Ghana’s National Health Insurance Scheme in the Context of the Health MDGs – An Empirical Evaluation Using Propensity Score Matching

In 2003 the Government of Ghana established a National Health Insurance Scheme (NHIS) to improve health care access for Ghanaians and eventually replace the cashand- carry system. This study evaluates the NHIS to determine whether it is fulfi lling its purpose in the context of the Millennium Development Goals #4 and #5 which deal with the health of women and children. We use Propensity Score Matching techniques to balance the relevant background characteristics in our survey data and compare health outcomes of recent mothers who are enrolled in the NHIS with those who are not. Our fi ndings suggest that NHIS women are more likely to receive prenatal care, deliver at a hospital, have their deliveries attended by trained health professionals, and experience less birth complications. We conclude that NHIS is an eff ective tool for increasing health care access, and improving health outcomes.Health insurance, prenatal care, Millennium Development Goals, Propensity Score Matching

Explicit correlation and intermolecular interactions: Investigating carbon dioxide complexes with the CCSD(T)-F12 method

We have optimized the lowest energy structures and calculated interaction energies for the CO₂–Ar, CO₂–N₂, CO₂–CO, CO₂–H₂O, and CO₂–NH₃ dimers with the recently developed explicitly correlated coupled cluster singles doubles and perturbative triples [CCSD(T)]-F12 methods and the associated VXZ-F12 (where X = D,T,Q) basis sets. For a given cardinal number, we find that results obtained with the CCSD(T)-F12 methods are much closer to the CCSD(T) complete basis set limit than the conventional CCSD(T) results. The relatively modest increase in the computational cost between explicit and conventional CCSD(T) is more than compensated for by the impressive accuracy of the CCSD(T)-F12 method. We recommend use of the CCSD(T)-F12 methods in combination with the VXZ-F12 basis sets for the accurate determination of equilibrium geometries and interaction energies of weakly bound electron donor acceptor complexes

Quantifying cooperative intermolecular interactions for improved carbon dioxide capture materials

We have optimized the geometry and calculated interaction energies for over 100 different complexes of CO₂ with various combinations of electron accepting (Lewis acid) and electron donating (Lewis base) molecules. We have used the recently developed explicitly correlated coupled cluster singles doubles and perturbative triples [CCSD(T)-F12] methods and the associated VXZ-F12 (where X = D,T,Q) basis sets. We observe only modest changes in the geometric parameters of CO₂ upon complexation, which suggests that the geometry of CO₂ adsorbed in a nanoporous material should be similar to that of CO₂ in gas phase. When CO₂ forms a complex with two Lewis acids via the two electron rich terminal oxygen atoms, the interaction energy is less than twice what would be expected for the same complex involving a single Lewis acid. We consider a series of complexes that exhibit simultaneous CO₂-Lewis acid and CO₂-Lewis base intermolecular interactions, with total interaction energies spanning 14.1–105.9 kJ mol⁻¹. For these cooperative complexes, we find that the total interaction energy is greater than the sum of the interaction energies of the constituent complexes. Furthermore, the intermolecular distances of the cooperative complexes are contracted as compared to the constituent complexes. We suggest that metal-organic-framework or similar nanoporous materials could be designed with adsorption sites specifically tailored for CO₂ to allow cooperative intermolecular interactions, facilitating enhanced CO₂ adsorption

Financing the U.S. Health System: Issues and Options for Change

Explores key issues of health reform and options for financing health care -- redirecting funds to more effective uses, rolling back tax cuts, modifying tax exclusions for health benefits, an employer play-or-pay model, and a value-added tax

The Manifestation of Stress and Rumination in Musicians

Here we offer a brief review of research on individual differences that are common to musicians, focusing on our own work on rumination and stress. Rumination and stress have been linked with depression and negative health outcomes. We discuss two of our published studies and two new, unpublished replications that find elevated levels of rumination and stress in musicians. Further, we review literature that finds this combination of rumination and stress might be especially toxic. Even though people frequently use music to help combat stress, musicians may not be taking advantage of their frequent exposure to music, further exacerbating the problem. Interventions aimed at alleviating stress and rumination might prove helpful to musicians

Attenuation of the Ganglion Cell Layer in a Premature Infant Revealed with Handheld Spectral Domain Optical Coherence Tomography

Purpose: To report on subclinical retinal abnormalities shown through handheld spectral domain optical coherence tomography on a premature infant. Methods: Case report. Results: The initial and follow-up exams on a premature infant revealed severely attenuated ganglion cell and nerve fiber layers. There was cystoid macular edema in both eyes at the initial visits, which resolved by the 1-year follow-up. Discussion: Optical coherence tomography can reveal significant retinal abnormalities in premature infants which are not detectable through funduscopic exam. Documenting such findings may be useful for the comprehensive management of vision problems in children with a history of premature birth

Minimal Unitary Realizations of Exceptional U-duality Groups and Their Subgroups as Quasiconformal Groups

We study the minimal unitary representations of noncompact exceptional groups that arise as U-duality groups in extended supergravity theories. First we give the unitary realizations of the exceptional group E_{8(-24)} in SU*(8) as well as SU(6,2) covariant bases. E_{8(-24)} has E_7 X SU(2) as its maximal compact subgroup and is the U-duality group of the exceptional supergravity theory in d=3. For the corresponding U-duality group E_{8(8)} of the maximal supergravity theory the minimal realization was given in hep-th/0109005. The minimal unitary realizations of all the lower rank noncompact exceptional groups can be obtained by truncation of those of E_{8(-24)} and E_{8(8)}. By further truncation one can obtain the minimal unitary realizations of all the groups of the "Magic Triangle". We give explicitly the minimal unitary realizations of the exceptional subgroups of E_{8(-24)} as well as other physically interesting subgroups. These minimal unitary realizations correspond, in general, to the quantization of their geometric actions as quasi-conformal groups as defined in hep-th/0008063.Comment: 28 pages. Latex commands removed from the abstract for the arXiv. No changes in the manuscrip

Abelian Z-theory: NLSM amplitudes and alpha'-corrections from the open string

In this paper we derive the tree-level S-matrix of the effective theory of Goldstone bosons known as the non-linear sigma model (NLSM) from string theory. This novel connection relies on a recent realization of tree-level open-superstring S-matrix predictions as a double copy of super-Yang-Mills theory with Z-theory --- the collection of putative scalar effective field theories encoding all the alpha'-dependence of the open superstring. Here we identify the color-ordered amplitudes of the NLSM as the low-energy limit of abelian Z-theory. This realization also provides natural higher-derivative corrections to the NLSM amplitudes arising from higher powers of alpha' in the abelian Z-theory amplitudes, and through double copy also to Born-Infeld and Volkov-Akulov theories. The Kleiss-Kuijf and Bern-Carrasco-Johansson relations obeyed by Z-theory amplitudes thereby apply to all alpha'-corrections of the NLSM. As such we naturally obtain a cubic-graph parameterization for the abelian Z-theory predictions whose kinematic numerators obey the duality between color and kinematics to all orders in alpha'.Comment: 37 pages; v2: references, explanations and arguments for factorization added; published versio

A Search for Lost Planets in the Kepler Multi-planet Systems and the Discovery of the Long-period, Neptune-sized Exoplanet Kepler-150 f

The vast majority of the 4700 confirmed planets and planet candidates discovered by the Kepler mission were first found by the Kepler pipeline. In the pipeline, after a transit signal is found, all data points associated with those transits are removed, creating a "Swiss cheese"-like light curve full of holes, which is then used for subsequent transit searches. These holes could render an additional planet undetectable (or "lost"). We examine a sample of 114 stars with $3+$ confirmed planets to evaluate the effect of this "Swiss cheesing". A simulation determines that the probability that a transiting planet is lost due to the transit masking is low, but non-negligible, reaching a plateau at $\sim3.3\%$ lost in the period range of $P=400-500$ days. We then model all planet transits and subtract out the transit signals for each star, restoring the in-transit data points, and use the Kepler pipeline to search the transit-subtracted (i.e., transit-cleaned) light curves. However, the pipeline did not discover any credible new transit signals. This demonstrates the validity and robustness of the Kepler pipeline's choice to use transit masking over transit subtraction. However, a follow-up visual search through all the transit-subtracted data, which allows for easier visual identification of new transits, revealed the existence of a new, Neptune-sized exoplanet (Kepler-150 f) and a potential single transit of a likely false positive (Kepler-208). Kepler-150 f ($P=637.2$ days, $R_{\rm{P}}=3.64^{+0.52}_{-0.39}$ R$_{\oplus}$) is confirmed with $>99.998\%$ confidence using a combination of the planet multiplicity argument, a false positive probability analysis, and a transit duration analysis.Comment: 11 pages, 5 figures, 2 tables. Accepted into A