Do Reductions in Medicaid/SCHIP Enrollment Increase Emergency Department Use Among Low-Income Persons?

Outlines estimates of the impact on emergency department visits by the uninsured and the overall low-income population if Medicaid and State Children's Health Insurance Program enrollment and physicians' acceptance rates of Medicaid patients were to fall

Proceedings of a Joint Meeting held between The Norwegian Society of Infectious Diseases and the Royal Society of Tropical Medicine and Hygiene, Oslo, 20th June 2008

The Royal Society of Tropical Medicine and Hygiene (RSTMH) has a tradition of holding joint meetings with fellow European Societies, providing opportunities to facilitate discussion, exchange information, foster mutual interests and develop collaboration between the societies’ members and fellows. This paper presents the proceedings from a scientific meeting that was held between The RSTMH and the Norwegian Infectious Diseases Society at Ulleval University Hospital, Oslo on 20th June 2008. Three speakers from each society gave state-of-the-art lectures in their areas of expertise and the meeting ended with a series of case presentations

The effects of team-skills training on transactive memory and performance

The existence of effective Transactive Memory Systems (TMS) in teams has been found to enhance task performance. Methods of developing Transactive Memory (TM) are therefore an important focus of research. This study aimed to explore one such method, the use of a generic team-skills training programme to develop TM and subsequent task performance. Sixteen three-member teams were all trained to complete a complex collaborative task, prior to which half the teams (n=8), completed a team-skills training programme. Results confirmed that those teams who had been trained to develop a range of team skills such as problem-solving, interpersonal relationships, goal setting and role allocation, evidenced significantly higher team skill, TM and performance than those who were not trained in such skills. Results are discussed with reference to the wider TM literature and the mechanisms through which team-skills training could facilitate the more rapid development of TM

Parent-child interaction therapy:An evidence-based treatment for child maltreatment

No Full Tex

Properties of tug-of-war model for cargo transport by molecular motors

Molecular motors are essential components for the biophysical functions of the cell. Our current quantitative understanding of how multiple motors move along a single track is not complete; even though models and theories for single motor chemomechanics abound. Recently, M.J.I. M$\ddot{\rm u}$ller {\em et al.} have developed a tug-of-war model to describe the bidirectional movement of the cargo (PNAS(2008) 105(12) P4609-4614). Through Monte Carlo simulations, they discovered that the tug-of-war model exhibits several qualitative different motility regimes, which depend on the precise value of single motor parameters, and they suggested the sensitivity can be used by a cell to regulate its cargo traffic. In the present paper, we carry out a thorough analysis of the tug-of-war model. All the stable, i.e., biophysically observable, steady states are obtained. Depending on several parameters, the system exhibits either uni-, bi- or tristability. Based on the separating boundary of the different stable states and the initial numbers of the different motor species that are bound to the track, the steady state of the cargo movement can be predicted, and consequently the steady state velocity can be obtained. It is found that, the velocity, even the direction, of the cargo movement change with the initial numbers of the motors which are bound to the track and several other parameters

Cooperative transport by small teams of molecular motors

Molecular motors power directed transport of cargoes within cells. Even if a single motor is sufficient to transport a cargo, motors often cooperate in small teams. We discuss the cooperative cargo transport by several motors theoretically and explore some of its properties. In particular we emphasize how motor teams can drag cargoes through a viscous environment.Comment: 9 pages, 1 figure, uses ws-brl.cls, presented at Bio-Systems conference, Berlin, June 200

A systematic review of recommended modifications of CBT for people with cognitive impairments following brain injury

Due to diverse cognitive, emotional and interpersonal changes that can follow brain injury, psychological therapies often need to be adapted to suit the complex needs of this population. The aims of the study were to synthesise published recommendations for therapy modifications following brain injury from non-progressive traumatic, vascular, or metabolic causes and to determine how often such modifications have been applied to cognitive behavioural therapy (CBT) for post-injury emotional adjustment problems. A systematic review and narrative synthesis of therapy modifications recommended in review articles and reported in intervention studies was undertaken. Database and manual searches identified 688 unique papers of which eight review articles and 16 intervention studies met inclusion criteria. The review articles were thematically analysed and a checklist of commonly recommended modifications composed. The checklist items clustered under themes of: therapeutic education and formulation; attention; communication; memory; and executive functioning. When this checklist was applied to the intervention studies, memory aids and an emphasis on socialising patients to the CBT model were most frequently reported as adaptations. It was concluded that the inconsistent reporting of psychological therapy adaptations for people with brain injury is a barrier to developing effective and replicable therapies. We present a comprehensive account of potential modifications that should be used to guide future research and practice

R Coronae Borealis Stars are Viable Factories of Pre-solar Grains

We present a new theoretical estimate for the birthrate of R Coronae Borealis (RCB) stars that is in agreement with recent observational data. We find the current Galactic birthrate of RCB stars to be $\approx$ 25% of the Galactic rate of Type Ia supernovae, assuming that RCB stars are formed through the merger of carbon-oxygen and helium-rich white dwarfs. Our new RCB birthrate ($1.8 \times 10^{-3}$ yr$^{-1}$) is a factor of 10 lower than previous theoretical estimates. This results in roughly 180--540 RCB stars in the Galaxy, depending on the RCB lifetime. From the theoretical and observational estimates, we calculate the total dust production from RCB stars and compare this rate to dust production from novae and born-again asymptotic giant branch (AGB) stars. We find that the amount of dust produced by RCB stars is comparable to the amounts produced by novae or born-again post-AGB stars, indicating that these merger objects are a viable source of carbonaceous pre-solar grains in the Galaxy. There are graphite grains with carbon and oxygen isotopic ratios consistent with the observed composition of RCB stars, adding weight to the suggestion that these rare objects are a source of stardust grains.Comment: Accepted for publication in The Astrophysical Journal, 7 page

Disability and Skill Mismatch

This paper integrates two strands of literature on overskilling and disability using the 2004 British Workplace Employment Relations Survey (WERS). It finds that the disabled are significantly more likely to be mismatched in the labour market, to suffer from a pay penalty and to have lower job satisfaction, the effects being stronger for the work-limited disabled. Giving workers more discretion over how they perform their work would significantly reduce these negative effects.skills, disability, job matching, earnings, job satisfaction