Have Recent Budget Policies Contributed to Long-Run Fiscal Stability?

Examines developments in budget policies since January 2010; the president's 2011 budget, including economic stimulus and tax and spending policies; congressional action; and issues for health reform. Considers their effect on long-term sustainability

Committees Tackle the Deficit

Summarizes the recommendations of a presidential commission and private bipartisan committee for reducing the federal deficit by cutting healthcare costs, Social Security outlays, and discretionary spending, and by raising taxes

Controlling the Deficit: The Debate Continues

Looks at budget cuts proposed by House Republicans and the president's framework with respect to savings in healthcare spending, Social Security and other entitlement spending, and discretionary spending; tax policy; and the Budget Control Act

Zeros of the Jimbo, Miwa, Ueno tau function

We introduce a family of local deformations for meromorphic connections on the Riemann sphere in the neighborhood of a higher rank (simple) singularity. Following a scheme introduced by Malgrange we use these local models to prove that the zeros of the tau function introduced by Jimbo, Miwa and Ueno occur precisely at those points in the deformation space at which a certain Birkhoff-Riemann- Hilbert problem fails to have a solution.Comment: 59 page

Simple Calculations to Reduce Litigation Costs in Personal Injury Cases: Additional Empirical Support for the Offset Rule

This article demonstrates that if the nominal rate of interest equals the growth rate of nominal earnings, then a strong case can be made for calculating lump-sum damage awards by using the offset rule, i.e., by simply multiplying the annual loss by the number of years the loss is expected to continue. An examination of the Canadian data not only supports the offset rule, but also suggests that plaintiffs are being systematically undercompensated by rules currently in use

Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis

Polly H. Noel and Luci K. Leykum are with the South Texas Veterans Health Care System, 7400 Merton Minter Blvd, San Antonio, TX 78229, USA -- Polly H. Noel, Ray F. Palmer, Raquel L. Romero, Luci K. Leykum, Holly J. Lanham, and Krista W. Bowers are with the Department of Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229, USA -- Michael L. Parchman is with the MacColl Center for Healthcare Innovation, Group Health Research Institute, Group Health Cooperative, 1730 Minor Ave 1600, Seattle, WA 98101, USA -- Holly J. Leykum is with the The McCombs School of Business, The University of Texas at Austin, 2110 Speedway, Stop B6000, Austin, TX 78712, USA -- John E. Zeber is with the Central Texas Veterans Health Care System, 1901 S. 1st St, Temple, TX 76504, USA and Scott and White Healthcare Center for Applied Health Research, 2401 S. 31st St, Temple, TX 76508, USABackground: Little is known as to whether primary care teams’ perceptions of how well they have implemented the Chronic Care Model (CCM) corresponds with their patients’ own experience of chronic illness care. We examined the extent to which practice members’ perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients’ perceptions of the chronic illness care they have received. Methods: Analysis of baseline measures from a cluster randomized controlled trial testing a practice facilitation intervention to implement the CCM in small, community-based primary care practices. All practice “members” (i.e., physician providers, non-physician providers, and staff) completed the Assessment of Chronic Illness Care (ACIC) survey and adult patients with 1 or more chronic illnesses completed the Patient Assessment of Chronic Illness Care (PACIC) questionnaire. Results: Two sets of hierarchical linear regression models accounting for nesting of practice members (N = 283) and patients (N = 1,769) within 39 practices assessed the association between practice member perspectives of CCM implementation (ACIC scores) and patients’ perspectives of CCM (PACIC). ACIC summary score was not significantly associated with PACIC summary score or most of PACIC subscale scores, but four of the ACIC subscales were consistently associated with PACIC summary score and the majority of PACIC subscale scores after controlling for patient characteristics. The magnitude of the coefficients, however, indicates that the level of association is weak. Conclusions: The ACIC and PACIC scales appear to provide complementary and relatively unique assessments of how well clinical services are aligned with the CCM. Our findings underscore the importance of assessing both patient and practice member perspectives when evaluating quality of chronic illness care.Information, Risk, and Operations Management (IROM)[email protected]

Macrohabitat Composition Surrounding Successful and Depredated Northern Bobwhite Nests

Relationships among macrohabitat and depredation of northern bobwhite (Colinus virginianus) nests are poorly understood. Yet, macrohabitat composition may influence the nest predator community and, therefore, the vulnerability of northern bobwhite nests to depredation. We determined if macrohabitat composition surrounding bobwhite nests influenced nest placement, nest success, and which predators were responsible for depredating nests. We characterized macrohabitats at 2 scales, 8 and 16 ha, by surrounding both bobwhite nests, and an equal number of random locations, with a circular buffer. Random points were placed within the area used by bobwhites on our study area. We then determined the acreage of each macrohabitat category within each circular buffer to determine the macrohabitat composition. Macrohabitat categories included hardwood forested drains, upland pine forests burned in March of the same calendar year, upland pine forests burned in March of the previous calendar year, and fields. We documented nest predators using infrared video cameras placed at the nest site. We monitored 104 bobwhite nests on Tall Timbers Research Station (TTRS) during 1999 and 2000. Size of the circular buffer around nests did not qualitatively affect results. Area (ha) of upland pine forests and fields were similar at depredated nests, hatched nests, and random locations. However, there was an average of 81% and 56% more area of hardwood drain in the circular buffers associated with random locations than at successful and depredated nests, respectively. Area of upland pine forests and fields were similar for nests depredated by raccoon (Procyon lotor), armadillo (Dasypus novemcinctus) and snake (Elaphus spp.). However, there was an average of 6.1 and 3.3 times more area of hardwood drain surrounding nests that were depredated by snakes relative to nests depredated by raccoons and armadillos, respectively. While our sample sizes were low, bobwhites exhibited a tendency to place nests in landscapes with less hardwood drain than were generally available on the study area. Macrohabitat surrounding nests influenced the type of nest predator to depredate nests. To minimize depredation of bobwhite nests by snakes, we suggest nesting cover should be developed away from drain edges

A stochastic movement simulator improves estimates of landscape connectivity

Acknowledgments This publication issued from the project TenLamas funded by the French Ministère de l'Energie, de l'Ecologie, du Développement Durable et de la Mer through the EU FP6 BiodivERsA Eranet; by the Agence Nationale de la Recherche (ANR) through the open call INDHET and 6th extinction MOBIGEN to V. M. Stevens, M. Baguette, and A. Coulon, and young researcher GEMS (ANR-13-JSV7-0010-01) to V. M. Stevens and M. Baguette; and by a VLIR-VLADOC scholarship awarded to J. Aben. L. Lens, J. Aben, D. Strubbe, and E. Matthysen are grateful to the Research Foundation Flanders (FWO) for financial support of fieldwork and genetic analysis (grant G.0308.13). V. M. Stevens and M. Baguette are members of the “Laboratoire d'Excellence” (LABEX) entitled TULIP (ANR-10-LABX-41). J. M. J. Travis and S. C. F. Palmer also acknowledge the support of NERC. A. Coulon and J. Aben contributed equally to the work.Peer reviewedPublisher PD

Towards a radiocarbon calibration for oxygen isotope stage 3 using New Zealand kauri (Agathis australis)

It is well known that radiocarbon years do not directly equate to calendar time. As a result, considerable effort has been devoted to generating a decadally resolved calibration curve for the Holocene and latter part of the last termination. A calibration curve that can be unambiguously attributed to changes in atmospheric ¹⁴C content has not, however, been generated beyond 26 kyr cal BP, despite the urgent need to rigorously test climatic, environmental, and archaeological models. Here, we discuss the potential of New Zealand kauri (Agathis australis) to define the structure of the ¹⁴C calibration curve using annually resolved tree rings and thereby provide an absolute measure of atmospheric ¹⁴C. We report bidecadally sampled ¹⁴C measurements obtained from a floating 1050-yr chronology, demonstrating repeatable ¹⁴C measurements near the present limits of the dating method. The results indicate that considerable scope exists for a high-resolution ¹⁴C calibration curve back through OIS-3 using subfossil wood from this source