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

Design of the Annular Suspension and Pointing System (ASPS) (including design addendum)

The Annular Suspension and Pointing System is an experiment pointing mount designed for extremely precise 3 axis orientation of shuttle experiments. It utilizes actively controlled magnetic bearing to provide noncontacting vernier pointing and translational isolation of the experiment. The design of the system is presented and analyzed

System remotely inspects, measures, and records internal irregularities in piping

Video electromechanical probe visually inspects and measures internal offset and peaking of welds in relatively large piping. Irregularity dimensions are recorded on peripheral equipment consisting of video tape and X-Y plotter. The probe is used for inspection of vacuum-jacketed liquid lines that cannot be inspected externally

The value of countryside elements in the conservation of a threatened arboreal marsupial Petaurus norfolcensis in agricultural landscapes of South-Eastern Australia—the disproportional value of scattered trees

Human activities, particularly agriculture, have transformed much of the world's terrestrial environment. Within these anthropogenic landscapes, a variety of relictual and semi-natural habitats exist, which we term countryside elements. The habitat value of countryside elements (hereafter termed 'elements') is increasingly recognised. We quantify the relative value of four kinds of such 'elements' (linear roadside remnants, native vegetation patches, scattered trees and tree plantings) used by a threatened Australian arboreal marsupial, the squirrel glider (Petaurus norfolcensis). We examined relationships between home range size and the availability of each 'element' and whether the usage was relative to predicted levels of use. The use of 'elements' by gliders was largely explained by their availability, but there was a preference for native vegetation patches and scattered trees. We found home range size was significantly smaller with increasing area of scattered trees and a contrasting effect with increasing area of linear roadside remnants or native vegetation patches. Our work showed that each 'element' was used and as such had a role in the conservation of the squirrel glider, but their relative value varied. We illustrate the need to assess the conservation value of countryside elements so they can be incorporated into the holistic management of agricultural landscapes. This work demonstrates the disproportional value of scattered trees, underscoring the need to specifically incorporate and/or enhance the protection and recruitment of scattered trees in biodiversity conservation policy and management

Do managed clinical networks improve quality of diabetes care? : Evidence from a retrospective mixed methods evaluation

Peer reviewedPostprin

Impact of spousal work restrictions and number of dependents on expatriates’ work life and overall life satisfaction

Purpose Our understanding of the challenges and the broader role of spouses of expatriates is extremely limited. The purpose of the study was to examine the impact of spousal work restrictions and number of dependents on expatriates’ work life and overall life satisfaction using qualitative and quantitative analyses Design Data were collected from 416 Indian informational technology professionals working in USA. Hypothesized conditional process models were analyzed using the PROCESS tools. Findings Spousal work restrictions and number of dependents created complications in personal life of expatriates, which interfered with their work life resulting in lower overall life satisfaction. We identified six core classes of challenges faced by spouses of expatriates: financial issues, frustration, loss of respect/low confidence, boredom, social isolation, and domestic tension. Older expatriates were able to better manage the responsibilities associated with number of dependents. More importantly, unlike adjustment, the issues associated with spouse work restrictions did not seem to improve with age or length of time in the USA. Originality Although media outlets have from time to time brought to light the issues faced by spouses of expatriates, the present study provides more credible and complete findings by conducting a qualitative and quantitative research study. To our knowledge this is the first study that has investigated the complications experienced by expatriates’ due to the work restriction (more specifically, visa related) issues faced by the spouses of these expatriates. Our mixed method approach also helps to provide a more comprehensive picture of these complications.https://scholar.utc.edu/iopsy/1001/thumbnail.jp

Modeling the power flow in normal conductor-insulator-superconductor junctions

Normal conductor-insulator-superconductor (NIS) junctions promise to be interesting for x-ray and phonon sensing applications, in particular due to the expected self-cooling of the N electrode by the tunneling current. Such cooling would enable the operation of the active element of the sensor below the cryostat temperature and at a correspondingly higher sensitivity. It would also allow the use of MS junctions as microcoolers. At present, this cooling has not been realized in large area junctions (suitable for a number of detector applications). In this article, we discuss a detailed modeling of the heat flow in such junctions; we show how the heat flow into the normal electrode by quasiparticle back-tunneling and phonon absorption from quasiparticle pair recombination can overcompensate the cooling power. This provides a microscopic explanation of the self-heating effects we observe in our large area NIS junctions. The model suggests a number of possible solutions

An indentured servant: The impact of green card waiting time on the life of highly skilled Indian immigrants in the United States of America

Highlighting the archaic immigration system in the United States of America (US), the present study demonstrates for the first time the impact of green card waiting time on the work and family life of Indian immigrants living in the US. Our present findings show that 93.4% of our participants are very concerned about the estimated green card waiting time in the US. We find 70% of the total participants are seriously thinking at the present time about emigrating to a more visa-friendly country. Also, 30% of the participants have already applied for permanent residency in a visa friendly country and 9% of the participants have already obtained a permanent residency in a more visa-friendly country. Based on these turnover intentions, we estimate the potential direct costs to American organizations due to the green card waiting time to be in the range of $19,303,200,000 -$54,261,724,160. Furthermore, our quantitative results show that the delay in receiving a green card is negatively affecting the work and family/nonwork life of Indian immigrants in the US. These critical issues are in turn causing health issues such as constant fear of unknown (uncertainty and feeling stuck issues due to green card backlog), stress, frustration and chronic health issues. Overall, in addition to the direct losses, the work and family issues caused due to the green card waiting time could result in indirect losses to organizations. We hope that the present findings may be useful to American policy makers and organizational leaders as further decisions are made regarding the American immigration system. In particular, we hope these findings will help to illustrate many serious implications associated with the green card delays and other visa-related proposed policy changes on immigrants, and their spouses, families, and communities.https://scholar.utc.edu/iopsy/1002/thumbnail.jp