Public health and the economy could be served by reallocating medical expenditures to social programs.

As much as 30% of US health care spending in the United States does not improve individual or population health. To a large extent this excess spending results from prices that are too high and from administrative waste. In the public sector, and particularly at the state level, where budget constraints are severe and reluctance to raise taxes high, this spending crowds out social, educational, and public-health investments. Over time, as spending on medical care increases, spending on improvements to the social determinants of health are starved. In California the fraction of General Fund expenditures spent on public health and social programs fell from 34.8% in fiscal year 1990 to 21.4% in fiscal year 2014, while health care increased from 14.1% to 21.3%. In spending more on healthcare and less on other efforts to improve health and health determinants, the state is missing important opportunities for health-promoting interventions with a strong financial return. Reallocating ineffective medical expenditures to proven and cost-effective public health and social programs would not be easy, but recognizing its potential for improving the public's health while saving taxpayers billions of dollars might provide political cover to those willing to engage in genuine reform. National estimates of the percent of medical spending that does not improve health suggest that approximately $5 billion of California's public budget for medical spending has no positive effect on health. Up to 10,500 premature deaths could be prevented annually by reallocating this portion of medical spending to public health. Alternatively, the same expenditure could help an additional 418,000 high school students to graduate

Validation of Satellite Rainfall Products for Western Uganda.

Central equatorial Africa is deficient in long-term, ground-based measurements of rainfall; therefore, the aim of this study is to assess the accuracy of three high-resolution, satellite-based rainfall products in western Uganda for the 2001–10 period. The three products are African Rainfall Climatology, version 2 (ARC2); African Rainfall Estimation Algorithm, version 2 (RFE2); and 3B42 from the Tropical Rainfall Measuring Mission, version 7 (i.e., 3B42v7). Daily rainfall totals from six gauges were used to assess the accuracy of satellite-based rainfall estimates of rainfall days, daily rainfall totals, 10-day rainfall totals, monthly rainfall totals, and seasonal rainfall totals. The northern stations had a mean annual rainfall total of 1390 mm, while the southern stations had a mean annual rainfall total of 900 mm. 3B42v7 was the only product that did not underestimate boreal-summer rainfall at the northern stations, which had ~3 times as much rainfall during boreal summer than did the southern stations. The three products tended to overestimate rainfall days at all stations and were borderline satisfactory at identifying rainfall days at the northern stations; the products did not perform satisfactorily at the southern stations. At the northern stations, 3B42v7 performed satisfactorily at estimating monthly and seasonal rainfall totals, ARC2 was only satisfactory at estimating seasonal rainfall totals, and RFE2 did not perform satisfactorily at any time step. The satellite products performed worst at the two stations located in rain shadows, and 3B42v7 had substantial overestimates at those stations

Spearfishing-induced behavioral changes of an unharvested species inside and outside a marine protected area.

By prohibiting fishing, marine protected areas (MPAs) provide a refuge for harvested species. Humans are often perceived as predators by prey and therefore respond fearfully to humans. Thus, fish responses to humans inside and outside of an MPA can provide insights into their perception of humans as a predatory threat. Previous studies have found differences in the distance that harvested species of fish initiate flight (flight initiation distance-FID) from humans inside and outside an MPA, but less is known about unharvested species. We focused on whether the lined bristletooth Ctenochaetus striatus, an unharvested surgeonfish, can discriminate between a snorkeler and a snorkeler with a spear gun inside and outside of a no-take MPA in Mo'orea, French Polynesia. Additionally, we incorporated starting distance (the distance between the person and prey at the start of an experimental approach), a variable that has been found to be important in assessing prey escape decisions in terrestrial species, but that has not been extensively studied in aquatic systems. Lined bristletooth FID was significantly greater in the presence of a spear gun and varied depending on if the spear gun encounter was inside or outside of the MPA. These results imply a degree of sophistication of fish antipredator behavior, generate questions as to how a nontargeted species of fish could acquire fear of humans, and demonstrate that behavioral surveys can provide insights about antipredator behavior

Population pressure and global markets drive a decade of forest cover change in Africa\u27s Albertine Rift

Africa\u27s Albertine Rift region faces a juxtaposition of rapid human population growth and protected areas, making it one of the world\u27s most vulnerable biodiversity hotspots. Using satellite-derived estimates of forest cover change, we examined national socioeconomic, demographic, agricultural production, and local demographic and geographic variables, to assess multilevel forces driving local forest cover loss and gain outside protected areas during the first decade of this century. Because the processes that drive forest cover loss and gain are expected to be different, and both are of interest, we constructed models of significant change in each direction. Although rates of forest cover change varied by country, national population change was the strongest driver of forest loss for all countries – with a population doubling predicted to cause 2.06% annual cover loss, while doubling tea production predicted to cause 1.90%. The rate of forest cover gain was associated positively with increased production of the local staple crop cassava, but negatively with local population density and meat production, suggesting production drivers at multiple levels affect reforestation. We found a small but significant decrease in loss rate as distance from protected areas increased, supporting studies suggesting higher rates of landscape change near protected areas. While local population density mitigated the rate of forest cover gain, loss was also correlated with lower local population density, an apparent paradox, but consistent with findings that larger scale forces outweigh local drivers of deforestation. This implicates demographic and market forces at national and international scales as critical drivers of change, calling into question the necessary scales of forest protection policy in this biodiversity hotspot. Using a satellite derived estimate of forest cover change for both loss and gain added a dynamic component to more traditionally static and unidirectional studies, significantly improving our understanding of landscape processes and drivers at work

A Meta-Analysis of E-Recruitment Applicant Experience, Perception, and Behavior

E-recruitment, an Internet-based approach for recruitment, has been shown to be an efficient method for organizations to reach a target candidate population. However, challenges with recruitment websites have resulted in high rates of job seekers abandoning an online application before completion. A quantitative meta-analytic review of literature from 2009 to 2019 was conducted to determine the relationship between applicant user experience (UX) when interacting with an organization’s e-recruitment website, applicant perceptions of the hiring organization, and applicant behaviors related to pursuing employment. The review initially considered 105 candidate articles, of which 41 were consider after applying initial inclusions criteria. After the final review, the meta-analysis subsequently included 8 articles (N = 3448) to investigate the relationship between applicant UX and applicant perception and including 6 articles (N = 1274) to investigate the relationship between applicant UX and applicant behavior. The results revealed that the weighted average effect size for applicant perception was r* = 0.441 (SE = 0.019), with a significant z score (z = 7.565, p \u3c .05). The weighted average effect size for applicant behavior was r* = 0.413 (SE = 0.215), with a significant z score (z = 1.993, p \u3c.05). For both applicant perception and applicant behavior, the correlation between effect sizes across studies was medium to large and statistically significant. Implications for positive social change include reductions in recruitment related costs, improvements to employer branding, increases in job seekers finding employment, and improvements in the overall candidate experience

Synthetic dimensions and spin-orbit coupling with an optical clock transition

We demonstrate a novel way of synthesizing spin-orbit interactions in ultracold quantum gases, based on a single-photon optical clock transition coupling two long-lived electronic states of two-electron $^{173}$Yb atoms. By mapping the electronic states onto effective sites along a synthetic "electronic" dimension, we have engineered synthetic fermionic ladders with tunable magnetic fluxes. We have detected the spin-orbit coupling with fiber-link-enhanced clock spectroscopy and directly measured the emergence of chiral edge currents, probing them as a function of the magnetic field flux. These results open new directions for the investigation of topological states of matter with ultracold atomic gases.Comment: Minor changes with respect to v1 (we have corrected some typos, fixed the use of some mathematical symbols, added one reference