling. Although traditional "command and control" approaches will have a place in the toolkit of regulators, a broader bundle of approaches is needed that is adapted to the national and market-level context of particular LMICs. The implication is that it is not possible to apply standard or single interventions across countries, as approaches proven to work well in one context will not necessarily work well elsewhere.Ukai

    Picosecond real-time studies of mode-specific vibrational predissociation

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    The vibrational predissociation of several van der Waals complexes of t-stilbene has been studied by directly measuring, in real time, the fluorescence intensity from the initial reactant state and from the individual product states formed in the dissociation process after exciting single vibrational levels of the complex. With the aid of a kinetic model involving sequential processes, the individual rates for intramolecular vibrational redistribution and vibrational predissociation in the overall dissociation process are resolved and distinguished in several cases. In the stilbene–He complex, the dissociation is significantly faster from low energy out-of-plane modes than it is from a higher energy in-plane mode

    An Update on the Science of Acidification in the Adirondack Park

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    This paper provides a review of the science pertaining to all aspects of acidification in the Adirondack Park, updating an earlier review of the science (Cook et al. 2002). The review supports an ongoing social science investigation into the willingness to pay for ecological improvements that would result from reduced acid deposition. This paper builds a bridge between the physical science and social science by providing the background that will allow researchers to accurately summarize the crucial elements of ecological status and improvement in a stated preference survey.acid rain, acidification, stated preference, willingness to pay, benefit estimation

    Expression profiling of snoRNAs in normal hematopoiesis and AML

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    Key Points A subset of snoRNAs is expressed in a developmental- and lineage-specific manner during human hematopoiesis. Neither host gene expression nor alternative splicing accounted for the observed differential expression of snoRNAs in a subset of AML.</jats:p

    The Rise and Fall of Efavirenz

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    Variation in sexual dimorphism in a wind-pollinated plant: The influence of geographical context and life-cycle dynamics

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    Understanding the mechanisms causing phenotypic differences between females and males has long fascinated evolutionary biologists. An extensive literature exists on animal sexual dimorphism but less information is known about sex differences in plants, particularly the extent of geographical variation in sexual dimorphism and its life‐cycle dynamics. Here, we investigated patterns of genetically based sexual dimorphism in vegetative and reproductive traits of a wind‐pollinated dioecious plant, Rumex hastatulus, across three life‐cycle stages using open‐pollinated families from 30 populations spanning the geographic range and chromosomal variation (XY and XY1Y2) of the species. The direction and degree of sexual dimorphism was highly variable among populations and life‐cycle stages. Sex‐specific differences in reproductive function explained a significant amount of temporal change in sexual dimorphism. For several traits, geographical variation in sexual dimorphism was associated with bioclimatic parameters, likely due to the differential responses of the sexes to climate. We found no systematic differences in sexual dimorphism between chromosome races. Sex‐specific trait differences in dioecious plants largely result from a balance between sexual and natural selection on resource allocation. Our results indicate that abiotic factors associated with geographical context also play a role in modifying sexual dimorphism during the plant life‐cycle

    Grazers, producer stoichiometry, and the light : nutrient hypothesis revisited.

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    The stoichiometric light : nutrient hypothesis (LNH) links the relative supplies of key resources with the nutrient content of tissues of producers. This resource-driven variation in producer stoichiometry, in turn, can mediate the efficiency of grazing. Typically, discussions of the LNH attribute this resource–stoichiometry link to bottom-up effects of light and phosphorus, which are mediated through producer physiology. Emphasis on bottom-up effects implies that grazers must consume food of quality solely determined by resource supply to ecosystems (i.e., they eat what they are served). Here, we expand upon this largely bottom up interpretation with evidence from pond surveys, a mesocosm experiment, and a model. Data from shallow ponds showed the ‘‘LNH pattern’’ (positive correlation of an index of light: phosphorus supply with algal carbon : phosphorus content). However, algal carbon: phosphorus content also declined as zooplankton biomass increased in the ponds. The experiment and model confirmed that this latter correlation was partially caused by the various bottom-up and top-down roles of grazers: the LNH pattern emerged only in treatments with crustacean grazers, not those without them. Furthermore, model and experiment clarified that another bottom-up factor, natural covariation of nitrogen : phosphorus ratios with light : phosphorus supply (as seen in ponds), does not likely contribute to the LNH pattern. Finally, the experiment produced correlations between shifts in species composition of algae, partially driven by grazing effects of crustaceans, and algal stoichiometry. These shifts in species composition might shape stoichiometric response of producer assemblages to resource supply and grazing, but their consequences remain largely unexplored. Thus, this study accentuated the importance of grazing for the LNH; deemphasized a potentially confounding, bottom-up factor (covarying nitrogen : phosphorus supply); and highlighted an avenue for future research for the LNH (grazer-mediated shifts in producer composition).We thank T. Darcy-Hall, A. Downing, P. Geddes, and N. Howe for help with sampling the cattle tank experiment and natural ponds. We analyzed the C:N samples in the Robertson lab at the W. K. Kellogg Biological Station (KBS) with the help of A. Corbin and T. Darcy-Hall. Thanks also go to G. Mittelbach, N. Consolatti, A. Tessier, and P. Woodruff for technical support. Finally, S. Diehl kindly provided us with data from his experiments. Primary funding came from NSF DEB 98-15799, DEB 02-35579, and funds from Indiana University. This is KBS contribution number 1277

    Constraints on primary producer n:p stoichiometry along n:p supply ratio gradients

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    A current principle of ecological stoichiometry states that the nitrogen to phosphorus ratio (N:P) of primary producers should closely match that from environmental nutrient supplies. This hypothesis was tested using data from ponds in Michigan, USA, a freshwater mesocosm experiment, a synthesis of studies from diverse systems (cultures, lakes, streams, and marine and terrestrial environments), and simple dynamic models of producer growth and nutrient content. Unlike prior laboratory studies, the N:P stoichiometry of phytoplankton in Michigan ponds clustered around and below the Redfield ratio (7.2:1 by mass), despite wide variation in N:P supply ratios (2:1–63:1 by mass) and the presence of grazers. In a mesocosm experiment, the N:P stoichiometry of phytoplankton cells again deviated from a nearly 1:1 relationship with N:P supply. Phytoplankton seston exhibited lower N:P content than expected at high N:P supply ratios, and often higher N:P content than anticipated at low N:P supply ratios, regardless of herbivore presence. Similar deviations consistently occur in the N:P stoichiometry of algae and plants in the other diverse systems. The models predicted that both high loss rates (sinking, grazing) and physiological limits to nutrient storage capacity could attenuate producer stoichiometry. In the future, research should evaluate how limits to elemental plasticity of producers can influence the role of stoichiometry in structuring communities and ecosystem processes.We thank T. Darcy-Hall, A. Downing, P. Geddes, and N. Howe for help with tank and field sampling; and C. Klausmeier, G. Mittelbach, two anonymous reviewers, and Editor P. Leavitt for very helpful comments on the manuscript. We analyzed the C:N samples in the Robertson lab at Kellogg Biological Station (KBS) with the help of A. Corbin and T. Darcy-Hall. Thanks also go to G. Mittelbach, N. Consolatti, A. Tessier, and P. Woodruff at KBS for technical support. M. Bishop of the Michigan DNR permitted us to sample ponds in Barry and Middleville State Game Areas. Primary funding came from NSF DEB 98-15799 to Mathew A. Leibold and Val H. Smith. Spencer R. Hall was also supported by an NSF Graduate Fellowship, a University of Chicago Harper Fellowship and Hinds Fund Award, a Department of Education GAANN training grant, and a NSF DDIG (DEB 01-05014, P.I., Mathew Leibold). Some of the data described in this article were produced by the U.S. Environmental Protection Agency through its Environmental Monitoring and Assessment Program (EMAP). This is KBS contribution #1169
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