30 research outputs found
Life History and Ecology of the Black-Footed Ferret in the Wild
Twenty-one black-footed ferrets (Mustela nigripes) were observed at six different locations in southwest South Dakota between April 1966, and September 1967. All observations were made on black-tailed prairie-dog (Cynomys ludovicianus) towns from 15 to 100 acres in size. Because of the proximity of towns inhabited by ferrets, it was possible that individual animals were observed in more than one location. Three litters of ferrets were studied. Young ferrets were most active during early morning and late evening hours. Ferrets remained as a group until early fall when dispersal evidently occurred. Young ferrets accepted live-tethered and dead prairie dogs, mice, cottontails (Sylvilagus floridanus), and birds placed near their burrow. A trench-like structure formed by ferrets digging in prairie-dog burrows was a characteristic sign indicating that ferrets were present. Numerous plugged burrows formed by prairie dogs covering holes presently or recently occupied by ferrets may also be a sign. All evidence indicated that prairie dogs were the principal food. Adult ferrets were observed to bring up dead prairie dogs from their burrows and carry them to other burrows. Also, one adult ferret was observed capturing a live prairie dog above ground. A reduction in prairie-dog numbers was noted on towns inhabited by ferrets. Widespread use of sodium monofluoracetate (Compound 1080) presents a threat to ferrets. It has been shown that 1080-poisoned prairie dogs can cause secondary poisoning of domestic ferrets (Mustela putorius). Also, prairie-dog eradication reduces the ferret’s food supply
Physician Compensation from Salary and Quality of Diabetes Care
OBJECTIVE: To examine the association between physician-reported percent of total compensation from salary and quality of diabetes care. DESIGN: Cross-sectional analysis. PARTICIPANTS: Physicians (n = 1248) and their patients with diabetes mellitus (n = 4200) enrolled in 10 managed care plans. MEASUREMENTS: We examined the associations between physician-reported percent compensation from salary and processes of care including receipt of dilated eye exams and foot exams, advice to take aspirin, influenza immunizations, and assessments of glycemic control, proteinuria, and lipid profile, intermediate outcomes such as adequate control of hemoglobin A1c, lipid levels, and systolic blood pressure levels, and satisfaction with provider communication and perceived difficulty getting needed care. We used hierarchical logistic regression models to adjust for clustering at the health plan and physician levels, as well as for physician and patient covariates. We adjusted for plan as a fixed effect, meaning we estimated variation between physicians using the variance within a particular health plan only, to minimize confounding by other unmeasured health plan variables. RESULTS: In unadjusted analyses, patients of physicians who reported higher percent compensation from salary (>90%) were more likely to receive 5 of 7 diabetes process measures and more intensive lipid management and to have an HbA1c<8.0% than patients of physicians who reported lower percent compensation from salary (<10%). However, these associations did not persist after adjustment. CONCLUSIONS: Our findings suggest that salary, as opposed to fee-for-service compensation, is not independently associated with diabetes processes and intermediate outcomes
Key issues in the design of pay for performance programs
Pay for performance (P4P) is increasingly being used to stimulate healthcare providers to improve their performance. However, evidence on P4P effectiveness remains inconclusive. Flaws in program design may have contributed to this limited success. Based on a synthesis of relevant theoretical and empirical literature, this paper discusses key issues in P4P-program design. The analysis reveals that designing a fair and effective program is a complex undertaking. The following tentative conclusions are made: (1) performance is ideally defined broadly, provided that the set of measures remains comprehensible, (2) concerns that P4P encourages "selection" and "teaching to the test" should not be dismissed, (3) sophisticated risk adjustment is important, especially in outcome and resource use measures, (4) involving providers in program design is vital, (5) on balance, group incentives are preferred over individual incentives, (6) whether to use rewards or penalties is context-dependent, (7) payouts should be frequent and low-powered, (8) absolute targets are generally preferred over relative targets, (9) multiple targets are preferred over single targets, and (10) P4P should be a permanent component of provider compensation and is ideally "decoupled" form base payments. However, the design of P4P programs should be tailored to the specific setting of implementation, and empirical research is needed to confirm the conclusions
Effects of long-term exposure to an electronic containment system on the behaviour and welfare of domestic cats
Free-roaming cats are exposed to a variety of risks, including involvement in road traffic accidents. One way of mitigating these risks is to contain cats, for example using an electronic boundary fence system that delivers an electric ‘correction’ via a collar if a cat ignores a warning cue and attempts to cross the boundary. However, concerns have been expressed over the welfare impact of such systems. Our aim was to determine if long-term exposure to an electronic containment system was associated with reduced cat welfare. We compared 46 owned domestic cats: 23 cats that had been contained by an electronic containment system for more than 12 months (AF group); and 23 cats with no containment system that were able to roam more widely (C group). We assessed the cats’ behavioural responses and welfare via four behavioural tests (unfamiliar person test; novel object test; sudden noise test; cognitive bias test) and an owner questionnaire. In the unfamiliar person test, C group lip-licked more than the AF group, whilst the AF group looked at, explored and interacted more with the unfamiliar person than C group. In the novel object test, the AF group looked at and explored the object more than C group. No significant differences were found between AF and C groups for the sudden noise or cognitive bias tests. Regarding the questionnaire, C group owners thought their cats showed more irritable behaviour and AF owners thought that their cats toileted inappropriately more often than C owners. Overall, AF cats were less neophobic than C cats and there was no evidence of significant differences between the populations in general affective state. These findings indicate that an electronic boundary fence with clear pre-warning cues does not impair the long term quality of life of cat
Application of In Vivo Induced Antigen Technology (IVIAT) to Bacillus anthracis
In vivo induced antigen technology (IVIAT) is an immuno-screening technique that identifies bacterial antigens expressed during infection and not during standard in vitro culturing conditions. We applied IVIAT to Bacillus anthracis and identified PagA, seven members of a N-acetylmuramoyl-L-alanine amidase autolysin family, three P60 family lipoproteins, two transporters, spore cortex lytic protein SleB, a penicillin binding protein, a putative prophage holin, respiratory nitrate reductase NarG, and three proteins of unknown function. Using quantitative real-time PCR comparing RNA isolated from in vitro cultured B. anthracis to RNA isolated from BALB/c mice infected with virulent Ames strain B. anthracis, we confirmed induced expression in vivo for a subset of B. anthracis genes identified by IVIAT, including L-alanine amidases BA3767, BA4073, and amiA (pXO2-42); the bacteriophage holin gene BA4074; and pagA (pXO1-110). The exogenous addition of two purified putative autolysins identified by IVIAT, N-acetylmuramoyl-L-alanine amidases BA0485 and BA2446, to vegetative B. anthracis cell suspensions induced a species-specific change in bacterial morphology and reduction in viable bacterial cells. Many of the proteins identified in our screen are predicted to affect peptidoglycan re-modeling, and our results support significant cell wall structural remodeling activity during B. anthracis infection. Identification of L-alanine amidases with B. anthracis specificity may suggest new potential therapeutic targets
Systematic review: Effects, design choices, and context of pay-for-performance in health care
<p>Abstract</p> <p>Background</p> <p>Pay-for-performance (P4P) is one of the primary tools used to support healthcare delivery reform. Substantial heterogeneity exists in the development and implementation of P4P in health care and its effects. This paper summarizes evidence, obtained from studies published between January 1990 and July 2009, concerning P4P effects, as well as evidence on the impact of design choices and contextual mediators on these effects. Effect domains include clinical effectiveness, access and equity, coordination and continuity, patient-centeredness, and cost-effectiveness.</p> <p>Methods</p> <p>The systematic review made use of electronic database searching, reference screening, forward citation tracking and expert consultation. The following databases were searched: Cochrane Library, EconLit, Embase, Medline, PsychINFO, and Web of Science. Studies that evaluate P4P effects in primary care or acute hospital care medicine were included. Papers concerning other target groups or settings, having no empirical evaluation design or not complying with the P4P definition were excluded. According to study design nine validated quality appraisal tools and reporting statements were applied. Data were extracted and summarized into evidence tables independently by two reviewers.</p> <p>Results</p> <p>One hundred twenty-eight evaluation studies provide a large body of evidence -to be interpreted with caution- concerning the effects of P4P on clinical effectiveness and equity of care. However, less evidence on the impact on coordination, continuity, patient-centeredness and cost-effectiveness was found. P4P effects can be judged to be encouraging or disappointing, depending on the primary mission of the P4P program: supporting minimal quality standards and/or boosting quality improvement. Moreover, the effects of P4P interventions varied according to design choices and characteristics of the context in which it was introduced.</p> <p>Future P4P programs should (1) select and define P4P targets on the basis of baseline room for improvement, (2) make use of process and (intermediary) outcome indicators as target measures, (3) involve stakeholders and communicate information about the programs thoroughly and directly, (4) implement a uniform P4P design across payers, (5) focus on both quality improvement and achievement, and (6) distribute incentives to the individual and/or team level.</p> <p>Conclusions</p> <p>P4P programs result in the full spectrum of possible effects for specific targets, from absent or negligible to strongly beneficial. Based on the evidence the review has provided further indications on how effect findings are likely to relate to P4P design choices and context. The provided best practice hypotheses should be tested in future research.</p
Voluntary disclosure of corporate strategy: determinants and outcomes. An empirical study into the risks and payoffs of communicating corporate strategy.
Business leaders increasingly face pressure from stakeholders to be transparent. There
appears however little consensus on the risks and payoffs of disclosing vital information
such as corporate strategy. To fill this gap, this study analyzes firm-specific determinants
and organisational outcomes of voluntary disclosure of corporate strategy. Stakeholder
theory and agency theory help to understand whether companies serve their interest to
engage with stakeholders and overcome information asymmetries. I connect these
theories and propose a comprehensive approach to measure voluntary disclosure of
corporate strategy. Hypotheses from the theoretical framework are empirically tested
through panel regression of data on identified determinants and outcomes and of
disclosed strategy through annual reports, corporate social responsibility reports,
corporate websites and corporate press releases by the 70 largest publicly listed
companies in the Netherlands from 2003 through 2008. I found that industry,
profitability, dual-listing status, national ranking status and listing age have significant
effects on voluntary disclosure of corporate strategy. No significant effects are found for
size, leverage and ownership concentration. On outcomes, I found that liquidity of stock
and corporate reputation are significantly influenced by voluntary disclosure of corporate
strategy. No significant effect is found for volatility of stock. My contributions to theory,
methodology and empirics offers a stepping-stone for further research into understanding
how companies can use transparency to manage stakeholder relations
\u3ci\u3eMustela nigripes\u3c/i\u3e
CONTEXT AND CONTENT. Order Carnivora, Family Mustelidae, Genus Mustela, Subgenus Putorius. There are about 14 living species of Mustela including three of Putorius. No subspecies of M. nigripes have been recognized.
DIAGNOSIS. Mustela nigripes is about mink-sized; upper parts are yellowish buff, occasionally whitish, especially on the face and venter (Fig. 1); feet are black; tail is tipped with black; mastoid process is notably angular (Fig. 2) (Long, 1965). Ferrets (subgenus Putorius) differ from other Mustela (weasels and mink) in being larger than weasels and in having the following combination of characters: ventral and dorsal pelage without sharp boundary (it is present in some species of weasels); light and dark markings present on face (lacking in most weasels and mink); legs darker than body; body yellowish brown or whitish and somewhat obscured by darker guard hairs; and more angular mastoid process. The black-footed ferret differs from the Old World ferrets (M. putorius) in having greater contrast between blackish feet and paler body, and usually shorter black part of tail (distal third or less). Pelage differences between M. eversmanni and M. nigripes are very slight. Anderson (1977) examined 19 skulls of M. eversmanni and 79 skulls of M. nigripes; there were no significant differences in size between the two species
Effects of Compensation Methods and Physician Group Structure on Physicians' Perceived Incentives to Alter Services to Patients
OBJECTIVE: To examine how health plan payment, group ownership, compensation methods, and other practice management tools affect physician perceptions of whether their overall financial incentives tilt toward increasing or decreasing services to patients. DATA SOURCE: Nationally representative data on physicians are from the 2000–2001 Community Tracking Study Physician Survey (N = 12,406). STUDY DESIGN: Ordered and multinomial logistic regression were used to explore how physician, group, and market characteristics are associated with physician reports of whether overall financial incentives are to increase services, decrease services, or neither. PRINCIPAL FINDINGS: Seven percent of physicians report financial incentives are to reduce services to patients, whereas 23 percent report incentives to increase services. Reported incentives to reduce services were associated with reports of lower ability to provide quality care. Group revenue in the form of capitation was associated with incentives to reduce services whereas practice ownership and variable compensation and bonuses for employee physicians were mostly associated with incentives to increase services to patients. Full ownership of groups, productivity incentives, and perceived competitive markets for patients were associated with incentives to both increase and reduce services. CONCLUSIONS: Practice ownership and the ways physicians are compensated affect their perceived incentives to increase or decrease services to patients. In the latter case, this adversely affects perceived quality of care and satisfaction, although incentives to increase services may also have adverse implications for quality, cost, and insurance coverage